Acute Psychiatry and the Dynamic Short‐Term Intervention of the Occupational Therapist

Shorten, Catherine; Crouch, Rosemary

doi:10.1002/9781118913536.ch8

Cited by 5 publications

(11 citation statements)

References 10 publications

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“…To ensure timely and appropriate linkages to aftercare services in the community, information on outpatient and community supports should be presented and discussed with the patient and family as part of planning for post‐discharge needs and services (Noseworthy et al . ; Shorten & Crouch ). Mental healthcare providers must assess patients’ housing and residential options, and financial resources (Backer et al .…”

Section: Resultsmentioning

confidence: 99%

Discharge planning in mental healthcare settings: A review and concept analysis

Xiao

Tourangeau

Widger

et al. 2019

Int J Mental Health Nurs

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To ensure a safe transition of mental health patients from hospital to community settings, greater attention is being given to discharge planning. However, assessing the quality of discharge planning has been challenging due to wide variations in its definition. To facilitate evaluation of discharge planning, its meaning in the mental health literature was systematically explored. This concept analysis is part of a larger study to develop an instrument to measure the quality of discharge planning processes in mental health care. Walker and Avant's (2011) concept analysis approach was adopted to provide a comprehensive definition of discharge planning. Electronic databases and grey literature were searched and analysed according to Grant and Booth's (2009) systematic search and review process. Literature published between 1900 and 2018 was reviewed. Forty-nine articles meeting the inclusion criteria were included in the analysis. Discharge planning is a complex, multifaceted concept with six defining attributes: comprehensive needs assessment; collaborative, patient-centered care; resource availability management; care and service coordination; discharge planner role; and a discharge plan. Discharge planning begins with the initial rapid assessment and symptom stabilization of a patient on admission, coincides with treatment planning, and is associated with hospital readmissions and continuity of care. The mental health literature was reviewed to analyse different interpretations of discharge planning. The conceptual definition provided can assist healthcare providers, organizational leaders, and policymakers to design and implement effective discharge planning policies and guidelines. Providing clarity regarding discharge planning also provides a critical foundation for developing an instrument.KEY WORDS: health services administration, mental health services, patient discharge, psychiatric nursing, qualitative research.

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Section: Resultsmentioning

confidence: 99%

Discharge planning in mental healthcare settings: A review and concept analysis

Xiao

Tourangeau

Widger

et al. 2019

Int J Mental Health Nurs

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“…A short admission period appears to be a global phenomenon. [2] Accordingly, occupational therapists and students need to evolve to meet the demands of such strains on mental healthcare. The institutional barrier of the high turnover in the wards was one of the key aspects that influenced students' learning regarding the role of occupational therapy in this setting.…”

Section: Discussionmentioning

confidence: 99%

Occupational therapy: The process in acute psychiatry

Syed

2020

AJHPE

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Short Research Report The role of the occupational therapist in the acute psychiatric setting includes individual and group assessment and intervention, discharge planning and community reintegration. [1] However, there is a lack of understanding around specific types of assessment and interventions commonly used in this setting, where the occupational therapist does not have the opportunity to predict a predetermined programme that mirrors the traditional occupational therapy process. [2] The occupational therapist and the students should have flexibility in practice. [3] There is a lack of research into the students' understanding of the occupational therapy process in the acute psychiatric context. Methods This study explored third-year occupational therapy students' experiences in the acute psychiatric setting. A qualitative approach was used, which allowed participants to share their subjective perspectives. [4] The setting comprised two acute admission wards at a tertiary psychiatric hospital in Western Cape Province, South Africa. The study population was a thirdyear occupational therapy class at an institute for higher learning in the Western Cape. Participants were selected using purposive sampling, based on their placement in the acute psychiatric fieldwork setting. A sample size of 4 viable participants was identified. [5] Data collection Focus group discussions and semi-structured interviews with each of the 4 participants were used for data gathering. Students' electronic-format reflective journals were collected as a third form of data. Students were asked about the enablers and limitations with the implementation of the occupational therapy process in the setting.

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“…Impairment in these OPCs leads to dysfunction in OPAs like personal care, social skills, recreation and work skills. This is of concern to the occupational therapist, as these impairments have a big impact on the occupational performance of the MHCU with psychosis 1 . The MHCU presenting with acute psychosis is mostly evaluated and treated by the occupational therapist within a group setting, and treatment aims usually focus on relieving and handling of the symptoms of psychosis 10 .…”

Section: Occupational Therapy and Psychosismentioning

confidence: 99%

“…Sadock and Sadock 7 consider group therapy as the most effective way to treat MHCUs with psychosis as it facilitates social interaction and reality orientation. A disadvantage of treating MHCUs with psychosis in groups, is that it is difficult to work in a totally client centred manner in order to address individual needs 1 .…”

Section: Occupational Therapy and Psychosismentioning

confidence: 99%