Best Practice in Occupational Therapy: Program Characteristics that Influence Vocational Outcomes for People with Serious Mental Illnesses

Abstract

The authors suggest these characteristics can be incorporated across models and practice settings. The findings are discussed in terms of implications for best practice in occupational therapy.

“Watch your steps” – Community mental health professionals’ perspectives on the vocational rehabilitation of people with severe mental illness

“…This finding can be interpreted in light of the literature, which argues that supporting work integration, including vocational workers in community mental health teams, is considered critical (Kirsh, Cockburn, & Gewurtz, 2005). However, it is noted that mental health professionals' attitudes may make it difficult to integrate vocational workers into clinical teams.…”

“…For example, stigma and negative attitudes toward clients' work on the part of potential employers as barriers to employment (Garske & Stewart, 1999;Krupa et al, 2009;Marwaha, Balachandra, & Johnson, 2009) and supportive services (Kirsh et al, 2005;Shankar, 2005) as enablers of employment have been reported in the literature.…”

A terapia ocupacional reduzindo sintomas ansiosos em uma clínica psiquiátrica

“…[2][3][4] Dessa forma, no intuito de avaliar o efeito da TO na rotina de uma clínica psiquiátrica, foi observado o número de solicitações de atendimento do psiquiatra de plantão em uma clínica particular em dias com atividades da TO e dias sem as mesmas. Os pacientes foram informados e assinaram termo de consentimento.…”

“…2,3 O uso concomitante dessas drogas deve ser cauteloso, com aumento progressivo das doses e, muitas vezes, não aumentando as mesmas para valores habitualmente utilizados na prática psiquiátrica clínica. 3 No caso clínico apresentado, além da nítida relação temporal entre o aumento abrupto do ácido valpróico e o aparecimento dos Delirium secundário ao uso de lamotrigina com aumento abrupto da dose de ácido valpróico Secondary delirium due to the use of lamotrigine with abrupt increase valproic acid's dose sintomas, percebemos que a interrupção de ambas as drogas resultaram em uma melhora clínica significativa.…”

The shift to rapid job placement for people living with mental illness: An analysis of consequences.

“…However, certain principles have received particular attention in practice and research (Kirsh, Cockbum, & Gewurtz, 2005). Rapid job search is one such principle.…”