Defining the environment to support occupational therapy intervention in mental health practice

Harrison, Michele; Angarola, Rocco; Forsyth, Kirsty; Irvine, Linda

doi:10.1177/0308022614562787

Cited by 10 publications

(9 citation statements)

References 6 publications

(7 reference statements)

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“…This predominant focus on person-level elements has likewise been noted in a recent systematic review and could be explained, in part, by accepted definitions of recovery that do not explicitly reference the environment as a site of change (2,7,11,19). Despite the tendency in clinical practice to direct service toward the individual, a growing body of research shows that the environment is often more immediately amenable to change than the person (86)(87)(88)(89)(90). The WHO's Commission on the Social Determinants of Mental Health supports the role of the environment in promoting recovery, arguing that mental health is shaped "to a great extent by the social, economic, and physical environments in which people live" [(91), p. 8].…”

Section: Discussionmentioning

confidence: 92%

Essential Elements That Contribute to the Recovery of Persons With Severe Mental Illness: A Systematic Scoping Study

et al. 2020

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Introduction: There is an increasing emphasis on recovery-oriented care in the design and delivery of mental health services. Research has demonstrated that recovery-oriented services are understood differently depending on the stakeholders involved. Variations in interpretations of recovery lead to challenges in creating systematically organized environments that deliver a consistent recovery-oriented approach to care. The existing evidence on recovery-oriented practice is scattered and difficult to apply. Through this systematic scoping study, we aim to identify and map the essential elements that contribute to recovery outcomes for persons living with severe mental illness. Methods: We used the Arksey & O'Malley framework as our guiding approach. Seven key databases (MEDLINE, PubMed, CINAHL/EBSCO, EMBASE, ProQuest, PsycINFO, and Google Scholar) were searched using index terms and keywords relating to recovery and severe mental illness. To be included, studies had to be peer-reviewed, published after 1988, had persons with severe mental illness as the focal population, and have used recovery in the context of mental health. The search was conducted in August 2018 and last updated in February 2020. Results: Out of 4,496 sources identified, sixty (n = 60) sources were included that met all of the selection criteria. Three major elements of recovery that emerged from the synthesis (n = 60) include relationships, sense of meaning, and participation. Some sources (n = 20) highlighted specific elements such as hope, resilience, self-efficacy, spirituality, social support, empowerment, race/ethnicity etc. and their association with the processes underpinning recovery. Discussion: The findings of this study enable mental health professionals to incorporate the identified key elements into strategic interventions to facilitate recovery for clients with severe mental illness, and thereby facilitate recovery-oriented practice. The review also documents important gaps in knowledge related to the elements of recovery and identifies a critical need for future studies to address this issue.

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Section: Discussionmentioning

confidence: 92%

Essential Elements That Contribute to the Recovery of Persons With Severe Mental Illness: A Systematic Scoping Study

et al. 2020

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“…These findings suggest that the application of EMAS could be highly relevant in assessment of the personal recovery processes from mental health problems, as a potentially useful tool in facilitating the achievement of therapeutic goals in all services focused on and favouring community adjustment through rehabilitation and psychosocial interventions that promote and foster the experience of personal recovery, favouring engagement in meaningful activities (Coffey et al., 2019; Doroud et al., 2015; Harrison et al., 2016).…”

Section: Discussionmentioning

confidence: 99%

“…This result confirms the usefulness of the instrument in assessing what has been termed the 'ways to meaning' variable (Eakman et al, 2010a(Eakman et al, , 2010b, allowing exploration of the person's preference for either the social component or for the personal component and its potential relationships with other factors, such as life satisfaction (Eakman et al, 2010a(Eakman et al, , 2010b, health related quality of life (Goldberg et al, 2002), depression and boredom (Eakman, 2011), or global functioning (Zimolag and Krupa, 2009). These findings suggest that the application of EMAS could be highly relevant in assessment of the personal recovery processes from mental health problems, as a potentially useful tool in facilitating the achievement of therapeutic goals in all services focused on and favouring community adjustment through rehabilitation and psychosocial interventions that promote and foster the experience of personal recovery, favouring engagement in meaningful activities (Coffey et al, 2019;Doroud et al, 2015;Harrison et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

“…Engagement in meaningful occupations is a key outcome of occupational therapy intervention (Gallagher et al., 2015; Hammell, 2004), and is a key practice employed by occupational therapists in the personal recovery process of PSMI (Doroud et al., 2015; Harrison et al., 2016). Nevertheless, the meaning of a given activity is highly variable across individuals and could be influenced by several factors, such as age, personal values, goals, sources of satisfaction, and cultural and social factors (Yerxa, 1998).…”

Section: Literature Reviewmentioning

confidence: 99%

“…This fact widely concerns the objective assessment of meaningful activities and controversies do exist over how such concepts can be best operationalized (Eakman, 2012; Harrison et al., 2016; Townsend and Polatjko, 2007). Several methods have been used to assess meaningful activities: self-reported or qualitative data, such as the frequency of engaging in activities; the importance to the individual associated with undertaken activities; barriers to realizing activities; or the pleasure or value related to the engagement in a specific activity (Ciro and Smith, 2015; Eakman et al., 2010a, 2010b; Fernández-Ballesteros et al., 2001).…”

Section: Literature Reviewmentioning

confidence: 99%

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Psychometric properties of the Spanish version of the Engagement in Meaningful Activities Survey in people with serious mental illness

Vigué

Ribot²,

Recoder

et al. 2019

British Journal of Occupational Therapy

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Introduction: Facilitating engagement in meaningful activities is a key intervention in the recovery process of people with serious mental illness. This study validates the use of the Engagement in Meaningful Activities Survey in the Spanish mental health population for the purposes of measuring such engagement. Method: Two hundred and ninety-five people with serious mental illness (68.3% were male; M ¼ 47.5, SD ¼ 9.7 years) participated voluntarily and anonymously in the study. All gave written informed consent. A translation into Spanish and backtranslation to English was made. Reliability and validity of the Engagement in Meaningful Activities Survey was assessed by the internal consistency, temporal stability and dimensionality of the scale. Results: The Cronbach's alpha of the Engagement in Meaningful Activities Survey scale was 0.91 and the intraclass correlation coefficient was 0.76. Confirmatory factor analysis revealed a two-factor structure of the scale (v 2 ¼ 93.906, p < .001; comparative fit index ¼ .96, Tucker-Lewis index ¼ .95, root-mean-square error of approximation (90% confidence interval) ¼ .05 (.03-.07) and standardized root mean square residual ¼ .04). All the items showed significant standardized factor loadings above .59. Correlation between the two factors was .97 (p < .001). Conclusion: The instrument could be useful for assessing engagement in meaningful activities and helpful for recovery process interventions focused on enhancing community adjustment in people with serious mental illness.

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Creativity as a Transformative Process

Cotterill¹,

Coleman²

2017

Occupational Therapy Evidence in Practice for Mental Health

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Historically, there has been much debate and discussion about the difficulty in defining occupational therapy. Personally, occupational therapy is a passion. A passion to enable people to achieve their full potential, to work towards their goals and be all they can and want to be and more. The true aspiration of the occupational therapist is no different in mental or physical health-occupational therapy supports people to develop skills to overcome the challenges that restrict them and to utilise their strengths to enable them to live the lives they want to live. Despite the significant changes in health and social care systems over the last decade and the current financial challenges we face, I am inspired by the creativity and adaptability of our profession. We actively seek out new scopes of practice, identifying the need for and highlighting the benefit of occupational therapy. We have outstanding clinicians, researchers, educators and managers, all of whom are exceptional leaders-determinedly working to develop, deliver and evidence the best of what occupational therapy can offer in mental health. We are beginning to embrace the requirements to develop and apply evidence that demonstrates our unique contribution to mental health service delivery and show the effectiveness of our interventions. Occupational therapy in mental health has commenced its journey to adopt an evidence and values-based approach. The chapters within this book reflect the initiatives, developments and evidence of our profession in mental health practice; however, we have not yet arrived at our destination. To ensure we deliver high quality care, cost effective

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Defining the environment to support occupational therapy intervention in mental health practice

Cited by 10 publications

References 6 publications

Essential Elements That Contribute to the Recovery of Persons With Severe Mental Illness: A Systematic Scoping Study

Essential Elements That Contribute to the Recovery of Persons With Severe Mental Illness: A Systematic Scoping Study

Psychometric properties of the Spanish version of the Engagement in Meaningful Activities Survey in people with serious mental illness

Creativity as a Transformative Process

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