Evaluating the use of the Model of Human Occupation Screening Tool in mental health services

Abstract

Introduction While the Model of Human Occupation Screening Tool has undergone psychometric development and testing and is widely used in mental health practice, only a few small-scale studies to date have examined its use in clinical practice. Method A national survey was conducted with United Kingdom occupational therapists working in mental health settings to evaluate the use of the Model of Human Occupation Screening Tool. The survey included the modified version of the Usefulness, Satisfaction, and Ease of Use (USE) questionnaire and two open-ended questions. The latter were coded through inductive content analysis and all responses were analysed using Statistical Package for the Social Sciences software. Results n=105 questionnaires were analysed. The Model of Human Occupation Screening Tool was found to be a useful tool, with most therapists scoring it favourably on the usefulness (74.7%), ease of use (76.1%), ease of learning (81.2%) and satisfaction (80.6%) subscales. It was praised as a valuable outcome measure, guiding interventions and providing a comprehensive overview of assessed individuals. Time consumption, inaccessible terminology and lack of sensitivity to change were indicated as possible downfalls. Conclusion Therapists valued the Model of Human Occupation Screening Tool as an assessment tool, but more importance should be placed on training to overcome some of the limitations identified here. Also, its suitability to the setting in which it is used should be considered before implementation in practice.

Adaptação Transcultural do Instrumento the Short Child Occupational Profile (SCOPE) para o Português Brasileiro

“…Esses autores apontam que, apesar de o MOHO e seus conceitos serem amplamente utilizados, ainda há dificuldades identificadas, como a falta de conhecimento e confiança dos terapeutas ocupacionais com esses conceitos, principalmente em relação à comunicação com a equipe multidisciplinar ou com os pacientes quando se trata de resultados advindos de avaliações do MOHO (Bugajska & Brooks, 2020). Nesse caminho, a principal autora do instrumento de avaliação MOHOST (versão adulta do SCOPE) reconheceu essa questão e mudou algumas das terminologias para facilitar a tradução para outras pessoas.…”

“…Por exemplo, volição tornou-se motivação para ocupação. No entanto, isso é algo delicado, pois adaptar em demasia esses conceitos pode levar à perda da especificidade da terminologia da Terapia Ocupacional (Bugajska & Brooks, 2020).…”

“…Dessa forma, o estudo de Bugajska e Brooks (2020) concluiu que, após a superação de barreiras iniciais, a utilização dos conceitos do MOHO apoia a prática focada na ocupação, estimula a reflexão profissional e aprimora o perfil profissional do terapeuta ocupacional. Ademais, as intervenções que utilizam conceitos dos modelos de prática, como o MOHO e seus instrumentos de avaliação, podem ter resultados significativamente melhores no desempenho ocupacional e na qualidade de vida dos sujeitos em comparação com a não utilização de quaisquer modelos ocupacionais na prática (Bugajska & Brooks, 2020). Assim, de acordo com os autores, o mínimo de treinamento pode ser uma alternativa bem-vinda para os terapeutas que querem utilizar os instrumentos do MOHO para trabalhar com as diversas populações, incluindo crianças e adolescentes.…”

The relationship between Motivation for Occupation and Pattern of Occupation scores of the MOHOST and types of discharge placement from a mental health rehabilitation unit

“…Despite evidence that occupational functioning could affect discharge destinations for acute psychiatric inpatients, that it does improve with admission to psychiatric rehabilitation units and occupational function is a significant factor in determining the residential status of psychiatric patients in the community, there have been no studies examining relationship between occupational functioning and discharge destinations from psychiatric rehabilitation units. Moreover, for the few studies that are available for psychiatric inpatients in general, none has used MOHOST as the occupational function assessment tool to predict the relationship between occupational function and discharge destinations, in spite of MOHOST probably being the most widely used occupational function assessment tool in psychiatric units (Bugajska and Brooks, 2020).…”

Mental health – An area of high priority in occupational therapy

“…Another study addressing occupational therapists’ views of their practice concerns UK-based occupational therapists’ use of the Model of Human Occupation Screening Tool (MOHOST) (Bugajska and Brooks, 2020). A national survey – addressing the characteristics of usefulness, satisfaction, ease of use and ease of learning – was sent out to occupational therapists working in mental health services to evaluate the use of MOHOST.…”