Implementing Recovery Model Principles as Part of Occupational Therapy in Inpatient Psychiatric Settings

Synovec, Caitlin

doi:10.1080/0164212x.2014.1001014

Cited by 14 publications

(8 citation statements)

References 14 publications

(21 reference statements)

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“…While the findings of this review help identify the experiences and perspectives of service users on inpatient mental health wards regarding activities, there are limitations to consider. Firstly, the definition of what is an activity is itself limiting due to the unclear boundaries that some activities have with occupation, as often focused on by occupational therapists, and psychological therapies (Cowls & Hale, 2005;Markovich & Tatsumi, 2015;Synovec, 2015). While the research team conducting the primary searches consulted with experts in the wider team, there is likely to be subjectivity when defining the papers' core activity.…”

Section: Limitationsmentioning

confidence: 99%

Activities on acute mental health inpatient wards: A narrative synthesis of the service users’ perspective

Foye

Yan

Birken

et al. 2020

Psychiatric Ment Health Nurs

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Background: Concern about the lack of activities on mental health inpatient wards is long-standing with reports consistently finding that service users receive insufficient access to a range of activities and report high levels of boredom. There is recognition that little is known about what services users want when admitted to inpatient wards. Aim: This review seeks to understand service users' experiences and views in relation to the provision and availability of activities, and to explore the perceived benefits and barriers to service users. Methods: We searched multiple databases (Scopus, Medline, CINHAL, PsychINFO, and Embase) for studies that evaluated activities on acute adult inpatient mental health wards. We identified 12 papers across a range of methodological designs from which the narrative synthesis has been analysed. Results: Findings show that the provision of activities is unsatisfactory for many service users which in turn is relates to increased boredom that has a negative impact on service users' wellbeing. We explore the benefits and barriers to engagement, providing an insight into the aspects that make an activity important. Conclusion: There are few studies exploring the needs of service users regarding activity provision, therefore there is limited knowledge about what is meaningful for individuals.

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Section: Limitationsmentioning

confidence: 99%

Activities on acute mental health inpatient wards: A narrative synthesis of the service users’ perspective

Foye

Yan

Birken

et al. 2020

Psychiatric Ment Health Nurs

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“…For services, this entails that a person is actively involved in their care planning and personal goal setting (DH, 2020). Personal-centred goals carry more meaning and can support a sense of self-determination; increasing motivation towards goal attainment (Synovec, 2015). Assessments and interventions which harness a person’s intrinsic, environmental and social supports promote self-belief and self-efficacy (Synovec, 2015); the core supporting aspects of hope (Leamy et al , 2011).…”

Section: Methodsmentioning

confidence: 99%

“…Occupational therapy's value and knowledge on the intricate processes of a person’s narrative supports the profession to also appreciate the intricate and non-linear process of recovery (Reed et al , 2020). Qualitative studies exploring the perspectives of occupational therapists emphasise these shared ideals (Hurley and McKay, 2009; Synovec, 2015). A qualitative study involving occupational therapists ( n = 8) working in acute adult mental health units in Ireland highlighted some approaches used to support recovery processes (Hurley and McKay, 2009).…”

Section: Introductionmentioning

confidence: 99%

Identifying occupational therapy outcome measures supportive of recovery-orientated mental health services in Ireland

Kearns

Salmon

Cahill

et al. 2021

IJOT

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Purpose No occupational therapy outcome measures have been designed specifically for recovery-orientated services.This paper aims to identify occupational therapy outcome measures relevant to mental health practice and assess them against recovery principles adopted by Irish Mental Health Services. Design/methodology/approach A narrative review methodology was used to appraise outcome measures against CHIME recovery principles. Findings A systematic search across 13 databases identified eight well-established outcome measures commonly used within occupational therapy mental health literature. The included outcome measures were appraised using a recovery alignment tool. Practical implications All outcome measures connected to some recovery processes. Those using semi-structured interview formats and notably the Canadian Occupational Performance Measure (COPM) had the strongest alignment to recovery processes. Originality/value This is the first known review which provides some validation that the included outcome measures support recovery processes, yet the measures rely heavily on therapist’s skills for processes to be facilitated. It recommends that ways to better support the process of partnership in occupational therapy mental health outcome measures be explored and further research be undertaken.

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“…) to engagement and then reducing or removing those barriers. This would include, as Synovec (2015) encourages, the occupational therapist teaching and supporting the active use of coping strategies to help manage the effect of symptoms of illness. Creating opportunities for people to engage in activities that promote health and support a wellness lifestyle by addressing barriers and building on existing abilities would increase opportunities to engage in meaningful occupations is also a key role.…”

Section: Original Articlementioning

confidence: 99%

Resituating Aotearoa New Zealand mental health legislation in the context of social and occupational justice

Reed

Field²

2017

ANZSWJ

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INTRODUCTION:Social work and occupational therapy mental health practitioners face a range of tensions in relation to statutory obligations in the context of maintaining a focus on the ideals of social or occupational justice. APPROACH:The aim of this article is to highlight some of the complexities for social work and occupational therapy practitioners in an environment dominated by a medico-legal worldview. Those complexities include creating and maintaining a therapeutic relationship, adhering to legal obligations; and staying focused on professional values and beliefs. We have explored notions of social justice and occupational justice and undertaken a descriptive chronological review of Aotearoa New Zealand mental health legislation. IMPLICATIONS:We have provided an insight in to some of the key factors that have influenced the development of mental health legislation in this country in relation to social and occupational justice. We have considered how the medico-legal worldview influences staying true to the notions of social and occupational justice and have made suggestions for change relative to practice and the legislation.

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Implementing Recovery Model Principles as Part of Occupational Therapy in Inpatient Psychiatric Settings

Cited by 14 publications

References 14 publications

Activities on acute mental health inpatient wards: A narrative synthesis of the service users’ perspective

Activities on acute mental health inpatient wards: A narrative synthesis of the service users’ perspective

Identifying occupational therapy outcome measures supportive of recovery-orientated mental health services in Ireland

Resituating Aotearoa New Zealand mental health legislation in the context of social and occupational justice

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