Occupation-based practices and homelessness: A scoping review

Roy, Laurence; Vallée, Catherine; Kirsh, Bonnie; Marshall, Carrie Anne; Marval, Rebecca; Low, Alissa

doi:10.1177/0008417416688709

Cited by 36 publications

(27 citation statements)

References 71 publications

(95 reference statements)

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“…At present, the scarcity of occupational therapy literature in the area of homelessness illuminates the large gap between the need for and availability of services for the homeless population (Roy et al, 2017). In this project, a role-emerging fieldwork placement provided occupational therapy services to clients who would otherwise not have access to services, while providing an opportunity for students to meet fieldwork learning objectives and allowing the administration at the homeless shelter to explore provisional occupational therapy services for their clients.…”

Section: Implications For Occupational Therapy Educationmentioning

confidence: 99%

The Development of a Role-Emerging Fieldwork Placement in a Homeless Shelter

Tyminski¹

2018

JOTE

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The purpose of this project was to develop and evaluate student learning outcomes of a role-emerging fieldwork Level II placement in a local homeless shelter. A role-emerging fieldwork placement denotes any placement in which there is not an identified occupational therapy program or no on-site occupational therapy (OT) supervisor. The project ran from January through June 2017 at a local homeless shelter with 1 Masters of Occupational Therapy (MOT) student from a local university completing their first Level II fieldwork rotation from January through March, followed by 2 MOT students completing their second rotation from April through June. Fieldwork supervision was provided by an off-site fieldwork educator to meet the minimum Accreditation Council for Occupational Therapy Education (ACOTE) standard of 8 hours per week of direct supervision. Student experience was evaluated using the Fieldwork Experience Assessment Tool (FEAT) after the first week of the rotation, at midterm, and during the final week. Students reported decreased stigma towards the population, increased skills in occupational therapy practice, and improved confidence in their clinical decision making. Role-emerging fieldwork placements can provide a productive learning opportunity for selected students to explore the occupational therapy role in nontraditional settings. This paper will describe the creation of the role-emerging fieldwork project, development of student-run occupational therapy programming in a homeless shelter, student feedback regarding progress towards learning objectives, and describe student attitudes towards role-emerging fieldwork placements.

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Section: Implications For Occupational Therapy Educationmentioning

confidence: 99%

The Development of a Role-Emerging Fieldwork Placement in a Homeless Shelter

Tyminski¹

2018

JOTE

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“…One such example has been the challenge of identifying homelessness in some patients. [57][58][59] These patients may require care in varying locations over a short period, requiring frequent reassessments of patient demographic data. Related issues, such as transportation, providing medications that require refrigeration, or using diagnostic modalities that require electricity (for monitoring), need to be modified accordingly.…”

Section: Future Synergies Between Ai and Precision Medicinementioning

confidence: 99%

Precision Medicine, AI, and the Future of Personalized Health Care

Johnson

Wei

Weeraratne

et al. 2020

Clinical Translational Sci

634

227

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The convergence of artificial intelligence (AI) and precision medicine promises to revolutionize health care. Precision medicine methods identify phenotypes of patients with less‐common responses to treatment or unique healthcare needs. AI leverages sophisticated computation and inference to generate insights, enables the system to reason and learn, and empowers clinician decision making through augmented intelligence. Recent literature suggests that translational research exploring this convergence will help solve the most difficult challenges facing precision medicine, especially those in which nongenomic and genomic determinants, combined with information from patient symptoms, clinical history, and lifestyles, will facilitate personalized diagnosis and prognostication.

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“…Occupational therapy services for individuals experiencing homelessness primarily have occurred within shelter settings or as an adjunct to care in hospital based practice [23,24]. However, the chaotic environment of the shelter or inconsistency of shelter staff can affect the regularity of participation.…”

Section: Literature Reviewmentioning

confidence: 99%

Integrated Care: Provider referrer perceptions of occupational therapy services for homeless adults in an integrated primary care setting

Merryman

Synovec

2020

WOR

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BACKGROUND: Occupational therapists have a long history of addressing community performance and participation challenges faced by individuals with complex, chronic conditions, including those with serious mental illnesses (SMI) and cognitive issues that present with a traumatic brain injury (TBI). Healthcare reform has shifted incentives to support practices that promote successful community life for people with complex medical conditions. Community based care models emphasizing integrated primary care, such as Federally Qualified Health Centers (FQHC) are emerging, and a generalist role for occupational therapy is being defined. Those with complex comorbid conditions such as mental illness, substance abuse and traumatic brain injury are at risk for negative health outcomes that are further compounded by homelessness. There is a critical need to understand effective treatment options for this population to reduce the negative effects of chronic health conditions. As occupational therapists further define a role serving traditional clients in less traditional settings, such as the FQHC, it is helpful to explore the perceptions of the utility of OT services on the part of provider referrers. OBJECTIVE: This study explored provider referrer perceptions of a new occupational therapy service for homeless adults in an FQHC to assist effective allocation of scarce resources. METHODS: Twelve provider referrers at an FQHC were interviewed regarding their perception of the role and utility of occupational therapy in this setting. Interviews were then coded for themes. RESULTS: Providers identified the unique value of occupational therapy, emphasizing critical information gleaned from the performance-based assessment of functional cognition, and the positive impact on team interactions and subsequent care decisions. CONCLUSION: Occupational therapy provides a distinct perspective on client performance in FQHC settings indicating benefit for inclusion of services.

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Occupation-based practices and homelessness: A scoping review

Cited by 36 publications

References 71 publications

The Development of a Role-Emerging Fieldwork Placement in a Homeless Shelter

The Development of a Role-Emerging Fieldwork Placement in a Homeless Shelter

Precision Medicine, AI, and the Future of Personalized Health Care

Integrated Care: Provider referrer perceptions of occupational therapy services for homeless adults in an integrated primary care setting

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