Occupational Therapists as Case Managers: Responding to Current Approaches to Community Mental Health Service Delivery

Krupa, Terry; Clark, Carrie

doi:10.1177/000841749506200104

Cited by 23 publications

(26 citation statements)

References 21 publications

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“…This ambiguity is mirrored in the field in general. Only recently, has the role of case manager been discussed in the literature as a legitimate role for occupational therapists in community practice (American Occupational Therapy Association Statement, 1991; Krupa & Clark, 1995). As the literature grows, roles in enabling occupations may become better understood and accepted within the profession.…”

Section: Personal and Professional Growthmentioning

confidence: 99%

Understanding the Role-Emerging Fieldwork Placement

Bossers¹,

Cook²,

Polatajko³

et al. 1997

Can J Occup Ther

126

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Students' perceptions of role-emerging placements as a learning experience in occupational therapy were explored using qualitative methods. Transcripts of eleven indepth interviews with student participants were analyzed for emerging themes. The students described the placements as contributing to their learning by: providing opportunities for seeing the client as a person; for personal and professional growth; and for role elaboration.The community context and the placement structure were both seen as major contributors to the students' learning. Potential benefits of these placements for the profession were also identified. The findings provide a comprehensive look at the students' perspectives of these placements and indicate that important learning occurs in the role-emerging experience. Most importantly, findings indicate that role-emerging placements provide important opportunities for the development of students as professionals in a climate of health-care reform. The profession should consider role-emerging placements as growth-inducing learning experiences for students. RÉSUMÉCette étude explore à l'aide de méthodes qualitatives dans quelle mesure les élèves perçoivent les stages dans les nouveaux milieux comme des expérience d'apprentissage valables en ergothérapie. À partir de la transcription de onze entrevues élaborées auprès d'élèves ayant participé à ce genre de stage, on a procédé à l'analyse de nouveaux thèmes. Les élèves ont rapporté que les stages ont contribué à leur apprentissage en leur donnant l'occasion de considérer le client comme une personne, en favorisant leur croissance personnelle et en leur permettant de préciser leur rôle. Le contexte de la communauté et la structure du stage ont été perçus comme des points clés de l'apprentissage de l'élève. Les avantages de ces nouveaux secteurs de formation pour la profession ont également été soulignés. Les résultats de cette étude fournissent une vue d'ensemble des perceptions des étudiants sur les stages et ils indiquent que des apprentissages significatifs sont possibles à travers des expériences dans de nouveaux milieux. Ces résultats ont surtout indiqué que les nouveaux secteurs de formation offrent des occasions inestimables pour le développement professionnel des étudiants dans un climat de réforme de la santé. La profession se doit de considérer les stages dans les nouveaux milieux comme des expériences de croissance personnelle et d'apprentissage pour les étudiants.

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Section: Personal and Professional Growthmentioning

confidence: 99%

Understanding the Role-Emerging Fieldwork Placement

Bossers¹,

Cook²,

Polatajko³

et al. 1997

Can J Occup Ther

126

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“…' (p197) As in the Australian literature, there is reference to innovative methods of providing services for those with mental health problems. Krupa and Clark (1995) outlined the case management approach and its relationship to occupational therapy. In their opinion the similarities between them relate to adopting an holistic perspective, promoting independence and emphasising function rather than illness.…”

Section: Association Of Occupational Therapists (1989) As a Position mentioning

confidence: 99%

Occupational Therapy in Mental Health: A Review of the Literature

Craik¹

1998

British Journal of Occupational Therapy

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This review of the literature was conducted as part of the development of a position paper on the way ahead for research, education and practice in occupational therapy in mental health. It included publications over the past decade and concentrated on the British Journal of Occupational Therapy. Recognising experience from other countries would be beneficial, aspects of the literature from the National Journals in American, Canada and Australia which were most relevant to practice in the UK were included. The shortage of articles on mental health was conspicuous and their diverse topics and descriptive nature were notable. In the UK literature, the clinical subjects featured most often were dementia, work rehabilitation, community mental health and forensic psychiatry, with other subjects either appearing infrequently or not being included. The literature from the other countries also explored new roles for occupational therapy, reflecting the changes in the delivery of mental health services.In the American Journal of Occupational Therapy there was concern about the declining number of occupational therapists working in mental health. The review identified major themes in the literature and posed questions for education, research and practice in occupational therapy and formed the foundation for the position paper.

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“…The finding does appear to agree with the report of Gardner and McCoppin (1988), who have argued that physiotherapy has attained a greater degree of professional independence and status than other allied health professional groups. In addition, recent research in occupational therapy suggests that this professional group is still concerned with defining their role (Krupa & Clark 1995). No significant difference was obtained between speech pathologists, occupational therapists and physiotherapists with regard to interactions between members of their own profession and other health professionals.…”

Section: Differences In Professional Relationships and Work Role: Permentioning

confidence: 93%

“…These differences may have important planning implications, in that it has been suggested that low professional status and lack of control over working conditions may motivate hospital nurses to enter practice in the community and thereby expand their roles (Akroyd et al 1994). Most studies of workplace roles and professional interactions among health personnel do not compare professional groups, although literature within each profession does consider these issues (for example, Krupa & Clark 1995;Raz et al 1991). Given the significant differences within the nursing profession across workplace settings, it is likely that important interprofessional differences exist between allied health professional groups.…”

Section: Introduction and Literature Reviewmentioning

confidence: 99%