The Journey day service: an occupational group work programme for people with personality disorder

Hirons, Alan; Rose, Rachel V.; Burke, Kate

doi:10.5042/mhrj.2010.0740

Cited by 3 publications

(6 citation statements)

References 3 publications

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“…This has been described as “a maladaptive pattern of behaviour that is pervasive and persistent throughout life” (Holmes, 2010). Inherent within personality disorder may lie problems in establishing a sense of self and others, difficulties with interpersonal functioning and an inability to develop pro‐social behaviour in the wider social context (Hirons et al , 2010).…”

Section: Evidence Basementioning

confidence: 99%

“…The same NICE guidelines state that personality disorder services within the NHS at present are “diverse, spasmodic and inconsistent” (Department of Health, 2003). However, there are pockets of innovation; the efficacy of OT has been demonstrated in a handful of recent documentation (Hirons et al , 2010; Bowden, 2010).…”

Section: Evidence Basementioning

confidence: 99%

“…An occupational group work programme for people with personality disorder, “The Journey Day Service” (Hirons et al , 2010) has successfully utilised OT interventions with individuals diagnosed with personality disorder. The model of human occupation (MOHO) (Kielhofner, 2008) is used to assist people diagnosed with personality disorder to engage in focused, goal directed activity.…”

Section: Evidence Basementioning

confidence: 99%

“…The model of human occupation (MOHO) (Kielhofner, 2008) is used to assist people diagnosed with personality disorder to engage in focused, goal directed activity. This is represented by:occupation that improves the quality and effectiveness of control and regulation of thoughts and feelings; andoccupation that transcends goal avoidance or negative affect and focuses upon achievement of wider life goals” (Hirons et al , 2010). The MOHO addresses the motivation for occupation, the patterning of occupational behaviour, the nature of skilled performance and the influence of the environment.…”

Section: Evidence Basementioning

confidence: 99%

“…occupation that transcends goal avoidance or negative affect and focuses upon achievement of wider life goals” (Hirons et al , 2010).…”

Section: Evidence Basementioning

confidence: 99%

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Occupational therapy in a medium secure intellectual disability and personality disorder service

Withers

Boulton

Morrison

et al. 2012

Journal of Learning Disabilities and Offending Behaviour

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PurposeThe purpose of this paper pertains to the implementation of an occupational therapy service within a newly‐established medium secure service for 16 men with intellectual disabilities and additional diagnosis of personality disorder located in the North West of England.Design/methodology/approachThis is a general review, providing a descriptive account of the development and implementation of an occupational therapeutic provision for men residing in a medium secure unit with a dual diagnosis of intellectual disability and personality disorder and a service user account of its efficacy.FindingsThe paper seeks to illustrate the efficacy of occupational therapy implemented by a specifically recruited and trained staff team, describing engagement in meaningful, bespoke programmes of occupation used to assist service users to address deficit areas via mutual engagement in activities, serving to facilitate the formation and development of positive and trusting relationships between service users and staff. The impact of the service is described from a service user's perspective.Originality/valueThere is very little literature relating to those with intellectual disability also diagnosed with personality disorder. There appears to be no specific study of occupational therapy amongst those with dual diagnosis of intellectual disability and personality disorder. This paper is therefore unique in its approach and provides an overview of both the process and method used to implement occupational therapy, as well as a service user perspective and an illustration of its efficacy in a medium secure setting.

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Section: Evidence Basementioning

confidence: 99%

Section: Evidence Basementioning

confidence: 99%

Section: Evidence Basementioning

confidence: 99%