The management of patients with functional stroke: speech and language therapists’ views and experiences

Barnett, Caroline; Mitchell, Claire; Tyson, Sarah

doi:10.1080/09638288.2020.1867910

Cited by 5 publications

(1 citation statement)

References 54 publications

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“…Barriers to the treatment of people with FND in settings other than the home have been identified by other healthcare professionals and have relevance to occupational therapy practice. Perceived barriers include lack of knowledge of the condition and its treatment; stigma about the diagnosis; reduced confidence in discussing psychological aspects of the diagnosis; reduced access to mental health support and lack of continuity of care from hospital to community environments (Ahern et al, 2009; Barnett et al, 2021; Demartini et al, 2014; Edwards et al, 2012; Kanaan et al, 2009; Nielsen et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Barriers and enablers to providing community-based occupational therapy to people with functional neurological disorder: An interview study with occupational therapists in the United Kingdom

Nicholson

Francis

Nielsen

et al. 2021

British Journal of Occupational Therapy

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Introduction Occupational therapists have an integral role in the treatment of people with functional neurological disorder, yet there is evidence of variable implementation of occupational therapy in community settings. This study explored the barriers and enablers to delivering community-based occupational therapy to people with functional neurological disorder in the United Kingdom. Methods Community-based neurological occupational therapists ( n = 10) with experience in functional neurological disorder were invited to complete semi-structured qualitative interviews. The interview schedule and analysis were based on the Theoretical Domains Framework, a behavioural science tool for investigating barriers and enablers to clinical practice. Data were analysed using a combined content and framework analysis approach. Findings Important barriers to treatment included limited published information to guide practice, lack of professional role clarity and restricted multidisciplinary team working. Enablers included occupational therapists’ dual training in physical and mental health and focus on activity engagement. Service provision, quality and access varied across geographical locations. Conclusion Occupational therapists are uniquely placed to help people with functional neurological disorder; however, findings suggest that existing community service structures in many regions in the United Kingdom are inadequate and limit the quality of treatment that can be provided. Additional resources are required to support occupational therapy service provision in community settings.

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