Goal, intervention and outcome of occupational therapy in individuals with psychoses. Content analysis through a chart review

✍ Scribed by Ann-Britt Ivarsson; Ingrid Söderback; Franklin Stein

• Publisher: John Wiley and Sons
• Year: 2000
• Tongue: English
• Weight: 205 KB
• Volume: 7
• Category: Article
• ISSN: 0966-7903
• DOI: 10.1002/oti.105

✦ Synopsis

Abstract

The purpose of the study was to analyse the content of occupational therapy records documenting treatment for individuals with psychoses. A retrospective content analysis of occupational therapy records regarding treatment goals, interventions and outcome was undertaken using a coding scheme, the Template of Occupational Therapy (TOT). Twenty‐five occupational therapists chosen at random contributed 64 occupational therapy records, generating 2992 statements. The patients' disorders and functional and activity limitations (n=1723) were comprehensively described. Ability to manage self‐care and the home environment, and to engage in a daily occupation, emerged as the prominent treatment goals. The content of the occupational therapy interventions was characterized by descriptions of a wide range of activities, which were used as therapeutic resources. The occupational therapist had a client‐centred approach, combining the use of the current activity with the use of herself/himself as a resource. A few statements in the records were interpreted as relating to outcomes of treatment for this patient group. Statements related to outcome were the patients' self‐reports and how they were able to manage activities of daily living. This retrospective study was found to be a useful conceptual model for designing studies of evidence‐based occupational therapy in mental health. Copyright © 2000 Whurr Publishers Ltd.