Occupational Therapy Commons^™

What's Going On In This Picture? Teaching Clinical Observation Skills With Visual Thinking Strategies, Susan Noyes Phd, Otr/L

USM Research and Scholarship Symposium

No abstract provided.

Improving Safety On The Road Through Occupational Therapy Intervention, Katherine Uschmann, Zachary Childs

Thinking Matters Symposium Archive

As the U.S. population ages, increasing the likelihood of impaired fitness-to-drive, the topic of road safety holds strong interest among numerous professionals. The field of occupational therapy (OT) affirms the importance of community mobility in supporting overall health and well-being. OT practitioners who encounter clients with questionable driving ability should refer them to driving specialists. However, the question remains what kind of interventions may help clients with cognitive decline who have the potential to return to safe driving. This project’s evidence search revealed a wide range of interventions that show promise including: classroom education (especially when augmented by on-road training), …

The Role Of Motivation And Cognition In Adults With Schizophrenia, Jaime Willard, Evangeline Abraham

Thinking Matters Symposium Archive

Our work is based around the holistic nature of the field of occupational therapy. This evidence-based project initially began, at the request of our community partner, with the intention of finding one or more assessments that may help identify the cause of a lack of motivation among group home residents at Tri County Mental Health in Lewiston, ME who suffer from schizophrenia. Schizophrenia is a chronic and severe mental illness that is now diagnosed as a spectrum disorder. It is characterized by distortions in the perception of reality and impairments in cognition and motivation. Schizophrenia can be categorized into three …

Evidence And Interventions For Children With Handwriting Deficits, Josephine Hatch

Thinking Matters Symposium Archive

The purpose of this project was to determine effective interventions shown to increase fine motor skills in children who experience handwriting deficits related to ADD/ADHD or other attention deficits. The project was prepared for a pediatric outpatient OT at Hasbro Children’s Hospital. The information was found via the USM databases through specific search terms and parameters.
This work is significant because many OTs and teachers are working with children who have deficits in handwriting and fine motor abilities. There needs to be additional research conducted specifically with children who have ADD/ADHD and exhibit fine motor and handwriting deficits.
The research …

Does Instrument Assisted Soft-Tissue Mobilization (Iastm) Benefit Adults With Physical Dysfunction?, Kayla Chamberlin, Deanna Richards

Thinking Matters Symposium Archive

This project began in partnership with the Inland Hospital occupational therapy department in Waterville, Maine. The therapists were interested in evidence on the effectiveness of instrument assisted soft-tissue mobilization (IASTM) as a therapeutic intervention for their patients. This technique is an alternative form of therapeutic massage, which uses metal instruments to treat soft-tissue adhesions. This project looked into therapeutic outcomes of IASTM for use on adults with physical dysfunction, specifically those experiencing pain or loss of range of motion. The project reviewed numerous studies on the topic of IASTM. Eleven articles were selected to be included in the final project …

Facilitating Return To Work Among Individuals With Mental Illness Through Occupational Therapy Interventions, Cleo Miller, Blakelee Jordan

Thinking Matters Symposium Archive

The side effects of mental illness can affect areas of occupation, including: play, leisure, work, social participation, activities of daily living, etc. (Brown & Stoffel, 2011). Through collaboration with Riverview Psychiatric Center (RPC) in Augusta, Maine, as well as Maureen Martin OTR/L, an evaluation of relevant research was conducted to determine occupational therapy’s (OT) roll in the process of returning to work (RTW) for clients newly discharged from an inpatient psychiatric facility. This evaluation devised three themes: personal factors related to RTW; assessment tools & frameworks used to guide intervention; and OT interventions that can facilitate RTW. Research suggests that …

Therapeutic Riding And Psychological Health In Older Adults, Alyssa Pattison, Craig Ashford

Thinking Matters Symposium Archive

This project explores the available quantitative and qualitative research to see if there is a link between therapeutic horseback riding and the reduction in symptoms of depression in older adults. Currently, there is a gap in evidence based research surrounding older populations with depression and therapeutic riding. However, research gathered on adolescents and adults suggest that therapeutic riding may alleviate depressive symptoms in persons over 65 years of age. Studies included in this project reveal groups of themes. The first is assessments, tools and evaluations. The second is animal assisted therapy, equine assisted therapy, therapeutic riding, and the barn environment. …

What Is The Relationship Between Sensory Processing Deficits And Schizophrenia?, Jenna Carlson, Nandikesha Jungwirth

Thinking Matters Symposium Archive

This evidence-based study investigated the relationship between sensory processing deficits and schizophrenia. A literature search of 7 databases using 9 search terms resulted in 10 high quality articles which best shape and illustrate the current information regarding the link between sensory processing and schizophrenia. Themes therein included atypical sensory processing, sensory gating deficits, auditory processing deficits, visual processing deficits, and smoking. It was found that people with schizophrenia process sensory information differently than neurotypical people, demonstrating deficits in the ability to filter out sensory stimuli. These deficits were correlated with a range of functional impacts, including decreased social participation. Surprisingly, …

Discharge To The Community From An Inpatient Psychiatric Hospital: Factors To Consider, David Byerly, Jennifer Caswell, Erin Brooks

Thinking Matters Symposium Archive

Nationally, inpatient psychiatric settings average a 5% readmission rate for their patients, within one month of discharge. A search for articles published within the past 20 years, uncovered critical themes and led to recommendations for practice from 15 articles. Impacting an individual’s readmission are 1) length of stay at the facility, 2) employment opportunities and support after discharge, 3) social and family support, impacting feelings of exclusion/inclusion (stigma), 4) the extent to which the individual embraces the AA recovery philosophy, 5) the specific characteristics of the immediate geographical location of housing, 6) adherence to medical plans, and 7) the availability …

Occupational Therapy’S Role In Empowering The Oldest Old Population, Lauren Conigliaro, Nicole Wingfield

Thinking Matters Symposium Archive

Question: Does occupational therapy promote occupational engagement and increase confidence in mobility in the oldest old population residing in assisted living facilities?

Occupational Therapy's Role In Transition To Higher Education And Employment For Individuals Living With Austism Spectrum Disorders, Kelsey Covert, Samantha Mathieu

Thinking Matters Symposium Archive

The focus of this evidence-based project was on the transition process for individuals living with Autism Spectrum Disorder (ASD) to higher education and employment; specifically, how the University of Southern Maine can support individuals with autism spectrum disorder as they transition to higher education and employment. Those with ASD have several risk factors such as decreased communication and executive functioning skills. These skills and further related skills are linked to negative post school outcomes. An increasing number of the population with ASD are enrolling in post-secondary education, but many do not finish due to a lack of support at this …

Breaking Down Barriers: Technology And Dementia, Jamie Sullivan, Kristin Desrochers

Thinking Matters Symposium Archive

Clinical Question Does the use of person-centered, interactive, computerized technology in a facility setting improve health outcomes within the scope of occupational therapy for persons with dementia? This clinical question was informed in partnership with our community partner it’s Never 2 Late (iN2L), a company focused on providing person-centered accessible technology to persons with dementia. After an extensive review of the literature it was found that person-centered interactive computerized technology can be used to improve cognition, social participation, mental health, well-being and engagement. The authors concluded that technology like iN2L should be implemented in residential facilities to improve health outcomes …

Driving Predictability For Individuals With Neurological Disorders: Occupational Therapy Services, Julie Roy, Caroline Dunn

Thinking Matters Symposium Archive

Driving is an essential occupation of most individuals; from work to school to medical needs and everyday activities, people need to drive, safety and predictably. This evidence-based project utilized published, scholarly and peer-reviewed studies, both quantitative and qualitative, to attempt to answer the question, ‘Do Occupational Therapy services for people with dementia or progressive neurological conditions predict the ability for the individual to remain safely engaged in the occupation of driving?’ Exclusion material was any articles found that were driving programs. This evidence-based projects ended up with a total of 11 articles; four level I articles, three level II articles, …

Mindfulness-Based Interventions For Elementary School Students, Jocelyn Giammarino, Mary Macaluso

Thinking Matters Symposium Archive

We collected evidence on the use of mindfulness-based interventions in elementary school classrooms. Our community partner was Jill Schacht OTR/L who is the occupational therapist in the three elementary schools in the Sanford School District. The children in these schools often have difficulty succeeding in academics due to anxiety, difficulty with self-regulation, attention, executive functioning, and "behavioral" problems. The evidence collected was a combination of level I and level II evidence. Findings indicate that mindfulness-based interventions in the classroom aid in decreases in anxiety, depressive symptoms, negative affect, and attentional difficulties. Findings also showed increases in executive functioning, behavioral regulation, …

Improving Life Skills For People With Brain Injury, Rita Goodwin, Samantha Brownwell

Thinking Matters Symposium Archive

Acquired Brain injury (ABI) Clubhouses, are modeled after the clubhouses designed for the mental health population. The Clubhouse Model has shown great potential for the mental health population and has been hypothesized that a similar model would be beneficial for the brain injury population. Clubhouses are designed to improve meaning and purpose in individuals lives. Recently there has been an increase in ABI Clubhouse across the world and it has become an emerging treatment approach for these individuals.

There were limited studies regarding ABI Clubhouses, but there were a few articles supporting the implementation and effectiveness of the Clubhouse Model …

An Exploration Of Life Skill Development In Adults With Intellectual Disabilities, Jack Holevatz, Elizabeth Yattaw

Thinking Matters Symposium Archive

Our research question was, What factors impact life skill development in adults with intellectual disability?

The direction of this project was selected by the suggestion of a local community partner, Momentum Maine. After a thorough investigation of the best available evidence retarding this topic, several conclusions were reached. The level of supervision provided to an adult with intellectual disabilities was found to significantly affect life skill development, as an unduly high level impeded growth. The themes that arose from the literature were appropriate levels of supervision, independent living environment, training in interpersonal skills, physical activity and later life and time …

Supporting Positive Youth Development For At-Risk Youth, Alice Hwang, Etinosa Obadagbonyi, Kyle Scherer

Thinking Matters Symposium Archive

At risk youth is a sensitive but important topic to discuss, and a vital population to support. Through an extensive search of the available literature, a few core themes centered around eliciting change for these young men and women have emerged. The goal was to intricately weave these approaches into a community centered, occupation-based program to serve at-risk youth population in the greater Lewiston community.

Systems change is defined as “change efforts that strive to shift the underlying infrastructure within a community or targeted context to support a desired outcome, including shifting existing policies and practices, resource allocations, relational structures, …

Family-Centered Care Outcomes In A Preschool Setting, Victoria Schalk, Cathy Lane

Thinking Matters Symposium Archive

Family-centered care (FCC) is recognized as an inclusive service delivery model based on the theory that more parental involvement will result in more relevant outcomes for the child and family. It has become the preferred method of service delivery for pediatric providers, including occupational therapists. Although FCC has become the standard, it is unclear how effective it is as a model. We conducted a review of available and best evidence concerning the impact of FCC on children’s outcomes in preschool, in order to provide recommendations for occupational therapists practicing in preschools using FCC. We found that the majority of research …

Assessing Dementia And Mild Cognitive Impairment Within The Home, Kate Sobanik, Melinda Blais

Thinking Matters Symposium Archive

What are useful assessments which can be administered by occupational therapists for homebound adults with dementia or mild cognitive impairment that will influence practice patterns?

Occupational Therapy Led Handwriting Programs In General Education, Angela Hamel, Collin Skilling

Thinking Matters Symposium Archive

PIO: Does integrating occupational therapy led handwriting programs into a classroom’s curriculum improve overall handwriting in all children?

Expanding The Concept Of Play, Allison Vachon, Kylie Lyon

Thinking Matters Symposium Archive

The focus of this presentation is on medically fragile children. Through our searching process, we found that play is essential for typical development in children. When a child has a complex condition, play is often compromised. Through our evidence, we found that medically fragile children experience barriers engaging in play and social encounters while at school. Medically fragile children spend most of their day interacting with teaching staff or nurses due to the demanding needs of their disabilities. With the help of assistive technologies such as a powered mobility chair, a single switch output communication aid and movement to music …

Occupational Therapy’S Role In Helping Individuals With Spmi Gain And Sustain Employment, Jill Blackstock, Emile Castonguay

Thinking Matters Symposium Archive

Does including occupational therapy services as part of an interdisciplinary mental health team help clients with serious and persistent mental illness to gain and sustain employment?

Occupational Therapy Services In Postsecondary Education Settings, Marissa Eldridge, Courtney Kromko

Thinking Matters Symposium Archive

Do college students experience improved success by participating in a university program utilizing occupational therapy services?

Adults With Intellectual Disability Or Autism Spectrum Disorder. Executive Summary, Kimberly I. Snow Mhsa, Ba, Stuart Bratesman Mpp, Taryn Bowe, Julie T. Fralich Mba

Disability & Aging

This chartbook describes Maine’s historical trends in meeting the needs of adults with ID/ASD through institutional and community based services in comparison to other states; a detailed analysis of the population’s utilization of different types of services and their costs in SFY 2010; the implementation of the Supports Intensity Scale (SIS) as a means of identifying the supports needs of the adults with ID/ASD; and the complement of providers serving this population in Maine.