Medicine and Health Sciences Commons^™

The Effects Of Cervical Cancer Diagnosis On Occupational Performance, Wynnet Sinclair, Christine Mcconnell, Emily Clark, Katie B. Mcentire, Caitlin Lewis, Lyndsi Pound, Katherine Wuertz

The Open Journal of Occupational Therapy

Background: In the United States, it was predicted that approximately 13,960 new cases of invasive cervical cancer would be diagnosed in 2023 (American Cancer Society, 2023). The research question focused on identifying changes in occupational performance for patients with cervical cancer. The areas of occupational performance considered were activities of daily living, leisure, work, education, social participation, and mental health.

Methods: The respondents completed a cross-sectional, mixed methods Qualtrics survey. Likert scale questions captured the degree of functional impact of cervical cancer on the predetermined areas of occupational performance.

Results: Twenty-seven subjects (ages 18 to 70) fully …

Use Of Formal And Informal Strategies To Manage Stress During Level Ii Occupational Therapy Fieldwork, Ryan Thomure

The Open Journal of Occupational Therapy

Stress may play a role in the performance of occupational therapy students during Level II fieldwork, but little research exists regarding the causes of stress or the stress management strategies students use. The objective of this study was to determine factors that contribute to fieldwork-related stress and strategies students use to manage that stress on Level II fieldwork.

Students or recent graduates of occupational therapy or occupational therapy assistant programs who completed at least one Level II fieldwork experience in the previous 36 months were eligible to participate. An online survey was distributed to participants through snowball sampling. The participants …

Connected Rhythm: A Scoping Review Of Therapeutic Drumming As An Intervention For Autistic Individuals, Zahava L. Friedman, Jorge Ochoa, Dina Prisco, Francine M. Seruya

The Open Journal of Occupational Therapy

Background: Autism Spectrum Disorder (ASD) is a neurologically-based developmental disorder representing a subdomain of neurodivergence. Occupational therapy intervention for ASD typically incorporates sensory modalities, addressing a multitude of challenges, including mental health outcomes. This scoping review analyzes available evidence of the sensory-based intervention of therapeutic drumming (TD) to improve mental health in autistic clients.

Method: Following the Johanna Briggs methodological framework, Proquest, Ebsco, Scopus and OTseeker databases were searched with the key and related words of “autism,” “therapeutic drumming,” and “mental health,” yielding 448 articles. After removal of duplicates and application of inclusion criteria, seventeen articles were included …

Shared Concepts Guiding The Practice Of A Community Occupational Therapy Program Serving Youth With Psychosocial Challenges, Chi-Kwan Shea, Nancy Jackson, Marianna Ayers Sordille

The Open Journal of Occupational Therapy

Background: Occupational therapy services to youth with trauma experiences and mental health challenges may follow unique practice concepts that deserve to be explored and illuminated. The study aimed to explore and identify shared concepts that have been guiding the occupational therapy practice of a community-based program serving the youth population.

Method: The qualitative study analyzed data from transcripts of one-on-one interviews with occupational therapists who serve youth clients in the community-based program. Using a grounded theory qualitative approach, the analysis aimed to highlight unique concepts that the occupational therapists employed in their day-to-day practice with youth who experience …

Initial Validity And User Experience Of A Dynamic Assessment Of Occupational Performance For Transitional Age Youth, Christine Haworth, Genevieve Cyrs, Chi-Kwan Shea

The Open Journal of Occupational Therapy

Background: The Double OT (DOT) assessment is occupation-based and dynamic, designed with a client-centered format requiring skill demonstration. It was developed to support youth transitioning into the workplace. This research intended to analyze initial validity and users’ experience.

Method: This study includes qualitative and quantitative analyses of data collected from surveys from 169 client participants (APs) and 30 recipient participants (ARRs) from eight sites in the USA and Europe. AP were 14­ to 25 years of age and engaged in residential, educational, and vocational settings. The ARRs comprised partners who had received DOT assessment summaries about APs with …

A Scoping Review Exploring The Use Of Art-Making-As-Therapy In Adult Mental Health Occupational Therapy Practice, Alan Johnson, Samantha Ashby, Miranda Lawry

The Open Journal of Occupational Therapy

Background: Art-making-as-therapy has been used by occupational therapists in mental health since the inception of the profession. It aims to enable people to gain mastery and produce art. This review synthesizes the research on the use of art-making as therapy by occupational therapists in adult mental health practice.

Method: Arksey and O’Malley’s 5-stage framework was used. A search of four databases was conducted with the inclusion criteria of papers from 1980 – 2020 using the keywords of occupational therapy, mental health or illness, and art. Thematic analysis was used to analyze the data.

Results: Of the 847 …

Occupational Therapists’ Perspectives During The Covid-19 Pandemic, Emily N. Maas, Allison Sullivan, Said Nafai, James Plummer

The Open Journal of Occupational Therapy

On March 11, 2020, the World Health Organization declared the outbreak of the coronavirus disease 2019 (COVID-19) as a global pandemic. Hospitals, nursing homes, and communities worldwide were flooded with patients diagnosed with COVID-19, resulting in the increased need for medical care and treatment by health care professionals, such as occupational therapists. This study analyzes output from a quantitative online survey design, which was created on SurveyMonkey and included 43 questions. Data from the survey were collected, categorized, and measured through the SurveyMonkey computer system and included information gathered from 204 occupational therapists from October 2020 to February 2020. Based …

A Dialogue Regarding The Current Status Of Mental Health And Occupational Therapy Practice In The United States, Bryan M. Gee, Sonia Zimmerman, Janice Hinds, Halley Read

The Open Journal of Occupational Therapy

No abstract provided.

Increasing Occupational Engagement By Addressing Psychosocial And Occupational Factors Of Chronic Pain: A Case Report, John V. Rider, Monica C. Tay

The Open Journal of Occupational Therapy

Background: Chronic pain can significantly disrupt occupational engagement through physical, psychological, and social domains. Because pain is a subjective experience influenced by numerous factors, it has the capacity to become increasingly complex. Evidence supports addressing chronic pain through a biopsychosocial approach and promoting health and well-being through occupational engagement.

Method: This case report describes the implementation of psychosocial and occupation-focused assessments and interventions for a 68-year-old client with chronic pain and increased symptoms of depression, anxiety, and pain catastrophizing. The use of an occupation-focused time-use assessment (Occupational Experience Profile), psychosocial assessments, and pain assessments guided intervention development. Occupational …

Occupational Therapy’S Psychosocial Role For Young Children Transitioning Out Of Foster Care, Patrick J. Walker, Bryan M. Gee, Sharon Leonard

The Open Journal of Occupational Therapy

Background: Unmet needs for children in the foster care system lead to hardships with social participation, healthy relationships, and occupational engagement. Despite an understanding of these needs, there is minimal research on occupational therapy’s role for young children transitioning from foster care back to their biological parents.

Method: A single case report was completed via occupational-based interventions focused on psychosocial development, such as emotional regulation and appropriate social skills. All nine interventions were intended to be provided via 45-min individual treatment sessions followed by biological parent coaching for 15 min with strategies such as role-playing, sensory techniques, and trauma-informed …

Occupational Therapy Enhancing Psychosocial Factors: Through The Lens Of Case Reports, Bryan M. Gee

The Open Journal of Occupational Therapy

No abstract provided.

Racially Informed Care: A Treatment Approach And Exploration Of The Implications Of Race Related Barriers In The United States, Charae Mcconnell

The Open Journal of Occupational Therapy

Social factors surrounding race and ethnicity often create barriers to meaningful occupation and keep people of color from achieving a greater quality of life (Pooremamali et al., 2016). These barriers often result in occupational deprivation and feelings of alienation in society. Research has shown that these barriers created by systematic racism exist for individuals across different environments and persist over their lifetime (Pooremamali et al., 2016). Because of these barriers and the prolonged stress responses caused by racism, people of color, especially black and brown, have significantly higher rates of chronic illness than White Americans. People of color, specifically African …

Should Dogs Have A Seat In The Classroom? The Effects Of Canine Assisted Education On College Student Mental Health, Christine A. Kivlen, Allison Quevillon, Dani Pasquarelli

The Open Journal of Occupational Therapy

Students continue to face an increase in mental health concerns related to their role of being college students, including increased academic expectations; organizational and time management demands; and, often, a transition to an independent living situation. Mental health symptoms, such as stress and anxiety, have negatively affected students’ academic performance more than any other factors in college students’ lives, and nontraditional inexpensive interventions that can reach a large number of students, such as animal assisted intervention, continue to be explored. Thus, the researchers in this study investigated the effects of canine assisted education (CAE) on students’ stress and anxiety, distractibility, …

Caring For The Caregiver: A Feasibility Study Of An Online Program That Addresses Compassion Fatigue, Burnout, And Secondary Trauma, Emily C. Koller, Regina A. Abel, Lauren E. Milton

The Open Journal of Occupational Therapy

Background: Informal caregivers are susceptible to compassion fatigue in vicarious response to another’s suffering. The purpose of the study was to determine the feasibility of an online program that addresses compassion fatigue, burnout, and secondary traumatic stress in informal caregivers.

Method: The study used a pre-post repeated measures feasibility design. Eighty-six participants were initially recruited. The intervention consisted of a 70-min online program. The participants completed surveys before and after program completion. The number of participants that completed each study phase was recorded to determine feasibility outcomes of acceptability, implementation, and demand. A Wilcoxon signed-rank test was employed to analyze …

Ecospirituality In Forensic Mental Health: A Preliminary Outcome Study, Clark Patrick Heard, Jared Scott, Stephen Yeo

The Open Journal of Occupational Therapy

Background: In this study, the personal experience of spirituality in nature (the concept of ecospirituality) was supported by occupational therapy and spiritual care staff enabling a community-based group for persons affiliated with a forensic mental health system in Ontario, Canada. Spirituality is a key, though debated, tenet in occupational therapy practice. At the same time, immersive participation in nature has been linked to positive health outcomes.

Methods: A qualitative method consistent with Interpretative Phenomenological Analysis was employed. Data was collected via the completion of semi-structured interviews (n = 9). Collected data was transcribed verbatim and then coded for …

Exploring Simulation Design For Mental Health Practice Preparation: A Pilot Study With Learners And Preceptors, Diane E. Mackenzie, Niki Kiepek, Leanne Picketts, Stephanie Zubriski, Karen Landry, Jonathan Harris

The Open Journal of Occupational Therapy

The purpose of this exploratory pilot study was to determine the feasibility of delivering mental health practice simulations for occupational therapy learners, and whether different debriefing approaches yielded performance differences over successive simulations. Five clinical preceptors and nine first year MScOT students participated in this mixed-method study. In week one simulations, one student group received preceptor facilitated debriefing while the other group used self-debriefing. Both groups used the same scripted questions informed by an advocacy-inquiry approach. In the second week, both groups received the preceptor-led debriefing. Preceptors rated student performances while students self-rated their confidence, competence screen, and satisfaction using …

A Qualitative Study Investigating Stroke Survivors’ Perceptions Of Their Psychosocial Needs Being Met During Rehabilitation, Robin A. Wenzel, Emily A. Zgoda, Mia C. St. Clair, Lisa J. Knecht-Sabres

The Open Journal of Occupational Therapy

Background: Depression and anxiety can negatively impact one’s recovery, outcomes, and quality of life. Even though therapists consider the mental health needs of their clients to be a priority, they are dissatisfied with their ability to completely address these needs. The purpose of this study was to examine the client’s perspective regarding the extent to which health care professionals addressed their psychosocial needs after a stroke.

Method: A phenomenological research design was used to collect data from six participants. Interviews and focus group were audiotaped, transcribed verbatim, and thematically analyzed. Member checks, peer-review, multiple coders, triangulation, and expert …

Schizophrenia Spectrum Disorders: Linking Motor And Process Skills, Sensory Patterns, And Psychiatric Symptoms, Lola Halperin, Janet Falk-Kessler

The Open Journal of Occupational Therapy

Background: Consistent evidence suggests sensory abnormalities and skill deficits in people with Schizophrenia Spectrum Disorder (SSD). Further exploration of their sensory patterns and performance skills is warranted to promote community participation among these individuals.

Method: This study examined sensory patterns and motor and process skills in relationship to psychiatric symptoms in adult patients with SSD. Participants were evaluated using the Adolescent/Adult Sensory Profile, the Assessment of Motor and Process Skills, and the Brief Psychiatric Rating Scale.

Results: Of the 18 participants, the majority showed sensory differences, deficits in motor and process skills, and the presence of moderate …

Practice Recommendations For Mental Health Professionals: Perspectives From Grandparents And Their Adolescent Grandchildren, Kendra A. O'Hora, Megan L. Dolbin-Macnab

GrandFamilies: The Contemporary Journal of Research, Practice and Policy

Although grandfamilies are consumers of a variety of mental health services, less is known about what these families, particularly the grandchildren, want from practitioners. To gain insight into how practitioners can best meet the needs of grandfamilies, 40 custodial grandmothers and their adolescent grandchildren were interviewed. Results of a qualitative analysis indicated that grandmothers and grandchildren did not make clear distinctions between various types of services and service providers. Grandchildren, in particular, emphasized the need for mental health professionals to facilitate mentoring and to provide opportunities for grandchildren to socialize with other grandchildren who have been through similar circumstances. Grandmothers …

Clinical Social Work And The Biomedical Industrial Complex, Tomi Gomory, Stephen E. Wong, David Cohen, Jeffrey R. Lacasse

The Journal of Sociology & Social Welfare

This article examines how the biomedical industrial complex has ensnared social work within a foreign conceptual and practice model that distracts clinical social workers from the special assistance that they can provide for people with mental distress and misbehavior. We discuss: (1) social work's assimilation of psychiatric perspectives and practices during its pursuit of professional status; (2) the persistence of psychiatric hospitalization despite its coercive methods, high cost, and doubtful efficacy; (3) the increasing reliance on the Diagnostic and Statistical Manual of Mental Disorders, despite its widely acknowledged scientific frailty; and (4) the questionable contributions of psychoactive drugs to clinical …

The Use Of Critical Ethnography In Managed Mental Health Care Settings, Cassandra L. Bransford

The Journal of Sociology & Social Welfare

How social workers in managed mental health care settings exercise their professional authority may have profound consequences for the provision of ethical and value-based services to vulnerable populations. Building upon Gidden's theory of structuration, this article describes the use of critical ethnography as a specific research methodology that may support social workers in the exercise of their authority. This article examines the historical roots of critical ethnography and provides a detailed examination of its underlying assumptions and research procedures. The article concludes with a case example of a critical ethnography conducted within a managed mental health care setting.

Nineteenth Century Review Of Mental Health Care For African Americans: A Legacy Of Service And Policy Barriers, Tony B. Lowe

The Journal of Sociology & Social Welfare

The need to focus on service and policy barriers to mental health service delivery for African Americans remains critical. The purpose of this article is to review nineteenth century care as a method for understanding contemporary service and policy barriers. A case study strategy is used to compare the efforts of Pennsylvania and South Carolina using primary and secondary sources to document these developments through a political economy perspective. These findings suggest that the prevailing social, political and economic realities have created mental health disparities along racial lines. Existing barriers are likely rooted in this same reality.