Rehabilitation and Therapy Commons^™

A Community Re-Integration Mental Health Occupational Therapy Program For Veterans At The Sioux Falls Veterans Affairs Hospital, Holly M. Forrester

Occupational Therapy Capstone Presentations

The Veteran population continues to be disproportionately impacted by mental health disorders despite growing efforts to address this epidemic. Despite an increase in Veterans Affairs (VA) sponsored programs to mitigate the disparity, the interdisciplinary team tasked with implementing the novel programs remains undiversified. My capstone project aimed to provide a comprehensive community reintegration program to the Veterans in the inpatient behavioral health setting and advocate for the role of occupational therapy on the mental health interdisciplinary team. The literature and needs assessment indicated a need for the implementation of occupational therapy specific groups that aimed to increase functional independence and …

Occupational Therapy Intervention To Promote Recovery Of Individuals Impacted By Human Trafficking And Service Provider Well-Being, Carlyn J. Paxton

Occupational Therapy Capstone Presentations

Individuals impacted by human trafficking experience prolonged traumatic experiences and a lack of personal autonomy. Literature indicates that after exiting trafficking situations, individuals face barriers re-integrating into the community. Additionally, workers and advocates who provide after-care services experience increased occupational hazards impacting the quality of care provided and personal well-being. This capstone project aims to increase student’s clinical skills for providing trauma informed occupational therapy to individuals exiting trafficking and to expand OT’s role in combating occupational hazards for providers through self-care-based occupations. Using a previously conducted needs assessment and a conceptual framework comprised of evidence-based models, this project includes …

Promoting Wakefulness To Increase Occupational Engagement In Military Service Members Experiencing Insomnia Following Mtbi, Leah N. Myers

Occupational Therapy Capstone Presentations

Sustaining a traumatic brain injury of any severity is associated with an extremely high prevalence of insomnia. Military service members, being exposed to hazardous equipment and conditions, are one of the most likely populations to sustain sleep concerns following TBI. This student capstone project aimed to support military service members experiencing sleep disturbances due to TBI through direct advanced clinical skill attainment, Light Therapy program development, and by initiating research and clinic resource creation relating to shift work and sleep. To target this population, the project was completed at the Fort Carson Intrepid Spirit Center in Colorado where outpatient concussion …

Promoting Social, Emotional, And Behavioral Development For Children In A School Setting Using Targeted Occupational Therapy Intervention, Mykenzie N. Hall

Occupational Therapy Capstone Presentations

Children who have experienced trauma often have poor emotional regulation skills which can lead to peer rejection, decline in engagement at school, and poor academic performance. Occupational therapists have the knowledge and skills to create a client-centered approach when working with children who have experienced trauma. This emotional regulation program is guided by a trauma-informed care approach and a public health approach to mental health. The program consisted of 59 students between transitional kindergarten and 5th grade meeting in small groups once a week for 30 minutes over 11 to 12 weeks. The sessions included activities related to emotional regulation …

Filling The Gap: Educating Caregivers And Patients Post Stroke In An Acute Care Setting, Gabrielle A. Blecke

Occupational Therapy Capstone Presentations

Background: According to the U.S. Department of Health and Human Services (2022), every 40 seconds someone in the United States experiences a cerebrovascular accident (CVA), also known as stroke. A recent study suggests that 63% of these individuals will need informal caregiving from family, friends, or loved-ones throughout their rehabilitation process in order to safely transition home. Research suggests that patients and caregivers post stroke are not receiving enough education to prevent concerns such as caregiver burden, decreased caregiver wellness, and decreased patient outcomes, all which are within the scope of occupational therapy. Methods: Experiences at MyMichigan Midland Hospital drove …

Play, Splash, Ride: A Multidimensional Approach To Occupational Therapy Intervention For Sensory Processing Difficulties, Britney A. Bradwisch

Occupational Therapy Capstone Presentations

Sensory processing disorder affects between five and 16.5 percent of the population and up to 90% of individuals with disabilities. Occupational therapists are equipped to treat sensory processing difficulties using occupation-based, sensory-based, and client-centered interventions. There is limited evidence on how occupational therapists can use multiple intervention environments including typical sensory gyms, aquatic therapy, and equine-assisted therapy to specifically target sensory processing. Therefore, the purpose of the capstone project was to explore the effectiveness of multiple occupational therapy interventions for children with sensory processing difficulties. The capstone project focused on advanced clinical practice while incorporating education and program development to …

Enhancing Resident Engagement: Optimizing Meaningful Occupations In Skilled Nursing Facilities, Drew J. Couch

Occupational Therapy Capstone Presentations

Older adults residing in skilled nursing facilities (SNFs) face a multitude of challenges in engaging in meaningful occupations. They are at risk of occupational deprivation due to the regulations of the facility, physical limitations, and restricted choices of activities (Keane et al., 2023). Though the occupational therapy profession acknowledges the impacts this has on older adults little has been done to combat these issues. The purpose of the 14-week capstone project was to promote meaningful occupational engagement for residents residing in an SNF. Additionally, this project advocated for occupational therapy’s distinct role in identifying and promoting meaningful occupations. Multiple goals …

A Peer-Mediated Art Program For Secondary Education Students: An Occupation Based Approach, Kjersten B. Sievers

Occupational Therapy Capstone Presentations

The purpose of this 14-week capstone project was to explore the impact of a peer-mediated art program on the social and occupational experiences of students with disabilities. This program was designed and implemented to promote inclusion of students with disabilities by providing an opportunity to interact with typically developing peers within their school-context. The 7-week peer-mediated art program was embedded into a startup peer-program at a high school. A total of 10 participants (4 from special education) were recruited to complete the study. Students met for three 45-minute sessions and one 90-minute session each week as part of the program’s …

Your Mind Matters: Promoting The Wellbeing Of The Parent-Child Dyad Through Family Education, Mckayla A. Becker

Occupational Therapy Capstone Presentations

The bond between a parent and child can be impacted by a parent’s mental wellbeing. Disruptions in their ability to parent, trauma, or exacerbation of mental health symptoms can lead to negative parenting styles (Mak et al., 2020). Previous literature suggests resilience building and supportive education has been effective in promoting parent-child wellbeing (Sell et al., 2021). The purpose of this capstone experience is to promote parent-child wellbeing through family education. The student implemented a six-week course titled “Your Mind Matters” and created parent educational handouts to support parent-child wellbeing. The project used two standardized assessments the Parental Sense of …

An Eye-Opening Capstone: A New Perspective On Occupation-Based Treatments For Neurologic-Based Visual Deficits, Katlyn J. Knakmuhs

Occupational Therapy Capstone Presentations

The purpose of this 14-week capstone experience was to gain hands on in depth clinical experience working with individuals post neurologic injury, specifically post-concussion, who were experiencing a visual perceptual deficit. Additionally, the focus of this capstone was to implement occupation-based skills and activities into therapy sessions for individuals experiencing those visual perceptual deficits post-concussion. This capstone experience took place at the Sanford Outpatient Rehabilitation Clinic in Sioux Falls, South Dakota and was completed under the supervision of a licensed occupational therapist who is a certified brain injury specialist. Eight individuals post-concussion with visual perceptual deficits who were patients of …

Daring To Be Different: Promotion Of Child Development And Family Wellness In A Cash-Based Pediatric Occupational Therapy Practice, Kylee Withrow

Occupational Therapy Capstone Presentations

Providing optimal support for a pediatric client requires a family-centered, relationship-based approach from occupational therapy practitioners (OTPs). A child’s developmental challenges often impact family relationships, routines, and community-based occupational participation. OTPs are in a unique position to use their holistic lens and expansive training to support families beyond direct, 1:1 intervention. There is also a growing collection of evidence supporting developmental models, instead of behavioral approaches, to support children with development and occupational challenges and cultivate a lasting impact. This project explored how family education, community events, and the application of DIRFloortime® in a pediatric cash-based clinic could adequately support …

Biopsychosocial Occupational Therapy Interventions For Complex Regional Pain Syndrome – A Pilot Manuscript, Cinthia Hartman

UNLV Theses, Dissertations, Professional Papers, and Capstones

Occupational therapists (OTs) have an essential role in the treatment of upper extremity Complex Regional Pain Syndrome (CRPS) in outpatient therapy settings. Occupational therapy (OT) guidelines and research focus treatment on the Budapest Criteria’s biological signs and symptoms. The International Association for the Study of Pain (IASP) now recognizes CRPS as a primary chronic pain condition and not an autonomic disorder, as it was thought to be in the past. This recognition, along with the psychological and social impacts of the condition, highlight the need for updated OT treatment interventions incorporating a biopsychosocial model. Combining evidence-based CRPS OT interventions for …

Pediatric Trauma-Informed Care And Implications For Occupational Therapy Practitioners, Quaneka Hoskin-Chase

UNLV Theses, Dissertations, Professional Papers, and Capstones

Occupational therapy practitioners are provided a wealth of knowledge through school and professional fieldwork experiences to understand and skillfully address the needs of children who have been exposed to trauma. Therapists are competently prepared to provide holistic and client-centered care that is dedicated to meaningful and volitional engagement (Lynch et al., 2021). However, many therapists still lack the confidence and awareness of their role related to trauma-informed care in the pediatric environment (Piller, 2022). Trauma compromises each domain of occupation (Lynch et al., 2021). As early intervention specialists, the lack of responsiveness to children’s trauma can have devastating and enduring …

A Program Based On Meaningful Occupations To Improve Perceived Health And Well-Being For People Experiencing Homelessness, Annika Overgaard

Occupational Therapy Capstone Presentations

Individuals experiencing homelessness face a variety of barriers to occupational performance and participation, thereby negatively impacting their quality of life, health, and well-being. Occupational therapists are uniquely qualified to address the health and well-being needs of individuals experiencing homelessness due to their holistic client-centered approach, their efforts in promoting occupational participation, and providing opportunities for occupational empowerment. Occupational therapy with this population is a growing area of practice, and there is a lack of literature focusing on interventions related to meaningful occupations. My capstone project aimed to create a meaningful occupation-based program for individuals experiencing homelessness at a drop-in day …

The Impact Of Habit Formation On Healthcare Workers: An Occupational Therapy Approach To Well-Being, Hillary Littlefield Msot, Otr/L

All Student Scholarship

Occupational therapists have an opportunity to act as consultants in their healthcare systems to provide education, resources and guidance to interdisciplinary team members. This concept aimed to provide evidence to support an occupational therapy-based program focused on incorporation of healthy habits and routines into one’s daily life as a means to improve nursing altruism, quality of life and perception of one’s successes and value in their occupation. Pre- and post- survey data was utilized to evaluate the effectiveness of an occupational therapy-based initiative that provided 1:1 and group coaching to a population of acute care nurses as an evaluation of …

Restoring Meaning Through Leisure: Exploring The Benefits Of Leisure-Focused Occupational Therapy For Individuals With Neurological Diagnoses, Elizabeth Rose Stoutland

Occupational Therapy Capstone Presentations

There are limited findings in occupational therapy literature on leisure, despite being a highly meaningful area of occupation that has implications for both physical and mental health. This poster describes an occupational therapy Capstone experience in adaptive sports and inpatient rehabilitation at a Veterans Affairs Medical Center related to leisure restoration. The student investigated the role of occupational therapy in restoring leisure and recreation for individuals with neurological conditions and achieved the following main goals: (Goal 1) to gain skills in adaptive recreation for individuals with neurological conditions, and (Goal 2) to determine how leisure exploration can be implemented in …

Promoting Life Skills Through An Occupation-Based Program For Youth In The Juvenile Justice System, Maggie L. Dejong

Occupational Therapy Capstone Presentations

Youth who have experienced trauma are at risk for negative developmental changes to their brain, which may lead to poor health outcomes, involvement in the juvenile justice system, and early death. This population may experience a lack of occupational engagement, decreased self-regulation strategies, and difficulty forming life skills that are necessary for carrying out everyday tasks. Having trauma-informed awareness in the contexts of these individuals is essential when providing care and meeting their needs. The doctoral capstone project aimed to promote life skills through an occupation-based program for youth in the juvenile justice system. Current literature supports the need for …

Sensory Processing Difficulties In Children Born Preterm And The Needs Of Their Families, Shelby J. Buie

Occupational Therapy Capstone Presentations

Children who are born preterm frequently experience sensory processing difficulties due to their underdeveloped brains and the atypical early sensory experiences that are associated with increased medical needs. These factors impact the development of a child’s sensory system, which ultimately influences how a child participates in daily activities. Having a child born preterm that requires increased medical attention causes stress on the family. Increased stress and a decrease in mental health can disrupt the parent-child bond. This project aimed to provide sensory-based occupational therapy treatment sessions to children who were born preterm to improve their sensory processing skills. Furthermore, the …

Exploring Occupational Therapy’S Role In Childcare Settings, Makayla Hamling

Occupational Therapy Capstone Presentations

This study focused on exploring the occupational therapist's role in childcare settings. The program development, observations, and hands-on activity allowed for first-hand experience of the role occupational therapists could play in a daycare setting. Incorporating meaningful participation, education, and environmental modifications were a part of this study. The study was conducted in Northeast Nebraska, with a total of 31 participants.

Early detection is key to addressing developmental delays in many areas (play, social, leisure, dressing, eating, etc). Developmental screenings can assist caregivers and specialists in knowing and understanding how a child is developing compared to his or her same-aged peers. …

The Importance Of Preferred Meaningful Occupations For Children With Medically Complex Conditions, Kaylee S. Schmit

Occupational Therapy Capstone Presentations

Children with medically complex conditions experience limitations in their ability to engage in preferred meaningful occupations. Additionally, when these children are in the hospital setting, the environment poses another barrier to accessing preferred meaningful occupation opportunities. This capstone project aimed to explore how preferred meaningful occupations could be utilized with children with medically complex conditions in the pediatric inpatient setting. The literature and needs assessment indicated the need for preferred meaningful occupations to be used as a motivator and a way to target specific skills a patient wanted to regain. With the focus of occupational therapy on return to occupation …

Occupational Therapy Services In Pediatric Mental Health, Hallie Jerome

Occupational Therapy Capstone Presentations

Children and youth experiencing mental health concerns often have limited or decreased engagement in meaningful occupations. Additionally, children and youth who experience mental health concerns at an early age are more likely to experience negative health outcomes such as poor occupational engagement, academic achievement, adverse childhood experiences (ACES), maltreatment/abuse/neglect, family and peer conflict/rejection, low self-esteem, early substance use, and many others impacting their overall health and well-being. My capstone project aimed to administer occupation-based interventions in a pediatric mental health program while I advance my skills working with an interdisciplinary team. The literature and needs assessment indicated a need for …

Incorporating Music Into Pediatric Occupational Therapy, Abby Kays

Occupational Therapy Capstone Presentations

Music in therapy research currently focuses on the role of music therapy in children with behaviors, mood, and social/communication difficulties. However, limited research exists on the role of music in occupational therapy. The purpose of the capstone project was to use music-focused occupation-based interventions with children to improve social/communication skills, mood, and behaviors at a pediatric outpatient clinic. A literature review was completed on the objectives listed above to determine the need of the project. The theoretical foundation of the project is the Ecology of Human Performance Model, focusing on the unique contexts of each child. Music was used in …

Incorporating Occupation-Based Activities Into Treatment For Adolescents With Substance Use Disorders To Increase Self-Efficacy, Brea E. Westberg

Occupational Therapy Capstone Presentations

In 2022, over 48.7 million people aged 12 and older reported having a substance use disorder in the past year. Adolescents are increasingly becoming involved in substance use behaviors that impact their lives daily. There is limited evidence for providing mental health interventions, including those provided by occupational therapy practitioners, to adolescents with SUDs within the substance use treatment setting. Self-efficacy is an important part of the substance use recovery process. Therefore, the purpose of the capstone project was to determine the effects on self-efficacy after incorporating occupation-based activities into programming for adolescents in treatment for SUDs. The Model of …

Animal-Assisted Therapy In An Outpatient Pediatric Occupational Therapy Setting, Peyton N. Stolle

Occupational Therapy Capstone Presentations

The use of animals to assist in the healthcare industry has been around for some time now, however, only recently have those in the occupational therapy industry begun looking at the effects that it would have on patients within their scope of practice. Animal-assisted therapy (AAT) has various uses, and recent studies have shown that the use of dogs within a healthcare setting can greatly increase patient motivation and well-being. However, prior literature shows that there are limited studies on the effects of AAT in a pediatric occupational therapy (OT) setting, specifically an outpatient setting. My capstone project aimed to …

Beyond Rehabilitation: Exploring The Field Of Occupational Therapy And The Transformative Impact Of Care, Sierra C. Fox

Theses/Capstones/Creative Projects

As a profession that implements unique approaches to empower people of all ages and abilities to actively participate in activities that are meaningful to them, occupational therapy is an essential service for providing holistic healthcare (Darawsheh, 2018). As an undergraduate approaching graduation, the process for applying to graduate school programs has finally begun, and it has become obvious the lack of public knowledge there is regarding the profession. Even among other healthcare professionals, there is often an inadequate understanding of the field, which can be problematic and result in patients not being referred to receive the services that may benefit …

The Impact Of Educating Interprofessional Healthcare Workers On The Role Of Occupational Therapy In The Cardiac Acute Care Setting, Jennifer L. Taosuvanna

UNLV Theses, Dissertations, Professional Papers, and Capstones

The acute care setting has been a vastly growing practice area for the occupational therapy profession. Occupational therapists assist clients in the acute care setting with activities of daily living retraining and functional transfer training to increase independence. Each client demonstrates a different discharge course from the acute care setting and occupational therapists play a key role in assisting the clients the most appropriate rehabilitative setting. All professionals in the acute care setting work cohesively to provide clients with the best outcome.

The doctoral project explored the importance of interprofessional healthcare worker education about occupational therapy practices in the acute …

Exploring Leisure And Recreation Programming Within A Transitional Living Community, Alexandra Joynes

OTD Capstone Projects

Dismas House is an approved Tennessee Department of Correction (TDOC), 501(c)(3) non-profit residential re-entry program serving men who are returning to the community from state and county jails and prisons. The purpose of this capstone experience is to collaborate with Dismas House staff and residents to create sustainable resources for community dinner and programming engagement through a recreation and leisure lens. At Dismas House, the goal is to support these men as they navigate a variety of challenges that come with transition from prison back into society, whether this is through providing basic needs, focusing on health & well-being, employing …

The Impact Of Parent And Caregiver Perceptions Of Inclusivity Regarding The Concepts Of Inclusive Playgrounds​, Cydnee M. Bacci

OTD Capstone Projects

This capstone was completed in partnership with Recreational Concepts, LLC and Ingrid Kanics OTR/L, FOATA, CPSI. The purpose of this project was to collect current and accurate data regarding parent and caregiver perceptions of inclusive play throughout the Middle Tennessee area. The inclusive playgrounds that participated in this study were Mary’s Magical Place, Henslee Park, and the Thisbe and Noah Promise Park Foundation. Current literature highlights the fact that a sizeable gap exists regarding who is using inclusive playgrounds and if they are properly facilitating inclusive play. Obtaining a deeper understanding of how inclusive playgrounds are being used leads to …

Sensory Exploration Curriculum Development For Individuals With Intellectual And Developmental Disabilities At Friends Life Community, Caroline F. Stegall

OTD Capstone Projects

This project served to promote sensory strategies among participants at a day program for adults with disabilities. Using an occupational therapy lens, a sensory exploration-based curriculum and collaborative efforts for a sensory room on site were developed.

Nashville Dolphins Water Safety Awareness Project, Evan D. Eidson

OTD Capstone Projects

This doctoral capstone project was completed with Nashville Dolphins. The Nashville Dolphins offer free learn to swim lessons and swim team programs for children and adults with disabilities at no cost. The organization serves over 300 swimmers in the learn to swim classes and over 100 swimmers on their swim team. The programs are run by volunteers. The focus of this project was to develop programming resources to raise awareness of water safety and the steps for the Nashville Dolphins to help lower statistics of drowning rates. Deliverables provided to the organization include PowerPoint presentation to be sent to parents …