Therapy Practice Models Research Articles

Can We Benefit From Poetry Therapy Practice Model in Musical Appreciation Education of Pre-School Pre-Service Teachers? A Program Proposal

Bu araştırma şiir terapi uygulama modelinden yararlanılarak okul öncesi öğretmen aday-larının müziksel beğeni eğitimine yönelik örnek bir eğitim-öğretim programı sunmayı amaçlamaktadır. Bu doğrultuda araştırma kapsamında Türk müziğinin seçkin besteci ve söz yazarlarından Nadir Göktürk ve eserlerinin tanıtımına yönelik hazırlanmış 6 oturum süreli program önerisi ayrıntılı olarak paylaşılmıştır.

Exploring the experiences of women with acquired brain injury on return to work and entrepreneurial skills development in the Western Cape Metropolitan, South Africa.

Acquired brain injury (ABI) is an important public health problem. Individuals with ABI experience greater challenges with community reintegration and successful return to work (RTW) due to both personal and environmental factors. Empirical evidence has shown that women with brain injury are vulnerable to poorer functional outcomes and have demonstrated lower RTW rates post-injury. Therefore, further research is needed to gain greater insight on women with acquired brain injury's functional and work abilities as well as their experiences of RTW and entrepreneurial skills development. This study aimed to explore and describe women with acquired brain injury's experiences during their rehabilitation process, their resumption of their worker role, and entrepreneurial skills development. This qualitative exploration formed part of a study that resulted in an occupational therapy practice model to enhance the entrepreneurial skills of women with acquired brain injury living in the Cape Metropolitan, Western Cape, South Africa. Semi-structured interviews were conducted with ten females with acquired brain injury. A qualitative approach was employed to thematically analyse the data. Three themes emerged from the study: (1) Barriers within the rehabilitation process, 2) ABI causes loss of a sense of self and financial strain, 3) Entrepreneurship and education as a strategy to empowerment. Unmet individual needs related to occupational engagement results in RTW challenges for women with ABI. ABI sequelae cause activity limitations and hinder gainful occupational participation. A holistic client-centred entrepreneurial skills development approach is a viable and needed strategy to facilitate economic empowerment for women with ABI.

The application of life-rebuilding based occupational therapy practice model in community rehabilitation

The application of life-rebuilding based occupational therapy practice model in community rehabilitation

Effects of a group poetry therapy program on stress, anxiety, ego-resilience, and psychological well-being of nursing students

This quasi-experimental, nonequivalent control group pretest–posttest study developed a 10-session group poetry therapy program for nursing students and examined effects on clinical training, job-seeking stress, anxiety, ego-resilience, and psychological well-being. Forty-nine nursing students were conveniently recruited (experimental group n = 24, control group n = 25). Program construction used the Analysis, Design, Development, Implementation, and Evaluation model and Mazza's poetry therapy practice model. Compared to the control group, the experimental group showed significant decreases in stress and anxiety and significant improvements in ego-resilience and psychological well-being immediately after intervention, maintained at 5-week follow-up. The program can be a beneficial intervention for individuals experiencing various degrees of stress.

Towards occupational resilience: A model to facilitate high school participation post traumatic brain injury.

This article describes the model components of a study that applied a two-phased approach towards the development of an occupational resilience model. The occupational therapy practice model that is proposed seeks to facilitate high school re-entry and school participation post traumatic brain injury (TBI). The study's first phase generated results on participants' experiences of high school re-entry and school participation post TBI. These findings contributed to the second phase of developing a practice model to improve upon school transition practice for learners post TBI. The study's first phase comprised a qualitative multi-case study of eight cases. Data collection involved semi-structured interviews, participant and contextual observation, and document analysis. Data analysis was performed via an inductive process combined with cross-case synthesis. Phase 2 employed theory generation, suggesting an occupational therapy practice model for facilitating high school participation post TBI. Participant responses revealed, following the onset of the TBI, a need for adolescents to display resilience in order to re-participate in school. This was displayed by adolescents adapting through drawing upon personal and environmental resources as well as preparing for and engaging in occupation. A deeper understanding of the experiences of key role players involved in the school transition post TBI, combined with theory generation, formed the basis of developing the proposed model of occupational resilience. Occupational resilience, through a series of resilience-promoting tasks, is offered as a mechanism to increase learners' capacity to adapt to occupational challenges and meaningfully participate in school post TBI.

Exploring potential for occupational therapy practice models within areas of social deprivation: A qualitative inquiry within a community-centred food cooperative

Background A health inequalities gap exists between wealthy and deprived areas. Community-level occupation-focused interventions may support citizens and address inequities within their environments. Since the global financial crash of 2008 and fiscal policy changes within the United Kingdom, there has been a rise in food insecurity. Community volunteer initiatives have responded by providing for their residents. The aim of this study was to explore how occupational therapists may be agents for social change through exploring perspectives of members and volunteers from a community food cooperative in an area of social deprivation. Methods Eight semi-structured interviews were conducted with cooperative members and volunteers within a food cooperative established to address food insecurity in a local community. Data were analysed using thematic analysis. Results We found three main themes: It’s Not a Foodbank, Shared Hardship and a cross-cutting theme of Community. The results suggest occupation-focused responses can support the development of community and collective occupations thereby contributing solutions to shared problems. Conclusion A community-centred, rights-based approach has supported local community need where socio-economic disadvantage and health inequalities were identified. Scope exists for occupational therapists to work genuinely with (not for) communities to address occupational injustice through collective occupation.

Advancing a contemporary horticultural therapy practice model

ISHS XV International People Plant Symposium and II International Symposium on Horticultural Therapies: the Role of Horticulture in Human Well-being and Social Development Advancing a contemporary horticultural therapy practice model

Disaster Management and Working with Displaced Persons (Methodological Paper)

This methodological paper explains the process of occupational therapy management of displaced persons due to disaster influence. It is yet to be part of the occupational therapy practice domain even in recent decades with the advancement in occupational therapy research evidence and development. It is based on the current knowledge and developments in occupational therapy client centered practice. This methodological and conceptual based study describes and illustrates the occupational therapy practice model of rehabilitating displaced persons due to disaster influence. The present paper explores the occupational therapy role in rehabilitating displaced persons through People’s Environmental Occupation, Ecology of Human Performance (EHP), and Occupational Therapy Practice Framework. These are integrated as a single conceptual model to describe how and process of occupational therapy practice area during the rehabilitation process of a displaced person(s). The paper finally presented a sequenced framework to guide occupational therapists practice in this new emerging practice area of rehabilitation. This study was developed based on three different theories to support the occupational therapy treatment process of a displaced person due to disaster of any nature. Its concept based without any statistical analysis.

The Equity Lens for Occupational Therapy: A program development and evaluation tool: L'Equity Lens for Occupational Therapy : un outil pour le développement et l'évaluation de programme.

Occupational therapists value the principles of health and health care equity and often face challenges addressing inequities within the systems in which they work. We present the Equity Lens for Occupational Therapy (ELOT), a framework to provide a practical starting point for reflecting on equity issues and the ways inequities are enacted in daily practice. Building on an existing occupational therapy practice model and well-established program development and evaluation processes, we overlay an equity lens. The lens provides a structured way to critically reflect on occupational therapy programs within their contexts and develop action strategies to prevent or redress inequities. Taking action on the multiple ways that inequities can be embedded in occupational therapy programs within health and social systems can be a daunting task. The ELOT provides a systematic way to stimulate critical reflection and dialogue, examine practice, focus social advocacy, and take action.

Need for Social Skills Intervention in Preschool Children Who Experience Poverty as Homeless or Housed

Abstract Date Presented 4/9/2016 Preschoolers’ social skills and need for intervention, reported by mothers who experience ecotoxic stress through homelessness or housed poverty, provides evidence for population health occupational therapy practice models in early identification and intervention to enhance children’s social participation and learning. Primary Author and Speaker: Debra Rybski Additional Authors and Speakers: Colleen Huston, Contributing Author: Heidi Israel

The Care for the Dying: A critical historical analysis of occupational therapy in hospice.

This paper presents an historical analysis of occupational therapy’s role in hospice care with relation to past and current hospice practices, as well as cultural forces that impact that role. Since the beginning of the movement, hospice has developed into a strong component of end-of-life care, and occupational therapy practice models and interventions are unique in addressing the occupational needs of clients during this stage of life. Despite compelling evidence of the positive impact of employing occupational therapists, there continue to be significant barriers to implementation of services. The author proposes that the concept of occupation, as experienced at the end-of-life stage, needs to be more clearly defined and occupational therapy’s role broadened in order to strengthen the profession’s presence in the hospice setting.

Predictors of Social Skills and Problem Behaviors in Homeless and Low-Income-Housed Preschool Children

Abstract Date Presented 4/16/2015 Low-income preschool child social skills/problem behaviors predicted by sensory processing, mother sense of competence, and housed/homeless status provide evidence for community-based occupational therapy practice models for early identification/intervention to enhance children’s social participation and learning.

Instructing Occupational Therapy Students in Use of Theory to Guide Practice

ABSTRACT. We investigated the effectiveness of instructing students in occupational therapy practice models to facilitate their competence in applying theory in clinical practice. Course evaluation data were gathered and analyzed retrospectively. We found that perceived understanding of theory and its application improved significantly after instruction. The students’ perceived competence in theory use predicted their level of confidence in their assessment and intervention skills. We concluded that emphasis on instruction of students in the use of occupational therapy practice models could be a viable method of improving practice through consistent use of theoretical guidelines in clinical reasoning.

Clinical Trial of an Innovative Dual-Processing Group Therapy Relapse Prevention Protocol Conducted in a Community-Based Setting

The purpose of this article is to describe an interdisciplinary clinical trial conducted in a community-based setting. The article will (a) present an overview of the current study, (b) detail an innovative outpatient relapse prevention group therapy practice model informed by the neuroscientific literature on addiction, (c) present case examples of patient response to treatment, and (d) provide qualitative data of patient feedback and preliminary functional magnetic resonance imaging data results.

Facilitators and Barriers in Effective Clinical Practice with Postdeployed Military Couples and Families

Although many military couples navigate the stressors and rewards of deployment without difficulty, others contend with “signature injuries,” including post-traumatic stress, or post-traumatic stress disorder, and co-occurring conditions of depression, substance abuse, traumatic brain injury and intimate partner violence. Research data reveal that partners and children suffer the effects associated with deployment cycle stressors as well. Although a pressing need exists to provide couple and family behavioral health care, there is a paucity of evaluation research. More recently, such efforts have been undertaken to explore the efficacy of innovative couple and family therapy practice models. In this article, standards for high-quality behavioral health care are discussed within the framework of the Quality Chasm reports published by the Institute of Medicine, while barriers and facilitators are addressed from the perspectives published by the Rand Corporation (Tanielian & Jaycox, 2008). A clinical vignette depicts the range of structural, financial, personal and social barriers to accessing high-quality care. Finally, two different courses of treatment with a Latino post-deployed Operation Iraqi Freedom Army Reservist couple demonstrate the usefulness of a phase-oriented, trauma-informed, and culturally responsive couple therapy approach that facilitates progress in meeting goals and overcoming barriers to accessing high-quality care.

The development of the Model of Occupational Self Efficacy: An occupational therapy practice model to facilitate returning to work after a brain injury

The purpose of this article is to describe the methodology used in order to develop the Model of Occupational Self Efficacy: An occupational therapy practice model to facilitate returning to work after a brain injury. Nine males and one female participated in the study. Face to face, semi structured individual interviews were conducted and data were analyzed using a qualitative approach to explicate patterns and themes. The study was conducted in two phases, namely, Phase one described the lived experience of individuals with brain injury who had returned to work and Phase two described the development of the model by means of theory generation methodology. Four themes emerged that reflected the lived experiences for people returning to work after a brain injury. (1) A sense of loss of former self; (2) Uncertainty about the future; (3) The road to acceptance and believing in yourself; and (4) Participation in occupation enables growth. The above themes contributed to the central concept called Occupational Self Efficacy that resulted in the development of the occupational therapy practice model. The findings of the study suggest that theory generation methodology is adequate for the conceptual development of an occupational therapy practice model.

The Arts and Family Social Work: A Call for Advancing Practice, Research, and Education

This brief report serves as a call for creative and artistic works relative to family social work. Recognizing the “art” of family social work, Mazza's (2003) multidimensional poetry therapy practice model is used as a framework for addressing all arts-based approaches to practice and research.

Exploration of Australian and New Zealand indigenous people's spirituality and mental health

Background: Spirituality has been defined as an overarching construct that involves personal beliefs or values that provide a sense of meaning and unity with self, people, nature and universe. Spirituality may be experienced within or outside formal religion. At least in English‐speaking countries, therapists reported discussing spiritual issues with service users more frequently than before. In the literature, there continues to be debate regarding definitions of spirituality and how spirituality fits with occupational therapy practice models.Methods and Results: To advance the discussion, we explore the concept of spirituality among indigenous people of Australia and New Zealand, and use mental health as a practice setting to suggest how occupational therapists can address the spiritual needs of individuals recovering from mental health problems.Conclusion: The implications for assessment and interventions to improve coping skills, social support, self‐esteem and instil hope of recovery from mental illness are considered.

Transforming the legacies of childhood trauma in couple therapy: The biopsychosocial assessment as compass and anchor

This paper explicates a brief overview of a synthetic couple therapy practice model along with a detailed account of the institutional, interactional, and intrapersonal factors that are relevant in completing a thorough bio‐psychosocial assessment. It is based on a chapter expected to be published by Columbia University Press in an upcoming book titled Couple Therapy with Trauma Survivors. The text presents a practice model that demonstrates why a couple therapy approach may be especially useful for survivors of childhood trauma. To provide a framework for this complex couple therapy practice model, we review the basis for a synthetic multi‐theoretical approach, the cultural constructs of “trauma,” the role of resilience, and the problematic aftereffects for adult survivors of childhood trauma. Following the description of each treatment phase of the couple therapy practice model, an outline for a biopsychosocial assessment is then introduced. At that point, specific institutional, interactional, and intrapersonal factors are reviewed and illuminated with specific clinical vignettes.