Occupational Therapy in Community Mental Health, Part 2: Factors Influencing Intervention Choice

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Part 1 of this article examined how frequently various intervention media were chosen by 12 occupational therapists working in community mental health. An emphasis on anxiety management, problem solving and supportive counselling techniques was evident. In part 2, these therapists' rationale for therapy choices is explored.

The influence of personal perspective and context, that is, policy, organisation of services, division of labour within the team and resources at their disposal, set the boundaries for the therapists' intervention repertoire. Individual interventions were chosen on the basis of utility and client-centred values. The therapists expressed a preference for instigating activity participation by their clients in their locality and homes rather than doing activities with them in a contrived simulation of daily life. These influences are discussed and the extent to which activity-centred analysis or client-centred problem solving is dominant in this setting is questioned. It is clear that some therapists would see certain elements to be important to enable good practice in this working context. These and further implications for educators and practitioners are explored.

Document Type: Research Article

Publication date: February 1, 1998

More about this publication?
  • The British Journal of Occupational Therapy (BJOT) is the official journal of the College of Occupational Therapists. Its purpose is to publish articles relevant to theory, practice, research, education and management in occupational therapy internationally.

    BJOT publishes research articles, critical reviews, practice analyses, opinion pieces, editorials, letters to the editor, book reviews and an annual index. Please refer to the author's guide at http://www.cot.co.uk/british-journal-bjot/british-journal-occupational-therapy

    Submissions can be made at http://mc.manuscriptcentral.com/bjot

    The 2013 Impact Factor for The British Journal of Occupational Therapy is 0.897.

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