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The future of occupation therapy in mental health in Ireland
- Authors:
- LLOYD Chris, WILLIAMS Philip Lee
- Journal article citation:
- British Journal of Occupational Therapy, 72(12), December 2009, pp.539-542.
- Publisher:
- Sage
This opinion piece relates to the development of mental health occupational therapy in Ireland. With the increase of multidisciplinary team based care, there is the concern that occupational therapy will cease to be seen as a specialist treatment provider, becoming overburdened by generic roles. The aim of this article is to establish a clear role and direction for the development of the profession. Roles which have been identified in current government policy documents (in UK and Ireland) and which have a good fit with the skills and knowledge of the occupational therapy professional are discussed. The specific areas that are identified are health promotion, social inclusion, and supported employment. The article concludes that by being familiar with current knowledge and government policies, occupational therapists can outline the potential scope for the future of occupational therapy in the mental health field.
Emergency department presentations of people who are homeless: the role of occupational therapy
- Authors:
- LLOYD Chris, HILDER Joanne, WILLIAMS Philip Lee
- Journal article citation:
- British Journal of Occupational Therapy, 80(9), 2017, pp.533-538.
- Publisher:
- Sage
Introduction: This project had two aims: to gain an understanding of the profile and expressed needs of people seen by the Homeless Emergency Department Liaison Officer in the emergency department in comparison to general hospital presentations, and to explore the potential role for occupational therapy to respond to this population. Method: The Emergency Department Information Systems database and Homeless Emergency Department Liaison Officer files were examined to gather data on all individuals who presented to the hospital emergency department over a 16-month period. The viability of a discipline-specific role to respond to this population was then considered by senior occupational therapists. Results: The results revealed that the majority of homeless people seen were male and in the early middle age group, with more than half arriving at the emergency department by way of ambulance services. The most common reasons for presentation were medical, mental health and drug- and alcohol-related issues. Conclusion: It was found that a large percentage of people seen in the emergency department were discharged back to the streets. Senior occupational therapists have the potential to provide brief assessments and interventions that could reduce the ongoing demand on emergency department resources by people who are homeless. (Publisher abstract)
Conceptualising recovery in mental health rehabilitation
- Authors:
- LLOYD Chris, WAGHORN Geoff, WILLIAMS Philip Lee
- Journal article citation:
- British Journal of Occupational Therapy, 71(8), August 2008, pp.321-328.
- Publisher:
- Sage
Recovery as a concept has gained increased attention in the field of mental health. There is an expectation that service providers use a recovery framework in their work. This raises the question of what recovery means, and how it is conceptualised and operationalised. It is proposed that service providers approach the application of recovery principles by considering systematically individual recovery goals in multiple domains, encompassing clinical recovery, personal recovery, social recovery and functional recovery. This approach enables practitioners to focus on service users' personal recovery goals while considering parallel goals in the clinical, social, and role-functioning domains. Practitioners can reconceptualise recovery as involving more than symptom remission, and interventions can be tailored to aspects of recovery of importance to service users. In order to accomplish this shift, practitioners will require effective assessments, access to optimal treatment and care, and the capacity to conduct recovery planning in collaboration with service users and their families and carers. Mental health managers can help by fostering an organisational culture of service provision that supports a broader focus than that on clinical recovery alone, extending to client-centred recovery planning in multiple recovery domains.