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Psychometric properties of the Worker Role Interview (version 10.0) in mental health
- Authors:
- LOHSS Isabel, FORSYTH Kirsty, KOTTORP Anders
- Journal article citation:
- British Journal of Occupational Therapy, 75(4), April 2012, pp.171-179.
- Publisher:
- Sage
Occupational therapists working in psychiatry are often required to undertake vocational assessments and to support clients into work. The use of evidence-based practice and outcome measures is becoming increasingly important in ensuring that the process is effective. This study examined the psychometric properties of the Worker Role Interview (WRI) with a psychiatric population in London, particularly its construct validity as a baseline assessment and an outcome measure. Data were collected from 34 psychiatric clients rated by seven occupational therapists. Rasch analysis was used to examine scale validity, validity of therapists' rating patterns of clients, rater consistency, precision of client measurement and the scale's aptitude in detecting different ability levels. All the items except “expectation of success in work” worked together well to reflect psychosocial work ability. Over 90% of clients fitted the model. The scale detected five ability levels, but client measures were a little imprecise. There was evidence of good inter-rater consistency; however the implications of rater tendencies towards leniency are discussed. The authors conclude that the WRI can validly assess psychosocial ability to work within a mental health setting. They suggest that further development of the WRI might be indicated and its usefulness as an outcome measure should be tested with larger samples.
Bridging the gaps: the role of occupational therapy and opportunities for its development
- Author:
- GODBY Sue
- Journal article citation:
- Mental Health Review, 6(4), December 2001, pp.21-25.
- Publisher:
- Pier Professional
Discusses the role of occupational therapy in vocational rehabilitation for people with mental health problems.
Barriers and facilitators to the implementation of individual placement and support (IPS) for patients with offending histories in the community: the United Kingdom experience
- Authors:
- KHALIFA Najat, et al
- Journal article citation:
- British Journal of Occupational Therapy, 83(3), 2020, pp.179-190.
- Publisher:
- Sage
Introduction: This study aimed to identify the barriers and facilitators to the implementation of a high fidelity individual placement and support service in a community forensic mental health setting. Method: In-depth interviews were conducted with clinical staff (n = 11), patients (n = 3), and employers (n = 5) to examine barriers and facilitators to implementation of a high fidelity individual placement and support service. Data was analysed using thematic analysis, and themes were mapped onto individual placement and support fidelity criteria. Results: Barriers cited included competing interests between employment support and psychological therapies, perceptions of patients’ readiness for work, and concerns about the impact of returning to work on welfare benefits. Facilitators of implementation included clear communication of the benefits of individual placement and support, inter-disciplinary collaboration, and positive attitudes towards the support offered by the individual placement and support programme among stakeholders. Offences, rather than mental health history, were seen as a key issue from employers’ perspectives. Employers regarded disclosure of offending or mental health history as important to developing trust and to gauging their own capacity to offer support. Conclusions: Implementation of individual placement and support in a community mental health forensic setting is complex and requires robust planning. Future studies should address the barriers identified, and adaptations to the individual placement and support model are needed to address difficulties encountered in forensic settings. (Edited publisher abstract)
Readiness for employment: perceptions of mental health service users
- Authors:
- PRIOR Susan, et al
- Journal article citation:
- Community Mental Health Journal, 49(6), 2013, pp.658-667.
- Publisher:
- Springer
Work is good for both physical and mental health, and access to work is a basic human right. People with mental health conditions want to work and with the right support can work but are often excluded from the workplace. The authors explored factors influencing individual’s perceptions of their readiness for employment. Participants’ narratives focused particularly on personal causation and it’s inter-reactions with other aspects of volition, habituation and the environment and highlight a number of key areas, which are discussed in relation to service provision. Sheltered workshops offer support and some structure and routine but may limit an individual’s readiness for employment. Services should be evidence based and focused on real work opportunities which fit with individual’s interests and values. Occupational therapy theory offers a unique and valuable perspective in understanding perceptions of readiness for employment and occupational therapists offer valid and useful assessments and interventions for vocational rehabilitation. (Publisher abstract)
Occupational therapy and supported employment: is there any added value?
- Authors:
- PRIEST Becky, BONES Kate
- Journal article citation:
- Mental Health and Social Inclusion, 16(4), 2012, pp.194-200.
- Publisher:
- Emerald
Drawing on a case study in Sussex Partnership NHS Foundation Trust, this paper explores the contribution of occupational therapy in supporting people with mental health problems to gain and maintain mainstream employment. It looks in particular at the use of the evidence-based individual placement and support model in delivery of the Trust's vocational strategy in cooperation with the third sector organisation Southdown Supported Employment, which involved occupational therapy professionals working with employment specialists. It describes how occupational therapists acted as vocational champions and includes details of the set of competencies developed for vocational champions. It explains that occupational therapists and employment specialists also jointly organised training to educate clinical teams on the importance of talking to clients about employment aspirations. It reports that occupational therapists are well placed to play a central role in embedding the individual placement and support model into clinical teams, as well as supporting the work of employment specialists.
Mental health vocational rehabilitation: an overview of occupational therapy service provision in Northern Ireland
- Authors:
- DEVLIN Ciara, BURNSIDE Lesley, AKROYD Lorna
- Journal article citation:
- British Journal of Occupational Therapy, 69(7), July 2006, pp.334-338.
- Publisher:
- Sage
http://www.cot.co.uk/Homepage/Library_and_Publications/British_Journal_of_Occupational_Therapy_(BJOT)/
Vocational rehabilitation: the Enable employment retention scheme, a new approach
- Author:
- ROBDALE Neil
- Journal article citation:
- British Journal of Occupational Therapy, 67(10), October 2004, pp.457-460.
- Publisher:
- Sage
Enable is a groundbreaking service piloted in Shropshire to provide support for people with mental health problems in order for them to return to work. It began in October 2002 and proved so successful it has been extended and re-funded on a permanent basis into the future. Because of social and economic changes over the past decade the time seems right for occupational therapists to involve themselves in employment. Makes the case for this new type of vocational rehabilitation.
From therapy to vocation
- Authors:
- BOURNE Sarah, et al
- Journal article citation:
- A Life in the Day, 11(3), August 2007, pp.11-14.
- Publisher:
- Emerald
This article reports findings from a pilot study conducted with the South London and Maudsley Mental Health Trust (SLAM) to explore how occupational therapy services could do more to support community mental health service users into employment. The study found that, with individualised assessment and support, a significant number of people were able to move on to a range of socially inclusive opportunities - although fitting the working into already packed caseloads was a major challenge for the occupational therapists involved.
The importance of vocation in recovery for young people with psychiatric disabilities
- Authors:
- LLYOD Chris, WAGHORN Geoff
- Journal article citation:
- British Journal of Occupational Therapy, 70(2), February 2007, pp.50-59.
- Publisher:
- Sage
Young people with psychiatric disabilities are particularly disadvantaged when it comes to participating in vocational training or higher education or to seeking and maintaining employment. A review of the literature reveals that this is due to a number of factors, including low expectations by health professionals, stigma and discrimination, symptomatology and the lack of a clear responsibility for promoting vocational and social outcomes. A useful approach for occupational therapists to use is a recovery framework combining evidence-based employment and educational assistance with mental health care, provided in parallel with brief vocational counselling, illness management skills, training in stigma countering and disclosure strategies, context-specific social skills and skills in social network development. It is concluded that there is an urgent need to link evidence-based vocational practices with quality mental health care, in order to restore hope among young people of ever realising their vocational goals and once again feeling included as valued members of society.
Using an evidence-based approach to enable people with mental health problems to gain and retain employment, education and voluntary work
- Authors:
- DAVIS Melanie, RINALDI Miles
- Journal article citation:
- British Journal of Occupational Therapy, 67(7), July 2004, pp.319-322.
- Publisher:
- Sage
Employment provides an economic means, gives social status and promotes social inclusion. While people with mental health problems attach a high priority to gaining employment, they face many barriers that inhibit their ability to gain and retain employment. Describes how a mental health trust actively promoted vocational rehabilitation through implementing evidence-based principles within the clinical teams. Reports how the trust acknowledged the unique contribution of occupational therapy in partnership with vocational services to enable its clients to access competitive employment, mainstream education and voluntary work.