The development of an effective occupational therapy assessment and treatment pathway for women with a diagnosis of borderline personality disorder in an inpatient setting: implementing the Model of Human Occupation

LEE Sarah, HARRIS Maria
Journal article citation:
British Journal of Occupational Therapy, 73(11), November 2010, pp.559-563.

This article describes the implementation of a comprehensive occupational therapy graded assessment and treatment pathway within an inpatient specialist unit for women with borderline personality disorder. It was developed after a review concluded that treatment sessions lacked an occupational evidence base. The Model of Human Occupation (MOHO) was therefore used to ensure the delivery of an optimum, consistent programme that could meet the occupational needs of this specific group of patients. The Model of Human Occupation Screening Tool (MOHOST) was used not only as an assessment tool but also as a guide to effective treatment. Multiple treatment pathways were devised, offering choice to individuals and a platform for them to practise and improve on their areas of need. The treatment pathways covered various activities of daily living, such as personal self-care and laundry, vocational activities, such as craft and sheltered work, culinary activities such as baking, and horticultural activities. Participation was encouraged on three different levels: participation and commitment to the treatment process; participation and commitment in everyday activities; and participation and actively engaging in meaningful occupations.

Subject terms:
intervention, occupational therapy, personality disorders, secure units, women, activities of daily living, assessment, care pathways;
Content type:
practice example
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