An evaluation of a multi-element approach for addressing the productive occupation needs of people with psychosis

Background Occupational Therapy has assisted people with psychiatric conditions with their productive role and identity since its earliest days (Arbesman & Logsdon, 2011). Recently Occupational Therapy treatment has begun to... [ view full abstract ]

Background
Occupational Therapy has assisted people with psychiatric conditions with their productive role and identity since its earliest days (Arbesman & Logsdon, 2011). Recently Occupational Therapy treatment has begun to incorporate evidence based approaches such as supported employment and supported education (1). While the research supporting such approaches is strong there remain questions regarding its feasibility and efficacy in different cultures, social welfare benefit systems, client populations, and psychiatric service models.
Study
We examined the impact of augmenting an occupational therapy service in an early intervention for psychosis service with two work related interventions. The interventions targeted two distinct groups (i) those without a productive role and (ii) those with a productive role. Those without a productive role were offered supported employment/education provided by a supported employment specialist. Those in a productive role were invited to a job retention programme delivered by the supported employment specialist and the occupational therapist of the service. Standardised assessment instruments were used at baseline and at one follow up assessment post intervention. Ethical approval for the study was attained.
Results
129 people were offered the interventions. 61 people attended of whom 39 consented to participate in the research project. Factors associated with uptake and outcomes are currently being examined and prepared for dissemination in 2016.
Discussion
To the authors knowledge this study, albeit limited due to the small small size, will be one of the first to report on adopting a dual approach to address the productivity needs of a first episode psychosis population.