A proposed model for the measurement of real world functioning for forensic inpatients with schizophrenia & schizoaffective disorders

A large proportion of people with schizophrenia experience significant difficulties in fulfilling roles and performing daily life tasks. Measuring and promoting ability in these areas is now recognised as an important focus... [ view full abstract ]

A large proportion of people with schizophrenia experience significant difficulties in fulfilling roles and performing daily life tasks. Measuring and promoting ability in these areas is now recognised as an important focus for research and rehabilitation in schizophrenia. The development of a model for measuring typical factors which predict real world functioning can provide a structure for guiding interventions to improve real world functioning.
Model of Human Occupation, Neuropsychology, Cognitive Theory, Functional Capacity Theory, , Cognitive Remediation, Skills Training, Occupational Science and Self Efficacy Theory.
• Quality of life- WHO-QOL Bref
• Ward Atmosphere- ESSENCES social climate measure
• Appraisal of available activity- Engagement in meaningful activity survey (EMAS)
• Psychopathology/ Symptoms- Positive & negative symptoms scale (PANNS)
• Habits/ Roles/ Routines/ Values- Model of Human Occupation (MOHO)
• Motivation/ Self Efficacy- Model of Human Occupation (MOHO)
• Functional Capacity- UPSA functional capacity measure
• ADL skills- Assessment of Motor & Process skills (AMPS)
• Everyday Performance- Specific Level of Functioning (SLOF)
• Neuropsychological Assessment (MCCB)

The model is intended to provide a clinical structure which gives a clear and robust account of the factors underpinning functional deficits. A research project is ongoing which is examining associations between these factors.

This proposed model provides a clear framework for the measurement of factors that contribute to real world functioning. It will provide a clear and robust method for occupational therapists to holistically assess, and communicate functional deficits clearly in order to subsequently guide intervention effectively.