Community Practice – A text for occupational therapists and others involved in community care

Physiotherapy ◽  
1996 ◽  
Vol 82 (6) ◽  
pp. 380
Author(s):  
JE Jackson
1997 ◽  
Vol 20 (1) ◽  
pp. 129 ◽  
Author(s):  
John Daly ◽  
Lynne Adamson ◽  
Esther Chang

The aim of this pilot research project was to identify the research and educationalpriorities of occupational therapists practising in rural New South Wales. Eightparticipants were recruited in the south-western region of the State. The Delphitechnique was used to obtain the most reliable consensus of the research participants.Priorities emerged in four designated areas: (1) research that would be of value toclients; (2) research that would be of value in providing community care for clients;(3) research that would be of value in facilitating health promotion and diseaseprevention; and (4) research that would be of value to professional and educationalneeds. In the final phase of the study, 23 high priorities were identified. The findingsof the study suggest directions for research and continuing education in occupationaltherapy which may benefit rural practitioners and their clients.


2002 ◽  
Vol 65 (8) ◽  
pp. 381-386 ◽  
Author(s):  
Amanda Jane Greaves ◽  
Robert King ◽  
Peter Yellowlees ◽  
Susan Spence ◽  
Chris Lloyd

This research sought to investigate the self-perceived competence of mental health occupational therapists in Queensland. The research is a post-hoc analysis of survey results that formed part of the 1995 Professional Development Strategy for Adult Mental Health Services for the Queensland Health Mental Health Unit. A sample of 55 occupational therapists was compared with other professionals in relation to both general self-efficacy and efficacy in specific competencies. The devised scale for measuring self-efficacy was found to have a high level of internal reliability. The results indicated that the general self-perceived competence of occupational therapists for the whole sample was comparable to that of other professional groups, but that in the community-based sample it was significantly higher than that of social workers or nurses. In addition, occupational therapists in community settings had significantly higher general self-perceived competence than occupational therapists in hospital locations. Greater length of experience in mental health was strongly predictive of higher levels of competence for occupational therapists than for other professionals. The results suggest that occupational therapists have adapted well to the demands of multidisciplinary community practice. The possible reasons for these results, and the implications for competency-based recruitment and training, are presented.


1996 ◽  
Vol 59 (9) ◽  
pp. 401-406 ◽  
Author(s):  
Evelyn Pringle

This article describes an exploratory study which considered the effect of the recent reforms of the National Health Service on the professional position of occupational therapists working within NHS trusts. The term ‘reforms’ refers to the overall Impact of Government legislation following the Influential Griffiths report of 1983, up to and including the NHS and Community Care Act 1990. In the absence of any other published empirical data on this subject, an exploratory study was carried out. Sixteen in-depth interviews were conducted over a 2-month period during the summer of 1995 (10 therapists, 6 managers). The sample was drawn from four separate trust sites in the South East of England. The findings suggest that clinical autonomy remains unchanged, although there are fears that it may be under threat in the future. Managerial autonomy appears to have been adversely affected by the loss of the district therapist posts. Managers were concerned about the long-term effects of fragmented services on supervision and support networks and the recognised problems associated with a flat career structure. Job satisfaction was still high among therapists. Both managers and therapists were, however, less secure in their jobs and felt that their morale had been affected by the recent changes.


2003 ◽  
Vol 27 (8) ◽  
pp. 305-308 ◽  
Author(s):  
Rebecca Mcguire-Snieckus ◽  
Rosemarie Mccabe ◽  
Stefan Priebe

Aims and MethodA positive therapeutic relationship is essential to psychiatry and should take into account patients' preferences. Preferences of 133 community care patients were surveyed regarding dress and forms of address of six professions. Participants' sex, age, ethnicity and diagnosis were recorded.ResultsNinety-eight per cent of participants expressed a preference. While most preferred to be called ‘patients' by general practitioners (75%) and psychiatrists (67%), there was no statistically significant difference in preference for the term ‘patient’ or ‘client’ when used by community psychiatric nurses, occupational therapists, psychologists or social workers. Participants over the age of 40 preferred the term ‘client’. Asymmetrical relationships were preferred with general practitioners and psychiatrists, evidenced by a preference to be addressed by first name (71% and 68%, respectively), to address the professional by title (81% and 80%, respectively), and the professional to be ‘smartly’ dressed (67% and 66%, respectively).Clinical ImplicationsA more differentiated approach may be suggested by taking professional background and some demographic characteristics into consideration.


1992 ◽  
Vol 55 (7) ◽  
pp. 257-259 ◽  
Author(s):  
Sheelagh E Richards

The traditional concept of community occupational therapy services, located in local authorities and developing to meet the needs of the broad range of social services' client groups, is being challenged by the NHS and community care reforms. This article reflects on past aspirations, considers emerging trends and invites community occupational therapists to participate more fully in developing the profession's views on its future.


1996 ◽  
Vol 59 (4) ◽  
pp. 185-187 ◽  
Author(s):  
Jo Adams

This article examines the provision and funding of home adaptations for people with physical disabilities. Part 1 concluded that people with disabilities receive an adaptation service that Is skewed according to housing tenure and local policy implementation. Part 2 examines the response of one county's social services department and its senior grade occupational therapists in the assessment and allocation of a home adaptation service across housing tenure and across the county. It investigates, first, the role of community occupational therapists in assessing home adaptations across that county and, secondly, the shortcomings in the Disabled Facilities Grant system as documented by service users. Recommendations are made for Improving the adaptation service across housing tenure for people with disabilities.


1996 ◽  
Vol 59 (3) ◽  
pp. 104-108 ◽  
Author(s):  
Kirsten Stalker ◽  
Chris Jones ◽  
Pete Ritchie

In November 1994, the Scottish Office commissioned a short study of occupational therapy in Scotland. It aimed to examine the structure, scale and outputs of the service and the role of occupational therapy in the context of community care. A variety of methods was employed. The total number of posts for occupational therapists has increased recently but a critical shortage of support posts remains. Staff recruitment and retention are not problematic, In contrast to the situation south of the border. Occupational therapists still spend most of their time on equipment and adaptations. Authorities have been developing a range of strategies for tackling this problem, but more are needed. The Involvement of occupational therapists in care management is at an early stage. Practitioners are working with a more diverse range of clients than before, and some have greater opportunities to utilise their wider skills. Most have compjex extended networks for collaboration, although links with home care and health colleagues are often underdeveloped. Hospital discharge is a problematic area. The findings Indicate the need for occupational therapists to become better Integrated within community care teams, for more authorities to consider developing a unitary workforce straddling social services and health agencies, and for the deployment of occupational therapists to a wider and more Imaginative range of settings.


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