Systematic Review on Community-Based Occupational Therapy for People With Mental Illness

2021 ◽  
Vol 29 (3) ◽  
pp. 39-54
Author(s):  
Ji-Hee Woo
Keyword(s):  
Systematic Review ◽  
Mental Illness ◽  
Occupational Therapy ◽  
Community Based ◽  
People With Mental Illness

scholarly journals The use of pasung for people with mental illness: a systematic review and narrative synthesis

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Muhamad Taufik Hidayat ◽  
Sharon Lawn ◽  
Eimear Muir-Cochrane ◽  
Candice Oster
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Mental Illness ◽  
Community Mental Health ◽  
Community Mental Health Services ◽  
Rehabilitation Program ◽  
Narrative Synthesis ◽  
Community Based ◽  
Cross Sectional ◽  
People With Mental Illness

Abstract Background Pasung is the term used in Indonesia and a number of other countries for seclusion and restraint of people with mental illness in the community, usually at home by their family. While pasung has been banned because it is contrary to human rights, its practice continues to exist within the community, particularly where community mental health services are limited, and in the absence of adequate social support, and pervasive negatives beliefs about mental illness. It is essential to understand the reasons for the ongoing use of pasung and to examine potential solutions. Methods A systematic review and narrative synthesis of peer-reviewed international literature was conducted to identify the socio-cultural contexts for pasung use, and interventions to address it. The analysis draws on the socio-ecological framework, which focused on relationships between the individual and their environment. Result Fifty published articles were included in the review; all studies were conducted in Asia and Africa, with 32 undertaken in Indonesia. Most studies were qualitative (n = 21). Others included one case–control study, one cross-sectional study, and seven surveys; only four studies examined the application of an intervention, and each used a pre and post methodology. Of these, two studies tested psychoeducational interventions which aimed to overcome family burden due to pasung, and each suggested a community mental health approach. The remaining two studies evaluated the intervention of ‘unlocking’; one study used a community-based culturally sensitive approach, and the other used a community-based rehabilitation program. Reasons for pasung given by family appear to be as a last resort and in the absence of other supports to help them care for the person with severe mental illness. Conclusion The findings highlight that a mixture of individual, interpersonal, community and policy interventions are needed to reduce the use of pasung. While consumer and carer involvement as part of a socio-ecological approach is understood to be effective in reducing pasung, an understanding of how to elaborate this in the management of pasung remains elusive. Review Registration CRD42020157543: CRD

Home- and Community-Based Occupational Therapy Improves Functioning in Frail Older People: A Systematic Review

2017 ◽  
Vol 65 (8) ◽  
pp. 1863-1869 ◽  
Author(s):  
Leen De Coninck ◽  
Geertruida E. Bekkering ◽  
Leen Bouckaert ◽  
Anja Declercq ◽  
Maud J. L. Graff ◽  
...  
Keyword(s):  
Systematic Review ◽  
Occupational Therapy ◽  
Older People ◽  
Frail Older People ◽  
Community Based

Beyond the Barriers: First-Voice Perspectives on Facilitators of Leisure Participation

2020 ◽  
Vol 39 (1) ◽  
pp. 119-131
Author(s):  
Catherine M. White ◽  
Susan Hutchinson ◽  
Karen Gallant ◽  
Barbara Hamilton-Hinch
Keyword(s):  
Mental Illness ◽  
Rural Communities ◽  
Thematic Analysis ◽  
Social Supports ◽  
Leisure Activity ◽  
Organizational Factors ◽  
Self Management ◽  
Community Based ◽  
Leisure Participation ◽  
People With Mental Illness

Participation in community-based leisure activity can be beneficial for supporting recovery for people with mental illness, but many barriers are faced. Drawing on first-voice perspectives, this study examined personal, social, and organizational factors that facilitate community-based leisure participation and suggests practical ways to create leisure environments that they would find supportive and more accessible. Five focus groups were conducted with adults in urban and rural communities in Nova Scotia. Through thematic analysis, five types of facilitators were identified: self-management and self-care; finding meaning; active social supports and connections; welcoming environments; and, educating others. Implications for practice are presented.

scholarly journals Biogenetic explanations and public acceptance of mental illness: Systematic review of population studies

2011 ◽  
Vol 199 (5) ◽  
pp. 367-372 ◽  
Author(s):  
Matthias C. Angermeyer ◽  
Anita Holzinger ◽  
Mauro G. Carta ◽  
Georg Schomerus
Keyword(s):  
Systematic Review ◽  
Mental Illness ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Mentally Ill ◽  
General Public ◽  
Causal Attributions ◽  
Population Studies ◽  
Public Acceptance ◽  
People With Mental Illness

BackgroundBiological or genetic models of mental illness are commonly expected to increase tolerance towards people with mental illness, by reducing notions of responsibility and blame.AimsTo investigate whether biogenetic causal attributions of mental illness among the general public are associated with more tolerant attitudes, whether such attributions are related to lower perceptions of guilt and responsibility, to what extent notions of responsibility are associated with rejection of people who are mentally ill, and how prevalent notions of responsibility are among the general public with regard to different mental disorders.MethodA systematic review was conducted of representative population studies examining attitudes towards people with mental illness and beliefs about such disorders.ResultsWe identified 33 studies relevant to this review. Generally, biogenetic causal attributions were not associated with more tolerant attitudes; they were related to stronger rejection in most studies examining schizophrenia. No published study reported on associations of biogenetic causal attributions and perceived responsibility. The stereotype of self-responsibility was unrelated to rejection in most studies. Public images of mental disorder are generally dominated by the stereotypes of unpredictability and dangerousness, whereas responsibility is less relevant.ConclusionsBiogenetic causal models are an inappropriate means of reducing rejection of people with mental illness.

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