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- Kjellberg, Anette, et al.
(författare)
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The myth of participation in occupational therapy : reconceptualizing a client-centred approach
- 2012
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Ingår i: Scandinavian Journal of Occupational Therapy. - : Informa Healthcare. - 1103-8128 .- 1651-2014. ; 19:5, s. 421-427
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Tidskriftsartikel (refereegranskat)abstract
- Participation is often the comprehensive objective of treatment but also an indication of the extent to which the process of occupational therapy is client-centred. The purpose of this study was to explore levels of participation during occupational therapy among clients in the area of mental health from the occupational therapists' perspectives. Additionally the authors sought to identify factors that might hinder client participation. Postal questionnaires were sent out to 670 Swedish occupational therapists working with persons with mental illness and learning disabilities. The questionnaire required therapists to rate clients' levels of participation during occupational therapy. Findings indicated that the most common level of participation for the clients was interdependent, meaning that problems, goals, and plans were identified jointly and collaboratively with the occupational therapist. However, more than 20% of the clients were described as being dependent. Almost 90% of the occupational therapists rated client participation in therapy to be very important and nearly 70% claimed that client participation in general needed to be increased. Occupational therapists rated the primary barriers to participation as being clients' inability to participate and organizational and financial problems. Implications of these findings for education in client-centred practice approaches are discussed.
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- Kåhlin, Ida, et al.
(författare)
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Ageing in people with intellectual disability as it is understood by group home staff
- 2016
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Ingår i: Journal of Intellectual & Developmental Disability. - : Routledge. - 1366-8250 .- 1469-9532. ; 41:1
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Tidskriftsartikel (refereegranskat)abstract
- The number of older residents in group homes for people with intellectual disability (ID) is increasing. This interview study was focused on how group home staff addresses issues of ageing and being old among people with ID. Twelve members of staff at four different group homes in Sweden were interviewed. Findings revealed old age as something unarticulated in the group home. Group home staff felt unprepared to meet age-related changes in residents. The study also revealed that group home staff had a one-tracked way of describing the process of ageing among people with ID, seemingly rooted in a medical paradigm of disability. This study suggests that there is a need to raise issues and give guidance related to ageing and ID in disability policy documents in order to support the development of a formal culture that addresses old age and ID in disability services.
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- Kåhlin, Ida, et al.
(författare)
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Choice and control for people ageing with intellectual disability in group homes
- 2016
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Ingår i: Scandinavian Journal of Occupational Therapy. - : Taylor & Francis. - 1103-8128 .- 1651-2014. ; 23:2, s. 127-137
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Tidskriftsartikel (refereegranskat)abstract
- Background: Many people ageing with intellectual disabilities (ID) age in place in group homes. Participation is a central concept in support and service to people with ID, but age is often a determining factor for participation among this group. Choice and control are dimensions of participation.Aim: The aim of this article is to explore how choice and control in the everyday life of people ageing with ID is expressed and performed in the group home’s semi-private spaces.Material and methods: Participant observations and interviews with residents and staff were conducted in four different group homes in Sweden that had older residents.Results: Four categories were found that can be understood as aspects of choice and control in the group home’s semi-private spaces in the everyday life of people ageing with ID. These categories included aspects such as space and object, time and routines, privacy, and a person-centred approach.Conclusion and significance: People ageing with ID are vulnerable when it comes to maintaining choice and control in various situations in the home’s semi-private spaces. It is argued that occupational therapists should include this occupational arena in their evaluations and interventions for people ageing with ID.
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