Occupation

Abstracts
Posters
the Ward (GLOW) was developed, using best available evidence,
for people with psychosis following discharge from hospital and
tested successfully in a feasibility study. In this current study of
the occupational therapy intervention it was tested with people
with a personality or mood disorder following discharge from
hospital to increase their performance of self-care and leisure
and reduce their use of crisis services.
A one group pre-post intervention study design was used to
evaluate preliminary effectiveness of the intervention. Test of
difference in scores on time use, social functioning and quality
of life measures between baseline and endpoint and baseline
and follow-up were calculated. Use of crisis services at three
time points was also calculated. Qualitative methods were used
to explore the experience of implementing and receiving the
intervention.
The results showed that participants increased the number of
community and self-care activities they carried out weekly and
they used crisis services less. The service users could identify clear
benefits of the intervention and increased their self-management
of daily life. They also reduced their reliance on mental health
services.
This study adds to the evidence regarding the effectiveness of
occupational therapy interventions for people with a personality
or mood disorder, an area where little evidence currently exists.
The study provides the building blocks for a full evaluation of the
intervention.
References
Lee SW, Morley M, Taylor RR, Kielhofner G, Garnham M,
Heasman D, Forsyth K (2011). The development of care
pathways and packages in mental health based on the Model
of Human Occupation Screening Tool. British Journal of
Occupational Therapy 74(6), 284–94.
Keywords
Mental health, Research, Innovative practice, NHS
Contact E-mail Addresses
marybirken@ymail.com
Author Biographies
Mary Birken is a researcher specialising in developing the
evidence base regarding occupational therapy and mental
health, including developing and evaluating occupational
therapy interventions in adult mental health.
Mary Morley has worked in a wide range of clinical, managerial
and leadership posts in mental health and works as Director of
Therapies in South West London & St George’s Mental Health
NHS Trust. She is a research fellow at St Georges University
Londonand her current research interests include clinical and
cost effectiveness of occupational therapy intervention and
the ‘early career stage’ of practitioners. Mary was awarded a
Fellowship of the College of Occupational Therapists in 2006
and an honorary fellowship from Brunel University in 2010 in
recognition of her contribution to the profession.
supportive resources including information, esteem, social
companionship, and tangible supports (Cohen &Wills 1985).
Employers, family members, and friends are all parts of the
model to form a supportive environment. The purpose of this
study was to examine the intervention effects of the model on
the community-based employment rate and length of hospital
stay.
Methods: We reviewed the data of 68 people with severe mental
illness who attended the Best Partners Model during January
2012 to May 2015. Their community-based employment rate
during the period of post-preparation stage and stable employed
stage were analysed. We also reported (48 of 68 people who
had retrievable since admission) averaged length of hospital stay
per time and per year before and after the intervention.
Results: The community-based employment rate of people
who received the Best Partners Model was 67.6% from postpreparation
stage to stable employed stage, which is much
higher than the grand data (14.9%) of people with severe
mental illness in Taiwan in 2014. The averaged length of hospital
stay per time before and after the intervention were 91.8 days/
time and 16.4 days/time. The averaged length of hospital stay
per year before and after the intervention were 38.8 days/year
and 7.2 days/year.
Conclusions: The results revealed that the intervention of Best
Partners Model may increase community-based employment
rate and decrease average length of hospital stay of people with
mental illness. Therefore, we suggest the staffs, family members,
friends, colleagues, and employers who lives or work with
people with mental illness should be included in the recovery
process as essential parts of supports.
References
Cohen, S & Wills, TA 1985, ‘Stress, social support, and the
buffering hypothesis’,Psychological Bulletin, vol. 98, no. 2, pp.
310–357.
Keywords
Mental health, Service improvement or transformation,
Occupational therapy models and theory, Independent Sector
Contact E-mail Addresses
sdoris43@gmail.com
Author Biographies
Ying-Chun Chien graduated from Kaohsiung Medical University
with her Bachelor of Science in Occupational Therapy. She has
been a practicing Occupational Therapist for over 8 years in
Jianan Psychiatric Center and takes a special interest in Guidance
and Counseling.
Wan-Ju Huang received a Bachelor of Science Degree in
Occupational Therapy from National Cheng Kung University
in 1995 and a Masters in Gerontology in 2007. She has
been a practicing Occupational Therapist for 15 years in
Jianan Psychiatric Center and takes a special interest in Work
Rehabilitation and Dementia Care.
P95
Effectiveness of the best model for people with
severe mental illness
Chien Y, Jianan Psychiatric Center
Objective: The Best Partners Model was developed by the Jianan
Psychiatric Center based on the concepts of recovery and social
support. This model embraces four stages: pre-preparation,
post-preparation, job-matching, employed, and stable employed
stages. It aims to offer people with severe mental illness
P96
Occupational therapy lead the journey to smoke free
living
Beal J, Cygnet Health Care
A service user’s physical health is of equal importance as their
mental health and must be part of a package of care that seeks
to reduce health inequalities and improve the wellbeing and
experiences of service users. It is widely recognised that people
with severe mental illness are more likely to smoke and likely
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