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Stories of rediscovering agency: home-based occupational therapy for people with severe psychiatric disability
Umeå universitet, Institutionen för samhällsmedicin och rehabilitering.
Umeå universitet, Institutionen för socialt arbete.ORCID iD: 0000-0002-4540-5373
Umeå universitet, Institutionen för samhällsmedicin och rehabilitering.
2013 (English)In: Qualitative Health Research, ISSN 1049-7323, E-ISSN 1552-7557, Vol. 23, no 6, p. 728-740Article in journal (Other academic) Published
Abstract [en]

As part of a larger study, we offered Everyday Life Rehabilitation (ELR) as a model for integrated occupational therapy in sheltered or supported housing facilities, to enable meaningful daily occupations for people with psychiatric disabilities. Our aim of this article was to understand how participants make sense of their occupational transformations in the context of their everyday life and life history. We carried out qualitative interviews and field observations with 16 participants with psychosis-related disorders. We used narrative analysis and disclosed stories of ‘rediscovering agency’, referring to occupational and identity transformations. A parallel outcome article has shown positive results for participants, and by narrative inquiry we contribute with a deeper understanding of the meaning-making of their transformations and mechanisms of the intervention; i.e. hope, extended value of reaching goals, re-entering the majority world, and transparency of process and attunement to the individual. The findings support the use of the ELR-intervention.

Place, publisher, year, edition, pages
Sage Publications , 2013. Vol. 23, no 6, p. 728-740
Keywords [en]
community-based programs; daily occupation; disability; intervention programs; mental health and illness; narrative inquiry; rehabilitation
National Category
Medical and Health Sciences Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
Occupational therapy
Identifiers
URN: urn:nbn:se:uu:diva-348162DOI: 10.1177/1049732313482047ISI: 000336257700002OAI: oai:DiVA.org:uu-348162DiVA, id: diva2:1196795
Projects
Everyday Life RehabilitationAvailable from: 2018-04-11 Created: 2018-04-11 Last updated: 2018-04-11

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