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Cited by 31Occupational Therapy Practice and ResearchArt Therapy and Mental HealthSchizophrenia research and treatment

Occupational therapy interventions in the treatment of people with severe mental illness

Höhl, Werner, Moll, Sandra, Pfeiffer, Andreas·2017·Current Opinion in Psychiatry
DOI 10.1097/yco.0000000000000339
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Abstract

PURPOSE OF REVIEW: Life expectancy of people with severe mental illness is considerably shortened and their risk for cardiovascular and metabolic disorders is increased. They spend more time in solitary and less time in structured activities than the general population.Engagement in healthy patterns of activity, including active, meaningful participation in the community can, therefore, be critical to recovery from severe mental illness. Occupational therapy is a profession that focuses on time use, activity patterns and occupational engagement, and the links to health and well-being. In this study, we review research evidence regarding approaches to occupational engagement, including behavioural activation, time use, and activity promotion. We also will review studies that specifically evaluate the impact of occupational therapy interventions. RECENT FINDINGS: There is a growing body of evidence regarding the value of interventions addressing occupational engagement of individuals with severe mental illness, including a range of activation strategies and approaches. There is a need, however, for documentation of theoretically informed approaches that are supported by fidelity measures to ensure standardization. SUMMARY: Larger-scale studies are needed, including consistent outcome measures to document engagement and changes in activity patterns as well as health-related outcomes. High-quality randomized clinical trials are important to establish effectiveness. As occupational therapy interventions are complex and embedded within a range of multidisciplinary approaches, new models of pragmatic trials within the naturalistic context of psychiatric rehabilitation are also needed.

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Crossref · 10.1097/yco.0000000000000339

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  • Involvement in self-chosen, personally and culturally meaningful activities is a recognized contributing factor in recovery and well-being, so that the further development of effective approaches to individualized support for engagement in meaningful and healthy activity patterns is important.

    “Involvement in self-chosen, personally and culturally meaningful activities is a recognized contributing factor in recovery and well-being (11, 27), so that the further development of effective approaches to individualized support for engagement in meaningful and healthy activity patterns is important (21).”

    From Implementing an action over inertia group program in community residential rehabilitation services: group participant and facilitator perspectives (2021) · cites this paper as [21]

  • OT can support recovery as a significant treatment component for patients with SMI through meaningful activities, influencing autonomy in ADL, quality of life and personal well-being.

    “One of these non-pharmacological interventions is occupational therapy (OT), which can support recovery as a significant treatment component of these patients through meaningful activities, influencing aspects such as autonomy in activities of daily living (ADL), quality of life and personal well-being.8–10”

    From Occupational therapy interventions for adults with severe mental illness: a scoping review (2021) · cites this paper as [8]

  • OT has been identified as a non-pharmacological approach that can be an important adjunct to other psychiatric treatments.

    “Moreover, OT has been identified as a non-pharmacological approach that can be an important adjunct to other psychiatric treatments.8”

    From Occupational therapy interventions for adults with severe mental illness: a scoping review (2021) · cites this paper as [8]

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Authors
Höhl, W., Moll, S., & Pfeiffer, A.
Affiliations
  • Düsseldorf University Hospital (DE)
  • McMaster University (CA)
Corresponding author
Höhl, Werner
ORCID
Moll, Sandra
Venue
Current Opinion in Psychiatry
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2017-07
Volume
30
Issue
4
Pages
300-305
ISSN
0951-7367 (ISSN-L)
DOI
10.1097/yco.0000000000000339
OpenAlex
W2608054801
Semantic Scholar
5709a290718a46a65af4aa07ffd06d3b26092664
Cited by
31
References
30
Citations by year
2026: 2 · 2025: 6 · 2024: 3 · 2023: 3 · 2022: 2 · 2021: 8 · 2020: 4 · 2019: 3
FWCI
0.69
Type
journal article
Language
en
Open access
closed
Locations
  • Current Opinion in Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › Occupational Therapy › Occupational Therapy Practice and Research
  • Social Sciences › Arts and Humanities › Conservation › Art Therapy and Mental Health
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
Keywords
occupational therapy intervention, severe mental illness, occupational engagement, behavioral activation, time use, activity promotion, psychiatric rehabilitation, community participation, cardiovascular risk, life expectancy, intervention fidelity, randomized controlled trials
MeSH terms
Activities of Daily Living, Mental Disorders, Humans, Occupational Therapy, Treatment Outcome

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