Dealing with Real-Life Challenges: Outcome of a Home-Based Occupational Therapy Intervention for People with Severe Psychiatric Disability
Abstract
The authors offered home-based occupational therapy integrated into supported or sheltered housing to help individuals with severe psychiatric disability identify their specific needs of engagement in meaningful daily occupations. This study aimed to evaluate the client outcomes in activities of daily living (ADL) ability and health factors following their participation in occupation-centered interventions in home and community settings. Seventeen participants (7 women) between the ages of 27 and 66 years participated in the intervention project based on the Everyday Life Rehabilitation (ELR). The following instruments were administered before and after the intervention and at a 6-month follow-up: Goal Attainment Scaling, Assessment of Motor and Process Skills, Assessment of Social Interaction, Satisfaction with Daily Occupations, ADL-taxonomy with an effort-scale, and the Symptom Check List-90. Pretest, posttest, and follow-up differences in test scores on goal attainment, occupation, and health-related factors indicate that important progress was made. These findings support the use of the ELR intervention and suggest that larger randomized clinical trials are needed.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
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 [9]
Cites
Building a practically useful theory of goal setting and task motivation: A 35-year odyssey.
Locke, E. A., & Latham, G. P. (2002) · American Psychologist · doi:10.1037/0003-066x.57.9.705 · Cited by 7,766 · see citing works
Kiresuk, T. J., & Sherman, R. E. (1968) · Community Mental Health Journal · doi:10.1007/bf01530764 · Cited by 1,965 · see citing works
Bowie, C. R., Depp, C. A., McGrath, J. A., Wolyniec, P. S., Mausbach, B. T., Thornquist, M. H., Luke, J. R., Patterson, T. L., Harvey, P. D., & Pulver, A. E. (2010) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2010.09101406 · Cited by 468 · see citing works
Barriers to Employment for People With Schizophrenia
Rosenheck, R., Leslie, D., Keefe, R., McEvoy, J., Swartz, M., Perkins, D., Stroup, S., Hsiao, J. K., Lieberman, J., & CATIE Study Investigators Group (2006) · American Journal of Psychiatry · doi:10.1176/appi.ajp.163.3.411 · Cited by 465 · see citing works
Implementing Recovery Oriented Evidence Based Programs: Identifying the Critical Dimensions
Farkas, M. D., Gagne, C., Anthony, W. A., & Chamberlin, J. (2005) · Community Mental Health Journal · doi:10.1007/s10597-005-2649-6 · Cited by 326 · see citing works
Recovery from schizophrenia and the recovery model
Warner, R. (2009) · Current Opinion in Psychiatry · doi:10.1097/yco.0b013e32832c920b · Cited by 263 · see citing works
Goldberg, B., Brintnell, E. S., & Goldberg, J. (2002) · Occupational Therapy in Mental Health · doi:10.1300/j004v18n02_03 · Cited by 228 · see citing works
SCL-90-R : administration, scoring and procedures
Lr, D. (1983) · Medical Entomology and Zoology · Cited by 220 · see citing works
Areas of consensus and controversy about goal setting in rehabilitation: a conference report
Playford, E. D., Siegert, R. J., Levack, W., & Freeman, J. A. (2009) · Clinical Rehabilitation · doi:10.1177/0269215509103506 · Cited by 199 · see citing works
Bejerholm, U., & Eklund, M. (2007) · American Journal of Occupational Therapy · doi:10.5014/ajot.61.1.21 · Cited by 163 · see citing works
Sowers, W. E. (2005) · Community Mental Health Journal · doi:10.1007/s10597-005-6433-4 · Cited by 144 · see citing works
Time use and occupational performance among persons with schizophrenia
Bejerholm, U., & Eklund, M. (2004) · Occupational Therapy in Mental Health · doi:10.1300/j004v20n01_02 · Cited by 142 · see citing works
Eklund, M., Hansson, L., & Bejerholm, U. (2001) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s001270050293 · Cited by 125 · see citing works
Recent Advances in Psychiatric Rehabilitation for Patients with Severe Mental Illness
Mueser, K. T., Drake, R. E., & Bond, G. R. (1997) · Harvard Review of Psychiatry · doi:10.3109/10673229709000298 · Cited by 116 · see citing works
Satisfaction with Daily Occupations: A Tool for Client Evaluation in Mental Health Care
Eklund, M. (2004) · Scandinavian Journal of Occupational Therapy · doi:10.1080/11038120410020700 · Cited by 79 · see citing works
The ADL Taxonomy - from Individual Categorical Data to Ordinal Categorical Data
Sonn, U., Törnquist, K. B., & Svensson, E. (1999) · Scandinavian Journal of Occupational Therapy · doi:10.1080/110381299443807 · Cited by 78 · see citing works
Do Different Subjective Evaluation Criteria Reflect Distinct Constructs?
Priebe, S., Kaiser, W., Huxley, P. J., Röder‐Wanner, U., & Rudolf, H. (1998) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199807000-00001 · Cited by 64 · see citing works
Towards an ADL taxonomy for occupational therapists
Törnquist, K. B., & Sonn, U. (2014) · Scandinavian Journal of Occupational Therapy · doi:10.3109/11038128.2014.952885 · Cited by 58 · see citing works
Leufstadius, C., & Eklund, M. (2008) · Scandinavian Journal of Occupational Therapy · doi:10.1080/11038120701253428 · Cited by 58 · see citing works
Validation of the Assessment of Motor and Process Skills for Use in Sweden
Bernspång, B., & Fisher, A. G. (1995) · Scandinavian Journal of Occupational Therapy · doi:10.3109/11038129509106792 · Cited by 54 · see citing works
Self-citationEklund, M., & Gunnarsson, A. B. (2006) · Australian Occupational Therapy Journal · doi:10.1111/j.1440-1630.2006.00586.x · Cited by 52 · see citing works
Towards an ADL Taxonomy for Occupational Therapists
Törnquist, K. B., & Sonn, U. (1994) · Scandinavian Journal of Occupational Therapy · doi:10.3109/11038129409106665 · Cited by 47 · see citing works
Alternate forms reliability of the assessment of motor and process skills.
Kirkley, K. N., & Fisher, A. G. (1999) · PubMed · Cited by 43 · see citing works
Eklund, M., & Gunnarsson, A. B. (2008) · British Journal of Occupational Therapy · doi:10.1177/030802260807101106 · Cited by 43 · see citing works
Occupational Performance Differences Between Psychiatric Groups
Girard, C., Fisher, A. G., & Short, L. D. M. A. (1999) · Scandinavian Journal of Occupational Therapy · doi:10.1080/110381299443708 · Cited by 38 · see citing works
Learning and Generalization in Schizophrenia: Effects of Disease and Antipsychotic Drug Treatment
Daphna Shohamy, A., Mihalakos, P., Chin, R., Thomas, B. P., Wagner, A. D., & Tamminga, C. A. (2009) · Biological Psychiatry · doi:10.1016/j.biopsych.2009.10.025 · Cited by 37 · see citing works
Patients' Perception of Curative Factors in Occupational Therapy Groups
Webster, D., & Schwartzberg, S. L. (1993) · Occupational Therapy in Mental Health · doi:10.1300/j004v12n01_02 · Cited by 33 · see citing works
Hariz, G., Lindberg, M., Hariz, M. I., & Bergenheim, A. T. (2002) · Movement Disorders · doi:10.1002/mds.10386 · Cited by 31 · see citing works
Self-citationStories of Rediscovering Agency
Lindström, M., Sjöström, S., & Lindberg, M. (2013) · Qualitative Health Research · doi:10.1177/1049732313482047 · Cited by 31 · see citing works
Self-citationEklund, M. (1997) · Occupational Therapy International · doi:10.1002/oti.56 · Cited by 29 · see citing works
Goal Attainment Scaling Allows Program Evaluation of a Home-Based Occupational Therapy Program
Lannin, N. A. (2003) · Occupational Therapy In Health Care · doi:10.1080/j003v17n01_04 · Cited by 28 · see citing works
Home Bittersweet Home: the Significance of Home for Occupational Transformations
Lindström, M., Lindberg, M., & Sjöström, S. (2010) · International Journal of Social Psychiatry · doi:10.1177/0020764009354834 · Cited by 21 · see citing works
Self-citationDevelopment of an Instrument for Assessment of Social Interaction Skills in Occupational Therapy
Englund, B., Bernspång, B., & Fisher, A. G. (1995) · Scandinavian Journal of Occupational Therapy · doi:10.3109/11038129509106794 · Cited by 10 · see citing works
Self-citation
Flagged first, then by citations
1 of the 34 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Psychometric properties and factor structure of the Swedish version of the Perceived Stress Scale
Eklund, M., Bäckström, M., & Tuvesson, H. (2014) · Nordic Journal of Psychiatry · doi:10.3109/08039488.2013.877072 · Cited by 85 · see citing works
Occupational therapy interventions in mental health: A literature review in search of evidence
Kirsh, B., Martin, L., Hultqvist, J., & Eklund, M. (2019) · Occupational Therapy in Mental Health · doi:10.1080/0164212x.2019.1588832 · Cited by 83 · see citing works
D’Amico, M. L., Jaffe, L. E., & Gardner, J. A. (2018) · American Journal of Occupational Therapy · doi:10.5014/ajot.2018.033332 · Cited by 68 · see citing works
Occupational therapy interventions for adults with severe mental illness: a scoping review
Rocamora-Montenegro, M., Compañ-Gabucio, L.-M., & Garcia de la Hera, M. (2021) · BMJ Open · doi:10.1136/bmjopen-2020-047467 · Cited by 45 · see citing works
Eklund, M., Argentzell, E., Bejerholm, U., Tjörnstrand, C., & Brunt, D. A. (2017) · BMC Psychiatry · doi:10.1186/s12888-017-1472-2 · Cited by 35 · see citing works
Occupational therapy interventions in the treatment of people with severe mental illness
Höhl, W., Moll, S., & Pfeiffer, A. (2017) · Current Opinion in Psychiatry · doi:10.1097/yco.0000000000000339 · Cited by 31 · see citing works
Stories of Rediscovering Agency
Lindström, M., Sjöström, S., & Lindberg, M. (2013) · Qualitative Health Research · doi:10.1177/1049732313482047 · Cited by 31 · see citing works
Self-citationBitter, N., Roeg, D., van Nieuwenhuizen, C., & van Weeghel, J. (2020) · Community Mental Health Journal · doi:10.1007/s10597-020-00561-3 · Cited by 24 · see citing works
Cognitive work hardening for return to work following depression: An intervention study
Wisenthal, A., Krupa, T. M., Kirsh, B. H., & Lysaght, R. M. (2018) · Canadian Journal of Occupational Therapy · doi:10.1177/0008417417733275 · Cited by 21 · see citing works
Cairns, A., Kavanagh, D. J., Dark, F. L., & McPhail, S. (2015) · British Journal of Occupational Therapy · doi:10.1177/0308022614562584 · Cited by 18 · see citing works
Occupational Therapy Interventions for Adults Living With Serious Mental Illness
Lannigan, E. G., & Noyes, S. (2019) · American Journal of Occupational Therapy · doi:10.5014/ajot.2019.735001 · Cited by 18 · see citing works
Murphy, C. K., & Shiel, A. (2018) · Occupational Therapy in Mental Health · doi:10.1080/0164212x.2018.1480450 · Cited by 13 · see citing works
Badu, E., O’Brien, A. P., & Mitchell, R. J. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18168873 · Cited by 10 · see citing works
Lindström, M. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.954068 · Cited by 9 · see citing works
Self-citationLindström, M., & Isaksson, G. (2017) · Occupational Therapy in Mental Health · doi:10.1080/0164212x.2016.1194243 · Cited by 7 · see citing works
Self-citationA Bibliometric Analysis of the Quantitative Mental Health Literature in Occupational Therapy
Gutman, S. A., & Brown, T. (2018) · Occupational Therapy in Mental Health · doi:10.1080/0164212x.2017.1413479 · Cited by 7 · see citing works
Sammells, E., Logan, A., & Sheppard, L. (2022) · Community Mental Health Journal · doi:10.1007/s10597-022-01020-x · Cited by 7 · see citing works
The ADL taxonomy for persons with mental disorders – adaptation and evaluation
Lidström-Holmqvist, K., & Holmefur, M. (2018) · Scandinavian Journal of Occupational Therapy · doi:10.1080/11038128.2018.1469667 · Cited by 5 · see citing works
Occupational therapy and psychosis: POINTER feasibility study for a pragmatic clinical trial
Inman, J., Bannigan, K., & Akhurst, J. (2021) · British Journal of Occupational Therapy · doi:10.1177/03080226211000257 · Cited by 4 · see citing works
Sjöberg, A., Liv, P., & Lindström, M. (2025) · BMJ Mental Health · doi:10.1136/bmjment-2025-301757 · Cited by 4 · see citing works
Self-citationReablement in Mental Health Care and the Role of the Occupational Therapist: A Qualitative Study
Seberg, M., & Eriksson, B. G. (2018) · SAGE Open · doi:10.1177/2158244018784644 · Cited by 4 · see citing works
Sargent, J., & Valdes, K. A. (2021) · Occupational Therapy in Mental Health · doi:10.1080/0164212x.2021.1875956 · Cited by 3 · see citing works
Hu, G., Wei, D., Zhang, J., Liu, J., Liao, L., Zheng, L., Wu, X., Wu, X., Wei, B., & Wan, J. (2025) · Psychiatry Research · doi:10.1016/j.psychres.2025.116789 · Cited by 2 · see citing works
Badu, E., O’Brien, A. P., & Mitchell, R. J. (2020) · doi:10.21203/rs.3.rs-22134/v1 · Cited by 2 · see citing works
Badu, E., O’Brien, A. P., & Mitchell, R. J. (2020) · Research Square · doi:10.21203/rs.3.rs-73542/v1 · Cited by 2 · see citing works
Lindström, M., Lindholm, L. H., & Liv, P. (2022) · Research Square · doi:10.21203/rs.3.rs-1129425/v1 · Cited by 1 · see citing works
Self-citationCairns, A. (2017) · Queensland University of Technology · doi:10.5204/thesis.eprints.107534
Sargent, J., & Valdes, K. A. (2021) · American Journal of Occupational Therapy · doi:10.5014/ajot.2021.75s2-rp208
Ullah, N., Ayub, A., Ullah, I., & Hussain, S. J. (2023) · Research Square · doi:10.21203/rs.3.rs-2766167/v1
Supportive housing residents’ experiences of the intervention active in my home
Tjörnstrand, C., Brunt, D. A., Bejerholm, U., Eklund, M., & Argentzell, E. (2025) · Scandinavian Journal of Occupational Therapy · doi:10.1080/11038128.2025.2528803
Sjöberg, A., Sundberg, L. R., & Lindström, M. (2026) · Frontiers in Health Services · doi:10.3389/frhs.2026.1771613
Self-citationHolknekt, M., Klockmo, C., Markström, U., & Lindström, M. (2026) · Journal of Evidence-Based Social Work · doi:10.1080/26408066.2026.2733438
Self-citation
- Authors
- Lindström, M., Hariz, G.-M., & Bernspång, B.
- Affiliations
- Umeå University (SE)
- Venue
- OTJR: Occupational Therapy Journal of Research
- Publisher
- SAGE Publications
- Published
- 2011-08-26
- Volume
- 32
- Issue
- 2
- Pages
- 5-14
- ISSN
- 1539-4492 (ISSN-L)
- 1938-2383
- OpenAlex
- W2122023337
- Cited by
- 33
- References
- 34
- Citations by year
- 2026: 2 · 2025: 3 · 2023: 1 · 2022: 3 · 2021: 5 · 2020: 3 · 2019: 2 · 2018: 6 · 2017: 4 · 2015: 1 · 2014: 1 · 2013: 2
- FWCI
- 2.81
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- OTJR Occupational Therapy Journal of Research (publishedVersion)
- Topics
- Health Sciences › Health Professions › Occupational Therapy › Occupational Therapy Practice and Research
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Keywords
- home-based occupational therapy, supported housing, sheltered housing, activities of daily living, goal achievement, social interaction, symptom severity, client outcomes
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review