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Cited by 34Schizophrenia research and treatmentDisability Education and EmploymentOccupational Therapy Practice and Research

An Evaluation of a Hybrid Occupational Therapy and Supported Employment Program in Japan for Persons With Schizophrenia

Oka, Masao, Otsuka, Kensei, Yokoyama, Nuburo, Mintz, Jim, Hoshino, Kenyo, Niwa, Shin-Ichi, Liberman, Robert Paul·2004·American Journal of Occupational Therapy
DOI 10.5014/ajot.58.4.466
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Abstract

OBJECTIVE. A vocational rehabilitation program (occupational therapy and supported employment) for promoting the return to the community of long-stay persons with schizophrenia was established at a psychiatric hospital in Japan. The purpose of the study was to evaluate the program in terms of hospitalization rates, community tenure, and social functioning with each individual serving as his or her control. METHODS. Fifty-two participants, averaging 8.9 years of hospitalization, participated in the vocational rehabilitation program consisting of 2 to 6 hours of in-hospital occupational therapy for 6 days per week and a post-discharge supported employment component. Seventeen years after the program was established, a retrospective study was conducted to evaluate the impact of the program on hospitalizations, community tenure, and social functioning after participants’ discharge from hospital, using an interrupted time–series analysis. The postdischarge period was compared with the period from onset of illness to the index discharge on the three outcome variables. RESULTS. After discharge from the hospital, the length of time spent by participants out of the hospital increased, social functioning improved, and risk of hospitalization diminished by 50%. Female participants and those with supportive families spent more time out of the hospital than participants who were male or came from nonsupportive families. CONCLUSION. A combined program of occupational therapy and supported employment was successful in a Japanese psychiatric hospital when implemented with the continuing involvement of a clinical team. Interventions that improve the emotional and housing supports provided to persons with schizophrenia by their families are likely to enhance the outcome of vocational services.

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  • OT through vocational rehabilitation such as supported employment intervention could improve SMI patients' social functioning and hospitalisation, although not all SMI patients are motivated to work.

    “OT through vocational rehabilitation such as supported employment intervention could improve SMI patients’ social functioning and hospitalisation, although not all SMI patients are motivated to work.12”

    From Occupational therapy interventions for adults with severe mental illness: a scoping review (2021) · cites this paper as [12]

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Authors
Oka, M., Otsuka, K., Yokoyama, N., Mintz, J., Hoshino, K., Niwa, S.-I., & Liberman, R. P.
Affiliations
  • Masao Oka, MD, is Staff Psychiatrist, Yabuki Prefectural Hospital, Fukushima, Japan
  • Kensei Otsuka, MD, is Staff Psychiatrist, Yabuki Prefectural Hospital, Fukushima, Japan
  • Nuboru Yokoyama, MD, is Staff Psychiatrist, Yabuki Prefectural Hospital, Fukushima, Japan
  • University of California, Los Angeles (US)
  • Kenyo Hoshino, MD, is Staff Psychiatrist, Yabuki Prefectural Hospital, Fukushima, Japan
  • Fukushima Medical University (JP)
ORCID
Mintz, Jim
Venue
American Journal of Occupational Therapy
Publisher
SAGE Publications
Published
2004-07
Volume
58
Issue
4
Pages
466-475
ISSN
  • 0272-9490 (ISSN-L)
  • 1943-7676
DOI
10.5014/ajot.58.4.466
OpenAlex
W2131625668
Cited by
34
References
36
Citations by year
2026: 1 · 2025: 2 · 2024: 1 · 2022: 1 · 2021: 2 · 2020: 2 · 2019: 2 · 2018: 1 · 2017: 3 · 2016: 1 · 2015: 2 · 2014: 2 · 2013: 2 · 2012: 2
FWCI
0.00
Type
journal article
Language
en
Open access
closed
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
  • American Journal of Occupational Therapy (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Social Sciences › Safety Research › Disability Education and Employment
  • Health Sciences › Health Professions › Occupational Therapy › Occupational Therapy Practice and Research
Keywords
schizophrenia, occupational therapy, supported employment, vocational rehabilitation, long-term psychiatric patients, community reintegration, hospitalization rates, communal land tenure, social functioning, family support
MeSH terms
Adult, Hospitalization, Hospitals, Psychiatric, Humans, Japan, Male, Occupational Therapy, Patient Care Team, Rehabilitation, Vocational, Schizophrenia, Social Adjustment, Employment, Supported

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