Development and Validation of the Client Centered Occupational Therapy Service Model
Condition: Occupational Therapy; Psychiatric Rehabilitation
Study type: Interventional

Summary: 
      The purpose of the study is to develop and validate Client-centered Occupational Therapy
      Service at Taipei City Psychiatric Center (OT@tcpc) service model to assist clinicians to
      provide and integrate comprehensive OT services.
    

Detailed description: 
      Occupational Therapy (OT) is one of the mental health services. The service phase includes
      acute/chronic hospitalization, daycare centers (adolescents, adults, and the elderly),
      community mental rehabilitation institutions, psychiatric nursing home, and outpatient
      assessment/treatments. OT provides holistic and continuous mental rehabilitation services at
      each stage of mental health care. During the acute hospitalization and based on the Model of
      Human Occupation (MOHO) model, the occupational therapist provides daily activities to assist
      acute patients with mental illness to develop occupation adaptation to enable and prepare for
      discharge.

      However, the lack of a client-centered OT service model limits the interpretation of the
      treatment effect and the process of change. This will seriously affect the integrity and
      continuity of OT services and will limit the development of OT professions. Thus, the purpose
      of the study is to develop and validate Client-centered Occupational Therapy Service at
      Taipei City Psychiatric Center (OT@tcpc) service model to assist clinicians to provide and
      integrate comprehensive OT services.

      This project consists of 2 stages. First, based on the MOHO model we use 5 stages with 6
      weeks program to develop the OT@tcpc service model. Second, validate the to indicate the
      occupation identity and competence to validate the OT@tcpc service model. We will recruit 70
      inpatients with schizophrenia and divided into intervention group, based on MOHO theory, and
      control group.
    

Intervention name(s): Occupational therapy based on the MOHO theory; Occupational therapy
Intervention type(s): Behavioral; Behavioral
Intervention description(s): We selected two acute wards in the Songde hospital as the intervention group and the control group. At the same time, the demographic data of the participants were collected, including gender, age, age of onset, marital status, education level, work experience, etc., and the clinical records, including assessment of mental symptoms and medication records, etc. Continuity or categorical information on Occupational performance, personal and social performance, instrumental activities daily living, and clinical performance.
OPHI-II, CGIS, PSP, LIADL, COPM, COTES were tested before and after in the intervention group and the control group to explain the intervention effect of the MOHO theory-based treatment model.; The original Occupational therapy. OPHI-II, CGIS, PSP, LIADL, COPM, COTES were tested before and after in the intervention group and the control group to explain the intervention effect of the MOHO theory-based treatment model.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: We will recruit 70 inpatients with schizophrenia and devided into intervention group, based on MOHO theory, and control group.
Masking: Double (Participant, Outcomes Assessor)
Primary purpose: Treatment
Keywords: client-centered; Model of Human Occupation