The development of care pathways and packages in mental health based on the model of human occupation screening tool

Lee, S W and Morley, M and Taylor, R R and Kielhofner, G and Garnham, M and Heasman, D and Forsyth, Kirsty (2011) The development of care pathways and packages in mental health based on the model of human occupation screening tool. British Journal of Occupational Therapy, 74 (6). pp. 284-294. ISSN 03080226

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Purpose: Payment by Results (PbR) was recently introduced to mental health care in England. The system allocates service users to one of 20 clusters and will provide funding based on cluster membership, rather than on block contracts. Occupational therapists are challenged to define care packages for each of the clusters. Method: To facilitate their development, this study identified the occupational profiles of service users in each cluster based on measures offered by the Model of Human Occupation. The study used existing data from the clinical records of 625 service users from two organisations, collected through use of the Mental Health Clustering Tool and the Model of Human Occupation Screening Tool. Results: Across the sample, service users showed greatest problems with habituation, followed by volition and process skills. Qualitatively distinct occupational profiles were identified across the clusters. Service users with non-psychotic problems showed the least interference with occupational participation; those in clusters involving psychosis showed moderate levels of interference; and those in clusters involving cognitive impairment demonstrated the most difficulty with occupational participation. Conclusion: These findings provide an important evidence base for thinking about the occupational needs of service users within the various PbR clusters and the corresponding services that might be offered. © The College of Occupational Therapists Ltd.

Item Type: Article
Divisions: School of Health Sciences > Occupational Therapy and Arts Therapies
Date Deposited: 22 Sep 2011 11:54
Last Modified: 02 Feb 2017 15:41


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