Browsing by Person "Melton, Jane"
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Item Occupational therapists' perceptions of appropriate therapy aims for service users in mental health: a survey of therapists in the United Kingdom(College of Occupational Therapists, 2014-07) Lee, Sun-Wook; Morley, Mary; Garnham, Mike; Heasman, David; Willis, Suzie; Forsyth, Kirsty; Melton, Jane; Taylor, ReneeIntroduction: In England, the Payment by Results reimbursement system was introduced for mental health services. Occupational therapists developed the indicative care packages for identified clusters endorsed by the system. This study sought to systematically gather and document occupational therapists' viewpoints on the appropriateness of a range of therapy aims and, thereby, inform the creation of the occupational therapy indicative care packages. Method: This study is a descriptive, internet-based survey of therapists in six National Health Service trusts in the United Kingdom. Findings: A total of 262 therapists completed the survey for a response rate of 61.07%. Most were female (85.5%) with varying levels of experience (less than 5 years [33%]; between 5 and 20 years [54%]; over 20 years [13%]). Therapists evaluated the most appropriate aims specified for three occupational performance levels of service users and for six occupational areas. Additional aims were reported by therapists, and there was near-consensus for more than half of the aims, with over 75% of therapists agreeing on their appropriateness. Conclusion: Findings from experts' empirical knowledge inform practice by providing evidence for specifying service outcomes that are theory based and occupation focused in guiding the development of recommended occupational therapy objectives. The College of Occupational Therapists Ltd.Item Scholarship of Practice in the Care of People with Dementia: Creating the Future Through Collaborative Efforts(2015-10) Forsyth, Kirsty; Melton, Jane; Raber, Christine; Burke, Janice P.; Piersol, Catherine VerrierA scholarship of practice approach sets the stage for collaborative partnerships across academic and clinical practice settings that result in positive gains for all stakeholders. These gains include an enhanced ability to generate and apply relevant evidence in practice, disseminate knowledge and innovation, and ensure best practice is relevant to and effective for, people receiving services and their caregivers. This paper discusses national and international examples of collaborative, research-based practice initiatives that have implemented a scholarship of practice approach. The exemplars described here are framed within the Model of Human Occupation, which addresses the importance of volition, habits, roles, environment, and performance capacities in facilitating engagement in occupation for people with dementia. Research that focuses on how therapists adopt and use evidence in practice, as well as the opportunities and challenges for supporting therapists and their use of theory and evidence are discussed. 2015 Copyright Taylor & Francis Group, LLC.