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Occupational Therapy and Arts Therapies

Permanent URI for this collectionhttps://eresearch.qmu.ac.uk/handle/20.500.12289/25

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    Rethinking Autism Assessment, Diagnosis, and Intervention Within a Neurodevelopmental Pathway Framework
    (IntechOpen, 2022-11-28) Rutherford, Marion; Johnston, Lorna; Carotenuto, Marco
    The neurodiversity paradigm is reshaping how we understand, use language, interpret and undertake research, and support autistic people and those with related neurodevelopmental differences across the lifespan. Multi-disciplinary teams are seeking new ways to operationalise deficit focussed diagnostic criteria, to reflect the preferences of autistic people and the wider neurodiversity movement. In this chapter, we explore what the neurodiversity paradigm could mean in practice and how to reconcile the position that autism is a difference not a deficit and therefore individuals do not need to be “fixed” or “cured,” with the continued importance of timely diagnosis and the very real impact on participation, engagement, and wellbeing of autistic individuals and their families, within the environments of home, education, community, employment, and care. We present work underway to move from “single condition” pathways to neurodevelopmental pathways and new approaches which consider co-occurring conditions in a single process, involve autistic people as partners and value differences.
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    Parent focused interventions for older children or adults with ASD and parent wellbeing outcomes: A systematic review with meta-analysis
    (Elsevier, 2019-09-11) Rutherford, Marion; Singh Roy, Anusua; Rush, Robert; McCartney, Deborah; O'Hare, Anne; Forsyth, Kirsty
    Background: There is a need for better evidence in relation to parent-focussed interventions for older children (over 7 years) and adults, which are recommended in clinical guidelines.
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    Social services occupational therapists' view of practice and integration with health: A survey
    (College of Occupational Therapists, 2008-02) Forsyth, Kirsty; Hamilton, E.
    There is little known about social services occupational therapy provision within Scotland and England. This information is important when planning strategically for the future. The aim of this study was to understand the views of social services occupational therapists on their practice and integration with health services. Systematic random sampling of social work/social services departments was completed (n = 10) and 57 occupational therapists within these departments received a mailed questionnaire. There was a 72% response rate. The therapists received 'on average 40 referrals' each month and 98% of the therapists retained the client for over 4 weeks, within which they had 3-6 contacts of 45-90 minutes each. Ninety-five per cent of the referrals were perceived to be appropriate and the clients benefited from the occupational therapy services. Fifty-four per cent of the therapists focused on self-care, equipment/adaprtations and discussion with family/carers for more than half of their time, with 76% stating that they did not address all the clients' occupational needs. Eighty-eight per cent stated that there was an overlap with health service occupational therapists in the areas of assessment, equipment provision and family/carer advice. Forty-four per cent stated that there were some changes towards integration with health; however, 98% felt that more integration would benefit clients. The article sets out recommendations for consideration.
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    Innovating with the Model of Human Occupation in Mental Health
    (Taylor & Francis, 2015-06) Maciver, Donald; Morley, Mary; Forsyth, Kirsty; Bertram, Nicholas; Edwards, Tracey; Heasman, David; Rennison, Jane; Rush, Robert; Willis, Suzie; United Kingdom Occupational therapy Research Foundation
    This article describes a new approach in a group of National Health Service trusts in the United Kingdom. The assessment and intervention were focused on using the Model of Human Occupation in Mental Health services. An occupation focused assessment and intervention protocol were developed based on the Model of Human Occupation Screening Tool Single-Observation Form (MOHOSTSOF). The aim was to develop a guide to treatment and monitoring to support efficient practice while maintaining an occupation and client-centered focus. Implementation has been successful to date.