Leisure in mental health occupational therapy interventions: a qualitative investigation

Authors

DOI:

https://doi.org/10.33448/rsd-v10i11.19439

Keywords:

Leisure; Mental health; Mental health intervention; Occupational therapy; Recovery.

Abstract

Mental health care has been shifting from treating mental illness to health promotion. Occupational therapists aligned with the new paradigm can include leisure in their recovery-oriented interventions helping mental health patients live a meaningful and satisfactory life. The aim of this paper is to determine the common perceptions of leisure among occupational therapists who practice in mental health settings, and to understand how they implement leisure as an intervention when working with individuals with severe mental health disorders. A qualitative methodology was used to explore Occupational Therapy perceptions of leisure. Through snowball sampling 5 occupational therapists from a metropolitan city in the Midwest of the United States of America to complete a semi-structured interview were recruited. American Occupational Therapy Association Practice Framework (3rd edition) guided the thematic analysis. Three themes emerged, including Concepts of Leisure, Occupations, and Leisure as Therapy. Theme definitions, examples and implications are discussed. Although occupational therapy practitioners in mental health consider leisure important, it is underutilized in their interventions. The professional’s perspectives of leisure influences how they include it in their practice.

Author Biographies

Anna Caroline Galan, University of Kansas Medical Center

Master of Occupational Therapy Student, University of Kansas Medical Center

Logan Darbyshire, University of Kansas Medical Center

Master of Occupational Therapy Students, University of Kansas Medical Center

Jordan Smith, University of Kansas Medical Center

Master of Occupational Therapy Student, University of Kansas Medical Center

Lisa Mische Lawson, University of Kansas Medical Center

Professor of Occupational Therapy Education, University of Kansas Medical Center

References

American Occupational Therapy Association. (2013). Occupational therapy’s role in community mental health. https://www.aota.org/~/media/Corporate/Files/Practice/MentalHealth/Distinct-Value-Mental Health

American Occupational Therapy Association. (2014). Occupational therapy practice framework: Domain and process (3rd ed.). American Journal of Occupational Therapy, 68(Suppl. 1), S1–S48. https://ajot.aota.org/article.aspx?articleid=1860439

American Occupational Therapy Association. (2015). Salary and workforce survey. Retrieved from https://www.aota.org/Education-Careers/Advance-Career/Salary-Workforce-Survey/work-setting trends-how-to-pick-choose.aspx

American Occupational Therapy Association. (2016). Mental health promotion, prevention, and intervention across the Lifespan. https://www.aota.org//media/Corporate/Files/Practice/MentalHealth/Distinct-Value-Mental-Health.pdf

Boyatzis, R. (1998). Transforming qualitative information: Thematic analysis and code development. Thousand Oaks, CA: Sage.

Caelli, K., Ray, L. & Mill, J. (2003). ‘Clear as Mud’: Toward Greater Clarity in Generic Qualitative Research. International Journal of Qualitative Methods, 2, 1-13. https://doi.org/10.1177%2F160940690300200201

Chen M, Xue S and Shi, Y (2018) Leisure activities and leisure motivations of Chinese residents. PloS ONE, 13(11): 1-12. https://doi.org/10.1371/journal.pone.0206740

Chen, S. W., & Chippendale, T. (2018). Leisure as an end, not just a means, in occupational therapy intervention. American Journal of Occupational Therapy, 72(4). https://doi.org/10.5014/ajot.2018.028316

Cooper, S., & Endacott, R. (2007). Generic qualitative research: A design for qualitative research in emergency care? Emergency Medicine Journal, 24(12), 816–819. https://doi.org/10.1136/emj.2007.050641

Crabtree, B., & Miller, W. (1999). A template approach to text analysis: Developing and using codebooks. In B. Crabtree & W. Miller (Eds.), Doing qualitative research (pp. 163-177.) Newbury Park, CA: Sage.

Fereday, J., & Muir-Cochrane, E. (2006). Demonstrating rigor using thematic analysis: A hybrid approach of inductive and deductive coding and theme development. International journal of qualitative methods, 5(1), 80-92. https://doi.org/10.1177/160940690600500107

Henderson, C., Evans-Lacko, S., & Thornicroft, G. (2013). Mental illness stigma, help seeking, and public health programs. American Journal of Public Health, 103(5),777–780https://doi.org/10.2105/AJPH.2012.301056

Hendryx, M., Green, C. A., & Perrin, N. A. (2009). Social support, activities, and recovery from serious mental illness: STARS study findings. Journal of Behavioral Health Services & Research, 36(3), 320-329. https://doi.org/10.1007/s11414-008-9151-1

Hosseini, S. M. S., Asgari, A., Rassafiani, M., Yazdani, F., & Mazdeh, M. (2016). Leisure time activities of Iranian patients with multiple sclerosis: A qualitative study. Health Promotion Perspectives, 6(1): 47–53. https://hpp.tbzmed.ac.ir/Article/HPP_3286_20150714155925

Iwasaki, Y., Coyle, C. P. & Shank, J. W. (2010) Leisure as a context for active living, recovery,health and life quality for persons with mental illness in a global context. Health Promotion International, 25(4), 483–494. https://doi.org/10.1093/heapro/daq037

Iwasaki, Y., Coyle, C., Shank, J., Messina, E. & Porter, H. (2013). Leisure-generated meanings and active living for persons with mental illness. Rehabilitation Counseling Bulletin, 57(1), 46–56. https://doi.org/10.1177%2F0034355213486359

Iwasaki, Y., Coyle, C., Shank, J., Messina, E., Porter, H., Salzer, M., Baron, D., Kishbauch, G.,Naveiras-Cabello, R., Mitchell, L., Ryan, A. & Koons, G. (2014). Role of leisure in recovery from mental illness. American Journal of Psychiatric Rehabilitation, 17(2), 147–165.https://doi.org/10.1080/15487768.2014.909683

Iwasaki, Y. (2017). Leisure and meaning-making: Implications for rehabilitation to engage persons with disabilities. Journal of Vocational Rehabilitation, 46(2), 225–232.https://psycnet.apa.org/doi/10.3233/JVR-160858

Jacob, K. S. (2015). Recovery model of mental illness: A complementary approach to psychiatric care. Indian Journal of Psychological Medicine, 37(2),117–119. https://doi.org/10.4103%2F0253-7176.155605

Kahlke, R. M. (2014). Generic qualitative approaches: Pitfalls and benefits of methodological mixology. International Journal of Qualitative Methods, 13(1), 37-52. https://doi.org/10.1177%2F160940691401300119

Kessler, R. C., Aguilar-Gaxiola, S., Alonso, J., Angermeyer, M. C., Anthony, J. C., Berglund, P. A.,Chatterji, S., De Girolamo, G, De Graaf. R., Dermyttenaere, K., Gasquet, I., Gluzman, S. F., Gruber, M. J., Gureje, O., Haro, J. M., Heeringa, S. G., Karam, A., Kawakami, N., Lee, S., ...Ustun, T. B. (2008). Lifetime prevalence and age of onset distributions of mental disorders in the World Mental Health Survey Initiative. In the WHO world mental health surveys: Global perspectives on the epidemiology of mental disorders (pp. 511-521). Cambridge University Press

Lapa, T. Y. (2013). Life satisfaction, leisure satisfaction and perceived freedom of park recreation participants. Procedia-Social and Behavioral Sciences, 93 (21), 1985-1993.https://doi.org/10.1016/j.sbspro.2013.10.153

Leamy, M., Bird, V. J., Le Boutillier, C., Williams, J. & Slade, M. (2011). A conceptual framework for personal recovery in mental health: systematic review and narrative synthesis. British Journal of Psychiatry, 199, 445-452. https://doi.org/10.1192/bjp.bp.110.083733

Malterud, K., Siersma, V. .D, & Guassora, A. D. (2015). Sample size in qualitative interview studies: Guided by Information Power. QualitativeHealth Research, 26(13), 1753–1760. https://doi.org/10.1177%2F1049732315617444

Merikangas, K. R., He, J. P., Burstein, M., Swanson, S. A., Avenevoli, S., Cui, L., Benjet, C., Georgiades, K., & Swendsen, J. (2010). Lifetime prevalence of mental disorders in US adolescents: results from the National Comorbidity Survey Replication–Adolescent Supplement(NCSA). Journal of the American Academy of Child & Adolescent Psychiatry, 49(10), 980-989.https://doi.org/10.1016/j.jaac.2010.05.017

National Alliance on Mental Illness (2021, March) Mental Health By the Numbers. Retrieved April 24, 2021 from https://nami.org/mhstats Palinkas, L. A., Horwitz, S. M., Green, C. A., Wisdom, J. P., Duan, N., & Hoagwood, K. (2015).Purposeful Sampling for Qualitative Data Collection and Analysis in Mixed Method Implementation Research. Administration and Policy in Mental Health, 42(5), 533–544. https://doi.org/10.1007/s10488-013-0528-y

Paggi, M. E., Jopp, D., & Hertzog, C. (2016). The importance of leisure activities in the relationship between physical health and well-being in a life span sample. Gerontology, 62(4), 450-458.https://doi.org/10.1159/000444415

Queiroz AG (2020) Leisure in Occupational Therapy assistance to adults users: perception of occupational therapists from reference centers in mental health in Belo Horizonte / MG.[Unpublished doctoral dissertation]. Federal University of Minas Gerais, Brazil.

Rezaie, L., Shafaroodi, N. & Philips D. (2017) The barriers to participation in leisure time physical activities among Iranian women with severe mental illness: A qualitative study. Mental Health and Physical Activity, 13,171-177. https://doi.org/10.1016/j.mhpa.2017.09.008

Sadler, G. R., Lee, H. C., Lim, R. S. H., & Fullerton, J. (2010). Recruitment of hard‐to‐reachpopulation subgroups via adaptations of the snowball sampling strategy. Nursing & Health Sciences, 12(3), 369-374. https://doi.org/10.1111/j.1442-2018.2010.00541.x

Statista (2014) Total U.S. expenditure for mental health services from 1986 to 2020. Retrieved from https://www.statista.com/statistics/252393/total-us-expenditure-for-mental-health-services/

Williams, S., & Murray, C. (2013). The lived experience of older adults' occupational adaptation following a stroke. Australian Occupational Therapy Journal, 60(1), 39-47.https://doi.org/10.1111/1440-1630.12004

World Health Organization (2001) Mental disorders affect one in four people. https://www.who.int/whr/2001/media_centre/press_release/en/

World Health Organization (2013). Mental health action plan 2013-2020.

Yanos, P. T., & Robilotta, S. A. (2011). An examination of time-use among adults diagnosed with severe mental illnesses using daily interviews. Psychiatric Rehabilitation Journal, 34(3), 243. https://psycnet.apa.org/doi/10.2975/34.3.2011.243.247

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Published

29/08/2021

How to Cite

QUEIROZ, A. G. .; GALAN, A. C. .; DARBYSHIRE, L.; SMITH, J.; LAWSON, L. . M. Leisure in mental health occupational therapy interventions: a qualitative investigation . Research, Society and Development, [S. l.], v. 10, n. 11, p. e200101119439, 2021. DOI: 10.33448/rsd-v10i11.19439. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/19439. Acesso em: 19 apr. 2024.

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Section

Health Sciences