Lazer em intervenções terapêuticas ocupacionais na saúde mental: uma investigação qualitativa

Autores

DOI:

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

Palavras-chave:

Lazer; Saúde mental; Intervenção em saúde mental; Terapia ocupacional; Recovery.

Resumo

Os cuidados em saúde mental têm mudado do tratamento focado em sintomas para a promoção da saúde mental. Os terapeutas ocupacionais alinhados com o novo paradigma podem incluir o lazer em suas intervenções voltadas para a recuperação, ajudando os pacientes de saúde mental a viver uma vida significativa e satisfatória. O objetivo deste artigo é determinar as percepções comuns de lazer entre terapeutas ocupacionais atuantes na saúde mental e entender como eles implementam o lazer como uma intervenção, ao trabalhar com indivíduos com transtornos mentais graves. Foi utilizada metodologia qualitativa para explorar as percepções de lazer destes terapeutas ocupacionais. Por meio da amostragem em bola de neve, 5 terapeutas ocupacionais de uma cidade metropolitana no meio-oeste dos Estados Unidos foram recrutados para responder uma entrevista semiestruturada. A estrutura de prática da Associação Americana de Terapia Ocupacional (3ª edição) orientou a análise temática. Surgiram três temas: Conceitos de Lazer, Ocupações e Lazer como terapia. Definições, exemplos e implicações de temas são discutidos. Embora os profissionais de Terapia Ocupacional em saúde mental considerem o lazer importante, ele é subutilizado em suas intervenções. As perspectivas de lazer do profissional influenciam como ele o inclui em sua prática.

Biografia do Autor

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

Referências

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

Downloads

Publicado

29/08/2021

Como Citar

QUEIROZ, A. G. .; GALAN, A. C. .; DARBYSHIRE, L.; SMITH, J.; LAWSON, L. . M. Lazer em intervenções terapêuticas ocupacionais na saúde mental: uma investigação qualitativa. 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: 30 jun. 2024.

Edição

Seção

Ciências da Saúde