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Responsiveness or resistance: views of community care workers encountering a new rehabilitation model
Umeå universitet, Institutionen för samhällsmedicin och rehabilitering.
Umeå universitet, Institutionen för samhällsmedicin och rehabilitering.
Umeå universitet, Institutionen för socialt arbete.ORCID iD: 0000-0002-4540-5373
(English)Manuscript (preprint) (Other academic)
Abstract [en]

The importance of engagement in meaningful occupations and participation in life situations of people with psychiatric disabilities is well known. Therefore, community care workers (CCWs) in sheltered or supported housing are a key resource in the facility context. Yet, the role and views of CCWs, in facilitating or inhibiting rehabilitative opportunities for residents, is only beginning to be understood. We offered an intervention project using the Everyday Life Rehabilitation (ELR), to integrate recovery- and occupation-oriented interventions, including collaboration between occupational therapists (OT) and CCWs, into supported or sheltered housing. As one part of the intervention project, focus group interviews were conducted with 21 CCWs involved in the intervention project. The aim was to illuminate the views of CCWs working with residents partaking the Everyday Life Rehabilitation. Qualitative content analysis revealed seven categories, with associated subcategories. These categories relate to two different disability ideologies: a stabilisation oriented, and a recovery oriented approach to rehabilitation. Related to organisational aspects, we have also identified two different tensions to change: resistance, and responsiveness to the intervention. The findings have implications for the forthcoming development of housing facilities, personnel development, and rehabilitative efforts for people with severe psychiatric disability.

Keywords [en]
psychiatric disability, psychotic disorders, supported housing, occupational therapy, recovery
National Category
Medical and Health Sciences
Research subject
Occupational therapy
Identifiers
URN: urn:nbn:se:uu:diva-348161OAI: oai:DiVA.org:uu-348161DiVA, id: diva2:1196801
Projects
Everyday Life RehabilitationAvailable from: 2018-04-11 Created: 2018-04-11 Last updated: 2018-04-11

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