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Mentally disordered offenders' abilities in occupational performance and social participation
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Research in Disability and Habilitation. (Caring Sciences)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences. (Caring Sciences)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Psychiatry, Ulleråker, University Hospital.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences. (Caring Sciences)
2004 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 11, no 3, 118-127 p.Article in journal (Refereed) Published
Abstract [en]

The major aim was to describe occupational performance (OP) and social participation (SP) of mentally disordered offenders (MDO), and to compare professionals’ and MDOs’ appraisals of these abilities. Also, diagnostic groups and groups with/without substance related disorders were compared with regard to OP and SP. Self-report instruments (Capability to Perform Daily Occupations, Self-Efficacy Scale, Importance scale, Interview Schedule for Social Interaction), observations (Allen Cognitive Level Screen), and register data (Psychosocial and Environment Problems—Axis IV; Global Assessment of Functioning Scale—Axis V; Assessment Concerning Support and Service for Persons with Certain Functional Impairments) were utilized. Demographic and register data were collected from the Swedish National Board of Forensic Medicine. Seventy-four out of 161 incarcerated subjects (46%), selected consecutively after informed consent during a period of 16 months, were interviewed on their hospital wards. The MDOs reported some disability in performing occupations and participating in community life. However, they were satisfied with their performance and participation, implying limited awareness of their disabilities. The professionals judged the MDOs as having problems with social participation, and major, longstanding disablements in several areas. Subjects with schizophrenia scored lower in some OP and SP variables than did subjects with personality disorders and other mental disorders. The results suggest that a large proportion of MDOs need support to enable their community living.

Place, publisher, year, edition, pages
2004. Vol. 11, no 3, 118-127 p.
Keyword [en]
community living, everyday life, forensic psychiatric care, inpatients, mental health, occupational therapy, treatment planning
National Category
Psychiatry Nursing
Identifiers
URN: urn:nbn:se:uu:diva-93857DOI: 10.1080/11038120410020854OAI: oai:DiVA.org:uu-93857DiVA: diva2:167478
Available from: 2005-12-16 Created: 2005-12-16 Last updated: 2017-03-30Bibliographically approved
In thesis
1. Daily Occupations in Mentally Disordered Offenders in Sweden: Exploring Occupational Performance and Social Participating
Open this publication in new window or tab >>Daily Occupations in Mentally Disordered Offenders in Sweden: Exploring Occupational Performance and Social Participating
2006 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The major aim was to explore perceived daily occupations in mentally disordered offenders (MDO) through occupational performance (OP) and social participation (SP) with descriptive, comparative and longitudinal designs. The 74 consecutively included MDOs were visited onsite for data collection. The following assessments were used: Capability to Perform Daily Occupation, Self-efficacy Scale, Importance scale, Allen Cognitive Level Screen, Interview Schedule for Social Interaction, Manchester Short Assessment of Quality of Life, Psycho/social and Environmental Problems, Global Assessment of Functioning Scale, assessment of Support and Service for Persons with Certain Functional Impairments and Karolinska Scales of Personality. Background factors were assembled from the individual forensic psychiatric investigation. The results indicate that MDOs had contradictive problems in OP, SP and lack of disability awareness. The MDOs and professionals had different appraisals of the MDOs’ OP and SP. Schizophrenic MDOs need substantial support for community dwelling. MDOs with psychopathic personality traits had more problems during upbringing, however, no perceived problems in OP and SP compared to the remaining group. Low Socialization, high Anxiety and psychopathy personality traits partially influenced perceived OP and SP. After one year of forensic psychiatric care, 60 % were still hospitalized and 32 % were community dwelling. Changes after one year of care consisted of higher satisfaction of OP and SP, 1/36 subject valued daily occupations higher and 5/36 subjects reported better social interaction. Although, there are some methodological weaknesses in this thesis (e.g. high attrition rate), the unique results should be taken into consideration. It is concluded that MDOs’ appraisal of their own capability has to be taken seriously in treatment and care. Also long treatment periods, targeting daily occupations from start and providing substantial individual support are necessary for successful transition into community dwelling for MDOs. This thesis contributes to extended knowledge of the MDOs’ daily occupations.

Place, publisher, year, edition, pages
Uppsala: Institutionen för folkhälso- och vårdvetenskap, 2006. 68 p.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 93
Keyword
Caring sciences, forensic psychiatry, offender, occupational therapy, treatment planning, longitudinal, Vårdvetenskap
National Category
Nursing
Identifiers
urn:nbn:se:uu:diva-6231 (URN)91-554-6423-8 (ISBN)
Public defence
2006-01-13, Auditorium Minus, Gustavianum, Akademigatan 3, Uppsala, 09:15
Opponent
Supervisors
Available from: 2005-12-16 Created: 2005-12-16 Last updated: 2010-11-25Bibliographically approved

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Lindstedt, HelenaSöderlund, AnneStålenheim, GunillaSjödén, Per-Olow

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Research in Disability and HabilitationDepartment of Public Health and Caring SciencesPsychiatry, Ulleråker, University Hospital
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Scandinavian Journal of Occupational Therapy
PsychiatryNursing

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