2-Gen: Occupational Therapy Program for Intergeneration Trauma and Family Reintegration for Female Offenders
Abstract Tesim:
Current literature acknowledges the lack of community reentry opportunities available to female inmates, especially the lack of parenting classes geared towards mothers. This paper examines the role of occupational therapy within the reunification process for formerly incarcerated mothers and their children using trauma-informed care. I partnered with the Public Advocates for Community Reentry (PACE) to develop a resource guide and weekly session outline to support and assist in the implementation address personal traumas and self-growth and provide education on better parenting skills. The staff survey supported the ability of the 2-Gen program and felt that they and the clients could use it to their benefit in the future. The promotion of adaptability and restoration was obtained by utilizing the Ecology of Human Performance to find supporting evidence from peer-reviewed scholarly articles and published journals.
Creator:
Tyler, Shanele
Rights statement:
http://rightsstatements.org/vocab/InC/1.0/
Type:
Dissertation
Keyword:
occupational therapy, parenting, reunification, trauma-informed care, PACE, criminal justice
"Across Gender": A narrative medicine-based support group for transgender and gender non-conforming (TGNC) persons
Creator:
DeRolf, Annie L.
Contributor:
Wasmuth, Sally
Description:
Transgender and gender non-conforming (TGNC) persons experience a variety of health and psychosocial disparities, necessitating a need for unique, evidence-based interventions to facilitate occupational engagement and ensure occupational justice. In particular, TGNC individuals report experiencing social isolation. The purpose of this project was two-fold: (1) to demonstrate effective leadership and advocacy throughout the organization and implementation of a narrative medicine-based supportive group in order to (2) provide opportunities for social participation among individuals of similar culture, as well as to increase social perception, empathy, and companionship. The supportive group was held weekly for TGNC-identified individuals who were either patients of the Transgender Health and Wellness Program or members of the community. A brief survey that measured improvements in social participation, developed by the Doctoral Capstone Experience (DCE) student, was administered at the succession of each group. Average survey scores, with 15 being the highest possible score, ranged from 12.5 to 15. Anecdotal support was further evidence of the success of support groups in facilitating engagement in social participation and creating new routines. Overall, this particular DCE elucidated the importance of social participation among TGNC persons, as well as the effectiveness of advocating for occupational therapy's role in an emerging niche.
Addressing Caregiver Burden: Program Development to Improve the Quality of Life of Caregivers of Cancer Survivors
Creator:
Wooley, Aubriel J.
Contributor:
Polo, Katie
Description:
The purpose of this Doctoral Capstone Experience (DCE) was to create a one time, educational session, "Caring for those who Care," for caregivers of cancer survivors at the Indianapolis chapter of Cancer Support Community (CSC). CSC staff completed a self-created needs assessment survey and caregivers completed the Caregiver Quality of Life-Cancer (CQOL-C) and Zarit Burden Interview (ZBI) to determine current barriers encountered by caregivers. The DCE student utilized thematic analysis to analyze needs assessment results, evidence based literature, and interactions with CSC staff and caregivers to develop and implement "Caring for those who Care." Prior to beginning "Caring for those who Care," participants completed the CQOL-C, ZBI, and a self-developed pre-survey. Five participants, three caregivers and two CSC interns, attended the session, which covered an educational and discussion portion for four topic areas: self-care, stress management, fatigue management, and anticipatory grief. Immediately following the session, participants completed a self-developed post-survey to determine knowledge gained. Two weeks following the session, participants completed the CQOL-C and ZBI to determine changes in quality of life (QoL) and burden. Despite inconclusive data on improvements in QoL and burden due to environmental barriers fortwo of the three caregivers in attendance, results indicated an improvement for 100% of participants in knowledge gained and improvements in implementation of strategies and skills for fatigue and stress management, self-care, and anticipatory grief. Overall, results indicate "Caring for those who Care" was successful and would be beneficial to continue to offer for caregivers of CSC.
Addressing Mental Health and Access to Care in Veterans Transitioning from Homelessness
Abstract Tesim:
Veterans who experience homelessness are at high risk for physical and mental health challenges. Difficulties with mental health and access to proper medical treatment was a gap found in care for veterans transitioning from homelessness. Therefore, this DCE worked to assess mental health and access to care in veterans transitioning from homelessness. The project aspect focused on the pre/post results of two veteran participants in an individualized mental health intervention program consisting of three sessions over eight weeks. Pre/Post test data showed improvements in both veteran participants in different areas, including mental and physical well-being, healthy leisure/quiet recreation participation, and satisfaction with completion of daily ADLs/IADLs. The experience aspect focused on observing the interdisciplinary workings of the care team for these veterans and creating a new standardized referral system to OT services. The standardized referral system allows prioritization of care and increased preparation prior to OT evaluation.
Creator:
Ally Reckers
Date:
2023-05
Rights statement:
http://rightsstatements.org/vocab/InC/1.0/
Type:
Capstone Project
Keyword:
occupational therapy, mental health, veteran, and homelessness
Addressing Sexuality in Practice: A Neuro-based Doctoral Capstone Experience
Creator:
Rosales, Carmen
Contributor:
Walker, Beth Ann
Description:
Sexuality is one area of performance resulting in both direct and indirect deficits post brain injury; however, clinicians rarely address this topic during the rehabilitative process (Stocchetti & Zanier, 2016). The purpose of this doctoral capstone project was to determine the need for sexual health resources in an outpatient neurorehabilitation setting and address this need at Lutheran Outpatient Rehabilitation. Following a needs assessment, it was found that Lutheran Outpatient Rehabilitation had no sexual health resources available; however, 75% (6) of brain injury patients reported wishing they had received information regarding sexual health post ABI. To address this need a sexual health resource binder was created, and a supplemental in-service was held to assist outpatient clinicians in (a) recognizing the need to address sexual health with patients post ABI, (b) identifying available sexual health resources, and (c) developing appropriate strategies for addressing sexuality with patients post ABI. Many patients with brain injury want information about sexuality post ABI; however, therapists are hesitant to address this topic in practice. Outcomes from this doctoral capstone experience (DCE) indicate that more education and resources regarding sexuality post ABI could improve clinician competence and confidence incorporating this topic in the neurorehabilitative setting; therefore, improving holistic care and overall patient satisfaction. It is recommended that the facility further assess the outcomes of this project, ensure that comfort discussing the topic is routinely addressed with staff, and that resource files are updated as needed.
Addressing Social Participation and Quality of Life in Older Adults: Implementation of a Group Reminiscence Therapy Program
Abstract Tesim:
The study aimed to develop, implement, and evaluate a group reminiscence therapy program to promote meaningful social participation in a long-term care facility. A doctoral capstone experience student conducted a weekly 45-60 minute group reminiscence therapy program across six sessions. A total of 29 participants attended some or all of the sessions. Pre-test/post-test outcome measures were the Older People’s Quality of Life - Brief version and the Three-Item Loneliness Scale. The student noted observations from the sessions and administered a feedback survey at the last session. The program did not significantly impact the participants’ quality of life or loneliness level. However, participants provided positive feedback on the feedback survey, reporting satisfaction with the activity. The study implies the future continuation of the program may be successful for an enjoyable and meaningful activity but may need to be offered more frequently with smaller groups and assessed with other outcome measures to evaluate for impact on quality of life or loneliness effectively. Thus, occupational therapists can incorporate concepts of reminiscence therapy into practice to promote meaningful social participation with the therapist and promote improved quality of life.
Creator:
Jennifer L. Ashton
Date:
2021
Rights statement:
http://rightsstatements.org/vocab/InC/1.0/
Type:
Capstone Project
Keyword:
occupational therapy, reminiscence therapy, group therapy, social participation, and long-term care
Addressing Visual Dysfunction Following Neurological Events at Community Rehabilitation Hospital North
Abstract Tesim:
With the vastness of visual neural connections throughout the brain, an estimated 90% of individuals after a traumatic brain injury (TBI) and 60.5% of individuals after a cerebrovascular accident (CVA) experience visual deficits (Aravich & Troxell, 2021; Norup et al., 2016). Previous research indicates that despite high rates of patients with visual impairments following CVA and TBI, only between 54% and 63% of occupational therapists felt comfortable performing visual screening and providing interventions for clients with visual dysfunction (Winner et al., 2014). This project aimed to increase therapists’ confidence levels in addressing visual dysfunction following a neurological event through the establishment of assessment protocols and referral pathways to neuro-optometry, incorporation of additional resources and vision equipment, and therapist education. The results indicated an increase in therapists’ confidence level in assessing and addressing visual deficits by an average of 20.7% and 29.4% respectively.
Creator:
Rachel Cole
Date:
2022-05
Rights statement:
http://rightsstatements.org/vocab/InC/1.0/
Type:
Capstone Project
Keyword:
occupational therapy, Community Rehabilitation Hospital North, visual dysfunction, traumatic brain injury, cerebrovascular accident, visual deficits, and confidence
Administration and Leadership Development within Skilled Nursing Facilities
Creator:
Burchfield, Darian
Contributor:
Bednarski, Julie
Description:
The purpose of this doctoral capstone experience was to develop administration and leadership skills in regards to occupational therapy practices in the skilled nursing facility environment through literature review, mentorship, interdisciplinary collaboration and practical application. Through evaluation, concerns with skilled therapy documentation and group therapy utilization in the skilled nursing facility environment were revealed. Weaknesses in skilled therapy documentation were found to affect patient length of stay, reimbursement, and quality services provided. In response, a documentation manual, was created in order to increase proficiency and efficiency, as well as to promote veracity. Effectiveness will be measured via quarterly documentation review audits. A group therapy educational program was created and presented to increase competency and promote ethical client centered therapy practice. Outcomes of this program will be analyzed for efficacy and to identify areas of continuous program improvement. Group therapy percentage tracking will be used to screen for changes in utilization. Learning occurred via development and execution of educational programs and resources deemed necessary through program evaluation. Effective and professional communication was demonstrated and improved upon throughout this capstone experience. Advanced reasoning was employed to analyze, synthesize, and evaluate concerns related to occupational performance, participation, reimbursement and appropriate therapeutic service provision. Keywords: Occupational therapy, skilled nursing facility, documentation, group therapy
An Occupation-Based Approach for Program Development within an Acute Mental Health Setting
Creator:
Scheidler, Ashley
Contributor:
Wasmuth, Sally
Description:
Acute psychiatric facilities serve individuals with serious mental illnesses in hopes of providing adequate care to promote a successful community reintegration, although many facilities lack having an occupational therapist on staff to help in the recovery process. In this doctoral capstone experience (DCE), an occupational therapy (OT) student from the University of Indianapolis advocated for the OT profession by creating and implementing a seven-week occupation-based program with adult patients at LaRue D. Carter Memorial Hospital, as there was no OT practitioner on staff. The participants were chosen through a convenience sample and to measure outcomes, the OT student utilized structured and unstructured assessments. The program focused on activities of daily living (ADLs) and instrumental activities of daily living (IADLs) that were deemed meaningful during the completion of the needs assessment. Through the results of a pre-post survey and participant feedback, there was an increase in knowledge of the OT scope of practice. The Goal Attainment Scale (GAS) was an outcome tool used to measure the effectiveness of the program, which met the expected level of outcome. The results of the program showed the need of an OT practitioner at this specific site, as OT provides holistic, occupation-based therapy. For future practice, the need for more OT practitioners within the mental health setting, especially acute care facilities, is evident and vital during these individuals' recovery process.