Promoting agency in people with severe psychiatric disability - intervention model for home and community settings
1) Umeå University, Sweden
Introduction: People with psychosis-related disabilities living in sheltered or supported housing, generally lead passive, solitary lives. Current rehabilitative approaches often neglect an agentic and outreach perspective of the residents. Therefore a model for Everyday Life Rehabilitation (ELR) was developed.
Aim: The overall aim was to evaluate the outcome and understand the sense-making of a recovery- and occupation-based intervention for people with severe psychiatric disability.
Methods: We offered an intervention project with ELR in a Swedish municipality and evaluated the impact for residents (n=17), using quantitative and qualitative methods.
Results: Pre-, post-, and follow-up test differences indicate important progress in goal attainment, occupation, and health-related factors. Narrative analysis discloses stories of ‘rediscovering agency’, referring to occupational and identity transformations.
Conclusion: These two studies on ELR indicate important bearing for participants, emphasizing ‘agent-supported rehabilitation’ and ‘out-of-housing strategies’. However, more research is needed to develop the intervention and to establish evidence.
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