Occupational therapists' roles in treating substance abuse.
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Biomedical subjects
Publications and source records attributed to V C Stoffel.
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The Americans With Disabilities Act of 1990 (ADA) (Public Law 101-336) provides persons with mental health problems basic rights resulting in full access to community resources, especially the rights and privileges associated with the work role. This paper discusses the law, personal self-efficacy, and four environmental aspects as they relate to the employment of persons with mental impairments: (a) employer and co-worker attitudes, (b) essential job functions, (c) reasonable accommodations, and (d) community access. Areas of intervention for occupational therapists in mental health include attitude and advocacy training, assisting employers in providing reasonable accommodations, and preparing persons with mental impairments to be successful employees. Examples in occupational therapy are reviewed to illustrate the implementation of the ADA with persons with mental health problems.
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The present study examines the relationship between codependency and caregiving to determine whether codependent persons tend to be attracted to caregiving professions. The study also examined the relationship between codependency, self-esteem, and locus of control, as measured by the Friel Co-Dependency Assessment Inventory (Friel, 1985; Friel & Friel, 1987), the Tennessee Self-Concept Scale (Fitts, 1965), and the Internal-External Locus of Control Scale (Rotter, 1966), respectively. Voluntary participants consisted of 15 occupational therapy students and 15 health information administration (HIA) students believed to be different from one another with respect to the caregiving aspects of their respective professions. The occupational therapy group scored significantly lower than the HIA group on the measure of codependency (m = 21.2 vs. m = 28.8, respectively) [t(28) = 2.258, p = 05]. No other significant differences were noted between groups for the other test scores. Only codependency scores between 31 and 60, that is, moderate-to-severe and severe concerns (n = 6), had a strong correlation with self-esteem scores (r = -.974) and a moderate correlation with locus of control scores (r = .683). No student in the occupational therapy group scored within the moderate-to-severe or severe range. The results did not support a relationship between codependency and choice of a caregiving-oriented profession. Further, only moderate-to-severe and severe codependency scores were indicative of low self-esteem and high external locus of control. Implications of this study suggest incorporation into the academic preparation of occupational therapy students information regarding codependency and self-assessment of codependency to facilitate awareness of the student's need to nurture others.(ABSTRACT TRUNCATED AT 250 WORDS)
The Wisconsin Council on Education (Wiscouncil) developed and pilot tested an evaluation of student performance for Level I fieldwork to be use for both occupational therapy and occupational therapy assistant students. Data were gathered from 259 students, fieldwork supervisors, and faculty who rated the form on a number of variables. The majority of students and clinical faculty believed the form was good to excellent in meeting their needs, in being useful in a variety of settings, in being applicable for both occupational therapy and occupational therapy assistant students, and in overall efficiency. On the basis of the results of the 1-year pilot study, short (23-item) and long (38-item) versions of the form were developed. Implications for use and the importance of future research to determine reliability and validity are discussed.
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