Proactive Community Occupational Therapy Service for Social Participation Development of Thai Adults with Depression: A Grounded Theory Study from Occupational Therapists’ Perspective

Introduction. Depression in adulthood decreases social participation in the workplace, family, and community, which further results in decreased work performance and cessation and social isolation. There is a high statistic of outpatient consultation and readmission of Thais with depression, yet the...

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Main Authors: Supaluck Phadsri, Rieko Shioji, Atsuko Tanimura, Sopida Apichai, Jeerawit Jaknissai
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Occupational Therapy International
Online Access:http://dx.doi.org/10.1155/2021/6695052
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author Supaluck Phadsri
Rieko Shioji
Atsuko Tanimura
Sopida Apichai
Jeerawit Jaknissai
author_facet Supaluck Phadsri
Rieko Shioji
Atsuko Tanimura
Sopida Apichai
Jeerawit Jaknissai
author_sort Supaluck Phadsri
collection DOAJ
description Introduction. Depression in adulthood decreases social participation in the workplace, family, and community, which further results in decreased work performance and cessation and social isolation. There is a high statistic of outpatient consultation and readmission of Thais with depression, yet the mental health support for remission in community life and social participation remains limited and unclear. Further, due to the lack of mental health professional resources, particularly occupational therapists, there is much to be known regarding how such therapists work to support the development of social participation in Thai adults with depression. Objective. This research was aimed at understanding the process of how occupational therapists work to redevelop the social participation of community-dwelling Thai adults with depression. Method. The grounded theory methodology was used in this study. Data were collected through interviews and nonparticipatory observations of 14 participants who had experience providing mental health care in community services. The constant comparative analysis method was employed. Result. Three concepts illustrated a proactive community occupational therapy service for depression (PCOTS-D), namely, integrating depression care in community occupational therapy service (COTS), supporting meaningful participation, and forming collaborative networks. The PCOTS-D supported the reconnection of social participation by leading from proactive depression care service to COTS and then working to support meaningful participation toward the patient’s self-management and building collaborative networks with inter- and intraprofessional teams simultaneously. Conclusion. The PCOTS-D presented a holistic view of working with community-dwelling Thai adults with depression by considering the importance of the community and researchers’ network to redevelop social participation, promote health and recovery, build teams in depression care, and encourage research evidence to enhance the supportive advocacy policy for Thai people with depression.
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spelling doaj-art-caf52c86e6974191bf1a41f94a10e4532025-02-03T06:08:34ZengWileyOccupational Therapy International0966-79031557-07032021-01-01202110.1155/2021/66950526695052Proactive Community Occupational Therapy Service for Social Participation Development of Thai Adults with Depression: A Grounded Theory Study from Occupational Therapists’ PerspectiveSupaluck Phadsri0Rieko Shioji1Atsuko Tanimura2Sopida Apichai3Jeerawit Jaknissai4Department of Occupational Therapy, Tokyo Metropolitan University, Tokyo 116-8551, JapanDepartment of Occupational Therapy, Tokyo Metropolitan University, Tokyo 116-8551, JapanDepartment of Occupational Therapy, Tokyo Metropolitan University, Tokyo 116-8551, JapanDepartment of Occupational Therapy, Chiang Mai University, Chiang Mai 50200, ThailandOccupational Therapy Unit, Thanyarak Khon Kaen Hospital, Khon Kaen 40000, ThailandIntroduction. Depression in adulthood decreases social participation in the workplace, family, and community, which further results in decreased work performance and cessation and social isolation. There is a high statistic of outpatient consultation and readmission of Thais with depression, yet the mental health support for remission in community life and social participation remains limited and unclear. Further, due to the lack of mental health professional resources, particularly occupational therapists, there is much to be known regarding how such therapists work to support the development of social participation in Thai adults with depression. Objective. This research was aimed at understanding the process of how occupational therapists work to redevelop the social participation of community-dwelling Thai adults with depression. Method. The grounded theory methodology was used in this study. Data were collected through interviews and nonparticipatory observations of 14 participants who had experience providing mental health care in community services. The constant comparative analysis method was employed. Result. Three concepts illustrated a proactive community occupational therapy service for depression (PCOTS-D), namely, integrating depression care in community occupational therapy service (COTS), supporting meaningful participation, and forming collaborative networks. The PCOTS-D supported the reconnection of social participation by leading from proactive depression care service to COTS and then working to support meaningful participation toward the patient’s self-management and building collaborative networks with inter- and intraprofessional teams simultaneously. Conclusion. The PCOTS-D presented a holistic view of working with community-dwelling Thai adults with depression by considering the importance of the community and researchers’ network to redevelop social participation, promote health and recovery, build teams in depression care, and encourage research evidence to enhance the supportive advocacy policy for Thai people with depression.http://dx.doi.org/10.1155/2021/6695052
spellingShingle Supaluck Phadsri
Rieko Shioji
Atsuko Tanimura
Sopida Apichai
Jeerawit Jaknissai
Proactive Community Occupational Therapy Service for Social Participation Development of Thai Adults with Depression: A Grounded Theory Study from Occupational Therapists’ Perspective
Occupational Therapy International
title Proactive Community Occupational Therapy Service for Social Participation Development of Thai Adults with Depression: A Grounded Theory Study from Occupational Therapists’ Perspective
title_full Proactive Community Occupational Therapy Service for Social Participation Development of Thai Adults with Depression: A Grounded Theory Study from Occupational Therapists’ Perspective
title_fullStr Proactive Community Occupational Therapy Service for Social Participation Development of Thai Adults with Depression: A Grounded Theory Study from Occupational Therapists’ Perspective
title_full_unstemmed Proactive Community Occupational Therapy Service for Social Participation Development of Thai Adults with Depression: A Grounded Theory Study from Occupational Therapists’ Perspective
title_short Proactive Community Occupational Therapy Service for Social Participation Development of Thai Adults with Depression: A Grounded Theory Study from Occupational Therapists’ Perspective
title_sort proactive community occupational therapy service for social participation development of thai adults with depression a grounded theory study from occupational therapists perspective
url http://dx.doi.org/10.1155/2021/6695052
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