精神科病院における作業療法介入プロセスモデル（OTIPM）を用いた個別プログラムの実践に携わる作業療法士の主観的経験

Subjective experiences of occupational therapists involved in the implementation of individual programs using the Occupational Therapy Intervention Process Model (OTIPM) in a psychiatric hospital

要旨：作業療法介入プロセスモデル（OTIPM）による個別プログラムを実施する作業療法士（OT）の経験やプログラムを継続的に実施するために必要な要素を明らかにする目的で構造構成的質的研究法を実施した．結果として，個別プログラムの継続的な実施は入職の動機に繋がり，OTに希望を与え，OTとしてのアイデンティティを確立し，多職種連携が促進されること，また実践の継続には，サポーティブな体制づくり，同じ価値観を持った仲間を増やすことが重要なことが明らかとなった．継続的な個別プログラムは，クライエントにポジティブな変化を与えるだけではなく，OTにも変化を与え，精神科作業療法に好循環を巻き起こす可能性を持っている．

　A qualitative study was conducted using the structural construct qualitative research method with the aim of clarifying the experiences of occupational therapists (OTs) who implement individual programs using the Occupational Therapy Intervention Process Model (OTIPM) and the factors necessary for the continuous implementation of the programs. The results revealed that the continuous implementation of individual programs motivates people to join the profession, gives hope to OTs, and establishes their identity as OTs, thereby promoting multi-professional collaboration. It also became clear that creating a supportive system and increasing the number of colleagues with the same values are important for the continuation of such practice. We believe that the continuous implementation of individual programs has the potential not only to bring positive change to clients, but also to OTs, resulting in a virtuous circle in psychiatric occupational therapy.