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An examination of the structure of assessment in psychiatric occupational therapy Emi Atsumi 1 , Ken-ichi Ohbuchi 2 1School of Medical Science and Welfare, Tohoku Bunka Gakuen University 2Graduate School of Arts and Letters, Tohoku University Keyword: 精神科作業療法 , 評価 , ADL , 対人関係 , 社会適応 , Psychiatric OT , Assessment , ADL , Interpersonal relations , Social adjustment pp.41-52
Published Date 2003/2/15
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 We attempted to analyze items for OT assessment in psychiatric settings. Following theoretically examining the rationale of OT assessment scales that have been developed by western researchers, we analyzed the items of OT assessment used in psychiatric hospitals. Based on these empirical and theoretical analyses of OT assessment, we distinguished 3 fields of adaptive functions and 2 steps of assessment procedures. Three fields of adaptive functions include ADL, interpersonal relations, and personal factors determining ADL and interpersonal relations. And, the first step of OT assessment involves the evaluation of adaptive behaviors (ADL and interpersonal relationship), in which patients are actually engaged in OT settings. The second step involves the evaluation of adaptive behaviors, in which patients can be engaged in social settings outside hospitals. Then, we provided our definition of OT assessment: "OT assessment is an attempt to evaluate the level of abilities and skills which enable a patient to independently live in society, that is, to evaluate the patient's social adaptive functions and the related personal factors, and an OTR makes the evaluation based on the assessment of the patient's behaviors and products in OT settings, considering information from other sources." In an illustration of the conceptual structure of the two-step OT assessment, we assumed that an OTR repeatedly makes the observational evaluation for a patient in OT settings and then attempts to make the inferential evaluation of the patient's social adaptive functions by integrating the results of multiple observational evaluations.


Copyright © 2003, Japanese Association of Occupational Therapists. All rights reserved.

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電子版ISSN 印刷版ISSN 0289-4920 日本作業療法士協会

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