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Research Article  |   March 1985
An Occupational Therapy Approach to Assessing Psychiatric Patients’ Adaptive Functioning
Author Affiliations
  • Frances Oakley, MS, OTR, is a consultant to the Occupational Therapy Service, National Institutes of Health, Bethesda, MD 20205. She is in private practice with the Washington Pain Assessment Group, Bethesda, MD 20814 and also works with adults in an acute psychiatric setting at Maryland General Hospital, Baltimore, MD 21201
  • Gary Kielhofner, DrPH, OTR, FAOTA, is Associate Professor, Department of Occupational Therapy, Sargent College of Allied Health Professions, Boston University, Boston, MA 02215
  • Roann Barris, EdD, OTR, is Assistant Professor, Occupational Therapy Program, University of Wisconsin, Madison, WI 53706
Article Information
Mental Health / Features
Research Article   |   March 1985
An Occupational Therapy Approach to Assessing Psychiatric Patients’ Adaptive Functioning
American Journal of Occupational Therapy, March 1985, Vol. 39, 147-154. doi:10.5014/ajot.39.3.147
American Journal of Occupational Therapy, March 1985, Vol. 39, 147-154. doi:10.5014/ajot.39.3.147
Abstract

This study focused on the relative utility of the model of human occupation for occupational therapy assessment of persons having mental disorders. The organizational status of the human system and its relationship to adaptive level of functioning and degree of symptomatology were examined in a sample of 30 adult psychiatric patients. We used a six-test assessment battery developed for this study, which was based on the model of human occupation, to measure the organizational status of the following components of the human system: locus of control, goals, temporal orientation, interests, roles, and skills. Subtests of the American Association on Mental Deficiency (AAMD) Adoptive Behavior Scale and the Modified Brief Psychiatric Rating Scale were used to measure adaptive level functioning and symptomatology, respectively. When we compared organizational status with psychiatric diagnosis and symptomatology, we found organizational status to be the more significant index of adaptive level of functioning.