Research Article
Issue Date: September/October 2018
Published Online: August 02, 2018
Updated: April 30, 2020
Evidence for Occupational Therapy Intervention With Employment and Education for Adults With Serious Mental Illness: A Systematic Review
Susan Noyes; Helena Sokolow; Marian Arbesman
Author Affiliations
  • Susan Noyes, PhD, OTR/L, is Assistant Professor, Occupational Therapy Program, University of Southern Maine, Lewiston; susan.noyes@maine.edu
  • Helena Sokolow, MOT, OTR, is Adjunct Instructor, Occupational Therapy Program, University of Southern Maine, Lewiston
  • Marian Arbesman, PhD, OTR/L, FAOTA, is Adjunct Associate Professor, Department of Clinical Research and Leadership, George Washington University School of Medicine and Health Sciences, Washington, DC, and President, ArbesIdeas, Inc., Williamsville, NY
Article Information
Cardiopulmonary Conditions / Evidence-Based Practice / Mental Health / Special Section: Evidence Reviews
Research Article   |   August 02, 2018
Evidence for Occupational Therapy Intervention With Employment and Education for Adults With Serious Mental Illness: A Systematic Review
American Journal of Occupational Therapy, August 2018, Vol. 72, 7205190010. https://doi.org/10.5014/ajot.2018.033068
American Journal of Occupational Therapy, August 2018, Vol. 72, 7205190010. https://doi.org/10.5014/ajot.2018.033068
Abstract

OBJECTIVE. Many of the estimated 9.8 million American adults with serious mental illness (SMI) want to engage in employment and education, yet the majority report a need for more skills training. This review presents evidence for the effectiveness of interventions that occupational therapy practitioners can provide to help people with SMI improve and maintain performance and participation in employment and education.

METHOD. Citations, abstracts, and full-text articles in databases including MEDLINE, PsycINFO, CINAHL, OTseeker, and the Cochrane Database of Systematic Reviews were reviewed for inclusion and analysis.

RESULTS. Fifty-seven articles met criteria for inclusion. For employment, strong evidence was found for the Individual Placement and Support (IPS) model and cognitive interventions. For education, moderate evidence was found for supported education interventions.

CONCLUSION. This systematic review supports the role of occupational therapy practitioners in promoting the implementation of IPS, cognitive-based, and social skills programs to improve vocational and educational outcomes for adults with SMI.