Research Article
Issue Date: May/June 2020
Published Online: March 28, 2020
Updated: April 30, 2020
Evaluation of the Jail-Based Occupational Therapy Transition and Integration Services Program for Community Reentry
Author Affiliations
  • Lisa A. Jaegers, PhD, OTR/L, FAOTA, is Assistant Professor, Department of Occupational Science and Occupational Therapy, Doisy College of Health Sciences, and School of Social Work, College for Public Health and Social Justice, Saint Louis University, St. Louis, MO; lisa.jaegers@health.slu.edu
  • Erica Skinner, OTD, OTR/L, is Occupational Therapist, University Correctional Health Care, Rutgers University, the State University of New Jersey, Clinton. At the time of the study, she was Doctoral Student, Department of Occupational Therapy, School of Health and Rehabilitation Sciences, MGH Institute of Health Professions, Boston, MA.
  • Brittany Conners, OTD, OTR/L, is Occupational Therapist, Optimistic Theory, St. Louis, MO. At the time of the study, she was Community Occupational Therapist, Occupational Therapy Transition and Integration Services, and Doctoral Student, Department of Occupational Science and Occupational Therapy, Doisy College of Health Sciences, Saint Louis University, St. Louis, MO.
  • Christine Hayes, MOT, OTR/L, is Program Manager, Occupational Therapy Transition and Integration Services, Department of Occupational Science and Occupational Therapy, Doisy College of Health Sciences, Saint Louis University, St. Louis, MO.
  • Stacy West-Bruce, MSW, OTD, OTR/L, is Quality and Safety Senior Managing Consultant, Mercy, Chesterfield, MO. At the time of the study, she was Doctoral Student, Department of Occupational Science and Occupational Therapy, Doisy College of Health Sciences, Saint Louis University, St. Louis, MO.
  • Michael G. Vaughn, PhD, is Professor, School of Social Work, College for Public Health and Social Justice, Saint Louis University, St. Louis, MO.
  • Diane L. Smith, PhD, OTR/L, FAOTA, is Professor, Department of Occupational Therapy, School of Health and Rehabilitation Sciences, MGH Institute of Health Professions, Boston, MA.
  • Karen F. Barney, PhD, OTR/L, FAOTA, is Professor Emerita, Department of Occupational Science and Occupational Therapy, Doisy College of Health Sciences, Saint Louis University, St. Louis, MO.
Article Information
Cardiopulmonary Conditions / Health and Wellness / Research Articles
Research Article   |   March 28, 2020
Evaluation of the Jail-Based Occupational Therapy Transition and Integration Services Program for Community Reentry
American Journal of Occupational Therapy, March 2020, Vol. 74, 7403205030. https://doi.org/10.5014/ajot.2020.035287
American Journal of Occupational Therapy, March 2020, Vol. 74, 7403205030. https://doi.org/10.5014/ajot.2020.035287
Abstract

Importance: Transition and integration reentry services continue to grow in carceral settings; however, related provision of occupational therapy is limited.

Objective: To examine the implementation fidelity of an occupational therapy–administered interprofessional reentry program initiated in an urban jail.

Design: Retrospective, mixed quantitative and qualitative design.

Setting: Community-based reentry services provided prerelease in a Midwestern urban jail and postrelease in the local St. Louis community.

Participants: Occupational therapy practitioners tracking process measures for identifying reentry project feasibility.

Intervention: Provision of recruitment, assessment, and skilled occupational therapy services with people held in a short-term jail facility and follow-up during community reentry.

Outcome and Measures: Detailed logs were analyzed to describe attendance at and duration of sessions. We coded barriers to and facilitators of implementation from weekly team meeting notes and logs using social–ecological categories.

Results: Findings indicate that it was feasible to implement prerelease jail-based services (N = 63) because of jail operations and community partnerships (facilitators) and to overcome institutional policies and environmental limitations (barriers). Full 8-wk prerelease programming was completed by 38% (n = 24) of participants, and 52% (n = 33) participated less than 8 wk. All who completed the full prerelease program and transitioned to the community (n = 15) initiated postrelease occupational therapy services.

Conclusions and Relevance: The iterative feedback provided by process evaluation supported the feasibility of implementing the jail-based Occupational Therapy Transition and Integration Services program.

What This Article Adds: This process evaluation provides evidence that implementation of an occupational therapy–based transition program in an urban jail is feasible.