2016, Vol.24, No.3

Korean Journal of Occupational Therapy 2023 KCI Impact Factor : 0.81

pISSN : 1226-0134 / eISSN : 2671-4450
https://journal.kci.go.kr/kjot

Objective : This study aims at suggesting how to build a Korean model for regional comprehensive center focusing on occupation in order to solve problems such as omitting and overlapping in the subjects for healthcare and social welfare for the elderly in Korea, blank in longterm care for the elderly, scattered services in both public and private sectors in local communities, and exclusion of patients with mild disability. Methods : Based on the analysis on the laws and policies related to social welfare services in Korea and abroad, their current status and problems, and the case studies from the developed countries, a model for regional comprehensive service focusing on occupation, suitable to the Korean circumstances was developed. To confirm the model's appropriateness, its feasibility in Korea, and its effectiveness, contents validity by experts and consulting by focus group interview(FGI) were conducted and then the final model was developed. Results : The regional comprehensive model focusing on occupation was developed as a system to provide continuously and comprehensively five services. As a result of the verification of the content validity, the entire average of validity per question was 7.16 of 9, showing the higher point. Conclusion : Regional comprehensive center focusing on occupation will contribute to enhance quality of life by providing medical, preventative, housing, and living support services required for aging in place in longtime familiar local society as possible, keeping dignity through activities and participations by elderly and aged people in local society. In addition, occupational therapist will play a role of care manager and be recognized as regional social rehabilitation expert, becoming the legitimate beginning to entry into the sector.

Objective : The purpose of this research was to investigate the effects of cognitive training of Integrated Psychological Therapy on cognitive function and activities of daily living performance ability in persons with chronic schizophrenia. Methods : Nineteen subjects who were diagnosed with chronic schizophrenia participated in this study. As an intervention, the cognitive training of Integrated Psychological Therapy was conducted three times per week during six-week period, eighteen times in total. The design of this study was pre-test and post-test study. To ascertain whether this program could improve the cognitive function, Trail Making Test as executive function assessment, Word List Memory Test, and thinking operation sub-test of Loewenstein Occupational Therapy Cognitive Assessment were used. Results : Executive function(p<.01), memory(p<.01), and thinking operation(p<.01) in cognitive abilities demonstrated significant improvement. In changes of activities of daily living performance ability, there were significant improvements in motor(p<.05) and process(p<.01) skills. Conclusion : The cognitive training of Integrated Psychological Therapy in this study have been positive effects on cognitive ability and performance ability in activities of daily living. For the further study, researchers need to consider control group experimental study of persons with schizophrenia and verification research whether these improvements remain.

Objective : The objective of this study is to analyze the interventions for patients with schizophrenia carried out by domestic and foreign occupational therapists to provide evidence for occupational therapy in psychiatric rehabilitation. Methods : Scopus, Pubmed, Google Scholar, RISS, KISS and National Library of Korea were searched from 2005 to 2015. Key search terms were used 󰡒Schizophrenia AND Occupational therapy󰡓. After the secondary classification, the exclusion criteria were applied. A total of 12 papers were used in the analysis. Results : The results revealed the level of quality and trends of study, the types of interventions and the environment, dependent variables and assessment tool. The number of papers tended to be increasing and the study design has become more diverse. Most frequently conducted interventions applied to Schizophrenia were Activities, Client-centered approach and Cognitive training interventions and more than half of the interventions were conducted in the hospitals. Symptom was the most selected dependent variable and 󰡐Scale for Assessment for Negative Symptoms(SANS)󰡑 was the most used assessment tool in studies. Conclusion : Through this study, we provided evidence for occupational therapy in mental rehabilitation. In the future, researchers should clarify the role of the occupational therapist in mental rehabilitation. In addition, studies are needed for a variety of intervention.