Intervention schedule, occupational therapy for people with psychotic conditions in community settings.

This intervention schedule was the result of a development process which defined occupational therapy for people with psychotic conditions in community settings (Cook & Birrell 2007), prior to piloting in a randomised controlled trial (Cook, Chambers & Coleman 2009). Initially, a draft schedule was designed using Creek’s (2003) definition of occupational therapy as a complex intervention and other literature regarding psychosis. Consensus methods provided a systematic and transparent process for refining the schedule: the Delphi method was used with 20 local mental health occupational therapists followed by a modified nominal group technique with occupational therapists attending a national conference. This paper focuses on the process of gaining consensus and the practice-related issues that arose. The results identified 82 components that detailed occupational therapy actions under 11 stages. The preferred approach was client centred, with models of practice, goals and actions chosen collaboratively with the individual client. Occupational therapy was defined as separate to care management but incorporated some generic tasks. Cook, S and Birrell, M (2007) Defining an Occupational Therapy Intervention for People with Psychosis. British Journal of Occupational Therapy. 70(3): 96 - 106. Cook, S., E. Chambers, and J. H. Coleman. (2009) "Occupational therapy for people with psychotic conditions in community settings: a pilot randomized controlled trial." Clinical Rehabilitation 23.1: 40-52. Creek, J (2003) Occupational Therapy defined as a complex intervention London : College of Occupational Therapists