Occupational Therapy Practice Guidelines For Adults Living With Serious Mental Illness

The leading cause of disability in the United States is serious mental illness, which poses political, economic, and social challenges. About 26% of American adults have a mental illness, and 6% have a serious mental illness. This population is the disability group least likely to be employed, with recent unemployment estimates ranging from 35% to 62%. This Practice Guideline provides an overview of the occupational therapy process for adults with serious mental illness, defining the domain and interventions that occur within acceptable practice. It provides evidence for intervention with schizophrenia, bipolar disorder, and major depression, as well as those related to education and supported education, work and supported employment, community living, health and wellness, and cognition. Front Matter Copyright Contents Acknowledgments About This Publication Executive Summary Abbreviations and Acronyms 1. Overview of Serious Mental Illness 2. Systematic Review Methodology and Overview of Findings 3. Evidence for Interventions to Promote ADLs and IADLs, Rest and Sleep, Leisure, and Social Participation 4. Evidence for Interventions to Support Employment and Education 5. Evidence for Interventions to Promote Health and Wellness 6. Evidence for Interventions to Support Early Intervention for Adolescents and Young Adults Living With SMI 7. Evidence for Interventions to Reduce Internalized Stigma 8. Implications of the Evidence for Occupational Therapy Practice, Education, and Research 9. Clinical Recommendations for Interventions for Adults Living With Serious Mental Illness 10. Case Studies References Appendix A. Evidence and Risk-of-Bias Tables