The health promotion strategies outlined in Achieving Health for All: A Framework for Health Promotion (Epp, 1986) and the concepts in Mental Health: Striking a Balance (Epp, 1988) are important for occupational therapists to incorporate when designing and implementing effective community services for people who have severe and persistent mental illness. Application of health promotion concepts to community occupational therapy programmes in mental health in the literature is sparse. This paper describes an innovative Boarding Home Support Programme for an adult population with mental health problems utilizing concepts in the health promotion framework as described in the document Achieving Health for All (Epp, 1986). The overall aim of the Boarding Home Support Programme including health challenges and health promotion mechanisms will be outlined followed by a discussion of some of the dilemmas faced by clinicians and administrators in addressing these challenges.
AllenV.R. (1986). Health promotion in the office. American Journal of Occupational Therapy, 40, 764–770.
2.
American Psychiatric Association. (1994). DSM-IV: Diagnostic and statistical manual of mental disorders. (4th ed.) Washington, DC: Author.
3.
AnthonyW.A.BlanchA. (1989). Research on community support services: What we have learned. Psychosocial Rehabilitation Journal, 12, 54–81.
4.
BreenV.W. (1989). Education with activity: A health promotion programme in a nursing home. Occupational Therapy in Health Care, 6, 101–111.
5.
BrockettM. (1992). Diverse values: Respecting older people in the Canadian kaleidoscope. Health Promotion Issue Paper, National, 9(4).
6.
BrownG.W.BirleyWingJ.K. (1972). Influence of family life on the course of schizophrenic disorders: A replication. British Journal of Psychiatry, 121, 241–258.
7.
Canadian Association of Occupational Therapists. (1991). Occupational Therapy Guidelines for Client-Centred Practice. Toronto, ON: CAOT Publications.
8.
Carswell-OpzoomerA. (1990). Occupational therapy- Our time has come. Canadian Journal of Occupational Therapy, 57, 197–203.
9.
CoultonC.J.FitchV.HollandT.P. (1985). A typology of social environments in community care homes. Hospital and Community Psychiatry, 36, 373–377.
10.
DeMarsP.A. (1992). An occupational therapy life skills curriculum model for a native American tribe: A health promotion program based on ethnographic field research. The American Journal of Occupational Therapy, 46, 727–736.
11.
DyckI. (1993). Health promotion, occupational therapy and multi-culturalism: Lessons from research. The Canadian Journal of Occupational Therapy, 60, 120–129.
12.
EdwardsJ. (1990). Health promotion - an opportunity for occupational therapists. The Canadian Journal of Occupational Therapy, 57, 5–7.
13.
EppJ. (1986). Achieving health for all: A framework for health promotion. Ottawa: Health and Welfare Canada.
14.
EppJ. (1988). Mental health for Canadians: Striking a balance. Ottawa: Health and Welfare Canada.
15.
FalloonI.R.H.BoydJ.L.McGillC.W.RaziniJ.MossH.B.GildermanA.M. (1982). Family management in the prevention of schizophrenia. New England Journal of Medicine, 306, 1437–1440.
16.
FazioL. (1987). Sexuality and aging: A community wellness program. Physical and Occupational Therapy in Geriatrics, 6, 59–69.
17.
FinlaysonM.EdwardsJ. (1992). Occupational therapy and health promotion: A natural partnership. Health Promotion Issue Paper, National, 9(1).
18.
GersteinR. (1984). Mayor's action task force on discharged psychiatric patients. Toronto ON: City of Toronto.
19.
GoldbergJ.O.CookP.E. (1990, August). Stressful events in community housing. Paper presented at the 98th Annual meeting of the American Psychological Association, Boston, MA.
20.
GottliebB.H. (1983). Social support strategies: Guidelines for mental health practice. Beverly Hills, CA: Sage.
21.
GottliebB.H.CoppardA.E. (1987). Using social network therapy to create support systems for the chronically mentally disabled. Canadian Journal of Commnity Mental Health, 6, 117–131.
22.
HatfieldA.B. (1979a). The family as a partner in the treatment of mental illness. Hospital and Community Psychiatry, 30, 355–359.
23.
HatfieldA.B. (1979b). Help seeking behaviour in families of schizophrenics. American Journal of Community Psychology, 7, 563–569.
24.
HerringC. (1989). Coincidence to significance: Health promotion project for a Fortune 500 company. Occupational Therapy in Health Care, 5, 125–135.
25.
HillL.BrittellT.D.KotwalJ. (1989). A community mental health group designed by clients. Occupational Therapy in Health Care, 6, 57–66.
26.
HullJ.T.ThompsonJ.C. (1981). Factors which contribute to normalization in residential facilities for the mentally ill. Community Mental Health Journal, 17, 107–113.
27.
HurffJ.M.LoweH.E.HoB.J.HoffmanN.M. (1990). Networking: A successful linkage for community occupational therapists. The American Journal of Occupational Therapy, 44, 424–430.
28.
JaffeE. (1986). The role of occupational therapy in disease prevention and health promotion. The American Journal of Occupational Therapy, 40, 749–752.
29.
JohnsonJ.A. (1986). Wellness and occupational therapy. The American Journal of Occupational Therapy, 40, 753–758.
30.
KaplanL.H.Burch-MinakanL.B. (1986). Reach out for health: A corporate approach to health promotion. American Journal of Occupational Therapy, 40, 777–778.
31.
KruzichJ.M.KruzichS.J. (1985). Milieu factors influencing patients' integration into community residential facilities. Hospital and Community Psychiatry, 4, 378–382.
32.
LabonteR. (1987). Community health promotion strategies. Health Promotion, 26, (1), 5–32.
33.
LawM. (1991). The environment: A focus for occupational therapy. The Canadian Journal of Occupational Therapy, 58, 171–179.
34.
LeffJ.KuipersL.BerkowitzR.SturgeonD. (1985). A controlled trial of social intervention in the families of schizophrenic patients: Two year follow-up. British Journal of Psychiatry, 146, 594–600.
35.
LettsL. (1992). Diversity: A focus of the seniors' health promotion project. National, 9 (3), 8.
36.
LibermanR.P.MasselH.K.MoskM.WongS.E. (1985). Social skills training for chronic mental patients. Hospital and Community Psychiatry, 36, 396–403.
37.
LibermanR.P.MueserK.T.WallaceC.J.JacobsH.E.EckmanT.MasselH.K. (1986). Training skills in the psychiatrically disabled: Learning coping and competence. Schizophrenia Bulletin, 12, 631–647.
38.
LinnM.W.KlettJ.CaffeyE.M. (1980). Foster home characteristics and psychiatric patient outcome. Archives of General Psychiatry, 37, 129–132.
39.
LordJ.FarlowD. McKillop (1990). A study in personal empowerment: Implications for health promotion. Health Promotion, Health and Welfare Canada, 29(2), 2–8.
40.
MacknieshJ. (1989). Issues and concerns of a health promotions consultant. Occupational Therapy in Health Care, 5(4), 101–113.
41.
MadillH.TownsendE.SchultzP. (1989). Implementing a health promotion strategy in occupational therapy education and practice. Canadian Journal of Occupational Therapy, 56, 67–72.
42.
MaurerK.E.TeskeY.R. (1989). Barriers to occupational therapy practice in wellness. Occupational Therapy in Health Care, 5(4), 57–67.
43.
MarlettN.J. (1977). Adaptive Functioning Index Standardization Manual. Calgary, AB: The Vocational and Rehabilitation Research Institute.
44.
MaynardM. (1986). Health promotion through employee assistance programmes: A role for occupational therapy. American Journal of Occupational Therapy, 40, 771–776.
45.
MiyakeS.Lucas-MiyakeM. (1989). Health promotion: A marketing tool for industry. Occupational Therapy in Health Care, 6, (1) 87–99.
46.
Ontario Treasurer. (1990). Presentation of the 1990 Budget to the Ontario Legislature. Toronto, ON.
47.
RiderB.A.WhiteV.K. (1986). Occupational therapy education in health promotion and disease prevention. American Journal of Occupational Therapy, 40, 781–783.
48.
SegalS.P.Everett-DilleL.MoylesE.W. (1979). Congruent perceptions in the evaluation of community care facilities. Journal of Community Psychology, 7, 60–68.
49.
SimmonsH.G. (1990). Unbalanced: Mental health policy in Ontario, 1930-1989. Toronto, ON: Wall and Thompson.
50.
VaughnC.E.LeffJ.P. (1976). Influence of family and social factors on the course of psychiatric illness. British Journal of Psychiatry, 129, 125–137.
51.
WallaceC.J.LibermanR.P. (1980). Social skills training for patients with chronic schizophrenia. Psychiatry Research, 15, 239–247.
52.
WhiteV.K. (1986). Promoting health and wellness: A theme for the eighties. The American Journal of Occupational Therapy, 40, 743–748.
53.
WoodP.H. (1980). Appreciating the consequence of disease: The classification of impairments, disability and handicaps. The WHO Chronicle, 34, 376–380.
54.
WoodsideH. (1991). The participation of mental health consumers in mental care issues. Canadian Journal of Occupational Therapy, 58, 3–5.
