Background: The study illuminated how persons with psychiatric disabilities experienced the processes of change in a residential context.
Material: Qualitative interviews with residents living in supported housing were conducted and analyzed using constant comparative analysis.
Discussion: Residential conditions appear to provide a complex structure that facilitates rehabilitative interactions, in which ‘progressive tensions’ arise between opposing values, such as authentic versus artificial, and independence versus dependence, both of which are important in the process of change.
Conclusions: A client-centred approach could be taken further if clients are engaged in productive discussions about challenging these ‘progressive tensions’. Awareness of the meaning of home also emerged as central.
Asaba, E. ( 2008) Hashi-ire: Where occupation, chopsticks and mental health intersect. Journal of Occupational Science, 15(2), 74-79.
2.
Bejerholm, U. & Eklund, M. ( 2004) Time use and occupational performance among persons with schizophrenia. Occupational Therapy in Mental Health, 20(1), 27-47.
3.
Bejerholm, U. & Eklund, M. ( 2007) Occupational engagement in persons with schizophrenia: Relationships to self-related variables, psychopathology and quality of life . American Journal of Occupational Therapy, 61(1), 21-32.
4.
Brunt, D. & Hansson, L. ( 2002) Characteristics of the social environment of small group homes for individuals with severe mental illness. Nordic Journal of Psychiatry, 56(1), 39-46.
5.
Bryant, W., Craik, C. & McKay, E.A. ( 2004) Living in a glass house: Exploring occupational alienation . Canadian Journal of Occupational Therapy, 5(71), 282-289.
6.
Chilvers, R., Macdonald, G. & Hayes, A. ( 2006) Supported housing for people with severe mental disorders . Cochrane Database of Systematic Reviews, Issue 4, CD000453.
7.
Després, C. ( 1991) The meaning of home: Literature review and directions for future research and theoretical development. Journal of Architectural and Planning Research, 8(2), 96-115.
8.
Drake, R.E., Green, A.I., Mueser, K.T. & Goldman, H.H. ( 2003) The history of community mental health treatment and rehabilitation for persons with severe mental illness. Community Mental Health Journal, 39(5), 427-440.
9.
Fisher, A.G. ( 2009) Occupational Therapy Intervention Process Model. Fort Collins: Three Star Press, Inc.
10.
Haglund, L., Thorell, L.H. & Wålinder, J. ( 1998) Occupational functioning in relation to psychiatric diagnoses: Schizophrenia and mood disorders. Nordic Journal of Psychiatry , 52(3), 223-229.
11.
Ivarsson, A.-B. ( 2002) Occupational Performance in Individuals with Severe Mental Disorders: Assessment and Family Burden. Uppsala: Uppsala University.
12.
Iwama, M. ( 2003) Toward culturally relevant epistemologies in occupational therapy. American Journal of Occupational Therapy, 57(5), 582-588.
13.
Jacobson, N. & Greenley, D. ( 2001) What is recovery? A conceptual model and explication. Psychiatric Services, 52(4), 482-485.
14.
Kellett, P. & Moore, J. ( 2003) Routes to home: Homelessness and home-making in contrasting societies. Habitat International, 27(1), 123-141.
15.
Laliberte-Rudman, D., Yu, B., Scott, E. & Pajouhandeh, P. ( 2000) Exploration of the perspectives of persons with schizophrenia regarding quality of life. American Journal of Occupational Therapy, 54(2), 137-147.
16.
Leufstadius, C. & Eklund, M. ( 2008) Time use among individuals with persistent mental illness: Identifying risk factors for imbalance in daily activities. Scandinavian Journal of Occupational Therapy, 15(1), 23-33.
Mezirow, J.E. ( 2000) Learning as Transformation: Critical Perspectives on a Theory in Progress. San Francisco: Jossey-Bass Publishers.
19.
Mishler, E.G. ( 1986) Research Interviewing: Context and Narrative. Cambridge: Harvard University Press.
20.
Moore, J. ( 2000) Placing home in context. Journal of Environmental Psychology, 20(3), 207-217.
21.
O’Hara, A. ( 2007) Housing for people with mental illness: Update of a report to the President’s New Freedom Commission. Psychiatric Services, 58(7), 907-913.
22.
Piat, M., Lesage, A., Boyer, R., Dorvil, H., Couture, A., Grenier, G. & Bloom, D. ( 2008) Housing for persons with serious mental illness: Consumer and service provider preferences. Psychiatric Services, 59(9), 1011-1017.
23.
Prusti, S. & Bränholm, I.-B. ( 2000) Occupational roles and life satisfaction in psychiatric outpatients with vocational disabilities. Work: A Journal of Prevention, Assessment and Rehabilitation, 14(2), 145-149.
24.
Sandelowski, M. ( 1996) One is the liveliest number: The case orientation of qualitative research. Research in Nursing & Health, 19(6), 525-529.
25.
Schön, D. ( 1971) Beyond the Stable State: Public and Private Learning in a Changing Society. London: Temple Smith.
26.
Shelley, M. ( 2004) Understanding home: A critical review of the literature . The Sociological Review, 52(1), 62-89.
27.
Shimitras, L., Fossey, E. & Harvey, C. ( 2003) Time use of people living with schizophrenia in a North London catchment area. British Journal of Occupational Therapy , 66(2), 46-54.
28.
Sjöström, S. ( 2008) Omsorgshemmet och innebörder av begreppet hem. In Boende och sociala sammanhang - för människor med funktionshinder (Housing and Social Contexts - for People with Disabilities.) (eds. J. Paulsson & B.R. Jansson ). Lund: Studentlitteratur.
29.
Socialstyrelsen (2007) Lägesrapporter 2006: Handikappomsorg (Report from The National Board of Health and Welfare). Stockholm: Socialstyrelsen .
30.
SOU (Statens Offentliga Utredningar) (2006 ) Ambition och Ansvar: Nationell Strategi för Utveckling av Samhällets Insatser till Personer med Psykiska Sjukdomar och Funktionshinder (Ambition and Responsibility: A National Strategy for the Development of Society’s Support for the Mentally Ill and Mentally Disabled). The Swedish Government Offices. Retrieved from www.sou.gov.se .
31.
Strauss, A. & Corbin, J. ( 1990) Basics of Qualitative Research. Newbury Park: Sage.
32.
Townsend, E. & Wilcock, A.A. ( 2004) Occupational justice and client-centred practice: A dialogue in progress. The Canadian Journal of Occupational Therapy , 71(2), 75-87.
33.
Waghorn, G., Chant, D. & King, R. ( 2007) Classifying socially valued role-functioning among community residents with psychiatric disorders. American Journal of Psychiatric Rehabilitation, 10(3), 185-221.
