Abstract
The role of paraprofessionals as behaviour therapists has been the subject of considerable debate and controversy. One of the major issues is whether such groups as occupational therapy helpers can work efficiently and effectively as behaviour therapists. This article illustrates how helpers can successfully apply behavioural techniques with psychiatric rehabilitation patients, and provides evidence on their effectiveness and efficiency. Particular emphasis is given to ways of evaluating the therapists' skill in behaviour therapy. This provides a firm base from which to discuss the advantages of having paraprofessional therapists.
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