Establishing Community-Based Mental Health Services: The Role of Occupational Therapists and Key Challenges

  • 1University of Ljubljana, Slovenia.

Abstract

Slovenia is following the World Health Organization's guidelines for the development of community-based services by establishing interdisciplinary teams in mental health centres. The literature indicates that occupational therapy in these teams actively contributes to promoting engagement and participation in meaningful occupations that support well-being in the community. The purpose of this study is to highlight the early stages of the development of these teams and the role of occupational therapy in this process. This qualitative study explored occupational therapists' perspectives on the challenges and their role in practice in community-based mental health (CbMH) centres. Three occupational therapists participated in the first focus group and 4 in the second. Two occupational therapists participated in semi-structured interviews. In total, 9 occupational therapists from 14 menthal health centres participated in the study. The results underline the importance of developing CbMH centres that provide services within clients' living and working environments. These centres enable occupational therapists to practice in community settings, presenting both opportunities and challenges in integrating occupational therapy into the deinstitutionalisation process. Data analysis identified 3 key thematic areas: the role of the interdisciplinary mental health team in CbMH centres challenges faced by occupational therapists within these teams, and the development of an occupational therapy service model. This study highlights the need to expand CbMH centres across Slovenia and secure additional funding to strengthen existing teams. Key steps for better integration of occupational therapists include advocating for financial recognition, adapting successful international programmes, improving education and training and ensuring the participation of occupational therapists in all interdisciplinary mental health teams.

Related Concept Videos

Community Based Intervention 01:30

36

Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...

Treatment Strategies for Psychological Disorders 01:24

103

Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...

Modeling in Therapy 01:26

60

Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...

Specialized Care Centers and Settings-I 01:30

936

Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...

Interdisciplinary Care: The Health Care Team-II 01:18

1.4K

An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...

Operant Conditioning Intervention 01:24

52

Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...