AJOT CE: Evidence for Interventions to Improve and Maintain Occupational Performance and Participation for People With Serious Mental Illness: A Systematic Review
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Publisher: AOTA Continuing Education

Published: 2018

Member Price
Non-Member Price: $24.99

Product Overview

Earn CE Credit With AJOT Articles!

Learn about tested treatment strategies by reading AJOT articles in your area of practice. Become an evidence-based practitioner and demonstrate your knowledge by passing the course exam.  Articles have been selected for their relevance to practice, fresh ideas, and strong evidence supporting treatment and the distinct value of OT.

Credit: .1 CEUs (1.25 NBCOT PDU’s/1 contact hour)


Mariana L. D’Amico, EdD, OTR/L, FAOTA, is

Associate Professor, Nova Southeastern University Tampa, FL


Lynn E. Jaffe, ScD, OTR/L, FAOTA, is

Professor and Program Director, Florida Gulf State University, Fort Myers

                                                                                                                                                              Jennifer A. Gardner, OTD, OTR, is Associate

Professor, Kean University, Union, NJ.



OBJECTIVE. This systematic review evaluates the evidence for the effectiveness of interventions within the scope of occupational therapy to improve and maintain performance and participation for people with serious mental illness. Areas included in this review are activities of daily living, instrumental activities of daily living, leisure, social participation, and rest and sleep.

METHOD. Databases searched included MEDLINE, PsycINFO, CINAHL, OTseeker, and the Cochrane Database of Systematic Reviews. Reviewers read and assessed citations, abstracts, and full-text articles for inclusion and analysis.

RESULTS. Sixty-one articles were selected for inclusion. The review yielded strong evidence for psychoeducation and occupation- and cognitive-based interventions, moderate evidence for skills-based interventions, and limited evidence for technology-supported interventions.

CONCLUSION. Results of this review support use of evidence-based practice within the scope of occupational therapy, inclusion of occupational therapy practitioners as mental health service providers, and continued research.


Learning Objectives

Following this course, the learner will be able to:

1)      Understand the incidence of adults with serious mental illness, barriers to mental health services, and effects on occupational performance and participation.

2)      Describe occupational therapy’s role as mental health service providers in improving and maintaining occupational performance and participation for people who have serious mental illness.

3)      Based on the evidence, discuss the effects of various types of interventions used in occupational therapy to improve and maintain occupational performance and participation for people with serious mental illness and implications for future research.

Exam questions for this course authored by Marie Morreale, OTR/L, CHT


Learning Level: Advanced

Target Audience: Occupational therapists and occupational therapy assistants

Content Focus: Category 1: Domain of OT; Category 2: OT Process: Intervention

CE Find Key Words:  mental health, serious mental illness, interventions, occupational performance, occupational participation.


Reference Information:

D’Amico, M. L., Jaffe, L. E., & Gardner, J. A. (2018). Evidence for interventions to improve and maintain occupational performance and participation for people with serious mental illness: A systematic review. American Journal of Occupational Therapy, 72, 7205190020. https://doi.org/10.5014/ajot.2018.033332