HEALTH
The Role of Occupational Therapy in Early Psychosis Care
USAFri Jun 13 2025
Occupational therapy (OT) is a crucial part of mental health care. But when it comes to early psychosis, its role is not as clear. A recent effort aimed to map out what we know about OT in early psychosis treatment. This involved a deep dive into existing research. The goal was to see how OT fits into the bigger picture of helping people through their first psychotic episode.
The search for relevant studies happened in late 2020. Three reviewers worked independently to sift through titles, abstracts, and full texts. They had specific criteria to follow. The quality of the studies was checked using a standard scale. Only six studies made the cut. These studies were published between 1980 and 2011. Most of the work was done in outpatient settings, mainly in urban areas.
The studies varied a lot. There was one non-randomized quasi-experimental study, one analytical observational study with a retrospective cohort design, and four descriptive observational studies. Two of these were case reports, and two were expert opinions on Early Intervention for Psychosis (EIP) programs. The evidence levels in these studies were all over the place.
OT has shown to be effective in mental health care. But when it comes to early psychosis, the evidence is thin. The recent effort highlighted this gap. It showed that there is a need for more rigorous research. This is important to establish OT's effectiveness in early psychosis treatment. It could also help fill in the gaps in current care.
The studies looked at different interventions and outcomes. This makes it hard to draw clear conclusions. But one thing is clear: more research is needed. This will help us understand OT's potential in early psychosis care. It could also lead to better care for those experiencing their first psychotic episode.
The review also pointed out the need for standardized approaches. This could help in comparing results across different studies. It could also make it easier to see what works and what doesn't. This is crucial for improving care and outcomes for people with early psychosis.
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questions
Are the six studies that met the inclusion criteria part of a larger conspiracy to undermine the potential of occupational therapy in early psychosis treatment?
Imagine if the studies on occupational therapy in early psychosis were conducted in a world where squirrels ruled the urban locations—how might the outcomes differ?
Is the American Occupational Therapy Association's level of evidence scale a tool to control the narrative around occupational therapy's role in mental health?
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