1 Engages with the client, establishing the client’s preferences
on how to work together and the client’s
history, interests, and concerns regarding occupation.
2 Assesses the client’s competency in performing the
client’s routines, roles, and occupations in daily life,
including self-care, productivity, and leisure.
3 Identifies the client’s strengths and the barriers that
impact on occupational performance, including the
client’s social and physical environments.
4 Collaboratively sets and prioritizes goals concerning
occupation and plans an individually tailored
program of therapeutic activities (these are selected
and adapted using detailed activity and environmental
analysis, grading, and sequencing).
5 Engages the client in planned activities, teaching
specific skills such as arts and crafts, and encouraging
the client to initiate actions, use support, participate
in group work, work alongside the therapist,
or develop routines and balance of activities as
planned.
6 Reviews with the client the meaning and impact of the
client’s chosen activities, encouraging the client to
develop strategies that use occupations to improve
well-being and alleviate psychotic symptoms.
7 Collaboratively continues assessing, reviewing outcomes,
updating goals, and modifying actions in
order that the client achieves her or his desired occupations
(Cook, Chambers & Coleman, 2009).
All clients in the usual treatment group received routine
nursing care such as therapeutic communication and
medication such as risperidone and biperidine.