Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/11936
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Beliefs about responsibilities, the aims of therapy and the structure of the therapy process: a qualitative study of caseload management issues in child health occupational therapy
Authors: Kolehmainen, Niina
Francis, Jill
McKee, Lorna
Duncan, Edward
Contact Email: edward.duncan@stir.ac.uk
Keywords: caseload management
child health
goals
occupational therapy
role and identity
therapy process
Issue Date: Jan-2012
Publisher: Wiley-Blackwell
Citation: Kolehmainen N, Francis J, McKee L & Duncan E (2012) Beliefs about responsibilities, the aims of therapy and the structure of the therapy process: a qualitative study of caseload management issues in child health occupational therapy, Child: Care, Health and Development, 38 (1), pp. 108-116.
Abstract: Background: Individual therapists' behaviour contributes to overall caseload management in therapy services. Therapists' caseload management (i.e. actions in relation to assessment, treatment and discharging) is likely to relate to their beliefs about caseload management; it may be possible to change therapists' caseload management by changing their beliefs. This study explored children's occupational therapists' beliefs about caseload management with a view to designing a caseload management intervention. Methods: Twenty-five therapists from six NHS Scotland Health Boards were interviewed using a semi-structured format. Interviews were transcribed verbatim, and the interview transcripts were analysed for emerging themes. A proportion of transcripts were independently read and coded, and the themes were validated through critical discussion. Results: Key issues emerged concerning therapists' beliefs about their responsibilities, the aims of therapy and the structure of the therapy process. Therapists expressed a strong sense of professional duty/responsibility, but the interpretations of what this duty/responsibility was differed between therapists. For example, therapists expressed highly contrasting beliefs about the goals and purpose of therapy and the ways in which therapy processes should be structured. Some therapists promoted an approach structured around clients' goals, while others focused more on relationship building. Conclusions: Therapists' beliefs about caseload management differ considerably; these differences could translate to variation in therapists' intentions and behaviours. Implications for practice, policy and future research were identified, as were implications for the way clinicians' caseload management is theorized.
Type: Journal Article
URI: http://hdl.handle.net/1893/11936
DOI Link: http://dx.doi.org/10.1111/j.1365-2214.2011.01220.x
Rights: The publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.
Affiliation: University of Aberdeen
University of Aberdeen
University of Aberdeen
NMAHP Research

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