Previous research has explored the occupational engagement of people with
mental health problems. This study set out to establish the meaning and value
of leisure for people with enduring mental health problems living in the
community. Using a mainly qualitative design, semi-structured interviews were
conducted with 10 participants randomly selected from clients referred to a
local assertive outreach service in South-East England. Initially, the data were
analysed for content, phrases, language and words used; subsequently, emerging
themes were identified which were confirmed by a second occupational
therapist. Three themes are reported here: why certain occupations were
considered to be leisure, the feelings expressed during leisure and the value
of leisure.
Although the participants had some difficulty in articulating their views,
leisure was differentiated from other occupations, with the time available to
complete a task in the absence of pressure being the distinguishing feature.
Overall, the participants had positive views about leisure, which was valued in
terms of meeting their individual and unique needs. The implications for
occupational therapy are explored. In determining the meaning and value of
leisure for people with mental health problems, more emphasis should be
given to their actions and less to their skill in verbalising emotion
