Objectives   Understand the impact of disasters: large-scale psychological trauma and occupational imbalance Describe occupational therapy\u27s role in fostering occupational rebalance after disaster Discuss evidence for interventions within occupational therapy scope of practice to foster occupational balance for individuals with psychological trauma due to disaster 
PICO Question  What interventions within the scope of occupational therapy practice are effective in supporting occupational rebalance among individuals who experience psychological trauma due to disaster

Bucher, Emily

DiTroia, Nicole

Letendre, Morgan

Jefferson Digital Commons

Occupational Therapy’s Role in the Restoration of Occupational Balance Following DisasterEmily Bucher, OTS, Nicole DiTroia, OTS, Morgan Letendre, OTSemilybucher16@aol.com, nicolejditroia@gmail.com, morganletendre1@gmail.comMentors: E. Adel Herge, OTD, OTR/L, FAOTA, Paul Hunter, DMD, MLIS, Gary Kaplan, MS, AHIPPresented in Partial Fulfillment of the Master of Science in Occupational Therapy degree at Thomas Jefferson UniversityPICO: What interventions within the scope of occupational therapy practice are effective in supporting occupational rebalance amongindividuals who experience psychological trauma due to disaster?Methods:● Databases searched: PubMed, Scopus, CINAHL● Search Terms:○ P: Psychological trauma, traumatic stress disorder, trauma and stressor related disorders, natural disaster, terrorism,mass casualty incident, pandemic, epidemic○ I: Occupational therapy, mental health rehabilitation, psychiatric rehabilitation, psychosocial rehabilitation, cognitivebehavioral therapy, stress reduction○ O: Occupational balance/rebalance, quality of life, life balance, mental health recovery, coping skills, stress● Evaluation of Literature: Each researcher reviewed 5-6 articles using the Quantitative or Qualitative Critical Review Form.● Total number of articles: Initial search = 2,456; After title, abstract and full text screen = 16Themes:● Theme 1: Trauma-Informed Care (TIC)○ Subtheme 1: Building Resilience○ Subtheme 2: Psychoeducation● Theme 2: Intervention Delivery Methods○ Subtheme 1: Timing of Intervention (immediate vs. delayed treatment)○ Subtheme 2: Setting (school vs. community)○ Subtheme 3: Format (group vs. individual)● Theme 3: Culturally Tailored InterventionsResults:● Moderate evidence supports the use of trauma-informed care incorporating psychoeducation and resilience-building to reduceconditions associated with psychological trauma (PTSD, anxiety, depression); A multimodal approach is effective● Interventions are effective regardless of format (group vs individual) and timing in relation to the disaster. Low-strengthevidence for the most appropriate/effective setting for interventions indicating need for further research in this area● Moderate-strength evidence for effectiveness of culturally tailored intervention to address psychological trauma due todisaster. Important to note low level of articles with this consideration (n=4)References1.Scaffa, M., Reitz, S., Smith, T., & DeLany, J. (2011)).The role of occupational therapy in disaster preparedness, response, andrecovery. American Journal of Occupational Therapy, 65(6), S11-S25. https://doi.org/10.5014/ajot.2011.65S112. Solomon, E. P., & Heide, K. M. (1999). Type iii trauma: Toward a more effective conceptualization of psychological trauma.International Journal of Offender Therapy and Comparative Criminology, 43(2), 202-210.https://doi.org/10.1177/0306624x994320073. Wagman, P., Håkansson, C., & Björklund, A. (2011). 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Occupational Therapy\u27s Role in the Restoration of Occupational Balance Following Disaster

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Occupational Therapy\u27s Role in the Restoration of Occupational Balance Following Disaster

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