Assessing executive and community functioning among homeless persons with substance use disorders using the executive function performance test

Occupational Therapy International
Emily Raphael-Greenfield

Abstract

This study investigates the utility of an occupational therapy assessment of executive and performance functioning and indicators of community adjustment among adults with histories of homelessness and substance abuse. A sample of 60 individuals living in a supported housing programme was interviewed about community living experiences and was assessed using the Executive Function Performance Test (EFPT). A descriptive and correlational study design was used. Measurable levels of cognitive and task impairment were documented, in older adults, non-US citizens and those diagnosed with cognitive impairments. Those who had completed a supported education/employment programme (Total EFPT t = -2.83, 0.008) performed better as did those who were employed (Total EFPT t = -2.33, 0.03), met regularly with their case managers (cooking t = -2.07, 0.04), had hobbies (paying bills r = -0.31, 0.02) and had longer periods of abstinence (organization/planning t = -3.59, 0.001). Limitations of the study include the unanticipated need by the clients for additional translation services. Future directions include a randomized controlled intervention study using the EFPT. An implication of this study for occupational therapists working with homeless ...Continue Reading

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Citations

Jan 22, 2015·Acta Psychiatrica Scandinavica·V StergiopoulosS B Rourke
Jan 24, 2017·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Hee KimEun-Young Lee
Nov 11, 2017·Health Education & Behavior : the Official Publication of the Society for Public Health Education·Nicole FarmerAlyson Ross
Nov 4, 2017·Occupational Therapy International·Gloria Rojo-MotaSara Morales-Alonso
Feb 3, 2020·Work : a Journal of Prevention, Assessment, and Rehabilitation·M Beth Merryman, Caitlin Synovec
Mar 4, 2021·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·Gloria Rojo-MotaSara Morales-Alonso
Aug 16, 2017·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·Gloria Rojo-MotaElisabet Huertas-Hoyas

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