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

Niina Kolehmainen, Jill Francis, Lorna McKee, Edward A S Duncan

Research output: Contribution to journalArticle

4 Citations (Scopus)

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.
Original languageEnglish
Pages (from-to)113-116
Number of pages4
JournalChild: Care, Health and Development
Volume38
Issue number1
DOIs
Publication statusPublished - Jan 2012

Keywords

  • caseload management
  • child health
  • goals
  • occuptional therapy
  • role and identity
  • therapy process

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