title: Daily time use as a measure of community adjustment for persons served by assertive community treatment teams.
abstract: OBJECTIVE
  The purpose of the study was to examine daily time use of clients of Assertive Community Treatment (ACT) as a measure of their community adjustment and well-being. The actual daily time use of ACT clients in the four categories of personal care, productivity, leisure, and sleep were compared to the data for Canadian population norms.
  
  
  METHODS
  Daily time use data were collected from 27 adult clients from two Assertive Community Treatment Teams in southeastern Ontario using recall time diaries of two weekdays. The data were coded using the Statistics Canada (1999) coding scheme. Descriptive statistics were used to determine time in the major categories of time use and z scores were used to compare the study sample to the adult Canadian population. The percentages of time spent in specific subcategories of activity were also compared.
  
  
  RESULTS
  The results indicated an imbalance in occupation with time use dominated by leisure and sleep activities. Study participants spent significantly more time in passive leisure compared to active leisure and socialization.
  
  
  CONCLUSIONS
  The activity patterns of ACT clients were not consistent with those associated with community adjustment, health, and well-being. Occupational therapists working in ACT are in a good position to contribute to the literature regarding occupational performance and mental illness and to lead ACT teams in discussions and practices that may promote health through activity.
authors.affiliation: Occupational Therapy Program, School of Rehabilitation Therapy, Queen's University, Kingston, Ontario, Canada. krupat@post.queensu.ca
authors.forename: Terry
authors.initials: T
authors.lastname: Krupa
authors.forename: Heather
authors.initials: H
authors.lastname: McLean
authors.forename: Shirley
authors.initials: S
authors.lastname: Eastabrook
authors.forename: Alison
authors.initials: A
authors.lastname: Bonham
authors.forename: LeeAnn
authors.initials: L
authors.lastname: Baksh
mesh_terms: D000203:Activities of Daily Living; D000223:Adaptation, Psychological; D000328:Adult; D003156:Community Mental Health Services / Q000706:statistics & numerical data*; D003695:Delivery of Health Care; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000534:rehabilitation*; D008603:Mental Health; D008875:Middle Aged; D009788:Occupational Therapy; D012111:Residence Characteristics; D017748:Time Management