Community involvement, planning and coping skills: pilot outcomes of a recreational-therapy intervention for adults with schizophrenia.
OBJECTIVE
The Independence through Community Access and Navigation (I-CAN) intervention was developed to increase community participation in adults with schizophrenia spectrum disorders (SSD) through identification of interest-based recreation activities and supported participation.


METHODS
Ten individuals consented to participate in a 10-week pilot intervention. Eight individuals participated in the intervention, during which time they worked with a recreational therapist to identify interest-based recreation activities, develop participation goals and coparticipate with the recreational therapist. At the end of the intervention, seven participants were involved in a semistructured interview to understand their perceptions of the intervention, including its outcomes and effectiveness. Therapists' notes and transcripts from the semistructured interviews were used to understand clients' perception of the intervention.


RESULTS
Thematic analyses of seven exit interviews suggested the primary perceived outcomes of the intervention included: increased community involvement; development of planning skills; and the development of coping skills. These were facilitated by the therapeutic relationship between the client and therapist.


CONCLUSIONS
This project provides preliminary support for the I-CAN as a participant-centered method for individuals with SSD to develop skills in the community. Implications for practice and future research are presented.
Department of Rehabilitation Sciences, Temple University, Philadelphia, PA 19122, USA. gsnethen@temple.edu
Gretchen
G
Snethen
Bryan P
BP
McCormick
Marieke
M
Van Puymbroeck
D000203:Activities of Daily Living; D000223:Adaptation, Psychological; D000328:Adult; D003156:Community Mental Health Services / Q000458:organization & administration*; D003256:Community Participation; D003258:Consumer Behavior; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care; D010465:Perception; D010865:Pilot Projects; D015397:Program Evaluation; D011788:Quality of Life; D057173:Recreation Therapy; D012559:Schizophrenia / Q000534:rehabilitation* / Q000628:therapy