title: Adding quality to day centre activities for people with psychiatric disabilities: Staff perceptions of an intervention.
abstract: OBJECTIVE
  To evaluate an intervention aimed at enriching day centres for people with psychiatric disabilities by exploring staff experiences from developing and implementing the intervention.
  
  
  METHODS
  Each staff group developed a tailor-made intervention plan, following a manual, for how to enrich the day centre. They received supervision and support from the research team. The study was based on focus-group interviews with a total of 13 staff members at four day centres. Narrative analysis with a thematic approach was used. A first round resulted in one narrative per centre. These centre-specific narratives were then integrated into a common narrative that covered all the data.
  
  
  RESULTS
  A core theme emerged: User involvement permeated the implementation process and created empowerment. It embraced four themes forming a timeline: "Mix of excitement, worries and hope", "Confirmation and development through dialogue, feedback and guidance", "The art of integrating new activities and strategies with the old", and "Empowerment-engendered future aspirations".
  
  
  CONCLUSIONS
  The users' involvement and empowerment were central for the staff in accomplishing the desired changes in services, as were their own reflections and learning. A possible factor that may have contributed to the positive outcomes was that those who were central in developing the plan were the same as those who implemented it.
authors.affiliation: a Department of Health Sciences, Lund University , Lund, Sweden.
authors.forename: Mona
authors.initials: M
authors.lastname: Eklund
authors.affiliation: a Department of Health Sciences, Lund University , Lund, Sweden.
authors.forename: Christel
authors.initials: C
authors.lastname: Leufstadius
mesh_terms: D000069537:Adult Day Care Centers / Q000458:organization & administration* / Q000592:standards; D003155:Community Mental Health Centers / Q000458:organization & administration*; D006233:Persons with Disabilities / Q000534:rehabilitation*; D017144:Focus Groups; D006801:Humans; D001523:Mental Disorders / Q000534:rehabilitation*; D033262:Narration; D009788:Occupational Therapy / Q000458:organization & administration; D010549:Personal Satisfaction; D011209:Power, Psychological; D058996:Quality Improvement; D011795:Surveys and Questionnaires; D013548:Sweden
keywords: Community psychiatry; Supervision; everyday occupations; intervention; mental health; occupational therapy