Assessing occupational participation among justice involved people 'with a personality disorder': Quantitive Assessments and their properties

Connell, Catriona; McKay, Elizabeth Anne

Abstract

Introduction: There is little evidence for what influences occupational
participation for justice-involved people ‘with a personality disorder’
living in community contexts, and no validated occupational participation assessments specific to this group. We assessed justice-involved people ‘with a personality disorder’ to ascertain what influences occupational participation using commonly applied assessments and evaluated their construct validity.
Method: As part of a mixed-methods study, a purposive sample of 18
justice-involved people ‘with a personality disorder’ were scored on the Model of Human Occupational Screening Tool (MOHOST) and
Occupational Performance History Interview–Version Two (OPHI-II) scales. Mean scores were calculated per MOHOST item and OPHI-II scales, and compared to published data. Mann-Whitney U Tests were used to identify within sample differences based on demographic
characteristics.
Results: Participants had limitations on key MOHOST items, and many items of the OPHI-II scales. Differences were identified compared to published data. Within sample differences were most apparent in comparisons by employment status and ethnicity. The OPHI-II scales did not operate as intended with this population, and recommended adjustments impacted its construct validity.
Conclusion: Replication is required with a larger random sample.
Integrating these data with qualitative exploration would further
elucidate factors influencing occupational participation with this population.

Citation

Connell, C., & McKay, E. A. (2024). Assessing occupational participation among justice involved people 'with a personality disorder': Quantitive Assessments and their properties. British Journal of Occupational Therapy, 87(10), 625-635. https://doi.org/10.1177/03080226241254768

• Journal Article Type: Article
• Acceptance Date: May 1, 2024
• Online Publication Date: Jun 3, 2024
• Publication Date: 2024-10
• Deposit Date: Jun 10, 2024
• Publicly Available Date: Jun 10, 2024
• Print ISSN: 0308-0226
• Electronic ISSN: 1477-6006
• Publisher: SAGE Publications
• Peer Reviewed: Peer Reviewed
• Volume: 87
• Issue: 10
• Pages: 625-635
• DOI: https://doi.org/10.1177/03080226241254768
• Keywords: Personality disorder, justice-involved, offender, MOHOST, OPHI-II, occupational participation