Publications by authors named "Christine A Helfrich"

With the onset of the COVID-19 pandemic, researchers have been faced with challenges in maintaining interdisciplinary research collaborations. The purpose of this article is to apply and expand a previously introduced model to sustaining new interdisciplinary research collaborations: Forging Alliances in Interdisciplinary Rehabilitation Research (FAIRR). FAIRR is a logic model that can be used as a guide to create interdisciplinary rehabilitation research teams.

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Article Synopsis
  • Community participation is crucial for homeless individuals, and this study aimed to explore the factors influencing it using the ICF framework.
  • Researchers analyzed data from 120 participants from housing programs, assessing their community involvement, mental and physical health, and demographics.
  • Results indicated that cognitive and mobility issues, along with relationship and housing status, significantly reduced community participation, highlighting the need to address both personal and environmental barriers to improve engagement.
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Although a desired rehabilitation goal, research continues to document that community integration significantly lags behind housing stability success rates for people of a variety of ages who used to be homeless. While accessibility to resources is an environmental factor that may promote or impede integration activity, there has been little empirical investigation into the impact of proximity of community features on resource use and integration. Using a Geographic Information Systems (GIS) approach, the current study examines how accessibility or proximity to community features in Boston, United States related to the types of locations used and the size of an individual's "activity space," or spatial presence in the community.

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Measures of community integration rely on self-report assessments that often quantify physical or social participation, but fail to capture the individual׳s spatial presence in the community. The current study documents the activity space, or area of daily experiences, of 37 individuals who were once homeless through participatory mapping and Geographic Information Systems (GIS). Contrary to expectations, there was no significant relationship between activity space size and community integration measures, except a negative association with physical integration.

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This multiple case study illuminates the individual change trajectories of four homeless men with mental illnesses who participated in a manualized life skills intervention to improve housing retention. Readiness-to-change, life skills knowledge and trauma symptoms were measured at baseline, post-intervention and at 3-6 months follow-up. Cluster analysis identified two patterns of readiness-to-change: engaged and pre-engaged.

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Article Synopsis
  • The Practical Skills Test (PST) was evaluated for its effectiveness in measuring life skills among a group of 123 homeless individuals before and after an intervention.
  • The PST demonstrated good reliability and validity, with moderate correlations to another cognitive assessment (ACLS-2000) but no significant correlation with a measure of psychological impact (IES-R).
  • Although the PST was sensitive to changes in life skills post-intervention, the small effect sizes and limited ceiling effects indicate some areas that need improvement for broader applicability.
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Article Synopsis
  • - The study aims to find tools that measure community participation specifically for people with disabilities, evaluating their comprehensive coverage and limitations in addressing this construct.
  • - A thorough search of multiple databases led to the identification of 17 relevant self-report questionnaires, with two fully focusing on community participation and others varying in their measurement content.
  • - The review highlights that while none of the instruments fully captured all community participation domains, each instrument addressed certain aspects of community participation relevant to disabled populations.
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This study investigated 1) trauma symptom changes following the implementation of a life skills intervention; 2) the relationship between demographic characteristics, cognitive functioning, life skill knowledge and changes in trauma symptoms; and 3) predictive factors of trauma symptoms during housing transitions. Participants (N=72) enrolled in intervention modules to increase residential stability (room and self-care, money management, nutrition management or safe community participation), completed the Impact of Event Scale-Revised, ACLS-2000 and a Practical Skills Test at baseline, post-intervention and 3 and 6 months later to examine differences in trauma symptoms and treatment outcomes. Trauma symptoms were highest at baseline and decreased significantly for most participants over time.

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Article Synopsis
  • The study aimed to assess the effectiveness of a life skills program for homeless individuals with mental illness using the Situated Learning Theory.
  • A total of 38 participants from two housing programs engaged in group and individual sessions, with assessments conducted using the Allen Cognitive Level Screen and Practical Skills Tests.
  • Results showed significant improvements in life skills, especially among participants with lower initial cognitive levels, indicating that individuals with mental illness can benefit from inclusive mixed-level training programs.
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This longitudinal study examined differences in intervention outcomes based on readiness-to-change cluster profiles among 73 adults with a mental illness at risk for homelessness participating in a manualized life skills intervention. Intervention topics included money management, food management, safe community participation, and room- and self-care. Life skill knowledge and readiness-to-change, measured using the University of Rhode Island Change Assessment, was examined at baseline, post-intervention, and 3-6 months later.

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This study investigates the presence of mental health symptoms and disorders reported by 74 women in a domestic violence shelter and the impact of those symptoms on function in work, school, and social encounters. Findings are compared to estimates of U.S.

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A manualized life skills intervention based on empowerment theory and situated learning was tested on 51 homeless adults with mental illness living in emergency or single room occupancy housing. The intervention improved skills in food, money, room, and self-care management and safe community participation. Participation included baseline measures with intervention post-tests and three and six month follow up measures.

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This two-year longitudinal qualitative study explored worker role identity development of seven women with disabilities who experienced domestic violence. Yearly semi-structured interviews and monthly follow up calls elucidated the meaning of work in women's lives and the development of role identity during transitions from shelters to the community. Participants aged 26-47, were from two domestic violence shelters and an independent living center in the Midwestern United States.

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In her 2004 master's thesis Simpson identified that lesbian victims of domestic violence who are seeking services face systemic, institutional, and individual barriers. For this qualitative study, building on that work, we used in-depth interviews with six staff members who represented both a traditional domestic violence agency and a lesbian social service agency providing domestic violence services. The interviews revealed policy changes that might be made: institutional inclusion, assessment of language and literature, training and supervision, and institutional evaluation and quality assurance.

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SUMMARY This paper presents three exploratory studies of life skills interventions (employment, money management or food/nutrition) with 73 homeless individuals from four shelters and supportive housing programs located in the urban Midwest for youth, victims of domestic violence and adults with mental illness. The Ansell Casey Life Skills Assessment was administered prior to the eight group and individual sessions. Quizzes and posttests indicated clinical change in all groups, with statistical significance in the domestic violence group.

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SUMMARY This paper reviews the current literature on youth homelessness in the United States and the role of occupational therapy with this population. Youth homelessness is increasing with many youths becoming homeless due to a myriad of causes such as abusive situations in their homes and decreases in affordable housing. Definitions, causes, physical and mental health consequences and the impact of homelessness on youths' development into adult roles are discussed.

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This study identified the trauma symptoms and life skill needs of 84 domestic violence victims from three domestic violence programs. Women completed two self-report tools: Trauma Symptom Inventory (TSI) and Occupational Self Assessment (OSA). Staff members participated in focus groups regarding their perceptions of the women's needs.

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SUMMARY Occupational therapy's scholarship too often fails to result in a cumulative body of knowledge that is directly relevant to practice, and links theory and research to practice. This problem has its basis in how therapists are prepared to make scholarly contributions to the field. This article describes an educational strategy for preparing scholars of practice whose work will contribute to building a knowledge base that examines and enhances practice.

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SUMMARY Approximately 28% of the total occupational therapy (OT) faculty in higher education are adjunct faculty members. Adjunct faculty (i.e.

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SUMMARY This article describes the application of a model developed and adopted by the occupational therapy faculty at the University of Illinois at Chicago to utilize partnerships with community-based organizations to meet a tripartite mission of education, research, and service delivery. The model (A Scholarship of Practice) was developed and adopted in response to contextual influences occurring at multiple levels. These influences are identified and the actions taken by the faculty are described.

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