Evaluation of the Jail-Based Occupational Therapy Transition and Integration Services Program for Community Reentry.

IMPORTANCE: Transition and integration reentry services continue to grow in carceral settings; however, related provision of occupational therapy is limited. OBJECTIVE: To examine the implementation fidelity of an occupational therapy-administered interprofessional reentry program initiated in an urban jail. DESIGN: Retrospective, mixed quantitative and qualitative design. SETTING: Community-based reentry services provided prerelease in a Midwestern urban jail and postrelease in the local St. Louis community. PARTICIPANTS: Occupational therapy practitioners tracking process measures for identifying reentry project feasibility. INTERVENTION: Provision of recruitment, assessment, and skilled occupational therapy services with people held in a short-term jail facility and follow-up during community reentry. OUTCOME AND MEASURES: Detailed logs were analyzed to describe attendance at and duration of sessions. We coded barriers to and facilitators of implementation from weekly team meeting notes and logs using social-ecological categories. RESULTS: Findings indicate that it was feasible to implement prerelease jail-based services (N = 63) because of jail operations and community partnerships (facilitators) and to overcome institutional policies and environmental limitations (barriers). Full 8-wk prerelease programming was completed by 38% (n = 24) of participants, and 52% (n = 33) participated less than 8 wk. All who completed the full prerelease program and transitioned to the community (n = 15) initiated postrelease occupational therapy services. CONCLUSIONS AND RELEVANCE: The iterative feedback provided by process evaluation supported the feasibility of implementing the jail-based Occupational Therapy Transition and Integration Services program. WHAT THIS ARTICLE ADDS: This process evaluation provides evidence that implementation of an occupational therapy-based transition program in an urban jail is feasible.

Implementation of the CAPABLE Program With Older Adults During the COVID-19 Pandemic.

This study explores the implementation and impact of an evidence-based client-driven program, CAPABLE (Community Aging in Place Advancing Better Living for Elders), during the COVID-19 pandemic. The study reviews outcomes related to client engagement and retainment, client-directed goals, therapeutic intervention, home modifications, and functional outcomes of older adult participants. The CAPABLE program addresses basic and instrumental activities of daily living, medication use, pain, mobility, fall prevention, and environmental modifications within the home. The services were provided by an interprofessional team which included an occupational therapist, a registered nurse, and home contractor professional. The study team utilized descriptive, paired t test, and correlational analyses to evaluate the CAPABLE programs' influence on the functional outcomes of older adults living within the city of St. Louis, during the COVID-19 pandemic. This study identified significant improvement in instrumental activities of daily living (IADLs) independence, readiness to change, self-reported health status, and depressive symptoms, and 11 significant correlations were found between age, implementation expenses, and functional outcomes.