Promoting Activity and Participation in Individuals with Serious Mental Illness The Action Over Inertia Approach

This book presents "Action Over Inertia," a recovery-orientated, strengths-based approach to address the profound disruptions in daily activities and community participation often experienced by those living with serious mental illnesses. With a focus on supported "doing", the Action Over Inertia approach engages individuals in small activity and participation efforts as an opening to making longer term and sustained changes that offer meaning and well-being. The book helps service providers develop their own knowledge of activities and the health and well-being benefits an individual might receive from activities. It also asks them to consider the biases, assumptions, and constraints that might impact their ability to implement interventions related to activity and participation. A range of worksheets, resources, vignettes, and other tools are provided to support this practice. The manual was developed from the knowledge and practice of occupational science and therapy, but it will be of interest to any mental health professional, peer-provider, administrator, or policy maker interested in promoting recovery for people with serious mental illness

Authors and Contributors Foreword I Peggy Swarbrick Foreword II Ellie Fossey Foreword III Elizabeth Taylor Preface Acknowledgements Introduction Chapter One: Preparing to use this workbook Chapter Two: Understanding personal activity and participation patterns Chapter Three: A first step: Making rapid changes in activity and participation Chapter Four: Providing education about activity and participation, mental illness and recovery Chapter Five: Making longer-term changes Chapter Six: Supporting sustained changes in activity and participation patterns Chapter Seven: Raising the profile of activity and participation in mental health service delivery Chapter Eight: Evaluation of activity and participation to inform service development References Appendix A: Additional vignettes Appendix B: Activity Engagement Measure (AEM) Appendix C: Other applications of Action Over Inertia C1: Anxiety Disorders and Activity and Participation C2: Chronic Pain and Activity and Participation C3: Mood Disorders and Activity and Participation C4: Posttraumatic Stress Disorder and Activity and Participation C5: Action Over Inertia Together (4- and 10-Session Group Outlines)

Terry Krupa, PhD, is professor emerita, School of Rehabilitation Therapy, Queen’s University, Canada. Her research and practice have focused on promoting the community participation of people living with serious mental illness. Megan Edgelow, EdD, is assistant professor, School of Rehabilitation Therapy, Queen’s University, Canada. She has clinical, teaching, and research experience in mental health and activity participation. Shu-Ping Chen, PhD, is associate professor, Department of Occupational Therapy, University of Alberta, Canada. Dr. Chen's teaching and research focuses on empowerment, recovery, and social inclusion for people with mental health issues. Carol Mieras, MScOT, is adjunct academic staff and co-manager of the MasterCard Scholars Program, Queen’s University, Canada. Her research and practice focus on inclusion and disability, particularly related to mental health.