Occupational Therapy-Informed Rehabilitation for Homeless Individuals with Mental Illness: A Thai Policy-Linked Model of Restorative Life Activities
Issued Date
2026-01-01
Resource Type
ISSN
26408066
eISSN
26408074
Scopus ID
2-s2.0-105030269625
Journal Title
Journal of Evidence Based Social Work United States
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SCOPUS
Bibliographic Citation
Journal of Evidence Based Social Work United States (2026)
Suggested Citation
Thanapet U., Ammawat W., Rueankam M., Chatthong W., Khemthong S. Occupational Therapy-Informed Rehabilitation for Homeless Individuals with Mental Illness: A Thai Policy-Linked Model of Restorative Life Activities. Journal of Evidence Based Social Work United States (2026). doi:10.1080/26408066.2026.2630192 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/115272
Title
Occupational Therapy-Informed Rehabilitation for Homeless Individuals with Mental Illness: A Thai Policy-Linked Model of Restorative Life Activities
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Abstract
Purpose: People experiencing homelessness with mental illness in Thailand face substantial structural barriers to sustained care and psychosocial rehabilitation. This study aimed to describe and evaluate the feasibility of an occupational therapy–informed, policy-linked rehabilitation model implemented within Thai governmental shelter systems. Materials and Methods: The Restorative Life Activities for the Worthy model was implemented across 14 public shelters involving 495 clients and 52 staff members. A mixed-methods design was employed. Of 84 screened clients, 60 met eligibility criteria and were followed quantitatively. Five standardized instruments assessed health-related quality of life, functional performance, cognitive stability, psychiatric symptoms, and individualized rehabilitation outcomes. Staff training outcomes were also evaluated. Results: Among 60 tracked clients, 47.6% participated in multiple intervention components, with 45 demonstrating functional gains. Vocational engagement included internal shelter-based roles (51.2%) and external employment (28.6%). The Individualized Rehabilitation Assessment demonstrated moderate reliability (r = 0.673). Assessment of Work Performance results showed a significant gender difference in process skills favoring males (p =.012), with no differences by substance use history. Post-training, 57.1% of staff demonstrated adequate application of rehabilitation principles. Discussion: Findings indicate that structured, occupation-based rehabilitation can be feasibly integrated into resource-constrained shelter systems when aligned with policy frameworks and supported by task-adapted workforce roles. Conclusion: The model aligns with WHO’s ICOPE framework and Buddhist concepts of “right livelihood,” introducing a vocationalist role to address service gaps. Findings support feasibility within Thailand’s public welfare system and relevance for policy-informed psychosocial rehabilitation in Southeast Asian contexts.