An evaluation of a role emerging placement in a mental health horticultural community

The purpose of this research was to integrate and extend knowledge of two contemporary areas of occupational therapy practice, those of role emerging practice and ‘green care’ horticultural activities (Fieldhouse & Sempik, 2014). The context was a new role emerging placement, in a horticultural community with no previous occupational therapy input. The study evaluated the effects of occupational therapy on one individual’s recovery and the wider contribution to the mental health facility. A qualitative methodology using semi-structured, in-depth interviews of one service user and the volunteer coordinator was utilised via purposive sampling, providing phenomenological perspectives. Audio-recorded data were transcribed verbatim and member-checked for authenticity by participants (Clarke & Braun, 2013). Reflexivity through journal reflections, discussions and supervision further ensured trustworthiness. Data were analysed thematically, using a matrix framework involving a three-tier process – themes devised, tables collated and analysis repeated to ensure creditable outcomes. The findings identified specific aspects of the programme effective in promoting the individual’s recovery and occupational engagement. Two main themes emerged: understanding occupation and a person-centred approach. The conclusions highlighted the contribution of a role-emerging placement to an existing facility, and how an occupational perspective and engagement in occupation enhanced existing practice. This exploratory research contributes to applying occupational therapy theory to practice by emphasising the importance of an individual’s understanding of themselves as an occupational being, and the importance of individualised interventions. Further research into the importance of individuals’ understanding of themselves as occupational beings would be of value to occupational science and therapy evidence.