Occupational therapy in health care · 2025
Occupation-Based Reentry Strategies: Addressing Systemic Barriers to Reduce Recidivism Among Ex-Offenders.
СтатьяНазвание и аннотация: Перевод в очереди
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Decker Thomas J
Аннотация
BACKGROUND: Recidivism presents significant barriers to occupational performance and community reintegration. Individuals transitioning from incarceration often face structural stigma, limited access to meaningful occupation, and disrupted occupational identity. These challenges fall within the scope of occupational therapy, yet the profession's role in reentry remains underexplored in the literature.
OBJECTIVE: In this study, we set out to explore the lived experiences of formerly incarcerated individuals and examine how recidivism affects occupational performance and community participation.
METHODS: This qualitative study used a phenomenological design with in-depth, semi-structured interviews conducted with nine formerly incarcerated individuals. Data were analyzed thematically using an inductive approach, with rigor supported by bracketing, member checking, and peer debriefing.
RESULTS: Five central themes emerged, (1) occupational disengagement and mental health barriers; (2) environmental barriers and systemic stigma; (3) structured occupational engagement as a protective factor; (4) the role of social support and mentorship; and (5) the need for individualized rehabilitation approaches. In addition, one intersecting theme was identified across all narratives: the scarcity of resources and support systems post-release. Participants described diverse reentry experiences but consistently emphasized systemic and occupational barriers to reintegration.
CONCLUSION: Occupational therapy has the potential to play a critical role in supporting reentry through trauma-informed, identity-driven, and community-integrated interventions. Addressing structural stigma and building therapeutic alliances may be essential strategies for both practice and advocacy.
OBJECTIVE: In this study, we set out to explore the lived experiences of formerly incarcerated individuals and examine how recidivism affects occupational performance and community participation.
METHODS: This qualitative study used a phenomenological design with in-depth, semi-structured interviews conducted with nine formerly incarcerated individuals. Data were analyzed thematically using an inductive approach, with rigor supported by bracketing, member checking, and peer debriefing.
RESULTS: Five central themes emerged, (1) occupational disengagement and mental health barriers; (2) environmental barriers and systemic stigma; (3) structured occupational engagement as a protective factor; (4) the role of social support and mentorship; and (5) the need for individualized rehabilitation approaches. In addition, one intersecting theme was identified across all narratives: the scarcity of resources and support systems post-release. Participants described diverse reentry experiences but consistently emphasized systemic and occupational barriers to reintegration.
CONCLUSION: Occupational therapy has the potential to play a critical role in supporting reentry through trauma-informed, identity-driven, and community-integrated interventions. Addressing structural stigma and building therapeutic alliances may be essential strategies for both practice and advocacy.