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. 2024 Oct;87(10):625-635.
doi: 10.1177/03080226241254768. Epub 2024 Jun 3.

Assessing occupational participation among justice-involved people 'with a personality disorder': Quantitative assessments and their properties

Catriona Connell  1   2   3 , Elizabeth Anne McKay  4
Affiliations

Assessing occupational participation among justice-involved people 'with a personality disorder': Quantitative assessments and their properties

Catriona Connell et al. Br J Occup Ther. 2024 Oct.

Abstract

Introduction: There is little evidence for what influences occupational participation for justice-involved people 'with a personality disorder' living in community contexts, and no validated occupational participation assessments specific to this group. We assessed a sample of justice-involved people 'with a personality disorder' to ascertain what influences occupational participation using commonly applied assessments and evaluated their construct validity.

Method: As part of a mixed-methods study, a purposive sample of 18 justice-involved people 'with a personality disorder' were scored on the Model of Human Occupational Screening Tool and Occupational Performance History Interview-Version Two scales. Mean scores were calculated per Model of Human Occupational Screening Tool (MOHOST) item and Occupational Performance History Interview-Version Two (OPHI-II) items and scales and compared to published data. Mann-Whitney U Tests were used to identify within-sample differences based on demographic characteristics.

Results: Participants had low scores on MOHOST items and OPHI-II items and scales. Differences were identified compared to published data. Within-sample differences were most apparent in comparisons by employment status and ethnicity. The OPHI-II scales did not operate as intended with this population and recommended adjustments impacted its construct validity.

Conclusion: Replication is required with a larger random sample. Integrating these data with qualitative exploration would further elucidate factors influencing occupational participation in this population.

Keywords: MOHOST; OPHI-II; Personality disorder; justice-involved; occupational participation; offender.

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Conflict of interest statement

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Mean MOHOST item scores. MOHOST: Model of Human Occupational Screening Tool.
Figure 2.
Figure 2.
Mean OPHI-II scale item scores. OPHI-II: Occupational Performance History Interview–Version Two.
See this image and copyright information in PMC

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