TABLE OF CONTENTS Chapter Page 1. Introduction …………………………………………………………………… The Problem ……………………………………………………………………... Statement of Problem ……………………………………………………………. Research Questions ……………………………………………………………… Methods and Procedures ………………………………………………………… Assumptions and Limitations …………………………………………………… Definition of Terms ……………………………………………………………… 1 1 2 3 3 4 4 2. Literature Review …………………………………………………………….. Education and Fieldwork Literature ……………………………………………. Public and Student Perceptions of Mental Illness Literature …………………… Incentives and Disincentives Literature ………………………………………… Policy Literature ………………………………………………………………… Insurance ………………………………………………………………………... Summary ………………………………………………………………………… 6 6 11 14 19 22 26 3. Answers to Research Questions………………………………………………. To What Extent Are Education Requirements and Practices Changing The Focus of OT?................................................................................. To What Extent Are Public or Occupational Therapy Student Perceptions Of Mental Illness Affecting The Use Of Occupational Therapy As A Therapeutic Modality?.......................................................................................... To What Extent Are There Incentives Or Disincentives That Have Led Occupational Therapists To Choose Other Fields Of Practice?.......................... To What Extent Are Current Mental Health Policies Changing The Use Of Occupational Therapy In Treatment For The Mentally Ill?................................ To What Extent Are Current Insurance Systems Affecting The Use Of Occupational Therapy In Treating The Mentally Ill?......................................... Summary………………………………………………………………………. 27 27 29 31 33 35 36 4. Conclusions ……………………………………………………………….. 37 5. Recommendations ………………………………………………………… 38 Bibliography ………………………………………………………………….. 42