This study was conducted with 31 patients with chronic spinal cord injury at a rehabilitation clinic. It clarified the relationship between ‘degrees of satisfaction with life’ and a ‘forecast future’ and determined factors influencing the degree of life satisfaction from physical, social and psychological perspectives using data on their psychological conditions and their forecasts of their lives one, three and five years after the interview. Results indicate that those who determined their own clinic departure time had significantly stronger satisfaction with their lives than those who did not. Moreover, those who forecast their own life for the subsequent three years as either positive or negative show a significantly strong tendency toward life satisfaction. In addition, there is no correlation and causal connection between physical/social factors and the degree of life satisfaction. Path analysis shows that the factors directly contributing to strong positive correlation with the degree of life satisfaction were (1) correlation of forecast and hopes for life three years later and (2) self-acknowledgement. The result regarding agreement between forecast and hopes supports “client-centered practice” as an ethos for occupational therapy; that ethos is playing a significant role in quality of life for the patient subjects.

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This study describes school to post-school transition problems, factors, activities and professionals involved in transition. Parents (n=86) of children with developmental disabilities, aged 14 and older, answered a questionnaire addressing study objectives. Parents reported work, psychological, coping and environmental problems related to transition. Factors perceived to facilitate smooth transition include coordination among service providers, early planning, presence of support systems and training in and exposure to post-school environments/activities. Lack of adolescent and adult programs, absence of planning and lack of knowledge about transition were perceived to hinder smooth transition. Activities listed for transitioning include planning, contact with agencies, professionals and potential employers, and work training. Teachers, doctors and occupational therapists were reported to be involved in the process. Results suggest a practice area addressing adolescent and adult needs. Further studies are needed to explore the efficacy of transition programs for this population.

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