Objectives: This study aims to examine the treatment effects of Positive Occupation-Based Practice (POBP) in individuals with mental illness using the Engagement Estimation System (EES) of the Assessment of Positive Occupation 15 (APO-15) in a single-group, pre/post-comparison design in a multicenter study.

Method: This study was a collaboration between day hospitals (two facilities) and psychiatric hospitals (three facilities). The sample consisted of a diverse group of participants, aged 20-80 years, diagnosed with psychiatric disorders and recruited with the consent of their treating physicians. This study examined the treatment effects of POBP with EES applied as an adjunct to day hospital or psychiatric occupational therapy in a single-group, pre/post-comparison design. Participants were asked to attend the standard program and the EES-applied POBP program at each facility. The intervention period was 5 months, starting from baseline, with an additional 1-month follow-up period after completion of the intervention. In this study, the Subjective Well-being Scale was used as the primary outcome measure. In addition, the Positive and Negative Affect Schedule and the APO-15 were used as secondary outcome measures.

Results: The study included 18 participants. Basic participant information included diagnosis (12 schizophrenia, 5 depression, 1 organic psychosis), gender (9 male, 9 female), age (57.61 [±13.25]), and living environment (12 community, 6 hospital). EES-applied POBP showed a statistically significant therapeutic effect on 7 of the 9 factors in the three outcome measures.

Conclusion: The EES-applied POBP may contribute to the effective enhancement of subjective well-being and positive emotions in individuals with mental illness.

Background: This study aimed to identify factors correlating with the continued employment of people with mental disorders who were hired after the launch of the Employment Support Programme in Cooperation with the Public (ESPCP) employment service.

Methods: A survey was conducted with 60 participants who were hired within 12 months after the launch of the ESPCP to determine whether they had retained that job or had changed jobs during the 12-month period after being hired. Factors relating to continued employment were then examined using binary logistic regression.

Results: The participants were classified into two groups: the job-retention (n = 43) and job-turnover (n = 6) groups. Of the participants in the job-retention group, 79.07% used psychiatric day care after securing their jobs. Psychiatric day care was extracted as a predictive factor for continued employment in a logistic regression model, whose variables included psychiatric day care, outreach services, and agency-based counselling services (odds ratio = 1.02, 95% confidence interval = 1.00-1.04, p = 0.04). The job-turnover group included those who wanted to change jobs and those who quit owing to their condition worsening. Two of the four participants whose conditions worsened had adjusted their medication use based on their own judgment.

Conclusions: The use of psychiatric day care is associated with job retention of people with mental disorders post-ESPCP. Preventing turnover requires paying attention to job satisfaction, desire to change jobs, medication adherence, and follow-up when unable to attend the psychiatric day-care centre.

Purpose: To determine the relationship between qualitative factors of motivation for rehabilitation and participants' performance of and satisfaction with self-determined goals, healthrelated quality of life, and functional independence in first-episode stroke patients in a convalescent ward.

Methods: Participants were first-stroke patients admitted to the A Hospital during November 2022–August 2023. Training Motivation Scale score was used as an explanatory variable to assess motivation quality. Canadian Occupational Performance Measure (COPM), MOS 36-Item Short-Form Health Survey (SF-36), and Functional Independence Measure (FIM) scores at baseline and discharge evaluations were used as objective variables for comparison.

Results: Significant differences were found on two factors related to the amount of change in the SF-36 role/social health component score: the controlled motivation score at baseline (p < 0.01) and the amount of change in the controlled motivation score (p < 0.05). Univariate logistic regression analysis showed a significant association between improvement above the minimum important change in COPM-P score and an increase in the controlled motivation score (odds ratio 6.67, 95% confidence interval 1.05-42.40, p = 0.04), but no increase in the non-motivation score (odds ratio 13, 95% confidence interval 1.27-133, p = 0.03). There was no relationship between motivation for rehabilitation and improvement in FIM score.

Conclusions: These findings suggest that focusing on controlled motivation as a qualitative aspect of motivation for rehabilitation promotes patients' motivation to reacquire roles and social life activities, positively affects their goal performance, and improves quality of life.