Computer Aids Clients with Psychiatric Disabilities in Cognitive and Vocational Rehabilitation Programs

  • Tzyh-Chyang Chang
  • Jiann-Der Lee
  • Shwu-Jiuan Wu
  • Ming-Jen Yang
  • Chun-Hua Shih
  • Juei-Fen Huang
Part of the Lecture Notes in Computer Science book series (LNCS, volume 4061)


The purposes of this study are to assess the aided effects of computer in cognitive and vocational rehabilitation of clients with psychiatric disabilities and to follow up their employment status. All participants from a community mental rehabilitation unit take a three-month computer skill training program. Participants complete computer key-in test and attention test at the beginning and at the end of the computer skill training program. The researcher assesses all participants’ behaviors in class by using observation in every session. After six months, ten participants are still employed and their works are related to computer skills. The significant cognitive improvements of these participants are attention focus ability, problem solving skills, and memory retention ability. In addition, participants completing computer training program can use learned computer skills to obtain more work opportunities. Therefore, applying computer skill training programs to psychiatric disabled clients can improve not only their cognitive abilities but also vocational skills.


Occupational Therapy Vocational Rehabilitation Computer Skill Psychiatric Disability Psychiatric Rehabilitation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Stauffer, D.L.: Predicting Successful Employment in the Community for People with a History of Chronic Mental Illness. Occupational Therapy in Mental Health 6(2), 31–49 (1986)CrossRefGoogle Scholar
  2. 2.
    Lau, A.: Computer Applications in Occupational Therapy: A Journal Review. In: Cromwell, F.S. (ed.) Computer Applications in Occupational Therapy, pp. 93–98. The Haworth Press, New York (1986)Google Scholar
  3. 3.
    Liberman, R.P. (ed.): Psychiatric Rehabilitation of Chronic Mental Patients. American Psychiatric Press, Washington (1988)Google Scholar
  4. 4.
    Torrey, E.F.: Surviving Schizophrenia: A Manual for Families, Consumers, and Providers, 3rd edn. Harper Perennial, New York (1995)Google Scholar
  5. 5.
    Durham, T.: Work-Related Activity for People with Long-Term Schizophrenia: A Review of the Literature. British Journal of Occupational Therapy 60(6), 248–252 (1997)MathSciNetGoogle Scholar
  6. 6.
    Bell, M., Bryson, G., Greig, T., Corcoran, C., Wexler, B.E.: Neurocognitive Enhancement Therapy with Work Therapy. Arch. Gen. Psychiatry 58, 763–768 (2001)CrossRefGoogle Scholar
  7. 7.
    Wykes, T., Reeder, C., Corner, J., Williams, C., Everitt, B.: The Effects of Neurocognitive Remediation on Executive Processing in Patients with Schizophrenia. Schizophrenia Bulletin 25, 291–307 (1999)Google Scholar
  8. 8.
    Nuechterlein, K.H., Dawson, M.C.: Information Processing and Attentional Functioning in the Developmental Course of Schizophrenic Disorders. Schizophrenia Bulletin 10(2), 160–203 (1984)Google Scholar
  9. 9.
    Sereno, A.B., Holzman, P.S.: Spatial Selective Attention in Schizophrenia, Affective Disorder, and Normal Subjects. Schizophrenia Research 20, 33–50 (1995)CrossRefGoogle Scholar
  10. 10.
    Medalia, A., Aluma, M., Tryon, W., Merriam, A.E.: Effectiveness of Attention Training in Schizophrenia. Schizophrenia Bulletin 24(1), 147–152 (1998)Google Scholar
  11. 11.
    Becker, D.R., Drake, R.E., Farabaugh, A., Bond, G.R.: Job Preferences of Clients with Severe Psychiatric Disorders Participating in Supported Employment Programs. Psychiatric Services 47(11), 1223–1226 (1996)Google Scholar
  12. 12.
    Blankertz, L., Robinson, S.: Adding a Vocational Focus to Mental Health Rehabilitation. Psychiatric Services 47(11), 1216–1222 (1996)Google Scholar
  13. 13.
    Siu, A.H.: Predicting Employment Outcomes for People with Chronic Psychiatric Illness. Occupational Therapy in Mental Health 13, 45–58 (1997)CrossRefGoogle Scholar
  14. 14.
    Galletly, C., Clark, C.R., MacFarlane, A.C.: Treating Cognitive Dysfunction in Patients with Schizophrenia. Journal of Psychiatry & Neurosci 25, 117–124 (2000)Google Scholar
  15. 15.
    Shaw, C., McKenna, K.: Microcomputer Activities for Attention Training. Cognitive Rehabilitation 7(1), 18–21 (1989)Google Scholar
  16. 16.
    Brayman, S.J., et al.: Comprehensive Occupational Therapy Evaluation Scale. American Journal of Occupational Therapy 34, 328–331 (1976)Google Scholar
  17. 17.
    Hsiao, S.J., Pan, A.W., Chung, L., Lu, S.J.: The Use of Evaluation Tools in Mental Health Occupational Therapy: A National Survey. Journal of Occupational Therapy Association, R.O.C. 18, 19–32 (2000)Google Scholar
  18. 18.
    Chu, T.F.: The Application of Vocational Assessments Tools in Psychiatric Patients. Journal of Occupational Therapy Association, R.O.C. 9, 43–61 (1991)Google Scholar
  19. 19.
    Chu, T.F.: The Manual of Chu’s Attention Test (1997)Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2006

Authors and Affiliations

  • Tzyh-Chyang Chang
    • 1
    • 2
  • Jiann-Der Lee
    • 1
  • Shwu-Jiuan Wu
    • 3
    • 4
  • Ming-Jen Yang
    • 5
    • 6
  • Chun-Hua Shih
    • 5
    • 6
  • Juei-Fen Huang
    • 7
  1. 1.Department of Electrical EngineeringChang Gung University, Tao-Yuan, TaiwanTaoyuanTaiwan
  2. 2.Department of Occupational TherapyChang Gung University, Tao-Yuan, TaiwanTaoyuanTaiwan
  3. 3.Graduate Institute of Medical InformaticsTaipei Medical UniversityTaipeiTaiwan
  4. 4.Taipei Veterans General Hospital, Taipei, TaiwanTaipeiTaiwan
  5. 5.Department of PsychiatryKaohsiung Medical University, Kaohsiung, TaiwanKaohsiungTaiwan
  6. 6.Graduate Institute of Behavior SciencesKaohsiung Medical University, TaiwanKaohsiungTaiwan
  7. 7.Department of Foreign LanguageKinmen Institute of Technology, TaiwanJinning Township, Kinmen CountyTaiwan

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