Admissions to Discharge: A Psychogeriatric Transitional Program
It is important to note that the traditional idea of 'work' is not emphasized, but that being socially useful, part of the community, experiencing recognition, achievement and satisfying use of time are emphasized. Work is then expanded to mean occupation; the activities that fulfill those needs. The main criteria of the occupational activity becomes meaningfulness, being worth doing and valued by the individual and the community. Within a program activities can be categorized in three ways; for others, for the program (Coviensky and Buckley, 1982), and for the self (Meltzoff and Blumenthal, 1966). Kielhofner (1985) summarizes by stating that occupational behavior is the participation in activities during waking time that are playful, restful, serious and productive. Therefore, occupational experiences would not necessarily contribute to a renewal in interests to formulate employment goals but in fulfillment of basic needs. For the chronic elderly institutionalized patient, the worker or retiree role is not addressed. Instead, a comprehensive program should encompass Tibbit's postulated needs and the balanced activities of work (occupation), rest and play, rather than the worker or retiree role.