Credentials Display

Emily Raphael-Greenfield, EdD, OTR/L, FAOTA; Kimberlee Baltich, MSW; Tess Wilson, MSOT; Rebecca Lowinger, MSOT


Background: An estimated 25% of the homeless population has a mental illness, which means that many experience cognitive problems that adversely impact basic and instrumental activities of daily living and goal attainment. This case report focused on the experience of an individual living in transitional housing who was evaluated with a performance-based occupational therapy assessment in the context of community-based interdisciplinary psychosocial care provided by a robust occupational therapy fieldwork program.

Method: This case report generally followed the CARE Case Report Guidelines and highlights the use of a standardized performance-based assessment and follow-up care suggested by test outcomes.

Results: This assessment confirmed that the client did not have executive function problems, rather his performance was impeded by social anxiety and agoraphobia. It also identified his occupational strengths, including a passion for art and his desire to reconnect with his family and take steps toward more independent housing.

Conclusion: The standardized performance-based occupational therapy assessment of executive function carried out in a natural group setting confirmed its value in a psychosocial rehabilitative transitional housing program.


The authors declare that they have no competing financial, professional, or personal interest that might have influenced the performance or presentation of the work described in this manuscript.