Carrie Anne Marshall

Carrie Anne Marshall
The University of Western Ontario | UWO · School of Occupational Therapy

PhD. Rehabilitation Science

About

51
Publications
14,047
Reads
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316
Citations
Citations since 2016
47 Research Items
305 Citations
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Introduction
Carrie Anne Marshall is an Assistant Professor in the School of Occupational Therapy, Western University, in London, Ontario, Canada. Her interests relate to social determinants of health, with specific interests in homelessness, poverty, and the ways in which these intersect with mental health and substance use.
Additional affiliations
July 2018 - present
The University of Western Ontario
Position
  • Professor (Assistant)
Description
  • School of Occupational Therapy
September 2015 - July 2016
Queen's University
Position
  • Professor
September 2015 - June 2018
Queen's University
Position
  • Professor (Assistant)
Education
September 2011 - June 2016
Queen's University
Field of study
  • Rehabilitation Science
September 2007 - August 2009
Queen's University
Field of study
  • Occupational Therapy
January 2002 - June 2006
Vancouver Island University
Field of study
  • Psychology

Publications

Publications (51)
Article
Full-text available
Several systematic reviews have synthesized studies exploring the experience of homelessness. No known reviews have synthesized findings of studies exploring experiences of transitioning to housing following homelessness. To address this gap, we conducted a systematic review and meta-aggregation of qualitative evidence using the methodology develop...
Article
Full-text available
Background. Suicide safety planning (SSP) is a suicide prevention approach that involves developing a collaborative plan between a service provider such as an occupational therapist and a person who is at risk of suicide. Purpose. To synthesize effectiveness studies on SSP. Method. Using the Joanna Briggs Institute methodology, we conducted a syste...
Article
Research aimed at identifying and evaluating approaches to homelessness has predominately focused on strategies for supporting tenancy sustainment. Fewer studies focus on strategies for enabling thriving following homelessness, and the perspectives of service providers and organisational leaders (SPOL) on this topic are rare. We conducted this stud...
Article
Introduction: Familial mental illness stigma is a pervasive issue but very subtle in high-income countries. Familial mental illness stigma implies persons living with mental illnesses are discriminated against by their family members or close relatives. Aim/question: This meta-synthesis explored the experiences of familial stigma among individua...
Article
Full-text available
Background. Recent changes in the Canadian regulatory landscape have prompted reflections on the role and scope of occupational therapy in the provision of psychotherapy. Purpose. To document how psychotherapy has been explored in occupational therapy literature. Method. We conducted a scoping review following Preferred Reporting Items for Systemat...
Article
Full-text available
Homelessness is a pervasive challenge caused by poverty which continues to grow in economically developed countries, posing significant health impacts (Fazel et al., Lancet, 384: 1529–1540, 2014). While food security related to poverty and low income has been investigated, this review specifically explores the experience of food security during and...
Article
Research on rural homelessness focuses primarily on describing the experiences and prevalence of homelessness in rural contexts, with little focus on intervention strategies. We conducted a case study of the ‘Big Island Model’ (BIM), a novel approach to providing housing and support to individuals experiencing homelessness that has been developed f...
Article
Employment is frequently desired by persons who experience homelessness yet is often elusive. Little is known about the range and effectiveness of employment‐based interventions evaluated in existing literature on key psychosocial outcomes including employment participation, mental well‐being, housing tenure, community integration and substance use...
Article
Individuals experiencing homelessness have a range of unmet needs during homelessness. Less is known about how these daily living needs evolve in the transition to housing and how existing services are supporting individuals to meet these needs. Using the capabilities approach, we conducted a cross-sectional qualitative study with two participant g...
Article
Purpose: Studying humor in the rehabilitation professions is important given its positive effects on health and well-being. We conducted a scoping review to understand how the use of humor has been explored in the existing literature in four rehabilitation professions. The rehabilitation professions included audiology, speech-language pathology, p...
Article
Methamphetamine (MA) use among individuals who experience homelessness has tripled in recent years. This is a problematic trend given the harmful impacts of this substance on health and social well-being. While there is a large body of literature on the relationship between substance use and trauma, little is known about the scope of existing empir...
Article
Background Homelessness is growing internationally, and resources to guide occupational therapy practice in this area are needed. Objectives To identify competencies needed for occupational therapists to support individuals during and following homelessness. Material and Methods We conducted a three-round Delphi study with occupational therapy pr...
Article
Purpose People experiencing homelessness are uniquely vulnerable to the impacts of a pandemic, such as COVID-19. Therefore, governments across Canada have been implementing a patchwork of responses to address the needs of those who are homeless at this time. The purpose of this study is to both compile and assess the varying responses by exploring...
Article
People living with mental illnesses and their families may conceal their conditions to avoid prejudice and discrimination. Stigma often prevents people from receiving adequate health care and other social support services which could exacerbate social and health consequences such as unemployment, homelessness, substance use, and compulsory hospital...
Article
Background: Occupational therapists support individuals experiencing homelessness in traditional roles, and occupational therapy positions focused specifically on homelessness appear to be growing. Objectives: To develop and refine a framework to guide occupational therapy practice and research in homelessness. Method: We developed a framework and...
Article
Background Occupational therapists support individuals experiencing homelessness in traditional roles, and occupational therapy positions focussed specifically on homelessness appear to be growing. Objectives To develop and refine a framework to guide occupational therapy practice and research in homelessness. Method We developed a framework and...
Research
Full-text available
Boredom is a serious issue influencing the lives of individuals experiencing homelessness. The data summarized in these infographics provide an overview of our findings based on a multi-site mixed methods study exploring meaningful activity engagement, boredom, and the ways in which it is associated with indices of psychosocial well-being during an...
Article
Although research to date has shown that there can be no health or sustainable development without good mental health, mental illness continues to significantly impact societies. A major challenge confronting people with mental illnesses and their families is the stigma that they endure. In this study, empirical literature was reviewed to assess po...
Technical Report
Full-text available
While unhoused, persons who have experienced homelessness are frequently consumed with securing the necessary conditions to meet their basic needs including finding a place to stay for the night, finding food, and keeping safe. It is frequently assumed that when individuals secure a tenancy following homelessness, that their life naturally improves...
Poster
Full-text available
Everyone comes from a family which is the basic unit of society. Assuming you get up one day and you find out that the very family you cherish so much now discriminates against you due to a mental illness diagnosis. This can be very devastating. Isn’t it? This is what some people with mental illnesses grapple with every day. This is the focus of th...
Technical Report
Full-text available
While unhoused, persons who have experienced homelessness are frequently consumed with securing the necessary conditions to meet their basic needs including finding a place to stay for the night, finding food, and keeping safe. In other words, they are simply trying to survive. It is frequently assumed that when individuals secure a tenancy followi...
Chapter
This chapter describes the problem of homelessness in high-income countries internationally, and the ways in which homelessness influences time use and in turn health and well-being: https://books.google.ca/books?hl=en&lr=&id=czX7DwAAQBAJ&oi=fnd&pg=PT106&ots=BZxJpPmC3I&sig=5lkQTBPZmIayc-_FQ8jZNNsY49M&redir_esc=y#v=onepage&q&f=false
Article
Background Few studies have examined boredom and meaningful activity during the transition from homeless to housed, and those that exist are retrospective. Purpose To prospectively examine how meaningful activities and boredom are experienced during the process of leaving homelessness. Method Using a mixed-methods case study design, we interviewe...
Article
Guided by the social model of disability, we carried out this exploratory study to better understand the health and psychosocial needs of women living in social housing in Canada. Using a sequential, mixed-methods design, we interviewed 19 women using a 126-item quantitative interview including six standardized measures exploring indicators of psyc...
Article
Community integration (CI) has been identified as a key outcome of programs designed to improve the lives of homeless and recently housed individuals (Gaetz, Dej, Richter, & Redman, 2016). Although researchers have explored the extent to which Housing First impacts on social integration (Quilgars & Pleace, 2016), little is known about the range and...
Article
Background: Although systematic and scoping reviews have identified a range of interventions for persons experiencing homelessness, no known reviews have captured the range and quality of intervention studies aimed at supporting a transition from homelessness. Objectives: To capture the range and quality of occupational therapy intervention studies...
Technical Report
Full-text available
This report presents a framework to guide the practice of occupational therapists who support homeless individuals across the trajectory of homeless to housed. The framework was developed from empirical research, and draws on existing interdisciplinary literature. A visual representation of the framework, and suggestions for assessment and interven...
Article
Background: Studies exploring the occupational experiences of homeless persons have grown in the past twenty years, and there is a need to identify, evaluate, and aggregate existing studies to direct future research. Objectives: To capture the scope and quality of literature exploring the occupational experiences of homeless persons in high-incom...
Article
Introduction: To identify the scope of existing literature exploring boredom experienced by those using inpatient mental health services, we conducted a scoping review. Method: We performed a comprehensive literature search of four databases: Medline, EMBASE, CINAHL and PsycINFO. This search resulted in 978 titles and abstracts, which were reviewe...
Conference Paper
Full-text available
Date Presented 04/05/19 Women in social housing are situated in environments that may impose negative impacts on their psychosocial health. We used an exploratory, sequential, mixed-methods design to identify the met and unmet psychosocial needs and disabilities experienced by this population. Several psychosocial needs of the women went unmet, and...
Conference Paper
Date Presented 04/04/19 A number of studies have emerged in the OT, occupational science, and interdisciplinary literature that explore the occupational and time use experiences of homeless persons. Since these studies have begun to accumulate, it is advantageous to provide a summary of their findings to direct future occupation-based research in t...
Article
This article provides an overview of the historical and contemporary positioning of occupational science and its relevance to practicing occupational therapists. Occupational science is intended to provide a complex understanding of humans as occupational beings and to develop theories and concepts relevant to understanding human occupation and th...
Article
Background. Boredom has been reported as a frequent problem experienced by homeless persons, with implications for mental and social well-being. Purpose. This study aimed to explore the nature and impact of boredom in the lives of homeless and formerly homeless persons. Method. A mixed-methods design was used to engage 13 participants in a structur...
Article
Background: Emerging literature suggests that boredom is a frequent problem experienced by homeless persons that may influence their health and well-being. Purpose: The range and breadth of literature exploring boredom among homeless persons is unknown. We initiated this study to fill this gap in existing literature. Method: Using the method advanc...
Article
Purpose: To capture the scope of literature exploring interventions for caregivers of aging persons with TBI. Methods: A scoping review of peer reviewed literature was conducted in two phases. Phase I: Searching seven databases, two independent raters screened articles using a set of predetermined criteria. Included articles were reviewed, and c...
Article
Background: Boredom has been reported as a frequent problem experienced by homeless persons, with implications for mental and social well-being. Purpose: To explore the nature and impact of boredom in the lives of homeless and formerly homeless persons. Method: Using a mixed methods design, 13 participants were engaged in a structured 92-item q...
Poster
Full-text available
Homelessness is a growing issue in economically developed nations, despite a multitude of efforts to address this trend. This is an ironic social condition in nations characterized by wealth and opportunity. Occupational therapy has an important role in serving the needs of homeless persons both during and following homelessness, yet this research...
Poster
Full-text available
Boredom experienced by homeless persons is an often-overlooked phenomenon that may have serious implications for the mental well-being, community integration, and substance use of this population. Granted, on the surface, the issue of boredom seems like a trivial matter in light of the prevalence of mental and physical illness, trauma, severe socia...
Article
Full-text available
Background. Studying the occupations of formerly homeless persons as they transition to becoming housed following long-term homelessness has the potential to offer a meaningful contribution to the ongoing dialogue on homelessness. Purpose. Occupational transition was explored with a sample of persons with a history of chronic homelessness to contr...
Article
Background. Studying the occupations of formerly homeless persons as they transition to becoming housed following long-term homelessness has the potential to offer a meaningful contribution to the ongoing dialogue on homelessness. Purpose. Occupational transition was explored with a sample of persons with a history of chronic homelessness to contri...
Poster
Full-text available
Abstract Background: Boredom is an under-acknowledged phenomenon in the literature on homelessness, and it’s implications for mental and social well-being are unknown. This study represents the preliminary results of Wave I of a longitudinal study exploring this issue. Methods: Thirteen participants were interviewed using a concurrent mixed methods...
Poster
Full-text available
This poster presents a survey, which is the first tier of four within a larger study titled, Development of a research and practice agenda on homelessness and occupational therapy in Canada. Taking place in four Canadian cities (Halifax, Montreal, Kingston, Toronto), this project explores the perspective of service users, frontline practitioners, a...
Article
Full-text available
Background: Persons experiencing or at risk of homelessness have occupational needs that are seldom addressed in the Canadian system of care. The lack of documented evidence on occupational therapy practices in this field hinders the development of the profession. Purpose: This article identifies current and potential practices that aim to enabl...
Article
Background: Chronic homelessness is a growing problem in many Western nations. Few studies have explored the occupations of chronically homeless persons, and most of this research has sampled from large metropolitan areas. Purpose: This research sought to explicate the meaning and experience of occupational engagement for homeless persons in a mid-...
Article
Date Presented 4/9/2016 In phenomenology-informed interviews with 11 housed adults with a history of chronic homelessness, participants described their experience of a challenging and rewarding occupational transition in relation to identity. Implications for an occupational perspective of homelessness are presented. Primary Author and Speaker: Car...
Article
Date Presented 4/7/2016 During phenomenology-informed interviews with 5 young adults enrolled in an early psychosis intervention (EPI) program in Canada, participants discussed the meaning of participating in a music group offered by the EPI program and the positive benefits that contributed to their recovery. Primary Author and Speaker: Carrie Ann...
Poster
Full-text available
Although there are a number of studies that focus on neural correlates of music engagement and symptom reduction for persons with a variety of mental illnesses (Mueller et al., 2014; Patrick, 1999), few studies have focused on the meaning of participating in a music group for persons in community mental health settings. Although attending to sympto...
Article
Background: The incorporation of meaningful activity or occupation in supporting those transitioning from homelessness to being housed has been promoted by researchers; however, there is little evidence to support the promotion of initiatives encouraging its use in support models. Purpose: This manuscript aims to advocate for further research in...
Article
Full-text available
The incorporation of meaningful activity or occupation in supporting those transitioning from homelessness to being housed has been promoted by researchers; however, there is little evidence to support the promotion of initiatives encouraging its use in support models. This manuscript aims to advocate for further research into the role of occupatio...
Article
Workplace safety is a concern in the employment of persons with intellectual disability, due to both real concerns for employee well-being, and the effect that negative perceptions of safety risk can have on hiring. This study involved a retrospective analysis of workplace insurance claim records for workers with and without disability in a Canadia...
Article
Full-text available
Language can impact significantly on the ways in which health care professionals relate and provide clinical services, as well as the way in which patients conceptualize their role in the healthcare encounter. The aim of this project was to explore the barriers and challenges to developing a collaborative approach in health care. A hermeneutic rese...

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Projects

Projects (5)
Project
To describe experiences of boredom in persons living with mental illness in various social, economic and institutional contexts.
Project
Individuals living with mental illness and substance use challenges are disproportionately affected by homelessness. When making the transition from homeless to housed, many experience difficulty with reintegration, and frequently reported experiences of boredom, loneliness, and ongoing poverty. This project aims to identify what is needed to help homeless persons to remain housed and thrive after leaving homelessness.
Project
Mental health and substance use challenges are prevalent among those living in social housing. This project seeks to uncover the strengths and challenges faced by tenants and social housing providers, and to identify solutions for improving both the social housing environment and supports available to this vulnerable group to more effectively address the health and social challenges they face.