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Individuals with dementia experience a multitude of barriers and challenges that impact their daily engagement throughout the environment. In addition, although the pandemic has concluded, noxious effects are still influencing people's lives. Residential care facilities have noticed continual acts of isolation that are presenting as barriers in mental health. Depression has known to be a common comorbidity in the ailment of dementia. Occupational therapy (OT) practitioners have the unique and valuable role in working with this population to target beyond the biomechanical aspects of a resident. Identifying barriers for mastery in leisure pursuits throughout someone’s day is crucial. When residents do not have successful experiences throughout their day they are not living through an encouraging environment to allow for the opportunity of prolonging cognition. Based on the literature review and the capstone experience site OT practitioners show the need for a program consisting of therapeutic activities that target depression in those with dementia. The purpose of the project is to develop an occupation-based OT program to treat people with dementia who had occupational performance challenges due to depression. This program is structured around the Model of Human Occupation (MOHO), Behavioral Activation (BA), and the Allen Cognitive Level Screen (ACLS). The program consists of eight therapeutic activities that are broken down into three different ways of executing, based off the ACLS levels of three through five. The development of this capstone project will be an influential piece for occupational therapists to reference throughout their plan of care for a resident.

Publication Date

Spring 2024


University of St. Augustine for Health Sciences


Occupational therapy, Mental health, Dementia, Cognition, Depression, Leisure activities

Medical Subject Headings

Occupational therapy, Mental health, Dementia, Cognition, Depression, Leisure activities


Mental and Social Health | Occupational Therapy


Poster presented at the Virtual OTD Capstone Symposium, held online at the University of St. Augustine for Health Sciences on April 10-17, 2024.

Occupational Therapy for People With Dementia who Have Occupational Performance Challenges due to Depression