Introduction: Individuals with schizophrenia often experience helplessness, social withdrawal, functional impairment, and role loss, limiting occupational participation and reducing quality of life. The Model of Human Occupation (MOHO) highlights how volition, habituation, performance capacity, and environmental factors interact to influence occupational engagement.
Objectives: This study aimed to explore how MOHO-based interventions can facilitate the transition from helplessness to occupational competence in a patient with schizophrenia.
Methods: A 28-year-old male patient with schizophrenia exhibited severe helplessness and complete withdrawal from occupational participation. Interventions targeted volition (building trust and encouraging participation), habituation (re-establishing routines and roles), performance capacity (developing functional skills), and environmental factors (creating a supportive social environment). Data were collected using the Model of Human Occupation Screening Tool (MOHOST) and clinical observations.
Results: The patient progressed from non-participation to active engagement, including volunteering for group activities and assuming ward responsibilities. This led to improvements in role identity, self-efficacy, and overall occupational engagement.
Conclusion: MOHO-based interventions effectively supported recovery from helplessness by enhancing motivation, rebuilding daily roles, and providing environmental support. Future research should examine the long-term effects and broader applicability of these interventions across diverse psychiatric conditions.