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Diagnosis of substance use disorders and addictive behaviours are growing worldwide. It is timely to examine and collate literature on the nature of occupational therapy intervention in this field, to increase understanding of current practice and inform future directions. The purpose of this paper is to source and synthesise literature on occupational therapy interventions used in the treatment of people experiencing addiction.

Four databases were searched in August 2019. A total of 597 titles were screened, and 18 studies with varying methods met inclusion criteria. A narrative synthesis of the included literature was arranged into themes to summarise key findings.

Findings were grouped into three themes about occupational therapy provision to people experiencing addiction: single occupation focused intervention; skills training (including sub-themes on daily living skills and vocational skills); and establishing a community-based sober routine.

Further research on this topic should focus on efficacy of treatments and build on current findings to develop more rigorous research with appropriate sample sizes to support evidence-based practice.

This study presents a synthesis of how occupational therapy interventions have been used to treat people experiencing addiction issues. Findings indicate occupational therapy appears to fit well within addiction treatment and assert that occupational therapy is most supportive when interventions go beyond the teaching of skills alone to prioritise occupational engagement and client centred practice.

Research suggests that parentally bereaved children are likely to experience lower academic success and may need long-term support through tertiary education. Gender matters — boys bereaved of fathers and girls bereaved of mothers are at increased risk. Boys also exhibit higher levels of emotional and behavioural issues following bereavement. Age is another factor and exam results of children bereaved before the age of five or at twelve are significantly more affected than those bereaved at other ages. Circumstances affecting these achievements concern the relationship between the child’s emotional state and how it plays out in behaviour and motivation in school.

Significantly, Freddie Pargetter, the subject of the chapter, has a twin sister, Lily. The twins had just turned 12 when their father was killed. Comparing the twins’ General Certificate of Education (GCSE) results fits the research patterns — Lily managed well and Freddie did not. Freddie recognises that the academic environment of Felpersham Cathedral School did not support him well and chooses Borchester FE College to continue his studies. This choice raises controversy in the family, indicative of well-rehearsed, real-world educational arguments. Social media responses to other Archers plot lines reveal the extent of how educational issues in the programme resonate with listeners.