A Framework of Strategies for Client-Centred Practice

2003 ◽  
Vol 70 (2) ◽  
pp. 103-112 ◽  
Author(s):  
Gayle Restall ◽  
Jacquie Ripat ◽  
Marlene Stern
Keyword(s):  
Community Organizing ◽  
Political Action ◽  
Occupational Therapists ◽  
Daily Practice ◽  
Personal Reflection ◽  
Problem Solve ◽  
Implementing Strategies

Background. Implementing strategies to overcome barriers to client-centred practice is a challenge encountered by many occupational therapists in their daily practice. The Client-centred Strategies Framework is proposed as a tool to assist occupational therapists to consider barriers and implement strategies from a variety of perspectives. Description. The framework consists of five categories: personal reflection, client-centred processes, practice settings, community organizing, and coalition advocacy and political action. Within each category are a number of actions that can be taken to facilitate client-centred practice. This paper describes the framework with elaboration of each of the five categories. A case example is used to illustrate how a therapist can use the framework to address client-centred practice issues. Practice Implications. This framework will assist therapists and students to problem-solve ways to enhance the use of client-centred processes within their own practice environments.

Applicability and Clinical Utility of the Client-Centred Strategies Framework

2008 ◽  
Vol 75 (5) ◽  
pp. 288-300 ◽  
Author(s):  
Gayle Restall ◽  
Jacquie Ripat
Keyword(s):  
Mixed Methods ◽  
Community Organizing ◽  
Clinical Utility ◽  
Political Action ◽  
Occupational Therapists ◽  
Daily Practice ◽  
Multiple Factors ◽  
Sequential Mixed Methods ◽  
Implementing Strategies ◽  
Qualitative Phase

Background. The Client-centred Strategies Framework consists of strategies for facilitating therapists' application of client-centred approaches.Purpose. The purpose of this study was to explore the application of the strategies and the utility of the framework to implement client-centred approaches.Methods. The study used a sequential mixed-methods procedure. The quantitative phase consisted of a survey of 230 Canadian occupational therapists. The qualitative phase consisted of telephone focus groups with a sample of 14 Canadian respondents to the initial survey.Findings. Results indicated that occupational therapists experience challenges in implementing strategies, particularly related to community organizing, coalition advocacy, and political action. Therapists identified multiple factors that influenced the implementation of strategies and ways of incorporating strategies into daily practice. The Client-centred Strategies Framework was viewed as a useful tool for increasing dialogue about occupational therapists' role in client-centred practice.Implications. The results of this study encourage an expanded view of client-centred strategies and the application of strategies to daily practice.

Private Practice: Benefits, Barriers and Strategies of Providing Fieldwork Placements

2003 ◽  
Vol 70 (1) ◽  
pp. 42-50 ◽  
Author(s):  
Kym Sloggett ◽  
Nancy Kim ◽  
Debra Cameron
Keyword(s):  
Occupational Therapy ◽  
Private Practice ◽  
Formal Education ◽  
Occupational Therapists ◽  
Structured Interviews ◽  
Clinical Placements ◽  
Health Care Professions ◽  
Practice Methods ◽  
The University ◽  
Implementing Strategies

Background. Occupational therapists are entering private practice in ever increasing numbers. In order to gain the skills to practice in this area, students should have the opportunity to experience private practice fieldwork placements. However, the number offered in private practice settings continues to be limited. The purpose of this exploratory qualitative study was to identify the benefits, the barriers, and the strategies associated with providing fieldwork opportunities in private practice. Methods. Data were obtained through semi-structured interviews with six occupational therapists in private practice. Results. Results indicated that participating in fieldwork education affords benefits to the profession of occupational therapy, to the clinician, and to the facility. Potential barriers included student characteristics, cost, time, travel and legalities. Involvement from the university and the private setting were considered necessary for providing and implementing strategies. Clinical Implications. The findings have implications for increasing private practice placements for future students in occupational therapy and other health care professions offering clinical placements as a component of their formal education.

The Doors of the Church are Now Open: Black Clergy, Collective Efficacy, and Neighborhood Violence

2016 ◽  
Vol 15 (3) ◽  
pp. 289-314 ◽  
Author(s):  
Kashea Pegram ◽  
Rod K. Brunson ◽  
Anthony A. Braga
Keyword(s):  
Collective Efficacy ◽  
Black Church ◽  
Urban Youth ◽  
Community Organizing ◽  
Youth Violence ◽  
Political Action ◽  
Crime Control ◽  
Social Institution ◽  
Black Churches ◽  
Black Clergy

Prior research has documented the historical significance of the black church beyond serving parishioners’ religious and spiritual needs. Specifically, several black churches are involved in community organizing, social service activities, and political action. Scholars, however, have paid less attention to its role as a potent social institution in community crime control and prevention efforts. We conducted face–to–face interviews with 30 members of Boston's Ten Point Coalition of activist black clergy to document the motivations for and mechanisms through which ministers became involved in efforts to reduce street violence, the varied methods through which ministers develop strategic coalitions and manage violence reduction initiatives, and the ways ministers address the complex challenges involved in doing this work. Study findings suggest that black churches can serve as sources of collective efficacy that can help mobilize other churches, community organizations, police departments, and neighborhood residents in a coordinated effort to address urban youth violence.

Distinguishing between Occupation, Purposeful Activity and Activity, Part 1: Review and Explanation

1998 ◽  
Vol 61 (3) ◽  
pp. 100-105 ◽  
Author(s):  
Janet Golledge
Keyword(s):  
Occupational Therapy ◽  
Literature Review ◽  
Professional Practice ◽  
Occupational Therapists ◽  
Personal Reflection ◽  
Occupational Therapy Students ◽  
Purposeful Activity

Part 1 of this article explores how occupational therapists use the terms occupation, purposeful activity and activity. A literature review of the topic is presented, followed by a personal reflection and definition. It is hoped that this will provide an illustrative example of how the terms could be used and may assist occupational therapy students and occupational therapists to appreciate the potential differences. It is suggested that the terms occupation and purposeful activity should be used to reflect more accurately what occupational therapists do in their professional practice.

Mediational Techniques: Origins and Application to Occupational Therapy in Paediatrics

1998 ◽  
Vol 65 (4) ◽  
pp. 202-209 ◽  
Author(s):  
Cheryl Missiuna ◽  
Theresa Malloy-Miller ◽  
Angela Mandich
Keyword(s):  
Problem Solving ◽  
Occupational Therapy ◽  
Occupational Therapists ◽  
Occupational Performance ◽  
Top Down ◽  
Cognitive Approach ◽  
Cognitive Approaches ◽  
Problem Solve

For a variety of reasons, occupational therapists are beginning to explore the use of cognitive, or “top-down” approaches during intervention. While these approaches have a long history within education and psychology, the steps involved in problem-solving and the techniques that are used to mediate a child's occupational performance are unfamiliar to most therapists. In this paper, the historical underpinnings of cognitive approaches and mediational techniques are reviewed and the steps involved in teaching a child to problem solve are outlined. As each is described from the literature, it is interpreted and applied to paediatric occupational therapy practice. Finally, the problem-solving steps and techniques are combined to demonstrate usage of a cognitive approach in order to address a common occupational performance issue in childhood.

When Clients are Dying: Occupational Therapists’ Perspectives

1998 ◽  
Vol 18 (1) ◽  
pp. 3-24 ◽  
Author(s):  
Rosalind A. Bye
Keyword(s):  
Occupational Therapy ◽  
Goal Setting ◽  
Participant Observation ◽  
Terminally Ill ◽  
Occupational Therapists ◽  
Daily Practice ◽  
Observation Data ◽  
The Core ◽  
Depth Interview ◽  
Making A Difference

Occupational therapists working with people who are terminally ill potentially face a contradiction between the principles and assumptions of rehabilitation-oriented practice and the needs and experiences of clients who are dying. This research investigated experiences of occupational therapists working with clients who are terminally ill to examine if such a contradiction existed and, if so, how it was managed in daily practice. Ten occupational therapists working with people who are terminally ill shared their perspectives through in-depth interview and participant observation. Data analysis followed grounded theory procedures. Nine conceptual categories were generated from the data: Making a Difference, Referral to Occupational Therapy, Assessing the Situation, Goal Setting, Building Against Loss, “Normality Within a Changed Reality,” Client Control, Supported and Safe Care, and Closure. Analysis of relationships between categories resulted in the development of a conceptual framework of occupational therapy practice with people who are terminally ill. The core phenomenon of the framework emerged as Affirming Life: Preparing for Death. Results indicate that occupational therapists manage this contradiction between their rehabilitation training and their work with people who are dying by reframing the process and outcomes of practice to acknowledge clients’ dual states of living and dying.

The Impact of Political Action on the Education of Occupational Therapists: An Example in Ontario

1982 ◽  
Vol 49 (2) ◽  
pp. 45-52
Author(s):  
Thelma Gill
Keyword(s):  
Occupational Therapy ◽  
Political Action ◽  
Occupational Therapists ◽  
General Solutions ◽  
Political Act ◽  
Healing Arts ◽  
The Impact

The 1970 report of the Ontario Committee on the Healing Arts was examined as a political act which influenced the education of occupational therapists in Ontario. The subsequent actions taken by CAOT and OSOT in reaction to the recommendations of this Committee were investigated. Through a discussion of these issues it is shown how politics has an impact on the profession of occupational therapy. The author poses general solutions associated with politically influenced concerns of therapists.

scholarly journals Using the Functional Resonance Analysis Method to explore how elastic compression therapy is organised and could be improved from a multistakeholder perspective

BMJ Open ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. e048331
Author(s):  
Rachel Hellen Petra Schreurs ◽  
Manuela A Joore ◽  
Hugo ten Cate ◽  
Arina J ten Cate-Hoek
Keyword(s):  
Occupational Therapists ◽  
Compression Therapy ◽  
Daily Practice ◽  
Compression Stocking ◽  
Analysis Method ◽  
Structured Interviews ◽  
Elastic Compression ◽  
Resonance Analysis ◽  
Stakeholder Perspective

ObjectivesElastic compression stocking (ECS) therapy is an important treatment for patients with deep venous thrombosis (DVT) and chronic venous insufficiency (CVI). This study aimed to provide insight into the structure and variability of the ECS therapy process, its effects on outcomes, and to elicit improvement themes from a multiple stakeholder perspective.DesignThirty semi-structured interviews with professionals and patients were performed. The essential functions for the process of ECS therapy were extracted to create two work-as-done models using the Functional Resonance Analysis Method (FRAM). These findings were used to guide discussion between stakeholders to identify improvement themes.SettingTwo regions in the Netherlands, region Limburg and region North-Holland, including an academic hospital and a general hospital and their catchment region.ParticipantsThe interviewees were purposely recruited and included 25 healthcare professionals (ie, general practitioners, internists, dermatologists, nurses, doctor’s assistants, occupational therapists, home care nurses and medical stocking suppliers) and 5 patients with DVT or CVI.ResultsTwo FRAM models were created (one for each region). The variability of the functions and their effect on outcomes, as well as interdependencies between functions, were identified. These were presented in stakeholder meetings to identify the structure of the process and designated variable and uniform parts of the process and its outcomes. Ultimately, six improvement themes were identified: dissemination of knowledge of the entire process; optimising and standardising initial compression therapy; optimising timing to contact the medical stocking supplier (when oedema has disappeared); improving the implementation of assistive devices; harmonising follow-up duration for patients with CVI; personalising follow-up and treatment duration in patients with DVT.ConclusionsThis study provided a detailed understanding of how ECS therapy is delivered in daily practice by describing major functions and variability in performances and elicited six improvement themes from a multistakeholder perspective.

Spirituality: A Review of How Occupational Therapists Acknowledge, Assess and Meet Spiritual Needs

2005 ◽  
Vol 68 (9) ◽  
pp. 386-392 ◽  
Author(s):  
Diane Johnston ◽  
Christine Mayers
Keyword(s):  
Occupational Therapists ◽  
Daily Practice ◽  
Perceived Barriers ◽  
Spiritual Needs ◽  
Annual Conference ◽  
Cultural Traditions ◽  
Attitudes And Practices ◽  
Working Definition ◽  
Health And Illness ◽  
Potential Benefits

The importance of considering an individual's spirituality and the confusion over definition have been emphasised by the interest shown in this subject over the past decade. A working definition to help to reduce confusion was presented at the College of Occupational Therapists' annual conference in 2004 and it was felt that it would be useful both to review the attitudes and practices of occupational therapists in this area and to evaluate how they assess and meet spiritual needs. It appeared that practical spiritual needs were often thought of only in terms of religious and cultural traditions or rituals and, as a result, the potential of everyday meaningful occupations was not considered fully. Therefore, the use of occupation was reviewed in relation to meeting spiritual needs. Finally, the perceived barriers to incorporating spirituality into practice were investigated. The review showed that: ▪ Although a majority of participants recognise the importance of spirituality to health and illness and the potential benefits to treatment, the number of therapists actually incorporating spiritual needs into daily practice does not demonstrate this recognition ▪ Some occupational therapists feel confident about addressing and assessing spiritual concerns explicitly, but this tends to be situation based and dependent on factors such as client-therapist relationship, therapist awareness of spiritual issues and the expression of spiritual need by the client ▪ Further exploration of the potential of everyday occupations that address the spiritual needs of both religious and non-religious clients needs to be undertaken ▪ Spirituality needs to be addressed more fully in undergraduate occupational therapy programmes.

scholarly journals Fostering Muslim Civic Engagement through Faith-Based Community Organizing

2017 ◽  
Vol 1 (1) ◽  
Author(s):  
Brad Fulton
Keyword(s):  
Civic Engagement ◽  
Community Organizing ◽  
Political Action ◽  
Minority Groups ◽  
National Study ◽  
Muslim Americans ◽  
Muslim American ◽  
Civic Leaders ◽  
Faith Based ◽  
Muslim Communities

<p>Muslim Americans often encounter discriminatory practices similar to those experienced by other minority groups living in the U.S. Such practices range from mass incarceration and anti-immigration efforts to racial and religious profiling. In response, a growing number of Muslim American leaders are organizing their communities and collaborating with non-Muslims to address these issues through civic participation and political action. At the same time, several foundations throughout the country have begun asking how to promote civic engagement among Muslim Americans. Although little is known about Muslim American civic engagement and its outcomes, data from a national study indicates that faith-based community organizing is becoming a viable pathway for Muslim communities to (1) strengthen themselves internally by developing civic leaders and mobilizing everyday Muslim Americans to address issues affecting their community and (2) strengthen their external ties by bridging religious and social differences and by promoting policies that also benefit non-Muslims.</p>

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