Critical reflections on occupational justice: Toward a rights-based approach to occupational opportunities

2016 ◽  
Vol 84 (1) ◽  
pp. 47-57 ◽  
Author(s):  
Karen R. Whalley Hammell

Background. Occupational justice is cited throughout the occupational science and occupational therapy literatures despite little scholarly attention either to its definition or to how situations of occupational justice are identifiable. Purpose. This paper aims to contribute a critique of occupational justice, explore the concepts of justice and (occupational) rights, and support a capabilities approach to inform rights-based occupational therapy practices. Key Issues. No clear definition of occupational justice or differentiation from social justice exists despite the longevity of the concept, and theorists frequently confuse the concepts of justice and rights. A rights-based focus provides an unambiguous mandate for occupational therapists, with the capabilities approach offering a cross-disciplinary framework to inform rights-based practices. Implications. The concept of occupational rights is consistent with the rights-based focus advocated by the disabled people’s movement, articulated by the United Nations’ Convention on the Rights of Persons With Disabilities, and affirmed by the World Federation of Occupational Therapists’ position on the centrality of occupation to health, well-being, and human rights.

2020 ◽  
Vol 87 (2) ◽  
pp. 144-152
Author(s):  
Antoine L. Bailliard ◽  
Aaron R. Dallman ◽  
Amanda Carroll ◽  
Ben D. Lee ◽  
Susan Szendrey

Background. The Canadian Association of Occupational Therapists (CAOT) and the American Occupational Therapy Association (AOTA) state that occupational justice is part of the domain of occupational therapy and that occupational justice is “an aspect of contexts and environments and an outcome of intervention” (AOTA, 2014, p. S9). Key Issues. Despite the increasing focus on justice in the occupational therapy and the occupational science literature, many practitioners in traditional settings do not see its relevance to their everyday practice (Galvin, Wilding, & Whiteford, 2011) or have difficulty envisioning how to enact a justice-informed practice. Purpose. This paper demonstrates how occupational justice is germane to all settings of occupational therapy, and how it can be enacted at micro, meso, and macro levels of occupational therapy practice. Implications. We argue that occupational therapy is a justice-oriented profession at its core and will discuss how occupational justice can be enacted at all levels of practice.


2016 ◽  
Vol 84 (1) ◽  
pp. 58-68 ◽  
Author(s):  
Karen R. Whalley Hammell ◽  
Brenda Beagan

Background. Although the idea of occupational injustice pervades the occupational therapy literature, there has been little scholarly debate concerning this construct or the parameters of the five identified forms of occupational injustice. Purpose. The aims of this paper are to highlight conceptual confusions, foreground some inherent questions that have been neither acknowledged nor addressed, and question the theoretical and practical utility of five manifestations of occupational injustice. Key Issues. Few theorists have contributed to the occupational injustice literature. Significant definitional confusion exists concerning the five forms of occupational injustice with some forms described as subsets of others. The inherent problems of judging occupational injustice have not been addressed. Implications. If occupational injustice were understood as a violation of occupational rights—human rights to achieve well-being through occupation—many of the problems of identifying a situation of occupational justice or injustice would be resolved. Using the capabilities approach to human rights would facilitate this endeavour.


1989 ◽  
Vol 56 (2) ◽  
pp. 73-79 ◽  
Author(s):  
Carole Mirkopoulos ◽  
Barbara Quinn

The following report prepared by a task force of employers and consumer groups underlines the need to develop strategies to meet current shortages and future requirements for occupational therapy manpower. Increasing demand for occupational therapy services is in response to an increase in service programs funded by the Ministry of Health, changing philosophies of care and management for the disabled, and a clearer understanding of the role of the occupational therapist in the physical and mental well-being of the disabled. This trend is expected to continue over the next five years and place additional stress on an already exhausted supply of manpower. The data used for forecasting manpower requirements in this report were that of Hospital Statistics, Table 8B and Ontario Home Care Programs statistics. By 1990–91, given the rate of growth in these two sectors, projected attrition and projected output from educational programs, an additional 1048 occupational therapists will be required over and above available resources at that time. Strategies must be put into place to offset the impact of this occupational therapy manpower shortage in Ontario. Considerations in the development of strategies are briefly discussed and suggestions are made to address this problem both in the short and long term.


2006 ◽  
Vol 69 (5) ◽  
pp. 202-208 ◽  
Author(s):  
Jennifer Creek

A standard terminology is the authorised system of words and phrases used in a definite sense within a science or subject. The need for a standard terminology for occupational therapy in the United Kingdom was identified in relation to three projects: the Garner Project (College of Occupational Therapists 1999), the Systematised Nomenclature of Human and Veterinary Medicine — Clinical Terms (SNOMED-CT) and Occupational Therapy Defined as a Complex Intervention (Creek 2003). In May 2004, the College of Occupational Therapists commissioned the development of a standard terminology for occupational therapy, to include definitions of between 5 and 12 key terms plus the term occupational therapy. Two sources of data were used: occupational therapy literature and a panel of expert practitioners. The primary literature sources were the College of Occupational Therapists' publications, the European Network of Occupational Therapists in Higher Education's website and the World Federation of Occupational Therapists' website. A Delphi approach was chosen as an appropriate method for obtaining consensus on the definitions among 42 expert occupational therapists. It was found that the Delphi approach, whilst appropriate for producing a set of six definitions of key terms, failed to produce a single definition of occupational therapy. Instead of the number of possible definitions decreasing in each round, it expanded as panel members struggled to find a way of capturing the complexity of occupational therapy within a short definition.


2021 ◽  
pp. 000841742199437
Author(s):  
Alexandra Lecours ◽  
Nancy Baril ◽  
Marie-Josée Drolet

Background. Professionalism has been given different definitions over time. These are, commonly theoretical and difficult to operationalize. Purpose. This study aimed to provide an operational definition of the concept of professionalism in occupational therapy. Method. Based on a concept analysis design, a meta-narrative review was conducted to extract information from 30 occupational therapy manuscripts. Findings. Professionalism is a complex competence defined by the manifestation of distinct attitudes and behaviours that support excellence in the occupational therapy practice. In addition, professionalism is forged and evolves according to personal and environmental characteristics. The manifestation of professionalism can lead to positive consequences for occupational therapists, clients, and the discipline, notably contributing to a positive and strong professional identity. Moreover, professionalism is also subject to cultural influences, which leads to variations in its development, manifestations, and consequences. Implications. This study offers a contemporary operational definition of professionalism and levers to promote its development and maintenance.


Author(s):  
World Federation of Occupational Therapist - WFOT ◽  
Kátia Maki Omura ◽  
Gonçalo Carreteiro

O presente manuscrito trata-se de uma tradução do posicionamento da Federação Mundial de Terapeutas Ocupacionais (WFOT) sobre o atendimento em telessaúde, esclarecendo as definições, os seus desafios e estratégias, trazendo o esclarecimento sobre questões éticas e legais sobre a modalidade de atendimento não presencial, além de destacar a abordagem centrada no cliente como estratégia profissional. AbstractThe present manuscript is a translation of the World Federation of Occupational Therapists (WFOT) position statement on telehealth care, clarifying definitions, challenges and strategies, bringing clarification on ethical and legal issues regarding non- in person health care, in addition to highlighting the client-centered approach as a professional strategy.Key words: Telehealth; Occupational Therapy; Client-centredness in occupational therapy. ResumenEl presente manuscrito es una traducción de la declaración de posición de la Federación Mundial de Terapeutas Ocupacionales (WFOT, por sus siglas en inglés) sobre atención de telesalud, aclarando definiciones, desafíos y estrategias, brindando aclaraciones sobre cuestiones éticas y legales relacionadas con la atención de salud no en persona, además de destacar al cliente enfoque centrado como una estrategia profesional.Palabras clave: Telesalud; Terapia ocupacional; terapia ocupacional Centrado en el cliente.   


2008 ◽  
Vol 10 (3) ◽  
pp. 94-98
Author(s):  
Susan J. Forwell ◽  
Kathleen M. Zackowski

Occupational therapists (OTs) have a unique and valued role in the health and functional recovery of individuals with multiple sclerosis (MS). To maximize the benefit of occupational therapy by both health care professionals who refer patients and the patients who use the services, an understanding of the scope of services that OTs offer is essential. This article describes the breadth of the OT evaluation and intervention specific to the treatment of individuals who have MS. As an overriding goal, the OT assists clients in processing the implications of physical, cognitive, and emotional changes and creatively developing strategies to cope with and, when appropriate, minimize the effects of these changes. The occupational therapy process is described, beginning with evaluation and providing guidelines and resources for appropriate client-centered goal setting. The OT and client then discuss intervention that ensures optimal functional outcome and includes symptomatic management, according to the specific functional difficulties and implications and the particular symptoms of each patient. Through discussion, the OT helps each client achieve health and well-being with remedial and compensatory techniques that enable participation in meaningful activities and roles in the home, work, and community. OT services are essential to the appropriate and optimal delivery of comprehensive care and support to individuals with MS.


2012 ◽  
Vol 79 (2) ◽  
pp. 70-76 ◽  
Author(s):  
Janet E. G. Jull ◽  
Audrey R. Giles

Background. In Canada, Aboriginal peoples are affected by colonial relations of power that result in poor health outcomes. Despite occupational therapists' efforts to work in a safe and competent manner with people experiencing challenges to participating in daily life, Western healthcare models reflect values that often undermine Aboriginal peoples' health and well-being. Purpose. Meaningful, effective, and culturally appropriate healthcare practices cannot be fully implemented by occupational therapists without an ongoing and critical examination of occupational therapy's foundational belief systems. Only a critical examination of these foundational belief systems will enable occupational therapists to take action towards addressing these inequities, which is an important step in moving towards culturally safe care. Key Issues. Canadian health professions, including occupational therapy, have the potential to create positive change at a systems level through the critical exploration of underlying professional assumptions. Implications. To advance dialogue about Aboriginal peoples' health, occupational therapists must engage in exploration of their profession's underlying theoretical concepts or risk participating in the perpetuation of health inequities for already at-risk populations.


2014 ◽  
Vol 6 (1) ◽  
pp. 37-40 ◽  
Author(s):  
World Federation Of Occupational Therapists

The purpose of this document is to state the World Federation of Occupational Therapists’ (WFOT) position on the use of telehealth for the delivery of occupational therapy services. Telehealth is the use of information and communication technologies (ICT) to deliver health-related services when the provider and client are in different physical locations. Additional terms used to describe this service delivery model include: tele-occupational therapy, telerehabilitation, teletherapy, telecare, telemedicine, and telepractice, among other terms. Telehealth may be used by occupational therapy practitioners for evaluation, intervention, monitoring, supervision, and consultation (between remote therapist, client, and/or local health-care provider) as permitted by jurisdictional, institutional, and professional regulations and policies governing the practice of occupational therapy.Occupational therapy services via telehealth should be appropriate to the individuals, groups and cultures served,and contextualized to the occupations and interests of clients. Important considerations related to licensure/registration, collaboration with local occupational therapists, client selection, consent to treat, professional liability insurance, confidentiality, personal and cultural attributes, provider competence/standards of care, reimbursement/payer guidelines, and authentic occupational therapy practice are discussed.


1996 ◽  
Vol 59 (5) ◽  
pp. 237-242 ◽  
Author(s):  
Greg Kelly

The term ‘hermeneutic’ has recently been appearing in the occupational therapy literature related to clinical reasoning but without an adequate definition of its meaning. The purpose of this article, therefore, is to offer a simple introduction to the term and discuss how it applies to clinical reasoning, thus providing occupational therapists with some of the language they will need to understand this relatively new concept fully. Drawing on literature from nursing, physiotherapy, psychology and occupational therapy, this article examines a hermeneutic approach to occupational therapy research and practice and, indeed, to an understanding of the concept of occupational therapy itself.


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