Client-Centred Practice: What does it Mean and Does it Make a Difference?

1995 ◽  
Vol 62 (5) ◽  
pp. 250-257 ◽  
Author(s):  
Mary Law ◽  
Sue Baptiste ◽  
Jennifer Mills
Keyword(s):  
Health Service ◽  
Occupational Therapy ◽  
Functional Outcomes ◽  
Research Evidence ◽  
Occupational Therapists ◽  
Individual Autonomy ◽  
The Past ◽  
Canadian Association ◽  
Key Concepts ◽  
Current Guidelines

During the past 15 years, occupational therapists in Canada, through the Canadian Association of Occupational Therapists, have worked to develop and implement guidelines for practice of a client-centred approach to occupational therapy. One of the difficulties with the current Guidelines for the Client-Centred Practice of Occupational Therapy is the lack of a definition and discussion of the concepts and issues fundamental to client-centred practice. In this paper, key concepts of client-centred practice: individual autonomy and choice, partnership, therapist and client responsibility, enablement, contextual congruence, accessibility and respect for diversity are discussed. Two practice examples are used to illustrate these ideas and raise issues about obstacles to the practice of client-centred occupational therapy. Research evidence about the effectiveness of client-centred concepts in enhancing client satisfaction, functional outcomes and adherence to health service programmes is reviewed.

Occupational Therapy Education in Canada: The Facts and Figures

1979 ◽  
Vol 42 (5) ◽  
pp. 116-119 ◽  
Author(s):  
Helen M. Madill ◽  
E. Sharon Brintnell
Keyword(s):  
Occupational Therapy ◽  
Occupational Therapists ◽  
Tabular Form ◽  
Educational Model ◽  
Occupational Therapy Education ◽  
The Past ◽  
Canadian Association ◽  
Therapy Education

Over the past five years (1973–78) the Canadian educational model for occupational therapy has undergone considerable revision. The role of the Canadian Association of Occupational Therapists in this development is reviewed. Implications for the 1980's are discussed in light of the recent Symposium on Occupational Therapy (Toronto, 1978). Data augmenting this review are presented in tabular form.

Doing Occupational Justice: A Central Dimension of Everyday Occupational Therapy Practice

2020 ◽  
Vol 87 (2) ◽  
pp. 144-152
Author(s):  
Antoine L. Bailliard ◽  
Aaron R. Dallman ◽  
Amanda Carroll ◽  
Ben D. Lee ◽  
Susan Szendrey
Keyword(s):  
Occupational Therapy ◽  
Occupational Therapists ◽  
Everyday Practice ◽  
Science Literature ◽  
Occupational Science ◽  
Canadian Association ◽  
Key Issues ◽  
Occupational Justice

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.

Historical Research: Ordering the Past to Chart Our Future

1986 ◽  
Vol 6 (5) ◽  
pp. 259-269 ◽  
Author(s):  
Ruth Ellen Levine
Keyword(s):  
Occupational Therapy ◽  
Social Movement ◽  
Occupational Therapists ◽  
The State ◽  
Theory And Practice ◽  
Historical Research ◽  
Arts And Crafts ◽  
The Past

Present concerns about the state of theory and practice in occupational therapy can be explained in light of past developments, both successful and unsuccessful efforts. This article explains why occupational therapists still use arts-and-crafts modalities, the practice of which can be traced to early therapists influenced by the philosophy and practices of a social movement that swept across America from 1895 to 1920. This analysis is based on historical research, a methodology not common in occupational therapy literature.

Research in Occupational Therapy: Luxury or Necessity?

1989 ◽  
Vol 52 (9) ◽  
pp. 349-351 ◽  
Author(s):  
Rita E A Goble
Keyword(s):  
Occupational Therapy ◽  
Single Case ◽  
Occupational Therapists ◽  
The Past ◽  
New Methods ◽  
Self Help ◽  
Large Patient ◽  
Personal Approach ◽  
University Department ◽  
Many Sources

Occupational therapists know that practical problems demand practical solutions which are a combination of the intuitive personal approach and planned observation. Observation must be systematic, consistent and deliberate if it is to be accurate and effective. This article recommends that all occupational therapists should have ready access to a university department or local occupational therapy school and that they should concentrate upon concise, appropriate and consistent measures of outcome. The author suggests that therapists start by looking at their own patients, and that, although researchers have traditionally sought large patient samples in the past, this approach may no longer be the most suitable, since newer and innovative approaches to research are now increasingly using single case analysis as an alternative method. Funding has always been difficult and one solution developed by St Loye's School of Occupational Therapy is put forward, that is, the establishment of a Foundation in order to promote research. With a little self-help, occupational therapists can become involved in planned observation and development of new methods. The Health Service review entitled ‘Working for Patients’ highlights the fact that the professional must withstand critical analysis from many sources, and that occupational therapists must clearly identify their product and define their focus. Occupational therapists now have the opportunity to present their observations and prove that they are not merely ‘a dying institution’ but ‘a living and influential force’.

One Nation or Ten Provinces: The Relationship between the National and Provincial Associations

1979 ◽  
Vol 46 (1) ◽  
pp. 11-14
Author(s):  
Helen M. Madill ◽  
Sharon G. Brintnell
Keyword(s):  
Occupational Therapy ◽  
Occupational Therapists ◽  
Professional Organizations ◽  
Canadian Association ◽  
Direct Benefits ◽  
The Relationship

This paper considers the relationship between the Canadian Association of Occupational Therapists and the provincial occupational therapy associations with a view to strengthen this collaboration by means of affiliate status for provincial bodies. Recommendations are made concerning the functions and responsibilities of both levels of professional organizations as well as the direct benefits to the members.

Mental Handicap: Why are There So Few Occupational Therapists?

1983 ◽  
Vol 46 (10) ◽  
pp. 282-283 ◽  
Author(s):  
Erica Candlish
Keyword(s):  
Occupational Therapy ◽  
Occupational Therapists ◽  
Physical Field ◽  
Mentally Handicapped ◽  
Mental Handicap ◽  
The Past ◽  
Part Time ◽  
The Subject ◽  
Do So

The author divides her time between St Loye's and the Langdon Hospital for the mentally handicapped at Dawlish. This article was written as a result of an attendance at a study day on the subject of mental handicap, held in London. The author met with a number of occupational therapists who were working single-handed or with only part-time support. She asked herself the following question: if, each year, hundreds of enthusiastic graduates flow out through the occupational therapy college gates, why do so many jostle for vacancies in the psychiatric or physical field and why do so few turn towards mental handicap? She investigated the subject, listening to a wide variety of suggestions put forward by numerous occupational therapists throughout the past year. She has included those which were a recurring theme.

scholarly journals The place of occupational therapy in the comprehensive rehabilitation of participants of the Anti-Terrorist Operation/Joint Forces Operation taking into account world experience

TRAUMA ◽  
2021 ◽  
Vol 21 (6) ◽  
pp. 46-53
Author(s):  
V.S. Sulyma ◽  
Yu.O. Filiak ◽  
V.M. Krasnovskyi
Keyword(s):  
Occupational Therapy ◽  
Military Service ◽  
Occupational Therapists ◽  
Armed Forces ◽  
Well Being ◽  
Developed Countries ◽  
Test System ◽  
International Classification Of Functioning ◽  
Guidance Document ◽  
Canadian Association

Achieving health, well-being, and participation in life through engagement in occupation is the statement that describes the domain and process of occupational therapy in its fullest sense. This definition includes all areas of influence in occupational therapy: type of employment (level of active lifestyle: rest and sleep, education, work, pleasure, social participation), client factors (values, beliefs, spirituality, body functions and structures), skill performance (motor, process and social interaction skills), pattern performance (habits, routines, rituals, roles), environment (cultural, personal, physical, social, virtual). Occupational therapy in military service is difficult in its own way. The main feature is that veterans demand constant monitoring and support. These people are vulnerable to suicide. That’s why occupational therapist should not wait for their self-referral. Members of soldier’s family need to be actively involved in cooperation as well. Practical guidelines of colleagues from the Canadian Association of Occupational Therapists “Working for the Canadian Armed Forces and Veterans Affairs Canada” and “A Guidance Document for Occupational Therapists” are most suitable for the implementation in Ukrainian realities. Occupational therapy process starts with an assessment of functioning and disability in relation to a health condition. In Ukraine, an analogue of the International Classification of Functioning, Disability and Health (Order of the Ministry of Health of Ukraine dated 23.05.2018 No. 981) has been identified and introduced, which allows for a comprehensive functional assessment and further steps of planning, monitoring compliance, evaluation of occupational therapy. Primary screening is significantly facilitated by a test system developed by colleagues from different countries, which requires translation into Ukrainian and implementation. It would be appropriate to use a single base of servicemen for their distribution according to the priority of providing care that would optimize the start of occupational therapy. It is necessary to study in detail the long-term experience and advances of developed countries and integrate the promising experience of colleagues in military occupational therapy in Ukraine, which has a chance to become one of the promising specialties with a high level of military service.

Occupational therapists’ use of yoga in post-stroke care: A descriptive qualitative study

2020 ◽  
pp. 030802262091037
Author(s):  
Alexandra P Andrews ◽  
Karen E Atler ◽  
Jennifer Dickman Portz ◽  
Marieke VanPuymbroeck ◽  
Caroline M Rose ◽  
...  
Keyword(s):  
Occupational Therapy ◽  
Stroke Rehabilitation ◽  
Occupational Therapists ◽  
Stroke Care ◽  
The United States ◽  
Structured Interview ◽  
Daily Activities ◽  
Treatment Technique ◽  
Psychosocial Needs ◽  
The Past

Introduction Over the past decade, yoga has gained popularity in health care. The benefits of yoga can go beyond the physical to address the psychosocial and emotional. Such gains can be beneficial for people who have had a stroke. As a leading cause of disability, stroke can lead to challenges returning to daily activities. Occupational therapists may use yoga to promote engagement in daily activities after stroke. This study aimed to understand how and why occupational therapists integrate yoga into stroke rehabilitation. Methods This study involved occupational therapists practicing in the United States. Ten occupational therapists using yoga in practice participated in a semi-structured interview. Interview data were transcribed and analyzed using deductive and inductive coding. Themes emerged from the data related to the benefits of using yoga in stroke rehabilitation. Results According to this study, yoga is currently being used as a treatment technique and merged with occupational therapy. Yoga may promote client-centered recovery; bring “context” to therapy; and address physical, emotional, and psychosocial needs following stroke. Conclusion Individuals who have had a stroke may face challenges related to both physical and psychosocial engagement. The use of yoga in occupational therapy may be beneficial after stroke for both physical and psychosocial rehabilitation.

Clinical Effectiveness: Systematic Reviews and Evidence-Based Practice in Occupational Therapy

1997 ◽  
Vol 60 (11) ◽  
pp. 479-483 ◽  
Author(s):  
Katrina Bannigan
Keyword(s):  
Health Care ◽  
Occupational Therapy ◽  
Systematic Reviews ◽  
Health Care Professionals ◽  
Research Evidence ◽  
Evidence Based Practice ◽  
Occupational Therapists ◽  
Evidence Based ◽  
Sources Of Information ◽  
High Quality

Evidence-based health care can be defined as an approach to health care that involves finding and using up-to-date research into the effectiveness of health care interventions to inform decision making (Entwistle et al, 1996). For many occupational therapists, the practicalities of keeping up to date with the best research evidence is difficult; however, through the National Health Service Centre for Reviews and Dissemination (NHS CRD), the NHS Research and Development (R&D) Programme is aiming to improve the availability of high quality research evidence to all health care professionals. The NHS CRD carries out and commissions systematic reviews. Systematic reviews are a means of pulling together large quantities of research information and are considered to be one of the most reliable sources of information about effectiveness (Chalmers and Altman, 1995). The NHS CRD also disseminates the findings of systematic reviews, one method of which is through the Database of Abstracts of Reviews of Effectiveness (DARE). The relevance of systematic reviews to the clinical practice of occupational therapists is explored in this paper using two examples: a poor quality and a high quality systematic review identified from the abstracting process for DARE. Both reviews are directly relevant to occupational therapy, being about sensory integration and falls in the elderly respectively. The implications of these reviews for evidence-based practice in occupational therapy are discussed.

The Requirement for Ethical Reasoning in Occupational Therapy Education

1992 ◽  
Vol 55 (11) ◽  
pp. 419-422 ◽  
Author(s):  
Lorraine Pinnington ◽  
Avril Bagshaw
Keyword(s):  
Occupational Therapy ◽  
Ethical Issues ◽  
Ethical Reasoning ◽  
Occupational Therapists ◽  
Learning Opportunities ◽  
Occupational Therapy Education ◽  
The Past ◽  
The Subject ◽  
Screening Procedures ◽  
Therapy Education

This first article outlines how student research projects have developed over the past 10 years, resulting in the subsequent need to expand the subject of ethical reasoning in the education of occupational therapists. The literature is examined in respect of providing learning opportunities on ethical matters for the student, particularly in the preparation of an investigative study, the formation and administration of ethical screening procedures with in a school of occupational therapy are described as a means of providing an experiential understanding of ethical issues for students. In a second article, the implications and outcome of this initiative are discussed.

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