scholarly journals Exploring accessibility and social inclusion for children with hearing impairments in residential camps through the occupational therapy lens

2020 ◽  
Author(s):  
◽  
Tiffany Coles

Children are encouraged to engage in various play, leisure, and social participation activities to enhance the development of life skills, independence, and social skills. A common leisure and social participation activity for children aged 6 to 18-years-old is to attend residential camp. Residential camps provide children a structured opportunity to engage in leisure activities while learning to become independent and self-confident when socializing and making new friends. Attending camp can be a fun and engaging environment to help accelerate growth in key developmental outcomes, such as positive identity, social skills, physical skills, positive values, and spirituality. Within the residential camp setting, children are encouraged to become self-reliant away from their caregivers while participating in their activities of daily living; as well as explore new occupations such as learning new camp songs, swimming, hiking, crafting, archery and other activities provided by the camp. The introduction of the new occupations, in a new environment may present challenges for children with hearing impairments. By attending camp, the child has an opportunity to empower themselves by learning to self-advocate when they are unable to hear or need adapted services. Occupational therapists have the skills necessary to help develop camp programs to be comfortable, restorative, socially inclusive and therapeutic for children and adolescents with disabilities. Using occupation-focused skills and processes, occupational therapists are trained to advocate for and facilitate occupational outcomes that can enhance a person or group’s capabilities, social inclusion, and well-being. Within a residential camp setting, the focus of inclusion should target equal participation in activity, communication, and social acceptance of individuals with hearing impairments. The goal of inclusion can be accomplished through various techniques including policy and program development founded on the principles of social inclusion. The goal of this capstone project was to address the environmental and social needs of a residential camp to meet the physical and social needs of hearing-impaired children. Through the perspective of occupational therapy, camp counselors were provided education on strategies to encourage social skills, communication, and social inclusion within the camp environment. The process included a survey for camp staff with follow-up interviews, to gather information for the needs assessment that was used to create an educational module for staff. The guidebook incorporates inclusionary strategies to help the campers and the staff develop inclusive mindsets and social skills that can be applied within their daily lives. Throughout the guidebook are tips and tricks of inclusion from the occupational therapy lens, in addition to relevant data from the authors research study. The guidebook is then broken down into seven chapters that range from learning the basics about hearing impairment, the camp environment, inclusion strategies, and American Sign Language education.

2017 ◽  
Vol 45 (2) ◽  
pp. 78-91 ◽  
Author(s):  
Patrick Joseph Hynes ◽  
Alia Harb

Purpose Work is good for one’s health and well-being. Work for people with disabilities should be encouraged because it is therapeutic and improves participation in the society, leading to better health outcomes. It develops interpersonal relationships and enhances life quality. Work is an aspiration for many people with intellectual disability. Within research literature, there appears to be a lack of research into the experience of occupational therapists in Ireland who refer adults with intellectual disabilities to supported employment services. The purpose of this paper was to explore the experience of Irish occupational therapists who refer adults with intellectual disabilities to supported employment services. Design/methodology/approach Semi-structured, in-depth interviews were conducted with four occupational therapists recruited through the Association of Occupational Therapists of Ireland (AOTI). Data were analysed using thematic analysis. Findings Themes that emerged were as follows: occupational therapy participants did not directly refer adults to supported employment but received referrals; occupational therapy roles included assessments, task analysis and development of client’s skills are major components of current practice; pragmatics involved factors that facilitate and challenge; and future roles. Originality/value This paper contributes to occupational therapy practice knowledge by providing a perspective on supported employment in Ireland. Occupational therapists should continue to work in the area of supported employment to support social inclusion and enable participation. Further research with occupational therapists working in this field is required to inform practice.


2021 ◽  
pp. 030802262110229
Author(s):  
Selma Ercan Doğu ◽  
Hülya Kayıhan ◽  
Ahmet Kokurcan ◽  
Sibel Örsel

Introduction This study aimed to assess the impact of a holistic combination of Occupational Therapy and Social Skills Training on occupational performance, social participation, and clinical symptoms in people with schizophrenia. Method 60 people with schizophrenia were randomly assigned to two groups. One group received standardized Social Skills Training once a week for a total of 10 sessions, while the other group received a combination of Occupational Therapy and Social Skills Training once a week for a total of 16 sessions. Results A greater increase was determined in the scores of COPM total performance/satisfaction and the Community Integration Questionnaire in the Occupational Therapy and Social Skills Training group. Furthermore, these achievements were sustained in the Occupational Therapy and Social Skills Training group compared to the Social Skills Training group at the 6-month follow-up. Conclusion The clients received the combination of Occupational Therapy and Social Skills Training showed a better improvement compared to the Social Skills Training group in terms of occupational performance, social participation, and severity of clinical symptoms. The use of Occupational Therapy in a holistic approach in psychosocial rehabilitation of people with schizophrenia can increase their functionality and social participation. Further studies are needed to assess long-term effects of Occupational Therapy in schizophrenia.


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.


2017 ◽  
Vol 21 (2) ◽  
pp. 91-101 ◽  
Author(s):  
Anna Joy Stickley ◽  
Kelly J. Hall

Purpose Occupational therapists are increasingly working in organisations outside of the public sector. UK government policy over the past decade has promoted health and social care provision by social enterprises. The purpose of this paper is to examine the compatibility of occupational therapy practice and a social enterprise environment, within the UK and questions if this approach may enhance experiences of social inclusion for people who use these services. Design/methodology/approach Case study methodology was used with eight social enterprises in the UK. Data were collected through: semi-structured interviews, formal organisational documents, and field visits and observations. Interviews were conducted with 26 participants who were occupational therapists, service users and social entrepreneurs/managers. The interviews were recorded, transcribed and analysed using thematic analysis. Findings Occupational therapists experienced job satisfaction, professional autonomy and were able to practise according to their professional philosophy. Service users valued support with: employment, routine, social relationships, and developing a sense of identity, particularly outside of a medical model definition. To a degree therefore, people using these services claimed socially inclusive benefits. Challenges with funding social enterprises, however, impacted occupational therapy delivery in some cases. Research limitations/implications The majority of social enterprise research is drawn from case study methodology; however, this was the most appropriate research design to gain greatest insight into a small but developing phenomenon. Further research into occupational therapy practice within social enterprises is required, particularly on the effectiveness of returning to work and social inclusion. Social implications Social enterprises can provide therapeutic environments to promote recovery and social inclusion which is also compatible with occupational therapy practice. Originality/value This is the first known national research into occupational therapy provision in social enterprises within the UK, which evidences a compatibility within occupational therapy practice within a social enterprise environment and the benefits of this.


Author(s):  
Viviani Cristina Costa ◽  
Naila Pereira Souza ◽  
Deyse Modesto Pinheiro ◽  
Lisete Vaz ◽  
Renata Caruso Mecca ◽  
...  

Este artigo discorre sobre a utilização de uma oficina de culinária como recurso operador da desinstitucionalização. Trata-se de um relato de experiência da intervenção proposta por terapeutas ocupacionais com pessoas internadas por longo período em enfermarias de um hospital psiquiátrico universitário, no município do Rio de Janeiro. Discutem-se fragmentos da trajetória de quatro participantes que exemplificaram, através de seus percursos na oficina de culinária, questões relacionadas ao processo de desinstitucionalização, criação de redes, contratualização e fomento da autonomia. Percebeu-se que as atividades realizadas foram potencializadoras dessas questões ao permitirem transcender a rotina instituída e massificadora da internação e possibilitar novas e diferentes formas de estar na vida e de estabelecer conexões diversas. A intervenção terapêutica ocupacional permitiu a análise e a adaptação das atividades, o manejo das relações que se estabeleceram a partir delas, tendo em vista o compromisso com os processos de inclusão, participação social, bem como demais ocupações. This article discusses the use of a cooking workshop as a promoter resource of the deinstitutionalization. It is an experience report about an intervention offered by occupational therapists to assist people hospitalized for long periods in University psychiatric hospital, in the city of Rio de Janeiro. We discuss the fragments of trajectory of four workshop participants who exemplified issues related to the process of deinstitutionalization, networking, contractualization and increased autonomy. It was noticed that the activities offered potentiated these issues by allowing transcend the hospital routine and enabled new and different ways of being in life and establish several connections. The occupational therapy intervention allowed the analysis and adaptation of the activities, the management of relationships established from them, in view of the commitment to the promotion of social inclusion, participation, as well as other occupations.Keywords:Desinstituciozation; Mental Health; Occupational therapy .Este artículo presenta la utilización de un taller de culinaria como recurso operador de la desinstitucionalización. Se trata de un relato de experiencia de la intervención propuesta por terapeutas ocupacionales con personas internadas por un largo periodo en enfermerías de un hospital universitario de psiquiatría de Río de Janeiro. Se discute fragmentos de la trayectoria de cuatro participantes que ejemplificaron, a través de sus rutas en el taller de culinaria, cuestiones relacionadas al proceso de desinstitucionalización, creación de redes, contratación y fomento de la autonomía. Se percibió que las actividades realizadas  potencializaron esas cuestiones al permitieren transcender la rutina instituida y masificadora de la internación. La intervención terapéutica ocupacional permitió el análisis y la adaptación de las actividades, la administración de las relaciones que se establecen a partir de ellas, llevando en consideración el compromiso con los procesos de inclusión, participación social, así como otras ocupaciones. Palabras-clave: Desinstitucionalización; Salud Mental; Terapia Ocupacional.   


TRAUMA ◽  
2021 ◽  
Vol 21 (6) ◽  
pp. 46-53
Author(s):  
V.S. Sulyma ◽  
Yu.O. Filiak ◽  
V.M. Krasnovskyi

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.


2021 ◽  
Author(s):  
Natalie Snyder ◽  
Ria Wilson ◽  
Lian Finch ◽  
Brooklyn Gallant ◽  
Chris Landa ◽  
...  

BACKGROUND Background: Chronic respiratory diseases are highly prevalent and compromise an individual’s ability to perform activities of daily living (ADLs) and participate in meaningful life roles. Pulmonary rehabilitation (PR) is a well-established intervention aiming at restoring an individual’s exercise capacity and improving their ability to complete their ADLs. Occupational therapists help individuals engage in meaningful ‘occupations’, improving their health and well-being. Given the concordance in the aims of PR and the occupational therapy (OT) scope of practice, occupational therapists appear to be well-suited as key players in PR programs. However, the benefits of adding OT to PR programs have been sparsely reported in the literature and the role of OT in PR has never been synthesized or reported in national and international guidelines. OBJECTIVE Objective: To explore the role of OT in PR programs, the current guideline recommendations for the inclusion of OT in PR programs, the estimated prevalence of OT in PR programs and the reported or anticipated effects of OT interventions in PR programs. METHODS Methods: The review will be conducted following Joanna Briggs Institute (JBI) methodology for scoping reviews. A comprehensive search will be undertaken in the Cochrane Database of Systematic Reviews, EMBASE, MEDLINE, and CINAHL to identify and retrieve relevant literature, published in English, French or Portuguese. Gray literature will also be searched from international OT association websites for position statements and guidelines relevant to PR programs. All literature published since the establishment of the effectiveness of PR for chronic respiratory disease in 1994, that explores OT in PR programs for these patients will be included. Search results will be exported to Covidence for title, abstract, and full text screening, by two independent reviewers. Data will be extracted by two independent reviewers using a pilot-tested template including: the number of PR programs including OT (specifically from surveys), the purpose of the study, the study design, patient characteristics, respiratory conditions included, PR components, OT role, outcomes, and results. Findings will be presented using a narrative summary, supplemented by figures and/or tables. Key themes will be displayed in an infographic or schematic. RESULTS Results: The study was initiated in January 2021 and registered with the Open Science Framework (OSF) in February 2021, prior to title and abstract screening. Data collection, analysis and drafting of the manuscript will occur throughout 2021, with expected publication in 2022. CONCLUSIONS Conclusion: The results of this scoping review will help healthcare professionals improve patient care by broadening their understanding and awareness of the role of OT in PR programs. This role clarification may help to inform program development, clinical decision making and will serve to optimize the delivery of multidisciplinary care for patients in PR programs, ultimately improving patient outcomes. CLINICALTRIAL International Registered Report Identifier (IRRID): OSF Registration Identifier: DOI: 10.17605/OSF.IO/ZH63W


2021 ◽  
pp. 16-19
Author(s):  
Amitabh Kishor Dwivedi

INTRODUCTION: Spirituality has risen as of considerable recent interest in occupational therapy. Spirituality and occupational therapy is associated with the holistic, person centred approach to care in order to restore a sense of well-being and recognise individual coping strategies. Despite current global economic challenges and healthcare recongurations, there appears to be a professional drive not to return to a reductionist model of care delivery. The purpose of the study is to understand views of Occupational therapist on integrating spirituality in Occupational Therapy practice in India. OBJECTIVE: This qualitative pilot study endeavoured to understand views of Occupational Therapist on integrating spirituality as a domain of practice in Occupational Therapy in India. STUDYDESIGN:The study design of this study is a cross-sectional, qualitative narrative study design. METHOD: The qualitative descriptive study included twenty participants (n=20) who are expert in the eld of Occupational Therapy (Age mean ± SD 44 ± 9.88, in Years) with major inclusion criteria of minimal ten years' experience, were recruited for this study by using non-probability convenient and snow ball sampling method. The study was conducted with Occupational Therapist working in private and public sectors in India. The in-depth semi-structured interviews with senior Occupational Therapists were conducted to explore themes which covered views of Occupational Therapist on Spirituality as a domain of practice in Occupational Therapy in India RESULT: The themes which are generated as result of this study highlight the views of Occupational Therapists on integration of spirituality as domain of practice in occupational therapy in India. CONCLUSION:This study explored the current practices of spirituality as domain in occupational therapy in India.


2020 ◽  
Author(s):  
Matthias Schützwohl ◽  
Eduard Mergel

Objectives: In Germany, as in many other countries, several lockdown restrictions were put in place with the aim of curbing the spread of SARS-CoV-2 infections. This study investigated the impact of the coronavirus pandemic and the related lockdown restrictions on opportunities for social participation, social inclusion and psychological well-being for adults with and without mental disorders within a follow-up study based on pre- and post-lockdown assessments. Methods: Study participants (n=132) were assigned to one of three groups, depending on the mental health status at the initial survey. Parameters of interest were assessed using the Measure of Participation and Social Inclusion for Use in People with a Chronic Mental Disorder (F-INK), the Index for the Assessment of Health Impairments (IMET), and the Brief Symptom Inventory (BSI-18).Results: The impact on opportunities for social participation and social participation considerably differed depending on the participants’ mental health status at the first assessment. Independent of this, we found no detrimental effects on the psychological well-being of participants four weeks after the implementation of lockdown restrictions.Conclusion: Findings imply a general resilience in well-being during the preliminary stages of the coronavirus pandemic. This result adds to the growing number of existing studies which show a heterogeneous pattern overall and especially in international comparison. Further follow-up studies with larger samples should address the divergent effects. Besides, efforts are needed to improve social participation and inclusion opportunities that are severely impaired for individuals with chronic mental disorders regardless of lockdown or physical distancing restrictions.


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