Socio-ecological perspectives of performance health: Optimizing function within an environmental context. Sandra Kirkwood, B.Occ. Thy., B. Mus. Music Health Australia

Definition Occupational Therapy Occupational therapists work with individuals throughout their life span in a wide variety of institutional, community-based and organisational settings involving broad ranging issues concerning their actual or potential occupational performance.

Occupational therapists work with individuals throughout their life span in a wide variety of institutional, community-based and organisational settings involving broad ranging issues concerning their actual or potential occupational performance.

Occupational Performance Consists of activities of daily living, education, work, play, leisure and social participation. Optimal occupational performance implies a balance among performance areas. Includes the objective, observable component (the behaviours associated with occupation) and the subjective, experiential component (the cognitive and affective experiences associated with these behaviours).

Consists of activities of daily living, education, work, play, leisure and social participation.

Optimal occupational performance implies a balance among performance areas.

Includes the objective, observable component (the behaviours associated with occupation) and the subjective, experiential component (the cognitive and affective experiences associated with these behaviours).

Person- environment -occupation model Mary Law et al.,1996 Modified by Kirkwood, 2008 PERSON (Performer/s) ENVIRONMENT (Socio-ecological context) OCCUPATION (Performance)

Occupational Performance Model Australia. Chapparo & Ranka 1996

Model of Human Occupation Gary Kielhofner “ Volition, habituation, performance capacity and environmental conditions always resonate together, creating conditions out of which our thoughts, feelings and behaviour emerge” (Kielhofner 2004).

“ Volition, habituation, performance capacity and environmental conditions always resonate together, creating conditions out of which our thoughts, feelings and behaviour emerge” (Kielhofner 2004).

Kawa model: Michael Iwama www.kawamodel.com Metaphor of river; occupation as life flow

Metaphor of river; occupation as life flow

Model of socio-ecological support Kirkwood, 2008 Personal Factors Intrapersonal Relationships Community Context Society Media, Policy

Socio-ecological model of performance health (Kirkwood, 2008) History Time & Develop- ment Cultural Context Intrapersonal relationships, politics . Social attitudes, beliefs & policy . Physical Environment & Access Personal Factors & QOL

MEASURING OCCUPATIONAL PERFORMANCE: M.Law et al, (eds) 2005. OCCUPATIONAL CIRCUMSTANCES ASSESSMENT INTERVIEW & RATING SCALE OCCUPATIONAL PERFORMANCE HISTORY INTERVIEW II THE CANADIAN OCCUPATIONAL PERFORMANCE MEASURE PERCEIVED EFFICACY AND GOAL SETTING SYSTEM (PEGS) OCCUPATIONAL SELF ASSESSMENT

Design, adapt, evaluate musical equipment & seating Symmetrical keyboard Concert basso stool

Access - modifications ACROD Access sub-committee on access and mobility

Equity & Access: Socio-cultural "Everyone has the right freely to participate in the cultural life of the community, to enjoy the arts and to share in scientific advancement and its benefits" (Article 27, Universal Declaration of Human Rights , UN, 1948). The National Aboriginal Health Strategy states that "health encompasses the social, emotional, spiritual and cultural well-being of the whole community."

"Everyone has the right freely to participate in the cultural life of the community, to enjoy the arts and to share in scientific advancement and its benefits" (Article 27, Universal Declaration of Human Rights , UN, 1948).

The National Aboriginal Health Strategy states that "health encompasses the social, emotional, spiritual and cultural well-being of the whole community."

Modified methods to optimise performance

Sensory modulation and musical development Neurological foundation of Dalcroze Music Education Sensory processing disorders Evaluating “Listening with the whole body” approach.

Neurological foundation of Dalcroze Music Education

Sensory processing disorders

Evaluating “Listening with the whole body” approach.

Advocacy and Autonomy Submission to Aboriginal & Torres Strait Islander Healing Foundation in response to Voices around the campfire: Establishing the A&TSI Healing Foundation. Education & workshops to raise awareness of health promotion and concept of “Health for all.” Inter-professional collaboration

Submission to Aboriginal & Torres Strait Islander Healing Foundation in response to Voices around the campfire: Establishing the A&TSI Healing Foundation.

Education & workshops to raise awareness of health promotion and concept of “Health for all.”

Inter-professional collaboration

Networking & Service development Music Health Australia www.musichealth.com.au Community music Music without borders Music performance Singing for good health Health promotion, workshops. Music Health Australia

Music Health Australia www.musichealth.com.au

Community music

Music without borders

Music performance

Singing for good health

Health promotion, workshops.

References Chapparo C. & Ranka, J. (1996) Occupational performance model (Australia) online at www.occupationalperformance.com Law M, Baum C, Dunn, W. (eds.) (2005) Measuring Occupational Performance . Thorofare, NJ : Slack. www.slackbooks.com Wilcock, A (2006) An occupational perspective on health. Thorofare, NJ: Slack.