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Caotopeningkeynotefinalmay24noon 100524111618-phpapp01-hp3


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Caotopeningkeynotefinalmay24noon 100524111618-phpapp01-hp3

  1. 1. From ‘C’ to ‘C’ to ‘C’: An Ocean of Possibilities Dr. Mary Law Dr. Helene Polatajko Dr. Elizabeth Townsend
  2. 3. C elebrate C hallenge C reate
  3. 4. C elebrate Our collective accomplishments
  4. 5. Celebrate: The past Historic Profession with Great Potential to Grow All photos courtesy of Brenda Head, Copyright © Jessie Luther Papers Jessie Luther working in St. Anthony’s community Workshop, 1908. Jessie Luther teaching basketry to a resident who is blind, 1908. Jessie Luther en route to St. Anthony
  5. 6. Celebrate: Our client- centred guidelines <ul><li>13 Important Ways to Use the Guidelines for the Client-Centred Practice of Occupational Therapy by Thelma Gill </li></ul><ul><li>#1. The guidelines provide </li></ul><ul><li>a clear outline of the process </li></ul><ul><li>of O.T. which can be useful </li></ul><ul><li>in discussions with the </li></ul><ul><li>administrator of your </li></ul><ul><li>facility. #13. </li></ul><ul><li>From the 1982 & 1983 Series on “Getting our Act Together and Putting it on the Road … or Handling the Challenge of Change” , NATIONAL, September 1984 , p. 12. </li></ul>
  6. 7. Celebrate: Our client-centred practice
  7. 8. Celebrate: Our client-centred practice of enabling occupation “ What is this important publication and valuable addition to your professional library?” Angela Naugle, Member, CAOT Client-Centred Practice Committee. National, The Newsletter of the Canadian Association of Occupational Therapists, May / June 1997 , 14 (6), p. 1
  8. 9. Celebrate: Our client-centred occupational focus <ul><li>Our practice imperative </li></ul>Client-centred enablement Human Occupation
  9. 11. Celebrate: Our evolving Canadian perspective on occupation <ul><li>From diversion… </li></ul>1919 - Wounded soldiers receiving occupational therapy
  10. 12. through therapeutic use …
  11. 13. <ul><li>to enabling occupation… </li></ul>
  12. 14. Celebrate: Our evolving Canadian models from… DNHW, 1983 THE INDIVIDUAL spiritual  physical  mental  socio-cultural  SOCIAL ENVIRON-MENT productivity  self care  leisure  ENVIRONMENT (social, physical, cultural) CULTURAL ENVIRON-MENT PHYSICAL ENVIRONMENT Original Occupational Performance Model (Adapted from Reed and Sanderson, 1980)  Performance components  Areas of occupational performance  Adapted from Reed and Sanderson, 1980
  13. 15. Celebrate: Our Canadian Model of Occupational Performance (CMOP) CAOT, 1997
  14. 16. Celebrate and be proud: CMOP now frames practice <ul><li>Debbie Hebert , Corporate Professional Leader and Clinical Educator (OT), Toronto Rehabilitation Institute, writes… </li></ul><ul><li>Documentation both dictates and reflects practice </li></ul><ul><li>Prior to the Enabling I publication, our OT documentation reflected a very medical model, impairment-based type of assessment ……. nursing and physiotherapy might easily have filled this assessment form out as well as OT. </li></ul><ul><li>Now we’ve renovated our documentation to create an “Occupational Performance Module”. </li></ul>
  15. 17. Celebrate and be proud: CMOP now frames practice <ul><li>Debbie continues…. </li></ul><ul><li>This change was transformative </li></ul><ul><li>Enabling Occupation gave us the guidance to be the leaders in patient-centred goal setting </li></ul><ul><li>Now we are considered an invaluable profession </li></ul><ul><li>Our colleagues now say… </li></ul><ul><li>“ I wish I were an OT” rather than “What do OTs do?” </li></ul>
  16. 18. Celebrate and be proud: CMOP internationally lauded Your work has such international significance, it has such professional significance and to me it has such personal significance as it gave me the structure to build my science that has always had the focus to improve the lives of those with or threatened with disabling conditions. … it has involved and it has influenced so many therapists, scientists, educators and clients that have been served. Congratulations to all Canadians for your vision, your work and your commitment. Dr. C. Baum, 2010 AOTA Past President
  17. 19. Celebrate and be proud: Our COPM enables partnership <ul><li>Our Canadian Occupational Performance Measure (COPM) enables meaningful participation in the occupational therapy process through: </li></ul><ul><ul><ul><li>identifying occupational performance problems </li></ul></ul></ul><ul><ul><ul><li>evaluating performance and satisfaction in these occupations </li></ul></ul></ul><ul><ul><ul><li>measuring change in perception of occupational performance </li></ul></ul></ul>
  18. 20. Celebrate and be proud: Our COPM in Slovenia
  19. 21. Celebrate and be proud: Our COPM around the world  Countries where the COPM is used
  20. 22. Celebrate and be proud <ul><li>Highest Uses of CMOP – the model (1993 Canadian Survey) </li></ul><ul><ul><li>Assessing </li></ul></ul><ul><ul><li>Educating others </li></ul></ul><ul><ul><li>Explaining the profession to others </li></ul></ul><ul><li>Sales over 10 years (1999 – Sep. 2009) </li></ul><ul><li>COPM manuals: 11,542 </li></ul><ul><li>Enabling I (1997, 2002): 13,623 (French and English) </li></ul><ul><li>Enabling II (2007): 4186  (French and English) </li></ul>
  21. 23. C elebrate -> Be proud C hallenge Each other to go further
  22. 24. Challenge: Our present <ul><li>Go further … </li></ul><ul><li>Enabling II: Advancing an OT vision for health, well-being & justice through occupation </li></ul><ul><li>Occupation-based practice … </li></ul><ul><li>Beyond performance </li></ul><ul><li>Beyond disability </li></ul>
  23. 25. Challenge our present: Beyond performance Canadian Model of Occupational Performance and Engagement
  24. 26. Challenge our present: beyond … Impairment reduction New York Times: “occupational therapists have taken their place — the army that often stands behind academically successful students. (February 24, 2010) (Clark et al)
  25. 27. Challenge our practice: Be daring <ul><li>Therapists at (what once was) Sunnybrook and Women’s challenged each other to move to occupation-based practice </li></ul><ul><li> </li></ul><ul><li>Fran Aiken , professional practice leader, writes…. </li></ul><ul><li>I had always felt rooted to occupation as the basis of practice, but, I experienced ‘disease-oriented’ health care and OT </li></ul><ul><li>We welcomed the 1997 Enabling Occupation guidelines as a way to initiate our journey </li></ul>
  26. 28. Challenge and be daring: Be occupation-based <ul><li>They studied the effect and discovered… </li></ul><ul><li>A MEANING GAP : </li></ul><ul><li>I think we always struggle with being true to our profession and being true to the program that we work in. </li></ul><ul><li>Resolving the meaning gap is a personal journey </li></ul><ul><li>Therapists who highly value occupation and see the potential for client occupational engagement in their daily roles are enthusiastic therapists, who derive personal meaning and satisfaction within their own occupation, despite other challenges in their work environment. </li></ul>
  27. 29. <ul><li>Challenge and be daring: enable occupation </li></ul><ul><li>At the level of … </li></ul><ul><li>the group </li></ul>
  28. 30. Challenge and be daring: enable occupation At the level of … society
  29. 31. Challenge and be daring: Contribute to society <ul><li>The Canadian guidelines for client-centred practice and enabling occupation have had a great impact in Europe because these concepts match very well with the European values like freedom, democracy, equality, human dignity and solidarity and with European Social Policy … clients say: OT works too often only with the individual and this is a pity since they have much to contribute on a society level. </li></ul><ul><li>Hanneke van Bruggen, Executive Director, ENOTHE (European Network of Occupational Therapy Educators) re European Values Study (EVS), 2004, & Tuning Project, 2008 </li></ul>
  30. 32. Challenge and be daring: Naming Enablement
  31. 33. Challenge and be daring: Enable our own occupation <ul><li>“ theory in enabling occupation helped me to see what occupational therapy is really about” </li></ul>Photo & quote courtesy of Hiromi Yosikawa, November 2009
  32. 34. Challenge and be daring: Enable our own occupation <ul><li>“… we created a community of practice scholars who &quot;road tested&quot; the Enabling Occupation guidelines over the course of a year.” </li></ul>Australian Practice Scholar Group (2008) Members came from diverse practice contexts - including in an indigenous community in the central desert, to a youth focussed mental health outreach service in a large city. with permission G. Whiteford(G. Whiteford)
  33. 35. Challenge and be daring: Enable our own occupation “ My inclusion in this practice scholars research came at a time I felt I was drifting away from the core beliefs and values of Occupational Therapy. “ (Lauren, co researcher in the Australian project)
  34. 36. Challenge and be daring: Building new partnerships for practice <ul><li>Family Health Teams </li></ul><ul><li>Legal services </li></ul><ul><li>Municipalities </li></ul><ul><li>School Boards </li></ul>
  35. 37. Challenge and be daring: Building evidence-based practice in partnership <ul><li>Occupational therapists from three Vancouver region health districts worked with a knowledge broker and developed strategies to change practice in three areas: </li></ul><ul><ul><ul><li>cognitive screening </li></ul></ul></ul><ul><ul><ul><li>assessment of risk for skin breakdown </li></ul></ul></ul><ul><ul><ul><li>provision of wheeled mobility and seating equipment </li></ul></ul></ul>
  36. 38. Challenge and be daring: Building Evidence in Partnership <ul><li>A resource to assist families in giving, getting, and organizing information about their child/youth with special needs </li></ul>
  37. 39. C elebrate -> Be proud C hallenge -> Be daring C reate Meaningful occupation for all
  38. 40. Create: Meaningful occupation for all <ul><li>“ Occupational therapists are in the business of helping people to transform their lives through enabling them to do and to be. We are part of their process of becoming and we should constantly bear in mind the importance of this task.” </li></ul><ul><li>Wilcock, 1998 </li></ul>
  39. 41. Create m eaningful occupation for all : Be the difference “ We make our world significant by the courage of our questions and by the depth of our answers . . .” Sagan, C. (1973). The cosmic connection. New York: Anchor Press, p. 193.
  40. 42. Create: Be the difference Martha Nussbaum American Philosopher “ The capabilities approach … simply specifies some necessary conditions for a decently just society, in the form of a set of fundamental entitlements of all citizens” (2006)
  41. 43. Imagine if………. … be the difference
  42. 44. Imagine if………. … be the difference
  43. 45. Imagine if………. The assessment of development cannot be divorced from the lives that people can lead and the real freedom they enjoy (Sen 2009, p. 346) … be the difference
  44. 46. Imagine if………. A Visionary Occupational Therapy Council of Canada? … be the difference
  45. 47. C elebrate -> Be proud C hallenge -> Be daring C reate -> Be the difference From ‘C’ to ‘C’ to ‘C’
  46. 48. Never doubt that a small group of thoughtful, committed citizens can change the world. Indeed, it is the only thing that ever has. Margaret Mead
  47. 49. Thank You Merci