Socio-ecological perspectives of performance health: Optimizing function within an environmental context.

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Socio-ecological perspectives of performance health: Optimizing function within an environmental context.

  1. 1. Socio-ecological perspectives of performance health: Optimizing function within an environmental context. Sandra Kirkwood, B.Occ. Thy., B. Mus. Music Health Australia
  2. 2. Definition Occupational Therapy <ul><li>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. </li></ul>
  3. 3. Occupational Performance <ul><li>Consists of activities of daily living, education, work, play, leisure and social participation. </li></ul><ul><li>Optimal occupational performance implies a balance among performance areas. </li></ul><ul><li>Includes the objective, observable component (the behaviours associated with occupation) and the subjective, experiential component (the cognitive and affective experiences associated with these behaviours). </li></ul>
  4. 4. Person- environment -occupation model Mary Law et al.,1996 Modified by Kirkwood, 2008 PERSON (Performer/s) ENVIRONMENT (Socio-ecological context) OCCUPATION (Performance)
  5. 5. Occupational Performance Model Australia. Chapparo & Ranka 1996
  6. 6. Model of Human Occupation Gary Kielhofner <ul><li>“ Volition, habituation, performance capacity and environmental conditions always resonate together, creating conditions out of which our thoughts, feelings and behaviour emerge” (Kielhofner 2004). </li></ul>
  7. 7. Kawa model: Michael Iwama www.kawamodel.com <ul><li>Metaphor of river; occupation as life flow </li></ul>
  8. 8. Model of socio-ecological support Kirkwood, 2008 Personal Factors Intrapersonal Relationships Community Context Society Media, Policy
  9. 9. 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
  10. 10. 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
  11. 11. Design, adapt, evaluate musical equipment & seating Symmetrical keyboard Concert basso stool
  12. 12. Access - modifications ACROD Access sub-committee on access and mobility
  13. 13. Equity & Access: Socio-cultural <ul><li>&quot;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&quot; (Article 27,  Universal Declaration of Human Rights , UN, 1948). </li></ul><ul><li>The National Aboriginal Health Strategy states that &quot;health encompasses the social, emotional, spiritual and cultural well-being of the whole community.&quot; </li></ul>
  14. 14. Modified methods to optimise performance
  15. 15. Sensory modulation and musical development <ul><li>Neurological foundation of Dalcroze Music Education </li></ul><ul><li>Sensory processing disorders </li></ul><ul><li>Evaluating “Listening with the whole body” approach. </li></ul>
  16. 16. Advocacy and Autonomy <ul><li>Submission to Aboriginal & Torres Strait Islander Healing Foundation in response to Voices around the campfire: Establishing the A&TSI Healing Foundation. </li></ul><ul><li>Education & workshops to raise awareness of health promotion and concept of “Health for all.” </li></ul><ul><li>Inter-professional collaboration </li></ul>
  17. 17. Networking & Service development <ul><li>Music Health Australia www.musichealth.com.au </li></ul><ul><li>Community music </li></ul><ul><li>Music without borders </li></ul><ul><li>Music performance </li></ul><ul><li>Singing for good health </li></ul><ul><li>Health promotion, workshops. </li></ul>Music Health Australia
  18. 18. 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.

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