Caotkeynote2010april27 all

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Slides after our discussion today

Text of Caotkeynote2010april27 all

  • 1. From C to C to C: An Ocean of Possibilities Dr. Mary Law Dr. Helene Polatajko Dr. Elizabeth Townsend

2. 3. Celebrate Challenge Create 4. Celebrate Our collective accomplishments 5. Celebrate:the PastHistoric Profession with Great Potential to Grow Background Photo: Jessie Luther en route to St. Anthony. (Courtesy of Brenda Head, Copyright Jessie Luther Papers.) Jessie Luther working in St. Anthonys community Workshop, 1908. (Courtesy of Brenda Head. Copyright Grenfell Historical Society, p. 196). Jessie Luther teaching basketry to a resident who is blind, 1908.(Courtesy of Brenda Head, Copyright Grenfell Historical Society, p. 184). 6. Celebrate:our client centred guidelines

  • 13 Important Ways to Use the Guidelines for the Client-Centred Practice of Occupational Therapyby Thelma Gill
  • #1. The guidelines provide
  • a clear outline of the process
  • of O.T. which can be useful
  • in discussions with the
  • administrator of your
  • facility. . #13.
  • From Thelma Sumsions 1982 & 1983Series onGetting our Act Together and Putting it on the Road or Handling the Challenge of Change,NATIONAL, September 1984 , p. 12)

7. Celebrate: our client-centred practice 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 9. Celebrate: our Client-centred occupational focus

  • The occupational imperative
  • Regardless of the perspective

Client-centred Human Occupation 10. 11. Celebrate:our Canadian Model of Occupational Performance (CMOP) Original Occupational Performance Model (Adapted from Reed and Sanderson, 1980) Performance components Areas of occupational performance Adapted from Reed and Sanderson, 1980 THE INDIVIDUAL spiritual physical mental socio-cultural SOCIAL ENVIRON-MENT productivity self care leisure ENVIRONMENT (social, physical, cultural) CULTURAL ENVIRON-MENT PHYSICAL ENVIRONMENT 12. Celebrate:our CMOP CAOT, 1997 13. Celebrate: our evolving Canadian perspective on occupation

  • From divergence

14. through therapeutic use 15.

  • to enabling occupation
  • At the level of the individual

16. Celebrate and be proud:CMOP Now used to frame our practice

  • Debbie Hebert of the Toronto Rehabilitation Institute writes
  • Prior to the Enabling I publication, our OT documentation reflected a very medical model, impairment based type of assessment processt here was nothing really occupation based about this form! Other professions such as nursing and physiotherapy might have filled out this assessment form as well as us.
  • One day, we were reflecting on how documentation both dictates and reflects practice. Our documentation was dictating something that did not reflect how occupational therapists work with clients
  • We renovated the initial assessment document and called it the Occupational Performance Module.

17. Celebrate and be proud:CMOP Now used to frame our practice

  • Debbie Hebert continues
  • This change was transformative
    • with respect to how we were practicing and how our teams regarded our input.
  • The Enabling Occupation document gave us the guidance and validation to be theleaders in patient centred goal settingat our hospital
  • Now we are mostly considered asan invaluable professionfor our knowledge of helping our clients articulate their goals and evaluating how safely our clients perform their needed and desired occupations.
  • It is nice to now hear our colleagues say
  • I wish I were an OT rather than What do OTs do?

18. Celebrate and Be proud CMOP Internationally lauded Your work hassuch international significance,it has suchprofessional significance and tome it has such personal significance as itgave me the structure to build my sciencethat 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 19. Celebrate: our Canadian Occupational Performance Measure (COPM)

  • Enables meaningful participation in the occupational therapy process through:
      • identifying occupational performance problems
      • evaluating performance and satisfaction in these occupations
      • measuring change in perception of occupational performance

20. Celebrate: COPM - Slovenia 21. Celebrate and Be proud COPM around the world Countries where the COPM is used 22. Celebrate and Be Proud

  • Highest Uses of CMOP (1993 Canadian Survey)
    • Assessing
    • Educating others
    • Explaining the profession to others
  • Sales over 10 years (1999 Sep. 2009)
  • COPM manuals: 11,542
  • Enabling I (1997, 2002): 13,623 (French and English)
  • Enabling II (2007): 4186 (French and English)

23. Celebrate -> Be proud Challenge Each other to go further 24. Challenge the Present: go further

  • Enabling II: Advancing OT vision for health, well-being & justice through occupation
  • Occupation-based practice
  • Beyond performance
  • Beyond disability

25. Challenge:Canadian Model of Occupational Performance AND Engagement- occupation as our focus 26. Challenge: our scope and go further

  • Individuals with impairments
  • Individuals with occupational performance issues (OPIs)
  • Individuals, families, groups, organizations, communities or populations with OPIs or potential OPIs
  • The human population
  • Impairment reduction
  • Adaptation(P, O, E)
  • Accommodation (E)
  • Skill acquisition (P)
  • Social reconstruction(O,E)
  • Health and well-being
  • Occupational enablement

1 2 3 4 7 2 3 1 6 4 5 27. Challenge: ourpracticeand go further

  • Sunnybrook Health Sciences Centre OTs journey toward occupation-based practice:
  • Initiated in 2003 and kept alive by the professional practice leader Fran Aiken

28. Challenge: our practiceand go further

  • Sunnybrook Health Sciences Centre OTs journey toward occupation-based practice:
  • Fran Aiken writes
  • I have always felt rooted to occupation as the basis of practice.BUT -I experienced first-hand the move to increasingly disease-oriented health care and found that even my OT colleagues devalued activity-oriented interventions. THUS, it was with open arms that I welcomed the 1997 Enabling Occupation guidelines

29. Challenge: our practice and go further

  • Fran as the Centres Professional Leaderused occupation-based practice as a unifying concept for the newly amalgamated Occupational Therapy service
  • Over the years, Fran and her colleagues incorporated a series of knowledge building exercises (through large professional group workshops and retreats), as well as one-on-one individual reflective practice exercisesall related tooccupation-based practice .
  • And then they studied the effect

30. Challenge: Be DaringOccupation-based practice

  • The Question : How do OTs at S&W incorporate an occupational view of health in the context of their clinical practice on a day-to-day basis?
  • Our Long-term goal : To contribute to the understanding of occupation and thus develop methods of helping people
  • Interesting findings :The meaning GAP

31. Challenge: Be Daring

  • The meaning GAP
  • When there is incongruence between how therapists believe occupational therapy should be practiced in an ideal world and how they actually do practice in the real world, they experience a meaning gap.
  • Well, again I think wealways struggle with being true to our profession and yet being true to the programmethat we work in. And very often I think it's hard to say that I've been able to balance both in my clinical practice.

32. Be Daring: Occupation-based practice

  • The meaning GAP
  • Theprocessof resolving the meaning gap between ideal and actual practice isa personal journey .The search for meaning facilitates apersonal sense of occupation that guides practice .
  • Those who bridge the gap have specific stories aboutco-creating meaningand how thatmeaning transforms their practice .
  • its your individual sense of occupation that sort of guides you.

33. Be Daring: Occupation-based practice

  • The meaning GAP
  • Therapists who highly value occupation and see the potential for client occupational engagement in their daily roles are