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  • 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 4. C elebrate Our collective accomplishments 5. Celebrate:The pastHistoric Profession with Great Potential to Grow All photos courtesy of Brenda Head, Copyright Jessie Luther Papers Jessie Luther working in St. Anthonys community Workshop, 1908. Jessie Luther teaching basketry to a resident who is blind, 1908.Jessie Luther en route to St. Anthony 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 the 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

  • Our practice imperative

Client-centred enablement Human Occupation 10. 11. Celebrate: Our evolving Canadian perspective on occupation

  • From diversion

1919 - Wounded soldiers receiving occupational therapy 12. through therapeutic use 13.

  • to enabling occupation

14. Celebrate:Our evolving Canadianmodels 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 15. Celebrate:Our Canadian Model of Occupational Performance (CMOP) CAOT, 1997 16. Celebrate and be proud:CMOP now frames practice

  • Debbie Hebert ,Corporate Professional Leader andClinicalEducator (OT),Toronto Rehabilitation Institute,writes
  • Documentation both dictates and reflects practice
  • 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.
  • Now weve renovated our documentation to create anOccupational Performance Module.

17. Celebrate and be proud: CMOP now frames practice

  • Debbie continues.
  • This change was transformative
  • Enabling Occupation gave us the guidance to be the leaders in patient-centred goal setting
  • Now we are consideredan invaluable profession
  • Our colleagues now 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 and be proud: OurCOPM enables partnership

  • OurCanadian 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 and be proud:Our COPM in Slovenia 21. Celebrate and be proud:Our COPM around the world Countries where the COPM is used 22. Celebrate and be proud

  • Highest Uses of CMOP the model (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. C elebrate -> Be proud C hallenge Each other to go further 24. Challenge: Our present

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

25. Challenge our present:Beyond performance CanadianModel of Occupational Performance and Engagement 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) 27. Challenge our practice: Be daring

  • Therapists at(what once was)Sunnybrookand Womens challenged eachother to move tooccupation-based practice
  • Fran Aiken ,professional practice leader, writes.
  • I had always felt rooted to occupation as the basis of practice,but,I experienced disease-oriented health care and OT
  • We welcomed the 1997 Enabling Occupation guidelines as a way to initiate our journey

28. Challenge and be daring: Be occupation-based

  • They studied the effect and discovered
  • I think we always struggle with being true to our profession and being true to the program that we work in.
  • Resolvingthe meaning gap isapersonal journey
  • 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.


  • Challenge and be daring:enable occupation
  • At the level of
  • the group

30. Challenge and be daring:enable occupation At the level of society 31. Challenge and be daring: Contribute to society

  • 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 withEuropean 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.
  • Hanneke van Bruggen, Executive Director, ENOTHE (European Network of Occupational Therapy Educators) re European Values Study (EVS), 2004, & Tuning Project, 2008

32. Challenge and be daring: Naming Enablement 33. Challenge and be daring: Enable our own occupation

  • theory in enabling occupation helped me to see what occupational therapy is really about

Photo& quote courtesy of HiromiYosikawa, November 2009 34. Challenge and be daring: Enable our own occupation

  • we created a community of practice scholars who "road tested" the Enabling Occupation guidelines over the course of a year.

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) 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) 36. Challenge and be daring: Building new partnerships for practice

  • Family Health Teams
  • Legal services
  • Municipalities
  • School Boards

37. Challenge and be daring: Buildingevidence-based practice in partnership

  • Occupational therapists from three Vancouver region health districts worked with a knowledge broker and developed strategies to change practice in three areas:
      • cognitive screening
      • assessment of risk for skin breakdown
      • provision of wheeled mobility and seating equipment

38. Challenge and be daring: BuildingEvidence in Partnership

  • A resource to assist families in giving, getting, and organizing information about their child/youth with special needs