From ‘C’ to ‘C’ to ‘C’:From ‘C’ to ‘C’ to ‘C’:An Ocean of An Ocean of PossibilitiesPossibilities

Dr. Mary LawDr. Mary Law

Dr. Helene PolatajkoDr. Helene Polatajko

Dr. Elizabeth TownsendDr. Elizabeth Townsend

CelebrateCelebrateChallengChallengee

CreateCreate

Celebrating the Past -> Be Celebrating the Past -> Be proudproud

Historic Profession with Great Potential to GrowBackground Photo: Jessie Luther en route to St. Anthony. (Courtesy of Brenda Head, Copyright © Jessie Luther Papers.)

Jessie Luther working in St. Anthony’s 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).

Be proud – client centered Be proud – client centered practicepractice

13 Important Ways to Use the Guidelines for 13 Important Ways to Use the Guidelines for the Client-Centred Practice of Occupational the Client-Centred Practice of Occupational Therapy Therapy by Thelma Gillby Thelma Gill

#1. The guidelines provide#1. The guidelines providea clear outline of the processa clear outline of the processof O.T. which can be usefulof O.T. which can be usefulin discussions with thein discussions with theadministrator of youradministrator of yourfacility. ……….… #13.facility. ……….… #13.

From Thelma Sumsion’s 1982 & 1983 Series on From Thelma Sumsion’s 1982 & 1983 Series on “Getting our Act Together and Putting it on the “Getting our Act Together and Putting it on the Road … or Handling the Challenge of Change” Road … or Handling the Challenge of Change” , , NATIONAL, September 1984NATIONAL, September 1984, p. 12), p. 12)

Be proud – client-centred Be proud – client-centred practicepractice

““8:00 p.m. Meeting8:00 p.m. Meetingconvened at the homeconvened at the homeof Lori (Multari, NSof Lori (Multari, NSCAOT Board Member,CAOT Board Member,using candles in powerusing candles in poweroutage] Light beamedoutage] Light beamedsteadily on the editorialsteadily on the editorialwork of the 1991 Edition…work of the 1991 Edition…Tea and muffins wereTea and muffins wereserved”served”

Shedding Light on the Work of CAOT (NATIONAL, July 1991, p. 6)Shedding Light on the Work of CAOT (NATIONAL, July 1991, p. 6)

The Evolving Canadian The Evolving Canadian PerspectivePerspective

From divergenceFrom divergence

through therapeutic use …

to enabling to enabling occupationoccupation

……

At the level of At the level of … the … the

individualindividual

Be proud – Client-Centred Be proud – Client-Centred Practice of Enabling OccupationPractice of Enabling Occupation

“What is this important publication and valuable addition to your professional library?”

Angela Naugle, Member, CAOTClient-Centred Practice Committee.

National, The Newsletter of theCanadian Association ofOccupational Therapists, May / June 1997, 14(6), p. 1

SOCIALENVIRON-MENT

THE INDIVIDUAL

spiritual physical

mental socio-cultural

productivity

self care leisure

ENVIRONMENT(social, physical, cultural)

CULTURALENVIRON-MENT

PHYSICAL ENVIRONMENT

Original Occupational Performance Model

Be Proud: Canadian Model of Occupational Performance (CMOP)

Performance components Areas of occupational performance Adapted from Reed and Sanderson, 1980

Figure 1:Interacting Elements of the Individual in a Model of Occupational Performance

Be Proud: Canadian Model of Occupational Performance (CMOP)

Be Proud - CMOPBe Proud - CMOP

1993 Canadian SurveyHighest Uses of CMOP

Assessing Educating others Explaining the profession to others

Impact Evaluations

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)

Be Proud: CMOPBe Proud: CMOP

OCCupation, now used to frame OCCupation, now used to frame ourselvesourselves

CAOT membership profileCAOT membership profile

Be Proud: CMOPBe Proud: CMOP

Now used to frame our practiceNow used to frame our practice

TRI documentation exampleTRI documentation example

Be proud – CMOPBe proud – CMOP

Your work has such Your work has such international significance international significance …Everything has a …Everything has a temporal order, your temporal order, your groundbreaking work had groundbreaking work had and has a temporal order and has a temporal order of high magnitude- and it of high magnitude- and it has involved and it has has involved and it has influenced so many influenced so many therapists, scientists, therapists, scientists, educators and clients that educators and clients that have been served….have been served….

Carolyn Baum, Former President, American Carolyn Baum, Former President, American Occupational Therapy AssociationOccupational Therapy Association

… … I just pulled the

I just pulled the

guidelines off my

guidelines off my

shelf- The 83, 86 and

shelf- The 83, 86 and

87 guidelines are

87 guidelines are

dog-eared with notes

dog-eared with notes

everywhere.

everywhere.

Be Proud - 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

Be Proud - COPM

Countries where the COPM is used

COPM - Slovenia

Challenging the Present, Challenging the Present, be be daringdaring

Maybe here we could start with Maybe here we could start with the new guidelines and a practice the new guidelines and a practice focused on enabling occupation focused on enabling occupation very specificallyvery specifically

So replacing the old cover in the So replacing the old cover in the next several slides with the newnext several slides with the new

Be Proud: Canadian Model of Be Proud: Canadian Model of

Occupational PerformanceOccupational Performance Graphic of the new modelGraphic of the new model

Maybe we should, add this to the Maybe we should, add this to the be daring section in terms of be daring section in terms of expanidng our focusexpanidng our focus

Be Daring: Reframing Be Daring: Reframing your Practiceyour Practice Occupation-based enablement Occupation-based enablement For person to populationFor person to population

Be daringBe daring

The Canadian guidelines for client-centred The Canadian guidelines for client-centred practice and enabling occupation have practice and enabling occupation have had a great impact in Europe because had a great impact in Europe because these concepts match very well with the these concepts match very well with the European values like freedom, democracy, European values like freedom, democracy, equality, human dignity and solidarity and equality, human dignity and solidarity and with European Social Policy … clients with European Social Policy … clients say : OT works too often only with the say : OT works too often only with the individual and this is a pity since they individual and this is a pity since they have much to contribute on society level.have much to contribute on society level.

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

to enabling to enabling occupationoccupation

At the level of At the level of … the group… the group

to enabling occupation

At the level of … society

Be Daring: Enabling Be Daring: Enabling OccupationOccupation

The Sunnybrook story on the The Sunnybrook story on the meaning GAPmeaning GAP

Be Daring: Building Be Daring: Building New Partnerships for New Partnerships for PracticePractice

Family Health TeamsFamily Health Teams Legal servicesLegal services MunicipalitiesMunicipalities School Boards School Boards

Be Daring: Building Be Daring: Building Evidence-based Practice in Evidence-based Practice in PartnershipPartnership Occupational therapists from three Occupational therapists from three

Vancouver region health districtsVancouver region health districts Worked with a knowledge broker Worked with a knowledge broker

and developed strategies to and developed strategies to change practice in three areas:change practice in three areas:

cognitive screeningcognitive screening assessment of risk for skin breakdownassessment of risk for skin breakdown provision of wheeled mobility and seating provision of wheeled mobility and seating

equipmentequipment

Be Daring: Building Be Daring: Building Evidence in PartnershipEvidence in Partnership

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

Be daring – Be daring – Naming Naming EnablementEnablement

Be daring: Naming Enablement in Be daring: Naming Enablement in Enabling OccupationEnabling Occupation

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

Photo & quote courtesy of Hiromi Yosikawa, November 2009

Be daring: Enable our own Be daring: Enable our own occupationoccupation

Members came from Members came from diverse practice contexts - diverse practice contexts - including in an indigenous including in an indigenous community in the central community in the central desert, to a youth desert, to a youth focussed mental health focussed mental health outreach service in a outreach service in a large city. (G. Whiteford)large city. (G. Whiteford)

Australian Practice Scholar Group 2008

by permission G. Whiteford… we created a community of practice

scholars who "road tested" the Enabling Occupation guidelines over the course of a

year.

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 inthe Australian project)

Be daring: Enable our own Be daring: Enable our own occupationoccupation

Creating the Future, be the difference

“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.”

Wilcock, 1998

‘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: AnchorPress, p. 193.

Creating the Future, Creating the Future, be the be the differencedifference

Yet the ability of a Yet the ability of a civilization to survive civilization to survive

and grow lies in its and grow lies in its ability to describe ability to describe

itself itself (Saul, 2009, p. 21).(Saul, 2009, p. 21).

John Ralson SaulJohn Ralson SaulPond Inlet, Baffin Island, 2005

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)

Imagine if……….Imagine if……….

"You spend their young lives trying to "You spend their young lives trying to get them ready for the world and get them ready for the world and when the time comes, the world when the time comes, the world isn't ready for them. So we have to isn't ready for them. So we have to find a way to do it."find a way to do it."

- parent of a child with a - parent of a child with a disability disability

Imagine if……….Imagine if……….

HeleneHelene

Imagine if……….Imagine if……….

HeleneHelene

Imagine if……….Imagine if……….

A Visionary Occupational Therapy Council of Canada?

Imagine if……….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

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

Thank YouMerci