caot opening keynote final may 24 noon

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

Dr. Mary LawDr. Mary Law

Dr. Helene PolatajkoDr. Helene Polatajko

Dr. Elizabeth TownsendDr. Elizabeth Townsend

CCelebrateelebrateCChallenghallengee

CCreatereate

Celebrate

Our collective accomplishments

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

Celebrate: Our client- centred guidelines13 Important Ways to Use the Guidelines for the Client-Centred Practice of Occupational Therapy by Thelma Gill

#1. The guidelines providea clear outline of the processof O.T. which can be usefulin discussions with theadministrator of yourfacility. #13.

From the 1982 & 1983 Series on From the 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. , p. 12.12.

Celebrate: Our client-centred practice

Celebrate: Our client-centred practice 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

Celebrate: Our client-centred occupational focus

Our practice imperative

Client-centred

enablement

Human Occupation

Celebrate: Our evolving Canadian perspective on occupation

From divergence…

1919 - Wounded soldiers receiving occupational therapy

through therapeutic use …

to enabling occupation…

Celebrate: Our first Canadian Occupational Performance Model

THE INDIVIDUAL

spiritual

physical

mental

socio-cultural

SOCIALENVIRON-MENT

productivity

self care

leisure

ENVIRONMENT(social, physical, cultural)

CULTURALENVIRON-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

DNHW, 1983

Celebrate: Our Canadian Model of Occupational Performance (CMOP)

CAOT, 1997

Celebrate and be proud: CMOP now frames practice

Debbie Hebert, Corporate Professional Leader and Clinical Educator (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 we’ve renovated our documentation to create an “Occupational Performance Module”.

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 considered an invaluable profession

Our colleagues now say…

“I wish I were an OT” rather than “What do OTs do?”

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

Celebrate and be proud: Our COPM enables partnership

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

Celebrate and be proud: Our COPM in Slovenia

Celebrate and be proud: Our COPM around the world

Countries where the COPM is used

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)

Celebrate -> Be proud

ChallengeEach other to go further

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

Challenge our present: Challenge our present: Beyond performance

Canadian Model of Occupational Performance and Engagement

Challenge our present: Challenge our present: beyond …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)

Challenge our practice:Challenge our practice:

Be daringBe daring Therapists at (what once was) Sunnybrook and Women’s challenged each other to move to occupation-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

Challenge and be Challenge and be daring: Be occupation-daring: Be occupation-based based

They studied the effect and discovered…They studied the effect and discovered…

A MEANING GAP: I think we always struggle with being true to our profession and being true to the program that we

work in.

Resolving the meaning gap is a personal 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 occupationenable occupation

At the level of …

the group

Challenge and be daring: enable enable occupationoccupation

At the level of …

society

Challenge and be daring: Contribute to societyThe 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.

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

Challenge and be daring: Naming Enablement

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 Hiromi Yosikawa, November 2009

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)

“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)

Challenge and be daring: Enable our own occupation

Challenge and be daring: Building new partnerships for practice

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

Challenge and be daring: Building evidence-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 screeningassessment of risk for skin breakdownprovision of wheeled mobility and

seating equipment

Challenge and be daring: Building Evidence in

Partnership

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

Celebrate -> Be proudChallenge -> Be daring

CreateMeaningful occupation for

all

Create: Meaningful occupation for all

“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.

Create meaningful occupation for all: Be the difference

Martha NussbaumAmerican

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)

Create: Be the difference

Imagine if……….

… be the difference

Imagine if……….

… be the difference

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)

Imagine if……….

A Visionary Occupational Therapy Council of Canada?

… be the difference

Celebrate -> Be proud

Challenge -> Be daring

Create -> Be the difference

From ‘C’ to ‘C’ to ‘C’

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 You

Merci