Socio-ecological Socio-ecological perspectives of perspectives of

performance health: performance health: Optimizing function Optimizing function

within an environmental within an environmental context.context.

Sandra Kirkwood, Sandra Kirkwood,

B.Occ. Thy., B. Mus.B.Occ. Thy., B. Mus.

Definition Occupational Definition Occupational TherapyTherapy

Occupational therapists work with Occupational therapists work with individuals throughout their life individuals throughout their life span in a wide variety of span in a wide variety of institutional, community-based institutional, community-based and organisational settings and organisational settings involving broad ranging issues involving broad ranging issues concerning their actual or concerning their actual or potential occupational potential occupational performance.performance.

Occupational Occupational PerformancePerformance

Consists of activities of daily living, Consists of activities of daily living, education, work, play, leisure and education, work, play, leisure and social participation.social participation.

Optimal occupational performance Optimal occupational performance implies a balance among performance implies a balance among performance areas. areas.

Includes the objective, observable Includes the objective, observable component (the behaviours component (the behaviours associated with occupation) and the associated with occupation) and the subjective, experiential component subjective, experiential component (the cognitive and affective (the cognitive and affective experiences associated with these experiences associated with these behaviours).behaviours).

Person-environment-occupation model Mary Law et al.,1996

PERSON (Performer/s)

ENVIRONMENT (Socio-ecological

context)OCCUPATION(Performance)

Modified by Kirkwood, 2008

Occupational Performance Occupational Performance Model Australia. Model Australia. Chapparo & Chapparo &

Ranka 1996Ranka 1996

Model of Human Model of Human OccupationOccupation

Gary KielhofnerGary Kielhofner“Volition,

habituation, performance capacity and environmental conditions always resonate together, creating conditions out of which our thoughts, feelings and behaviour emerge” (Kielhofner 2004).

Kawa model: Michael Kawa model: Michael Iwama Iwama

www.kawamodel.comwww.kawamodel.com Metaphor of river; occupation as life Metaphor of river; occupation as life

flowflow

Model of socio-ecological Model of socio-ecological supportsupport

PersonalFactors

Intrapersonal Relationships

Community Context

Society

Media, Policy

Kirkwood, 2008Kirkwood, 2008

Socio-ecological model of Socio-ecological model of performance health performance health (Kirkwood, (Kirkwood,

2008)2008)

HistoryTime &Develop-ment

Cultural Context

Intrapersonalrelationships, politics.

Social attitudes, beliefs &policy.

PhysicalEnvironment& Access

Personal Factors& QOL

MEASURING OCCUPATIONAL PERFORMANCE: M.Law et al, (eds) 2005.

OCCUPATIONAL SELF ASSESSMENT

PERCEIVED EFFICACY AND GOAL SETTING SYSTEM (PEGS)

THE CANADIAN OCCUPATIONAL PERFORMANCE MEASURE

OCCUPATIONAL PERFORMANCE HISTORY INTERVIEW II

OCCUPATIONAL CIRCUMSTANCES ASSESSMENT INTERVIEW & RATING SCALE

Design, adapt, evaluate Design, adapt, evaluate musical equipment & musical equipment &

seatingseating

Symmetrical keyboardSymmetrical keyboard

Concert basso stoolConcert basso stool

Access - modificationsAccess - modifications

ACROD Access sub-committee on access and mobilityACROD Access sub-committee on access and mobility

Equity & Access: Socio-Equity & Access: Socio-cultural cultural

"Everyone has the right freely to "Everyone has the right freely to participate in the cultural life of the participate in the cultural life of the community, to enjoy the arts and to share community, to enjoy the arts and to share in scientific advancement and its benefits" in scientific advancement and its benefits" (Article 27, (Article 27, Universal Declaration of Human RightsUniversal Declaration of Human Rights, UN, , UN,

1948).1948).

The National Aboriginal Health StrategyThe National Aboriginal Health Strategy states that "health encompasses the states that "health encompasses the social, emotional, spiritual and cultural social, emotional, spiritual and cultural well-being of the whole community." well-being of the whole community."

Modified methods to Modified methods to optimise performanceoptimise performance

Sensory modulation and Sensory modulation and musical developmentmusical development

Neurological Neurological foundation of foundation of Dalcroze Music Dalcroze Music EducationEducation

Sensory processing Sensory processing disordersdisorders

Evaluating Evaluating “Listening with the “Listening with the whole body” whole body” approach.approach.

Advocacy and AutonomyAdvocacy and Autonomy

Submission to Aboriginal & Torres Submission to Aboriginal & Torres Strait Islander Healing Foundation in Strait Islander Healing Foundation in response to response to Voices around the Voices around the campfire: Establishing the A&TSI campfire: Establishing the A&TSI Healing Foundation.Healing Foundation.

Education & workshops to raise Education & workshops to raise awareness of health promotion and awareness of health promotion and concept of “Health for all.” concept of “Health for all.”

Inter-professional collaborationInter-professional collaboration

Networking & Service Networking & Service developmentdevelopment

Music Health Australia www.musichealth.com.au

Community musicCommunity music Music without bordersMusic without borders Music performanceMusic performance Singing for good healthSinging for good health Health promotion, workshops.Health promotion, workshops.

ReferencesReferences

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.