Introducing…

Researched and written for the

Canadian Association ofOccupational

Therapists

The Evolving Canadian Guidelines• Occupational Therapy Guidelines for Client-Centered

Practice– 1983 (concepts, process, assessment)– 1986 (intervention)– 1987 (outcomes)– 1991 (Consolidated)– 1993 (Mental Health)

• Enabling Occupation: An Occupational Therapy Perspective

– 1997, 2002 (with Updated Preface)• Enabling Occupation II (2007, 2013)

Outline

1. Project Team & National Consultation2. Overview of the book 3. Section I-IV key models and reflections

I. OccupationII. EnablementIII. Occupation-based enablementIV. Positioning OT for leadership

Enabling Occupation II Project Team

Primary Author, Chair: Elizabeth TownsendPrimary Author: Helene PolatajkoProject Manager: Janet CraikCAOT Team Members: Claudia von Zweck

Kathy Van Benthem

11 National Advisory Panel members61 Canadian Contributing Authors 12 Reviewers7 Publication team members

National Consultation

National Advisory Panel 61 Canadian Contributing Authors CAOT Policy Orientation CAOT Web Page With Updates CAOT Website Survey Plus Bulletin Board CAOT Conference June 2006 Forum National Diversity Review Peer Review: Consumer, National & International French translation/review

Primary Authors

Elizabeth Townsend & Helene PolatajkoAmoroso, Bice Egan, Mary Pentland, WendyBackman, Catherine Freeman, Andrew Picard, Huguette Baptiste, Sue Harvey, Andrew Purdie, Lisa Beagan, Brenda Head, Brenda Quach, Judy Brintnell, Sharon Iwama, Michael Rappolt, Susan Brown, Jocelyn Jarman, Jennifer Rigby, Patty Cameron, Deb Jongbloed, Lyn Rivard, AnnetteCantin, Noémi Kirsh, Bonnie Sedgwick, AmyCaron Santha, Josiane Krupa, Terry Shaw, LynnClark, Jo Kumas-Tan, Zofia Stadnyk, RobinCockburn, Lynn Laliberte Rudman, Debbie Stewart, Debra Connor-Schisler, Anne Landry, Jennifer Stewart, LynnCraik, Janet Law, Mary Sumsion, ThelmaDavis, Jane Lin, Nancy Thibeault, RachelDickinson, Randy Letts, Lori Trentham, Barry Doble, Susan Liu, Lili Trudel, LouisDonnelly, Catherine Manojlovich, Mary Versnel, JoanDrummond, Hilary McKee, Pat von Zweck, ClaudiaDubouloz-Wilner, C.-J. Molke, Daniel Zimmerman, DanielEftekhar, Parvin Moores, Patricia

Overview

VisionTo herald an era of occupational enablement for

occupational therapists and our clients.

PurposeTo honour our past, affirm our present, and

profile a future that is focused on occupation-based enablement.

Book Structure

Acknowledgements Foreword: by Mary LawPrologue: by Thelma SumsionOverview Guidelines development; Cultural LocationSection I Occupation: the core domainSection II Enablement: the core competency Section III Occupation-based Enablement Section IV Positioning Occupational Therapy Epilogue, Glossary, Index, References

Why Read This Text?

This text honours the past, affirms the present, and profiles a future for occupational therapy focused on occupation-based enablement.

With its focus on occupation as core domain and enablement as core competency, this book addresses the age-old question,

What is occupational therapy?

What is Occupational Therapy?

“Occupational therapy is the art and science of enabling engagement in everyday living, through occupation; of enabling people to perform the occupations that foster health and well-being; and of enabling a just and inclusive society so that all people may participate to their potential in the daily occupations of life” (Townsend & Polatajko, 2007, p. 372).

How is Enabling Occupation II different from Enabling I?

Enabling Occupation (1997, 2002)• Canadian Model of Occupational Performance (CMOP), the Person-Environment-

Occupation (PEO) Model and the Occupational Performance Process Model (OPPM).

Enabling Occupation II (2007) presents the scholarship and evidence to firmly ground occupational therapy in occupation and enablement.

• Canadian Model of Occupational Performance and Engagement (CMOP-E) which portrays an occupational perspective that includes and extends beyond occupational performance;

• Canadian Model of Client-Centred Enablement (CMCE) which portrays a spectrum of enablement skills based on enablement foundations (beliefs, values, assumptions, concepts) to alert practitioners to the core competence and power relations in occupational therapy’s client-centred practice; and,

• Canadian Practice Process Framework (CPPF) which portrays eight action points and alternative pathways in the process of practice clients.

Enabling Occupation II: The Three Key Models

CMOP-E

CMCE

CPPF

Core Domain of Concern

Core Competency

Core Process

Section IOccupation: The core domain of concern for occupational therapy

VisionTo embrace human occupation as the core domain of concern for occupational therapy.PurposeTo present our best understanding of human occupation as it relates to occupational therapy.

Occupation: The Core Domain of Concern for Occupational Therapy

1. Specifying the domain of concern: Occupation as core Helene J. Polatajko, Jane Davis, Deb Stewart, Noémi Cantin, Bice Amoroso, Lisa Purdie, Daniel Zimmerman.

2. Human occupation in context Helene J. Polatajko, Catherine Backman, Sue Baptiste, Jane Davis, Parvin Eftekhar, Andrew Harvey, Jennifer Jarman, Terry Krupa, Nancy Lin, Wendy Pentland, Debbie Laliberte Rudman, Lynn Shaw, Bice Amoroso, Anne Connor-Schisler.

3. Occupational science: Imperatives for occupational therapy Helene J. Polatajko (Editor), Daniel Molke, Sue Baptiste, Susan Doble, Josiane Caron Santha, Bonnie Kirsh, Brenda Beagan, Zofia Kumas-Tan, Michael Iwama, Debbie Laliberte Rudman, Rachel Thibeault, Robin Stadnyk.

The Taxonomic Code of Occupational Performance (TCOP)

Basic Assumptions

Canadian Model of Occupational Performance and Engagement CMOP-E

Models of Health and Well-Being

Characteristics of Occupation

Section I: Reflections

• How to embrace occupation as the core domain of concern in occupational therapy?

• How can the language systems enhance an occupational perspective?

• How can the CMOP-E frame your practice beyond performance to include modes of occupational interaction such as occupational development, capacity, repertoire?

• How can occupational science inform occupational therapy practice?

Section II

Enablement: The core competency of occupational therapy VisionTo embrace enabling as the core competency of occupational therapy.PurposeTo raise critical awareness about how occupational therapists practice.

Enablement: The Core Competency of Occupational Therapy

4. Enabling: Occupational therapy’s core competency Elizabeth A. Townsend, Brenda Beagan, Zofia Kumas-Tan, Joan Versnel, Michael Iwama, Jennifer Landry, Debra Stewart, Jocelyn Brown.

5. Enabling individual change Elizabeth A. Townsend, Barry Trentham, Jo Clark, Claire-Jehanne Dubouloz-Wilner, Wendy Pentland, Susan Doble, Debbie Laliberte Rudman.

6. Enabling social change Elizabeth A. Townsend, Lynn Cockburn, Lori Letts, Rachel Thibeault, Barry Trentham.

Occupational Therapy Clients

Occupational Therapy Enablement Foundations

Canadian Model of Client-Centred Enablement (CMCE)

Enablement Continuum

Section II: Reflections

• How to imagine the scope of the client beyond the individual level?• Can CMCE help with documentation and communication practices,

describing what we do?• Can you define ‘enabling’ in ‘enabling occupation?’• How do you avoid ineffective enablement?• Can chapter 6 spark new ideas new opportunities for occupational therapy?• Can we broaden our scope and have an impact on a greater number of people

if we consider our client as communities, organizations, or populations?• Instead of waiting for referrals to come in can we act on behalf of populations

and uncover situations where there is occupational deprivation and offer solutions that enable?

• What stories do you have on enabling social change?

Section III

Occupation-based enablement

VisionTo enable our clients to benefit from the full potential of a

practice focused on occupational enablement.PurposeTo bring structure and form to occupation-based practice

and to describe the how of occupational enablement.

Occupation-based Enablement

7. Occupation-based enablement: A practice mosaicHelene J. Polatajko, Noémi Cantin, Bice Amoroso, Pat McKee, Annette Rivard, Bonnie Kirsh, Debbie Laliberte Rudman, Patty Rigby, Nancy Lin

8. Occupation-based practice: The essential elementsHelene J. Polatajko, Jane Davis, Noémi Cantin, Claire-Jehanne Dubouloz-Wilner, Barry Trentham

9. Introducing the Canadian Practice Process Framework (CPPF): Amplifying the context Janet Craik, Jane Davis, Helene J. Polatajko

10. Using the Canadian Process Practice Framework: Amplifying the process Jane Davis, Janet Craik, Helene J. Polatajko

The Breadth of Occupation Therapy Focused on Enablement

Canadian Practice Process Framework (CPPF)

Fit Chart

Section III: Reflections

• Do you see how practice fits into figure 7.1?• Can the five essential elements of practice help you define your scope of practice

(along with you knowledge, skills, regulations)?• In the absence of evidence to support our practice, consider how abductive

reasoning legitimizes what we do.• Can Figure 8.2 Fit Chart help you in abductive reasoning and lead you to sound

clinical decisions to help address client occupational issues? • Can you structure documentation practices around CPPF?• Could you use CPPF interprofessionally in your practice?

Section IV

Positioning occupational therapy for leadership VisionTo position Canadian occupational therapists as world leaders in advancing an occupational therapy vision of health, well-being, and justice through occupationPurposeTo advance the vision by escalating scholarship in practice, accountability, and access to occupational therapy

Positioning Occupational Therapy for Leadership

11. Escalating participation in scholarly practice for enabling occupation Elizabeth A. Townsend, Mary Egan, Mary Law, Mary Manojlovich, Brenda Head.

12. Accountability for enabling occupation: Discovering opportunities Elizabeth A. Townsend, Andrew Freeman, Lili Liu, Judy Quach, Susan Rappolt, Annette Rivard

13. Funding, policy, and legislative opportunities Elizabeth A. Townsend, Lyn Jongbloed, Robin Stadnyk, Hilary Drummond

14. Occupational therapy workforce planning Elizabeth A. Townsend, Claudia von Zweck, Sue Baptiste, Terry Krupa, Huguette Picard, Louis Trudel

Enabling Occupation II Second edition (2013)

Leadership in Enabling Occupation (LEO) Model

Section IV: Reflections

• How can we escalate practice through scholarship and accountability?

• Can we exert our power through language of occupation?

• How can we escalate practice through funding and workforce planning?

• Be forward thinking and envision what the ideal practice would/could be.

• Consider what strengths and challenges are faced in the practice setting and what strategies can be used to enhance enabling occupation through the 4 forces of scholarship, accountability, funding and workforce planning

Critical Reflections

• How can you “herald an era of occupational enablement for occupational therapists and our clients”?

• How can you attend to diversity in the profession and clients?• How can you position the profession – politically, strategically,

economically?

Articles relating to Enabling Occupation II

Craik, J., Townsend, E., & Polatajko, H. (2008). Introducing the new guidelines – Enabling Occupation II: Advancing an Occupational Therapy Vision for Health, Well-being,& Justice through Occupation, OT Now, 10 (1), p. 3-5.

Fazio, K., Hicks, E., Kuzma, C., Leung, P., Schwartz, A., & Stergiou-Kita, M. (2008) The Canadian Practice Process Framework: Using a conscious approach to occupational therapy practice, OT Now, 10 (4), p. 6-9.

Stadnyk, R., Phillips, J., Sapeta, S., MacAulay, A., Champion, M., Tam, L. & Craik, J. (2009). The Canadian Model of Client-Centred Enablement: Reflections from diverse occupational therapy practitioners. OT Now, 11(3), 26-28.

Zhang, C., McCarthy, C. & Craik, J. (2008). Students as translators for the Canadian Model of Occupational Performance and Engagement, OT Now, 10 (2), p. 3-5.