Introducing

1

• Introducing
• Researched and
• written for the
• Canadian
• Association of
• Occupational
• Therapists

2
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)

3
Outline

• Project Team National Consultation
• Overview of the book
• Section I-IV key models and reflections
• Occupation
• Enablement
• Occupation-based enablement
• Positioning OT for leadership

4
Enabling Occupation II Project Team

• Primary Author, Chair Elizabeth Townsend
• Primary Author Helene Polatajko
• Project Manager Janet Craik
• CAOT Team Members Claudia von Zweck
• Kathy Van Benthem
• 11 National Advisory Panel members
• 61 Canadian Contributing Authors
• 12 Reviewers
• 7 Publication team members

5
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

6

• Primary Authors 
• Elizabeth Townsend Helene Polatajko
• Amoroso, Bice Egan, Mary Pentland, Wendy
• Backman, 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, Annette
• Cantin, Noémi Kirsh, Bonnie Sedgwick, Amy
• Caron Santha, Josiane Krupa, Terry Shaw, Lynn
• Clark, Jo Kumas-Tan, Zofia Stadnyk, Robin
• Cockburn, Lynn Laliberte Rudman, Debbie
  Stewart, Debra
• Connor-Schisler, Anne Landry, Jennifer Stewart,
  Lynn
• Craik, Janet Law, Mary Sumsion, Thelma
• Davis, Jane Lin, Nancy Thibeault, Rachel
• Dickinson, Randy Letts, Lori Trentham, Barry
  
• Doble, Susan Liu, Lili Trudel, Louis
• Donnelly, Catherine Manojlovich, Mary Versnel,
  Joan

7
Overview

• Vision
• To herald an era of occupational enablement for
  occupational therapists and our clients.
• Purpose
• To honour our past, affirm our present, and
  profile a future that is focused on
  occupation-based enablement.

8
Book Structure

• Acknowledgements
• Foreword by Mary Law
• Prologue by Thelma Sumsion
• Overview Guidelines development Cultural
  Location
• Section I Occupation the core domain
• Section II Enablement the core competency
• Section III Occupation-based Enablement
• Section IV Positioning Occupational Therapy
• Epilogue, Glossary, Index, References

9
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?

10
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).

11
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 therapys
  client-centred practice and,
• Canadian Practice Process Framework (CPPF) which
  portrays eight action points and alternative
  pathways in the process of practice clients.

12
Enabling Occupation II The Three Key Models

• CMOP-E
• CMCE
• CPPF

Core Domain of Concern
Core Competency
Core Process
13
Section I

• Occupation The core domain of
• concern for occupational therapy
• Vision
• To embrace human occupation as the core domain of
  
• concern for occupational therapy.
• Purpose
• To present our best understanding of human
  occupation as it relates to occupational therapy.

14
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.

15
The Taxonomic Code of Occupational Performance
(TCOP)
16
Basic Assumptions
17
Canadian Model of Occupational Performance and
Engagement CMOP-E
18
Models of Health and Well-Being
19
Characteristics of Occupation
20
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?

21
Section II

• Enablement The core competency of occupational
  therapy
• Vision
• To embrace enabling as the core competency of
• occupational therapy.
• Purpose
• To raise critical awareness about how
  occupational therapists practice.

22
Enablement The Core Competency of Occupational
Therapy

• 4. Enabling Occupational therapys 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.

23
Occupational Therapy Clients
24
Occupational Therapy Enablement Foundations
25
Canadian Model of Client-Centred Enablement
(CMCE)
26
Enablement Continuum
27
(No Transcript)
28
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?

29
Section III

• Occupation-based enablement
• Vision
• To enable our clients to benefit from the full
  potential of a practice focused on occupational
  enablement.
• Purpose
• To bring structure and form to occupation-based
  practice and to describe the how of occupational
  enablement.

30
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

31
The Breadth of Occupation Therapy Focused on
Enablement
32
Canadian Practice Process Framework (CPPF)
33
Fit Chart
34
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?

35
Section IV

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

36
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
37
Enabling Occupation II Second edition (2013)
38
Leadership in Enabling Occupation (LEO) Model
39
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

40
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?

41
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.