Occupation centred practice Please use the accompanying notes

Occupation centred practice Please use the accompanying notes in the workbook when completing this Group CPD session 1

Learning outcomes § To gain familiarity with RCOT messages about occupation centred practice § To be reminded to keep occupation at the front and centre of practice at all times § To understand how more can be done within any occupational therapy role to emphasize and focus on occupation § To practice with awareness of the significance of occupation for service users § To identify potential barriers to occupation centred practice in order to overcome them § To feel confident to communicate the significance of occupation to those outside the profession 2

Share your key learning points about what you have learnt in the pre-session work (10 mins) 3

Why is it important to focus in occupation? § It is vital to remember to keep occupation at the heart of practice because it is being concerned with occupation that sets us apart as a profession – it is our USP (unique selling point). § So while many can claim to be person-centred only occupational therapy personnel can claim to be occupation centred. § And the claim can only legitimately be made when it is true! 4

A distal or a proximal focus on occupation? A distal focus on occupation A doctor’s focus on medication to reduce symptoms and eventually enable participation A physiotherapist’s focus on gait to enable walking and eventually enable participation An occupational therapist’s focus on getting washed and dressed so the person can get washed and dressed A proximal focus on occupation 5

The six elements of an occupation centred practice process Occupation-centred practice is where assessments, interventions and evaluations are based and focused upon occupation in collaboration with the person, group or community (and with appropriate awareness of risk). 1. occupational strengths & needs identified (along with relevant background information); 2. priority occupations (identified by person, family, relevant others) assessed; 3. goals set in collaboration with person & relevant others; 4. reasons for problems of occupational performance clarified (considering person, environment & occupational influences on performance); 5. intervention enables occupational engagement & performance; & 6. outcomes measured in relation to satisfaction, engagement, 7. occupational performance, participation & wellbeing. 6

Strengths and challenges in your service § What are the strengths within your current service relating to occupation centred practice? § What areas might be further developed? § What might be the challenges associated with this? § How might these be overcome? 7

Conclusion Our unique selling point OCCUPATION Professional identity and role in team Professional motivation, joy, pride, enthusiasm, passion Supporting people to thrive as occupational beings Occupation promotes health and wellbeing 8

Pledge What small changes can you make tomorrow to ensure your practice is occupation centred?

References and further reading § Brock Cook slideshow: Occupation as a means or an end. Available at http: //bit. ly/2 e. Dxr. Ya § Gray, Julie Mc. Laughlin. Putting Occupation Into Practice: Occupation as Ends, Occupation as Means. American Journal of Occupational Therapy, May 1998, Vol. 52, 354 -364. doi: 10. 5014/ajot. 52. 5. 354. Available at https: //ajot. aota. org/article. aspx? articleid=1862544 § Royal College of Occupational Therapists (2015). Code of Ethics and Professional Conducts. London. Available at https: //www. rcot. co. uk/practice-resources/rcotpublications/downloads/rcot-standards-and-ethics § Royal College of Occupational Therapists (2016) The value of occupation-centred practice (video). Available at http: //www. youtube. com/watch? v=zy. LB 1 k. VIVEU § Otalk: The occupation debate – means vs ends? Or is occupation focused based and centred practice enough to claim we are providing true occupational therapy? Available at http: //bit. ly/2 f 67 k. Kf § OTalk tweetchat transcript. Available at https: //t. co/Qbj. F 1 dv. F 3 A 10