Canadian Association of Occupational Therapists

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CJOT Abstracts
Volume 70, Number 2
April 2003

National Perspective
To practice is to believe
by Jo Clark, Brenda Labron, & Anna Markey

Key Words Occupational performance • Self-efficacy • Storytelling

Reflections on power and justice in enabling occupation
by Elizabeth Townsend

Background. This descriptive paper offers reflections on power and justice associated with occupational therapy’s client-centred practice, now described as the practice of enabling occupation. Framed as a contribution to the sociology of professions, the questions addressed are: How do power and justice work in occupational therapy today? What vision of power and justice guides the profession in implementing the client-centred practice of enabling occupation? Method. The paper opens with an overview of the analytic framework for reflections. Two sources for reflections are highlighted: the development of the Canadian guidelines and, client/consumer and occupational therapy perspectives. To illustrate the discussion of power and justice, two contrasting diagrams are presented, one on late 20th century power relations and the other on potential power relations. Results. Recommendations for research, education, practice, and guidelines development are offered prior to a conclusion that acknowledges the dissonance facing occupational therapists who struggle to focus on occupations in client-centred practice. Practice Implications. The paper offers insights and strategies for addressing power and justice as issues in implementing the client-centred practice of enabling occupation. The analysis may be used in raising awareness and guiding the strategic development of institutional change toward social inclusion and enabling occupation.

Key words Client-centred practice, occupational therapy • Power • Sociology of professions

Pre-arthroplasty rehabilitation is effective in reducing hospital stay
by Jean Crowe & Jennifer Henderson

Background. The purpose of the trial was to evaluate the effect on length of stay of individually tailored rehabilitation for clients who were undergoing hip or knee arthroplasty. Method. Clients (n = 133) with complex needs (comorbid conditions or limited social support) were randomly assigned to receive preoperative usual care (UC) or rehabilitation (R). Usual care clients received a single preoperative clinic visit. Rehabilitation clients were individually assessed and received multi disciplinary rehabilitation to optimize functional capacity, education about the in-hospital phase and early discharge planning. All rehabilitation subjects received interdisciplinary counseling/education focused on preparation for discharge home. The intervention for approximately half the rehabilitation clients was a single, cost-effective session, while others received physical conditioning. Results. Clients receiving rehabilitation achieved discharge criteria earlier (R = 5.4, UC = 8 days) and had a shorter actual length of stay  (R = 6.5, UC = 10.5 days). Clinical Implications. This preoperative, individually tailored, rehabilitation program reduced length of stay.

Key words Arthroplasty, replacement • Outcome assessment • Rehabilitation

La recherche en ergothérapie : développement de la formation des enseignants au Brésil
by Maria Luisa Guillaumon Emmel, & Selma Lancman

Background. This paper presents an analysis of the postgraduate training process of occupational therapists in Brazil. It also describes a study of the training process’ impact on the areas of research, teaching, clinical work and on the professional profile of these occupational therapists. Method. In order to obtain information regarding the choices made by the occupational therapists enrolled in a postgraduate program, a questionnaire was mailed to all occupational therapy educators in Brazil. Results. From the data, it was possible to identify the reasons for their choices, the expectations of the professionals towards the training, the perspectives of the profession and the impact of the training on the profiles of the occupational therapy students and future professionals in this field. Practice implications. The results of the analysis should lead to the implementation of a national postgraduate program designed for occupational therapists.

Key words Teacher training • Master’s and PhD degrees in occupational therapy • Occupational therapy research

A framework of strategies for client-centred practice
by Gayle Restall, Jacquie Ripat, & Marlene Stern

Background. Implementing strategies to overcome barriers to client-centred practice is a challenge encountered by many occupational therapists in their daily practice. The Client-centred Strategies Framework is proposed as a tool to assist occupational therapists to consider barriers and implement strategies from a variety of perspectives. Description. The framework consists of five categories: personal reflection, client-centred processes, practice settings, community organizing, and coalition advocacy and political action.  Within each category are a number of actions that can be taken to facilitate client-centred practice. This paper describes the framework with elaboration of each of the five categories. A case example is used to illustrate how a therapist can use the framework to address client-centred practice issues. Practice Implications. This framework will assist therapists and students to problem-solve ways to enhance the use of client-centred processes within their own practice environments.

Key words Client-centred practice, occupational therapy • Professional practice  • Theory-practice relationship

CAOT Position Statements 

Assistive technology and occupational therapy

Support personnel in occupational therapy services

Look beyond 
If You Could Read My Thoughts  Download PDF

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