Re-engaging in our role with communities: The coupling of occupational therapy and community development.

Laura Irvine-Brown, Vicki-Ann Ware, Ana Paula Serrata Malfitano, Amelia Di Tommaso
Author Information
  1. Laura Irvine-Brown: Associate Lecturer, Discipline of Occupational Therapy, School of Allied Health Sciences, Griffith University, Southport, QLD, Australia. ORCID
  2. Vicki-Ann Ware: Senior Lecturer, International and Community Development, Faculty of Arts and Education, Deakin University, Burwood, VIC, Australia. ORCID
  3. Ana Paula Serrata Malfitano: Associate Professor, Occupational Therapy Department and Post-graduate Program in Occupational Therapy, Federal University of São Carlos, São Paulo, Brazil. ORCID
  4. Amelia Di Tommaso: Lecturer, Discipline of Occupational Therapy, School of Allied Health Sciences, Griffith University, Southport, QLD, Australia. ORCID

Abstract

INTRODUCTION: A growing number of occupational therapists are re-engaging in work with communities and populations to advance a social justice agenda. To assist in this endeavour, many are coupling occupational therapy and community development theory, as reflected in the social occupational therapy field. Social occupational therapy practitioners work with groups of people who do not necessarily have a health diagnosis or illness but who nonetheless experience occupational issues due to structural barriers within society. Practitioners work across micro- and macro-levels to not only alleviate symptoms of these issues but also to transform their root causes. Although community development is a logical partner to assist such practice, there are inherent tensions in the coupling of these disciplines. This study aimed to explore what theory occupational therapists were using from occupational therapy and community development to guide them in their social occupational therapy practice.
METHODS: This study employed a collaborative and participatory qualitative research method. Four occupational therapy community development practitioners each participated in two one-on-one dialogical interviews with the first author. These were transcribed and analysed using Braun and Clarke's method of thematic analysis.
FINDINGS: Findings were grouped into two themes: (a) Occupational therapy and community development - synergies and tensions, and (b) Of the profession but not in it. Findings highlighted the theoretical shortcomings of occupational therapy for community development practice, theoretical tensions between the two disciplines, and the 'underground' nature of occupational therapy community development practice.
CONCLUSION: Practitioners should be supported by the occupational therapy profession to be effective community development practitioners, capable of advancing the profession's vision of social justice. Future research should explore methods to support practitioners to navigate tensions between occupational therapy and community development, and bring this practice 'above ground'.

Keywords

References

  1. Babbie, E. R. (2015). The practice of social research. Cengage Learning US. http://ebookcentral.proquest.com/lib/griffith/detail.action?docID=4458812
  2. Bailliard, A. (2016). Justice, difference, and the capability to function. Journal of Occupational Science, 23(1), 3-16. https://doi.org/10.1080/14427591.2014.957886
  3. Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77-101. https://doi.org/10.1191/1478088706qp063oa
  4. Creek, J., & Cook, S. (2017). Learning from the margins: Enabling effective occupational therapy. British Journal of Occupational Therapy, 80(7), 423-431. https://doi.org/10.1177/0308022617701490
  5. Farias, L., & Laliberte Rudman, D. (2019). Challenges in enacting occupation-based social transformative practices: A critical dialogical study. Canadian Journal of Occupational Therapy, 1-10. https://doi.org/10.1177/0008417419828798
  6. Farias, L., Laliberte Rudman, D., Pollard, N., Schiller, S., Malfitano, A. P. S., Thomas, K., & van Bruggen, H. (2018). Critical dialogical approach: A methodological direction for occupation-based social transformative work. Scandinavian Journal of Occupational Therapy, 26(4), 235-245. https://doi.org/10.1080/11038128.2018.1469666
  7. Frank, G., & Zemke, R. (2008). Occupational therapy foundations for political engagement and social transformation. In N. Pollard, D. Sakellariou, & F. Kronenberg (Eds.), A political practice of occupational therapy (pp. 111-136). Churchill Livingstone.
  8. Galheigo, S. M. (2011). What needs to be done? Occupational therapy responsibilities and challenges regarding human rights. Australian Occupational Therapy Journal, 58, 60-66. https://doi.org/10.1111/j.1440-1630.2011.00922.x
  9. Hammell, K. W. (2020). Engagement in living: Critical perspectives on occupation, rights, and wellbeing. Canadian Association of Occupational Therapists.
  10. Hocking, C. (2012). Occupations through the looking glas: Reflecting on occupational scientists' ontological assumptions. In G. Whiteford, & C. Hocking (Eds.), Occupational science: Society, inclusion, participation (pp. 54-66). Wiley-Blackwell.
  11. Hyett, N., McKinstry, C. E., Kenny, A., & Dickson-Swift, V. (2016). Community-centred practice: Occupational therapists improving the health and wellbeing of populations. Australian Occupational Therapy Journal, 63(1), 5-8. https://doi.org/10.1111/1440-1630.12222
  12. Ife, J. (2016). Community development in an uncertain world: Vision, analysis & practice (2nd ed.). Cambridge University Press.
  13. Kemmis, S. (2010). What is to be done? The place of action research. Educational Action Research, 18(4), 417-427. https://doi.org/10.1080/09650792.2010.524745
  14. Kenny, S., & Connors, P. (2016). Developing communities for the future (5th ed.). Cenage Learning Australia.
  15. Laliberte Rudman, D. (2013). Enacting the critical potential of occupational science: Problematizing the 'individualizng of occupation'. Journal of Occupational Science, 20(4), 298-313. https://doi.org/10.1080/14427591.2013.803434
  16. Laliberte Rudman, D., Dennhardt, S., Fok, D., Huot, S., Molke, D., Park, A., & Zur, B. (2008). A vision for occupational science: Reflecting on our disciplinary culture. Journal of Occupational Science, 15(3), 136-146. https://doi.org/10.1080/14427591.2008.9686623
  17. Lauckner, H., Leclair, L. L., & Yamamoto, C. (2019). Moving beyond the individual: Occupational therapists' multi-layered work with communities. British Journal of Occupational Therapy, 82(2), 101-111. https://doi.org/10.1177/0308022618797249
  18. Leclair, L. L., Ashcroft, M. L., Canning, T. L., & Lisowski, M. A. (2016). Preparing for community development practice: A Delphi study of Canadian occupational therapists. Canadian Journal of Occupational Therapy, 83(4), 226-236. https://doi.org/10.1177/0008417416631773
  19. Ledwith, M. (2016). Community development in action: Putting Freire into practice. Policy Press.
  20. Malfitano, A. P. S., & Lopes, R. E. (2018). Social occupational therapy: Committing to social change. New Zealand Journal of Occupational Therapy, 65(1), 20-26.
  21. Malfitano, A. P. S., Lopes, R. E., Magalhães, L., & Townsend, E. A. (2014). Social occupational therapy: Conversations about a Brazilian experience. The Canadian Journal of Occupational Therapy, 81(5), 298-307. https://doi.org/10.1177/0008417414536712
  22. Molineux, M. (2011). Standing firm on shifting sands. New Zealand Journal of Occupational Therapy, 58(1), 21-28.
  23. Occupational Therapy Board of Australia. (2018). Australian occupational therapy competency standards 2018. https://www.occupationaltherapyboard.gov.au/Codes-Guidelines/Competencies.aspx
  24. Pollard, N., & Sakellariou, D. (2017). Occupational therapy on the margins. World Federation of Occupational Therapists Bulletin, 73(2), 71-75. https://doi.org/10.1080/14473828.2017.1361698
  25. Sen, A. (1999). Development as freedom. Oxford University Press.
  26. Townsend, E., Cockburn, L., Letts, L., Thibeault, R., & Trentham, B. (2013). Enabling social change. In E. Townsend, & H. J. Polatajko (Eds.), Enabling occupation II: Advancing an occupational therapy vision for health, well-being, & justice through occupation (9th ed., pp. 153-172). Canadian Association of Occupational Therapists.
  27. Townsend, E., & Marval, R. (2013). Can professionals actually enable occupational justice? Brazilian Journal of Occupational Therapy, 21(2), 215-228. https://doi.org/10.4322/cto.2013.025
  28. Westoby, P. (2014). Theorising the practice of community development: A South African perspective [Electronic Book]. https://doi.org/10.4324/9781315551227
  29. Westoby, P., & Ingamells, A. (2012). Teaching community development personal practice frameworks. Social Work Education, 31(3), 383-396. https://doi.org/10.1080/02615479.2010.550913
  30. World Federation of Occupational Therapists (2016). Minimum standards for the education of occupational therapists. https://www.mailmens.nl/files/21072349/copyrighted+world+federation+of+occupational+therapists+minimum+standards+for+the+education+of+occupational+therapists+2016a.pdf

MeSH Term

Community Health Services
Humans
Occupational Therapists
Occupational Therapy
Social Justice

Word Cloud

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