Occupational Therapy and Justice
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Questions and Answers

Which foundational process focuses on understanding systemic factors that influence occupational participation?

  • Seek to Understand Context (correct)
  • Justice-, Equity-, and Rights-Based Lenses
  • Co-Design Priorities, Goals, and Outcomes
  • Reflect and Reason
  • The COTIPP framework emphasizes unilateral decision-making in occupational therapy practice.

    False

    Name one of the action domains outlined in the COTIPP framework.

    Connect

    Occupational therapists must approach practice through a lens of ________, equity, and human rights.

    <p>justice</p> Signup and view all the answers

    Match the following action domains with their descriptions:

    <p>Connect = Building a collaborative relationship with the individual or collective Explore Occupational Participation = Identifying current participation and aspirations Plan for Transition = Ensuring continuity of care post-therapy Trial the Plan = Co-monitoring and adjusting plans based on experiences</p> Signup and view all the answers

    What is the main purpose of the 'Seek Understanding and Define Purpose' action domain?

    <p>To co-create a shared vision for occupational therapy</p> Signup and view all the answers

    Reflection and reasoning is a part of the foundational processes in COTIPP.

    <p>True</p> Signup and view all the answers

    What must therapists ensure when connecting with individuals or groups?

    <p>Equitable access to services and informed consent</p> Signup and view all the answers

    What impact could an increase in the work pace of professors have on individuals with disabilities?

    <p>It could render many unable to work full-time.</p> Signup and view all the answers

    A faster work rate can decrease the energy available for other activities in life.

    <p>True</p> Signup and view all the answers

    What is a potential consequence for a person using a wheelchair due to an increased pace of societal movements?

    <p>They may find it more challenging to participate in daily activities.</p> Signup and view all the answers

    Increased work demands can force even physically capable individuals to take ________ due to inability to keep pace.

    <p>partial disability leave</p> Signup and view all the answers

    Match the following effects of a faster work pace with their consequences:

    <p>Decreased energy = Reduced participation in leisure activities Increased pressure = Heightened stress levels Limited accessibility = Challenges in daily commuting Physical limitations = Potential for partial disability leave</p> Signup and view all the answers

    How do non-disabled individuals often perceive the work pace of disabled individuals?

    <p>As a slow pace that requires patience.</p> Signup and view all the answers

    The pace of work expectations is the only factor contributing to the performance of individuals with disabilities.

    <p>False</p> Signup and view all the answers

    What type of accommodations are often crucial for making activities accessible to individuals with varying abilities?

    <p>Adjustments in work pace.</p> Signup and view all the answers

    Which group is often relegated to the private sphere according to societal norms?

    <p>Elderly and disabled individuals</p> Signup and view all the answers

    The world of public is characterized by weakness and disability.

    <p>False</p> Signup and view all the answers

    What is necessary for creating accessibility in the public world?

    <p>Recognition of the experiences of disability and illness.</p> Signup and view all the answers

    In societies that view disability as a private matter, individuals with disabilities are often seen as belonging to the ______ sphere.

    <p>private</p> Signup and view all the answers

    Match the following concepts with their corresponding descriptions:

    <p>Public sphere = Characterized by strength and productivity Private sphere = Associated with weakness and disability Accessibility = Enabling participation for everyone Social construction of disability = Failure to provide adequate support for participation</p> Signup and view all the answers

    What contributes to the social construction of disability?

    <p>Perceiving disability as a private issue</p> Signup and view all the answers

    The support received by non-disabled individuals is often considered a right.

    <p>True</p> Signup and view all the answers

    Name one factor that influences the level of support provided to non-disabled individuals.

    <p>Class, race, or gender.</p> Signup and view all the answers

    Which of the following stereotypes is NOT mentioned as a common representation of disabled individuals?

    <p>Celebrity</p> Signup and view all the answers

    The father of Francine's friend viewed her disability as a strength.

    <p>False</p> Signup and view all the answers

    What incident did Francine Arsenault describe at her wedding?

    <p>Her friend's father made a negative comment about her marriage.</p> Signup and view all the answers

    The stigma associated with '______' physical conditions contributes to stereotypes about disabled individuals.

    <p>imperfection</p> Signup and view all the answers

    Match the stereotype with its description:

    <p>Dependent = Someone who requires constant assistance. Asexuated = View that disabled individuals lack sexual identity. Pitiful = Perception of disabled as objects of pity. Héroïquement surhumaine = Seeing disabled individuals as having extraordinary abilities.</p> Signup and view all the answers

    What cultural aspect exacerbates the stereotype of physical imperfection for women?

    <p>Importance of appearance in reputation</p> Signup and view all the answers

    Stereotypes do not significantly affect the participation of disabled individuals in society.

    <p>False</p> Signup and view all the answers

    What is one of the obstacles to recognizing disability as a social issue?

    <p>Stereotypes and stigma</p> Signup and view all the answers

    What is a common misconception about disabled individuals mentioned in the text?

    <p>They are seen as burdens or dependent.</p> Signup and view all the answers

    Discrimination against individuals with disabilities only concerns the refusal of employment.

    <p>False</p> Signup and view all the answers

    What must be deconstructed to change perceptions of disability?

    <p>Cultural constructions of disability including ignorance, stereotypes, and stigma</p> Signup and view all the answers

    The refusal to hire a competent typist in a wheelchair due to building inaccessibility can be considered _______.

    <p>discrimination</p> Signup and view all the answers

    Match the following terms related to disability with their descriptions:

    <p>Stereotypes = Oversimplified ideas about a group Stigma = A mark of disgrace associated with a particular circumstance Discrimination = Unjust treatment based on certain characteristics Ignorance = Lack of knowledge or information</p> Signup and view all the answers

    What is the result of not recognizing disability as a collective social issue?

    <p>Low expectations for participation of disabled individuals in public life</p> Signup and view all the answers

    Most people view disabilities as merely personal characteristics unrelated to social responsibilities.

    <p>True</p> Signup and view all the answers

    Why is it challenging to distinguish relevant skills from irrelevant skills in the context of disabilities?

    <p>Because many environments are designed for individuals with a narrow range of abilities.</p> Signup and view all the answers

    What assumption does society make about people's physical abilities?

    <p>Everyone can perform physical tasks at the same level.</p> Signup and view all the answers

    Many aspects of architectural design take into account the needs of people with disabilities.

    <p>False</p> Signup and view all the answers

    Name a group of people, other than individuals in wheelchairs, who face physical obstacles in poorly designed environments.

    <p>Pregnant women, parents with strollers, or young children.</p> Signup and view all the answers

    Inadequate public transport systems assume that people in the public sphere do not need ________.

    <p>transportation</p> Signup and view all the answers

    Match the following groups with the challenges they face due to societal structures:

    <p>Individuals in wheelchairs = Obstacles may include non-accessible entrances Pregnant women = Difficulty navigating tight spaces Parents with strollers = Limited access to public facilities Individuals with visual impairments = Inaccessible communication systems</p> Signup and view all the answers

    What does poor architectural planning primarily create for those with physical limitations?

    <p>Physical obstacles</p> Signup and view all the answers

    Rigid work modalities that exclude flexibility accommodate all individuals equally.

    <p>False</p> Signup and view all the answers

    What societal expectation contributes to the creation of many disabilities in public life?

    <p>Expectations of performance and productivity.</p> Signup and view all the answers

    Which country has achieved a higher degree of accessibility compared to Canada and the United States?

    <p>Sweden</p> Signup and view all the answers

    In Sweden, the average income for households with severely disabled individuals is much lower than that of households without disabilities.

    <p>False</p> Signup and view all the answers

    What has become a significant point of discussion regarding who should pay for rehabilitation and accessibility modifications?

    <p>The responsibility lies among employers, governments, and private insurers.</p> Signup and view all the answers

    In the United States, ________ percent of adults with disabilities live in households without disabilities.

    <p>59</p> Signup and view all the answers

    What percentage of non-disabled adults have an income above $25,000?

    <p>37%</p> Signup and view all the answers

    Match the following terms with their corresponding descriptions:

    <p>Rehabilitation = The process of helping individuals recover and gain skills after an injury or disability. Accessibility = The quality of being able to be reached or entered. Disability = A physical or mental condition that limits movements, senses, or activities. Social Inclusion = The process of improving the terms of participation in society for people who are disadvantaged.</p> Signup and view all the answers

    Current approaches to social assistance for individuals with disabilities primarily focus on economic costs only.

    <p>False</p> Signup and view all the answers

    What are the main barriers faced by individuals with disabilities in participating in social life?

    <p>Lack of accessibility and inadequate support systems.</p> Signup and view all the answers

    Study Notes

    Occupational Therapy and Justice

    • Occupational therapists critically evaluate practice contexts, identifying and mitigating barriers to justice, equity, and rights for individuals and groups, acting at macro and micro levels.
    • Macro-level systems and structures impact health access based on factors like sex, ability, social class, geography, and other social categorizations.
    • Occupational therapists acknowledge the role of laws, statutes, and institutions in limiting occupational opportunities.
    • Therapists must be aware of their implicit biases and dominant worldviews regarding valued occupations and practices.
    • Therapists need to be aware of their own competencies, experiences, and potential conflicts of interest.

    Occupational Justice

    • Occupational justice considers the actions individuals take within their lives, contrasting it with broader societal justice concerns.
    • It's grounded in a rights-based lens, supporting rights like Indigenous land claims and racial equality.
    • Occupational therapists promote occupational rights as human rights.
    • Occupational justice includes considering that occupations can be just/unjust, sustaining/destroying, protective/harmful, or liberating/oppressive, and understanding how these considerations manifest at micro, meso, and macro levels.
    • People's social environments impact available occupations and expectations.

    Capabilities Approach

    • The capabilities approach aligns with occupational therapy concepts, emphasizing equality and equity in the ability of individuals to achieve a desirable life.
    • Functioning, in this context, is what someone can do or be, given their circumstances.
    • Capabilities derive from internal strengths and external societal support systems that promote freedom to choose and live.
    • The capabilities approach considers the political, social, and economic context of individuals' lives. It asks what individuals are both able and enabled to do.

    Six Action Domains (COTIPP)

    • Connect: Initial therapist-client interaction to establish relationships and understanding.
    • Seek Understanding & Define Purpose: Co-create conditions for working together, including exploration of individual/collective needs and aspirations for participation.
    • Explore Occupational Participation: Co-create conditions to understand current participation concerns, aspirations, and possibilities, taking into consideration diverse perspectives.
    • Co-design Priorities, Goals, Outcomes, and Plans: Collaboratively establish priorities, goals, and plans to address identified concerns, acknowledging multiple perspectives and viewpoints.
    • Trial the Plan, Explore Change, and Refine the Plan: Ongoing monitoring of progress, adjustments, and adaptation of the plan based on individual/collective experiences.
    • Plan for Transition: Co-create plans and support for transition from occupational therapy, involving consideration of the continuity of support and access to resources.

    Additional Key Concepts

    • Critical reflection is crucial for therapists, examining personal biases and potential conflicts of interest, and identifying broader systemic barriers.
    • Documentation must be mindful, avoiding oppressive language and interpretations, and respecting privacy and confidentiality.
    • Collaboration with individuals/groups is essential, including diverse perspectives, particularly in community settings.
    • Therapists need to consider their own biases, acknowledging the influence of power structures and challenging systemic assumptions.
    • Ethics and legal considerations are paramount throughout the process, ensuring meaningful consent and respecting individual and collective rights.
    • The ongoing nature of the relationship between therapist and client/group/community is important.
    • Considerations for people with disabilities include potential access and utilization barriers, which must be identified and addressed.
    • The transition plan should consider potential worsening or recurring health conditions, and long-term planning.
    • Therapists should advocate for access and ensure needed resources are available to clients.

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    Description

    Explore the critical relationship between occupational therapy and the pursuit of justice. This quiz covers how therapists evaluate barriers to equity and the macro and micro effects of systems on health access. Learn about the role of laws in occupational opportunities and the importance of acknowledging personal biases in practice.

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