Canadian Occupational Therapy Inter-Relational Practice Process Framework PDF

# Canadian Occupational Therapy Inter-Relational Practice Process Framework ## Introduction This document introduces the Canadian Occupational Therapy Inter-Relational Practice Process Framework (COTIPP), a framework for occupational therapy practice grounded in justice, equity, and human rights....

# Canadian Occupational Therapy Inter-Relational Practice Process Framework ## Introduction This document introduces the Canadian Occupational Therapy Inter-Relational Practice Process Framework (COTIPP), a framework for occupational therapy practice grounded in justice, equity, and human rights. The COTIPP encourages collaborative relationships with individuals, families, groups, communities, and populations. ## Foundational Processes The COTIPP incorporates three foundational processes: 1. **Seek to Understand Context:** Occupational therapists need to understand the systemic and structural factors that influence occupational participation (e.g., laws, policies, social norms, cultural beliefs). 2. **Reflect and Reason:** This process involves critical thinking, reflection, and analysis to understand how oppression and inequity are embedded in social systems. 3. **Justice-, Equity-, and Rights-Based Lenses:** Therapists must approach practice through a lens of justice, equity, and human rights. ## Action Domains The COTIPP framework outlines six action domains which are conceptualized as a journey with the individual, family, group, community, or population: 1. **Connect:** This domain encompasses building a collaborative relationship with the individual or collective, ensuring equitable access to services, and obtaining informed consent. 2. **Seek Understanding and Define Purpose:** This stage involves understanding the individual's or collective's occupational participation concerns, co-creating a shared vision for occupational therapy, and ensuring informed consent. 3. **Explore Occupational Participation:** This domain highlights the importance of exploring the individual's or collective's current occupational participation, identifying aspirations, and co-analyzing factors influencing occupational participation. 4. **Co-Design Priorities, Goals, Outcomes, and Plans:** This involves co-creating priorities, goals, and plans collaboratively while respecting individual autonomy. 5. **Trial the Plan, Explore Change, and Refine the Plan:** During this stage therapists co-monitor and adjust plans based on the individual's or collective's experiences. 6. **Plan for Transition:** This domain outlines the importance of planning for transition from occupational therapy, ensuring continuity of care, and addressing any equity barriers. ## Conclusion The COTIPP framework encourages occupational therapists to: - Uphold the inherent rights of individuals and collectives to participate in occupations. - Secure equitable opportunities for individuals and collectives to choose ways of being. - Address the social determinants of health by promoting the social, political, and economic factors that influence occupational participation. The COTIPP framework encourages a collaborative and relationship-focused approach to occupational therapy. It serves as a guide for therapists to consider justice, equity, and human rights in all aspects of their work.