An occupational therapy community development practice process

Can J Occup Ther. 2019 Dec;86(5):345-356. doi: 10.1177/0008417419832457. Epub 2019 Apr 29.

Abstract

Background.: Little research has focused on the application of the Canadian Practice Process Framework (CPPF) to occupational therapists' work in community development (CD).

Purpose.: This study sought to describe Canadian occupational therapists' CD practice processes.

Method.: Using interpretive description, Canadian occupational therapists engaged in CD practice participated in an initial interview and follow-up interview or focus group. Content analysis was used to analyze the data.

Findings.: Eight occupational therapists participated in describing a process that focused on five key elements: (1) getting to know the community, (2) getting the ball rolling/planning together, (3) building (upon) occupational opportunities, (4) revisiting the approach, and (5) striving for sustainability. These elements occurred within a practice context and frames of reference related to CD practice.

Implications.: Participants outlined a process that was less discrete than the CPPF and highlighted the knowledge and skills needed along with the less tangible attitudes/approaches required to engage with communities.

Keywords: Community occupations; Community-centred practice; Déterminants de la santé; Health determinants; Health promotion; Occupations communautaires; Practice process; Pratique centrée sur la communauté; Processus de pratique.

MeSH terms

  • Adult
  • Canada
  • Community Health Services / organization & administration*
  • Cooperative Behavior
  • Cultural Competency
  • Female
  • Health Promotion
  • Humans
  • Interpersonal Relations
  • Interviews as Topic
  • Male
  • Middle Aged
  • Needs Assessment
  • Occupational Therapy / organization & administration*
  • Quality of Health Care / standards
  • Staff Development / organization & administration