Framework for Suggested tools, methods and readings Client example

addressing
issues of
occupational
injustice
Individual
client event
triggering
awareness of
issue
Framing issue Engagement in occupation is a right and Masoom’s goal is to secure the part
as an an issue of inequity and injustice if this is of the woman with cerebral palsy, it
occupational not achieved. is an occupational injustice if she is
injustice Townsend & Wilcock, 2004 unable to be casted in a role she is
Wilcock & Townsend, 2009 specifically qualified to do.
Naming issue For instance:
as a specific • occupational deprivation Occupational marginalization –
type of • occupational alienation
occupational • occupational marginalization Massoom – informal or invisible
injustice • occupational imbalance norms, informal idea that someone
Wilcock & Townsend, 2000 with CP couldn’t hold a lead role.
Stigmatised and discriminated by
her disability. Ignorance of the
director.

Identifying Use of the “But Why”? technique

possible Federal, Provincial and Territorial Masoom is unable to secure a role
reasons for Advisory Committee on Population as the character who has CP. But
that Health, 1999 why?
occupational Because according to the director
injustice she was unable to do the stunts that
the character could do. But why is
Masoom unable to do the stunts?
Because the director didn’t give her
the opportunity?
But why wasn’t she given this
opportunity?
Because he had pre-conceived
ideas/ignorance/stereotypes of
people with a disability.

But why?
Societal influence of societal stigma
– lack of education around people
with disabilities.

Recognizing What opportunities exist to influence the

avenues of issue at each level: Micro – educating the director on CP
influence  Micro (client-clinician and letting him know that if she
relationship) can’t do the stunts then the
  Meso (practice environment) character can’t do the stunts.
 Macro (structure and Advocating for CP as well as for
organization of herself.
health/social/education/political) Meso – agent representation, CP
organisation, they could be more
Restall & Ripat, 2008 influential in advocating for
Massoom. Working with the acting
company.
Macro – sit in with disability
groups/foundations or community
when scripts are being made for
movies that are portraying people
with disabilities. Political advocacy.
Taking action Client-centred strategies framework
to address • Personal reflection As an OT find out what the
occupational • Client-centred processes requirements for the roles are and train
injustice • Influencing practice settings her in the stunts, so that she can
within • Community organizing actually do them.
avenues of • Coalition advocacy and political
influence action
Restall, Ripat & Stern, 2003

The Canadian Model of Client-centred

Enablement
• Adapt
• Advocate
• Coach
• Collaborate
• Consult
• Coordinate
• Design/build
• Educate
• Engage
• Specializes
Townsend et al. (2007a)
Reframing
practice and Paul-Ward, 2009
actions as Townsend et al., 2007b
simultaneousl
y working
towards
occupational
justice at an
individual and
societal level.

Had the opportunity to audition so the policies or systems didn’t hold her back necessarily.