Please use this identifier to cite or link to this item: http://docs.prosentient.com.au/prosentientjspui/handle/1/11072
Title: Occupational therapy: what does this look like practised in very remote Indigenous areas?
Authors: Pidgeon, F
Affiliation: Remote Disability Services, NT Department of Health, Darwin, Northern Territory, Australia. felicity.pidgeon@nt.gov.au..
Citation: Rural and remote health 2015 Apr-Jun; 15(2): 3002
Abstract: Occupational therapy in very remote, predominantly Indigenous, settings requires therapists to modify traditional models of practice to make practice applicable, culturally relevant and culturally safe. This article describes some of the author's observations of similarities and differences in what occupational therapy 'does' and 'is' in four different, but in many ways similar, very remote contexts. A Churchill Fellowship allowed the author to travel to visit teams in three very remote regions of Canada and the USA, allowing comparison to practice in the Top End of the Northern Territory in Australia. These very remote settings are unable to support onsite therapy services resulting in fly/drive-in visits from hub towns, influencing service models and extending professional tasks and roles. In many of these remote contexts populations are predominantly Indigenous, which requires therapists to work cross-culturally. This requires occupational therapists to adapt therapy assessments and interventions to make these appropriate to the contexts. Therapists perceived a range of therapeutic adaptations and resources as useful in their practice and some barriers to implementing these. These included supports to practice such as cultural liaisons or interpreters; being open and respectful to differences in beliefs around health, wellbeing, desired occupational pursuits and function; using a client/family-directed approach in care planning, goal setting and development of therapeutic strategies; being selective around use of standardised assessment tools; and taking time and developing relationships with family and clients. Therapists in these areas also reported their scope of practice as being broader in remote settings, requiring skills in a greater range of areas. Therapists also reported the increased use of technology to supplement and support remote practice.
URI: http://docs.prosentient.com.au/prosentientjspui/handle/1/11072
Type: Comparative Study
Journal Article
Multicenter Study
Subjects: Allied Health
Cross-cultural Safety
Occupational Health
Practice Tips
Canada
Clinical Competence
Community Health Workers
Diffusion of Innovation
Family Practice
Female
Health Knowledge, Attitudes, Practice
Health Services, Indigenous
Humans
Male
Northern Territory
Occupational Therapy
Oceanic Ancestry Group
Outcome and Process Assessment (Health Care)
Patient-Centered Care
Physician-Patient Relations
Rural Population
Social Class
Social Support
Transportation
United States
Cross-Cultural Comparison
Cultural Competency
Rural Health Services
Appears in Collections:NT Health digital library

Files in This Item:
There are no files associated with this item.


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.