Week 4: Person-centred Planning

Question 1

Model of Coaching Enablement in OT

Definition-Model-Competencies

Answer 1

Definition: A specific conversational partnership for enabling occupational change that assists clients to clarify what is important to them, access their strengths resources and creativity, choose goals and design and follow a plan of action to get what they want. Coaching in OT has focus on occupation.
Model: Person Occupation Environment connected by: mindset, relationship and process
Competencies: Mindset, relationship and process

Question 2

Explain the 3 OT competencies

Answer 2

Mindset: recognises that humans’ beliefs and assumptions about themselves, others and the world around them directly influence their occupational behaviour and what they see as possible, and they are amendable to change.
Relationship: Co-creates with the client and maintains a therapist-client relationship that is designed to elicit and support what the client wants. This relationship is characterised by trust, openness, honesty, non-judgement and the freedom to explore and live into possibilities.
Process: Within the co-created occupational therapy coaching relationship, demonstrates competence in selected coaching skills designed to enable the clients’ forward movement toward their desired occupational participation for greater health and well-being.

Question 3

Advocacy that relates to:
client
therapist
both

Answer 3

C:
Human rights and basic needs - A need to ensure equitable and fair treatment to clients to ensure they have access prompts therapists to advocate. It is important to advocate in cases of disability discrimination or discrimination due to other aspects of a clients person.
Quality of life - Advocacy is important where a therapist sees an opportunity to improve a clients quality of life. Rights are not violated and needs are being met, but a change can be made through advocacy that can substantially improve a clients lifestyle.
T:
Personal fulfilment - Seeing improvements within clients’ lives due to advocacy being undertaken. Gives OT sense of fulfilment.
Power and Influence - Education and other benefits that OT’s have in the healthcare setting allow them to advocate for clients. Inherit power of the OT title and what you can get for your client.
B:
Engaging in occupation - Advocating for the client so that they may continue to engage in their desired and valued occupations
Client-centred practice - Is inherit in advocacy as it’s all about listening to the clients wants and needs and advocating for that to happen.

Question 4

3 ways OT learn about advocacy

Answer 4

1. Learned as part of occupational therapy: Is viewed as just a part of OT and OT role.
2. Learned as skills on the job: Not necessarily learnt in program. Learnt on the job through action as required, reflection and practice.
3. Advocacy requires strategy for adversity: May result in challenges and push back from others. Advocacy can be be poorly received and may need to be preceded by diplomacy.

Question 5

Person centred planning

Answer 5

An ongoing process which means that the person can regularly set new goals as their skills grow and change. Looking at the whole person rather than just their needs. Focus on consumer-directed care. Consistent with OT values. Strengths based approach; focus on skills and gifts.