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Community Meeting Notes (April 11, 2018) - Disability Policy

Community Meeting Notes (April 11, 2018) - Disability Policy

Apr 12, 2018

Description

Presenters: Rachel Heeb



Resources

Notes

  • 1 billion individuals living with some form of disability world wide

  • OTs work with closely with those with disabilities in many contexts (clinical, research and policy settings; facilitating independence and addressing barriers for individuals with disabilities)

  • The problem

    • gaps in existing literature between disability policy and occupational therapy practice

    • Occupational therapy could serve a huge role in disability policy but the political landscape of each nation and the potential role of OT in policy is still under-researched; future opportunities at the moment are unknown

  • Long term goal and purpose

  • Significance

    • throughout the last 50 years perspectives have shifted away from a medical model toward a social model where disability is a state that needs to be "fixed"; perspectives are aligning with the social model emphasizing how disability is the result of how society is organized and is a mismatch of the individual and their environment

  • Universal vs Contextualization

    • Effective policy is typically adapted to fit a specific context; if everyone adopted the same perspective of disability how would this affect policies?

    • There are nuances and contexts embedded in each culture and the intentions of policies can be better shaped for cultural needs

    • Focus on the individual strengths of the individual rather than deficiencies

  • AOTA's Vision 2025

    • collaboration and leadership

    • emphasize the provision of care for all people.

    • expand reach of the OT profession and clarify the OT role and articulate what opportunities will be available in the next decades

  • OT and disability policy can and do work well together

  • Design: Exploratory mixed methods pilot study

    • CRPD was used to analyze the legislation of different countries

      • looked at which codes each country prioritize the most (equality and non-discrimination, participation in political and public life, education, personal mobility, accessibility)

    • identified the gaps between the central policy documents of each nation and the practice of OTs

    • NVivo was used to do thematic coding using the UNCRPD articles as codes

      • word occurrence

      • thematic

      • data modeling

    • For the Canadian Policy

      • "definitions" is the highest coded

      • "rights" and "respect" were the most frequent words

    • For the US

      • "Accessibility" is the most coded

      • "individuals", "disabilities", "accessible", and "transportation" were the most frequent words

    • The OT definition across countries were similar

      • empowerment model vs medical model

    • A proposed model of OT's role in disability 

      • capacity build, empowerment, promotion of accessibility and involvement, evaluation or feedback

      • People with disabilities have the best knowledge about what policies should look like for people with disabilities

      • SEE: Disability Policy

    • Key takeaways

      • US policy rooted in medical model

      • Canadian policy is progressing towards empowerment and social models

      • OTs in both countries are forward thinking and progressive

      • OTs have a role to play