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Client-centred practice: what does it mean and does it make a difference?

M Law1, S Baptiste, J Mills

  • 1Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada.

Canadian Journal of Occupational Therapy. Revue Canadienne D'Ergotherapie
|December 1, 1995
PubMed
Summary
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Occupational therapists in Canada are refining client-centred practice guidelines. This paper defines key concepts like autonomy and partnership, addressing challenges to enhance client satisfaction and functional outcomes.

Area of Science:

  • Occupational therapy practice and education.

Background:

  • Canadian occupational therapists have focused on client-centred practice for 15 years.
  • Current guidelines lack clear definitions for fundamental client-centred concepts.

Purpose of the Study:

  • To define and discuss key concepts essential for client-centred occupational therapy.
  • To identify obstacles hindering the implementation of client-centred practice.

Main Methods:

  • Discussion of core client-centred concepts: autonomy, partnership, responsibility, enablement, contextual congruence, accessibility, and diversity.
  • Illustration of concepts with two practice examples.
  • Review of research evidence on the effectiveness of client-centred approaches.

Main Results:

Related Experiment Videos

  • Key concepts crucial for client-centred practice are identified and elaborated.
  • Practical examples highlight challenges in implementing client-centred care.
  • Evidence suggests client-centred concepts improve satisfaction, function, and adherence.
  • Conclusions:

    • Clear definitions and discussion of core concepts are needed to advance client-centred occupational therapy.
    • Addressing identified obstacles is vital for effective client-centred practice.
    • Client-centred approaches demonstrate positive impacts on client outcomes and engagement.