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Implementing client-centred practice: why is it so difficult to do?

S Wilkins1, N Pollock, S Rochon

  • 1School of Rehabilitation Science, McMaster University, IAHS, 4th floor, 1400 Main Street West, Hamilton, Ontario, L8S 1C7. swilkins@mcmaster.ca

Canadian Journal of Occupational Therapy. Revue Canadienne D'Ergotherapie
|May 18, 2001
PubMed
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Implementing client-centred occupational therapy is challenging due to systemic, therapist, and client-level barriers. Collaboration among organizations, therapists, and clients is crucial for delivering individualized services.

Area of Science:

  • Occupational Therapy
  • Healthcare Implementation Science
  • Client-Centred Practice

Background:

  • Client-centred practice is a core principle in occupational therapy.
  • Despite widespread acceptance, consistent implementation into daily practice remains a significant challenge.
  • Existing literature highlights the gap between theoretical espousal and practical application.

Purpose of the Study:

  • To explore the multifaceted challenges encountered in implementing client-centred occupational therapy.
  • To identify barriers at systemic, therapist, and client levels.
  • To propose actionable suggestions for facilitating client-centred care across diverse settings.

Main Methods:

  • Qualitative analysis of findings from three distinct studies.

Related Experiment Videos

  • Inclusion of diverse populations: pediatric family-centred care, community-based home care, and facility-based care for older adults.
  • Thematic categorization of challenges into system, therapist, and client levels.

    • Main Results:

    • Identified significant challenges at the system level, impacting resource allocation and organizational support.
    • Highlighted therapist-level barriers, including time constraints, training, and personal beliefs.
    • Recognized client-level factors, such as engagement, expectations, and perceived autonomy, as critical.

    Conclusions:

    • Successful implementation of client-centred occupational therapy requires addressing barriers at all levels.
    • Interprofessional collaboration and organizational support are essential for bridging the implementation gap.
    • A concerted effort from organizations, therapists, and clients is necessary to ensure equitable, individualized, and respectful occupational therapy services.