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Client-centred occupational therapy with children: A critical perspective.

Michelle Phoenix¹, Sandra Vanderkaay

¹CanChild Centre for Childhood Disability Research, McMaster University , Hamilton, Ontario , Canada.

Scandinavian Journal of Occupational Therapy

|February 14, 2015

Summary

Client-centredness in occupational therapy for children offers benefits but faces practical challenges. Therapists may feel conflicted applying these principles in current rehabilitation settings.

Keywords:

Canadian Practice Process Framework family-centred care practice reflection

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Area of Science:

Occupational therapy
Pediatric rehabilitation
Client-centred practice

Background:

Client-centredness is a core principle in occupational therapy.
Limited literature examines its practical application in pediatric occupational therapy.

Purpose of the Study:

Critically examine client-centredness in occupational therapy practice with children.
Provide a practice reflection on applying client-centred principles.

Main Methods:

Utilized the Canadian Practice Process Framework (CPPF) action points: Set the Stage and Agree on Objectives and Plan.
Examined client-centred practice through a common pediatric occupational therapy example.

Main Results:

Client-centred approaches enhance goal setting and therapy planning.
Barriers include time constraints, lack of organizational support, and limited professional autonomy.
Therapists may inadvertently prioritize institutional policies over client needs.

Conclusions:

Supports client-centred occupational therapy for children.
Therapists may experience conflict balancing principles with current rehabilitation contexts.
Encourages therapists to advocate for client-centred services.