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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Working With Marginalized Populations.

Sharon A Gutman1

  • 1Sharon A. Gutman, PhD, OTR/L, FAOTA, is Professor, Occupational Therapy Doctorate Program, Rehabilitation and Movement Sciences, Rutgers, The State University of New Jersey, Newark, NJ; sharon.gutman@rutgers.edu.

The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association
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This summary is machine-generated.

Occupational therapy practitioners can improve outcomes for marginalized populations facing homelessness and mental illness by integrating into primary care teams. This approach enhances daily activities, community participation, and safety through tailored interventions and environmental modifications.

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Area of Science:

  • Occupational therapy
  • Public health
  • Social determinants of health

Background:

  • Marginalized populations, including homeless adults with mental illness and children in low-income urban schools, face significant challenges.
  • These challenges include difficulties with employment, housing, community living, and academic performance.
  • Domestic violence is a key factor contributing to homelessness in women.

Purpose of the Study:

  • To highlight the critical role of occupational therapy practitioners in addressing the complex needs of marginalized populations.
  • To advocate for the integration of occupational therapy into primary care settings for comprehensive client evaluation and intervention.
  • To demonstrate how occupational therapy can optimize daily life activities, community participation, and functional independence.

Main Methods:

  • The author's work with diverse marginalized groups, including homeless adults, women experiencing domestic violence, and children in under-resourced schools, is described.
  • The lecture emphasizes a client-centered approach to evaluating the impact of multiple disorders on daily functioning.
  • Intervention strategies include service provision for community participation and environmental modifications for safety and function.

Main Results:

  • Occupational therapy interventions can significantly improve daily life activities for individuals facing complex health and social challenges.
  • Integration into primary care facilitates a holistic evaluation of how multiple disorders affect an individual's life.
  • Environmental modifications and tailored services enhance safety, functional independence, and community integration for marginalized populations.

Conclusions:

  • Occupational therapy practitioners are essential members of primary care teams serving vulnerable populations.
  • A collaborative approach optimizes the evaluation and treatment of individuals with co-occurring mental illness, homelessness, and other socioeconomic challenges.
  • Occupational therapy's focus on function, participation, and environment is key to improving outcomes for marginalized communities.