Embracing Moss Bag Nurturance: A Step Towards Decolonizing Occupational Therapy Practice and Research

Introduction. Occupational therapy (OT), a profession deeply entrenched in colonial ideologies, also holds the potential to re-imagine healthcare in collaboration with Indigenous communities. Purpose. This review aims to (1) identify decolonizing practices in OT that can be applied at micro, meso, and macro levels of service delivery and (2) elevate the voices and viewpoints of Indigenous scholars. Method. I conducted a literature review based on a decolonized and relationship-focused approach, using the work of Tynan and Bishop. Seventeen articles were reviewed and guided by moss bag teachings. Findings. By encouraging actions people can do to enact decolonization practices, we hope that non-Indigenous people can critically think about ways in which to challenge coloniality and enact meaningful, relational, and respectful relationships. (1) micro: Before building relationships, occupational therapists need to understand their work environment to create meaningful connections and improve service delivery. (2) meso: occupational therapists in leadership should support Indigenous occupational therapists and fairly compensate them to respect Indigenous knowledge genuinely. (3) macro: occupational therapists involved in creating knowledge must recognize and promote Indigenous knowledge to benefit Indigenous OT students and communities. This paper is not meant to be a prescriptive "what not to do" as this varies across each unique situation. Conclusion. Effective actions must be implemented at all levels of service provision, recognizing that all clinicians, researchers, and educators are urged to transform and challenge the normative and colonial status quo ingrained in the OT profession.