Question

What aspects facilitate engagement in occupations and which are barriers?  

How would you assess or measure that?

Now consider the following elements:

1. Factors, Policy Issues & Social Systems

Which facilitate engagement in occupations for your population and which are barriers?

Now consider the following elements:

1. Advocacy

2. Promote Occupational Therapy

How will you use your OT practitioner skills to advocate for your clients and promote OT?

Answer 1

Factors that facilitate occupation:

• safe working environment
• trusting relationships
• performance appraisal
• incentives and bonus
• balance between work, rest and recreation
• Lucrative salary

Barriers to occupation

• unsafe working area
• work place bullying and harrassment
• burn out and stress
• heavy workload
• poor work turn over
• staff shortage

Tools to measure occupation barriers and facilitators

• perfomance appraisal
• rating scales/likert scale
• checklists
• attitude scale
• root cause analysis
• ishikawa
• corrective and preventive action
• psychological assessment tools for stress
• psychological assessment tools for psychological well being

Policy issues:

• Organization must have its own philosophy, aiims and protocol for smooth flow of work
• Standard operating procedures must be followed in all services
• Job responsibilities must be provided based on the skills of the person
• Training must be provided to staff on the standard operating procedures

Social systems:

• people from public health relations must be a part of committee while formulating protocols for job and duties
• decorum and hierarchy must be maintained while communication
• stake holders must be well informed about the changes made in the structure and process of the working environment

Barriers in policy and social system:

• discrepancies within the adminostration while planning for work distribution
• marginalising people because of subjectivity or bias
• Unsafe environment for surrounding public

OT practioner skills:

• provide safe work environment
• maintain rapport
• maintain a trusting relation
• improve the self esteem of the client
• maintain non-judgemental attitude
• accept and acknowledge the needs of the patient
• provide task based on the client's level to promote the lost capability
• provide awareness to client on referral units on job consultation and counselling
• provide positive reinforcement in the form of token economy or based on institutional policy