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SUSTAINABLE OCCUPATIONAL THERAPY PRACTICE

Ben Whittaker (Occupational Therapy Programme Lead)

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“We behave as we believe that other people, specific social or cultural groups or society as a whole expect us to behave”

(Hagedorn 2004, p12)

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• Incorporate each individual’s interdependency with the global ecosystem

• Addressing global wellbeing through sustainable development can improve individual, community and social wellbeing (Whittaker 2012)

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OCCUPATIONAL JUSTICE

“the human need for, and right to be engaged in, meaningful, satisfying and ecologically sustainable occupations” (COT 2002, p36)

OCCUPATIONAL ECOLOGY

“awareness of the ecological genocide we are confronting, along with proactive measures, through human occupation, to restore balance with the natural environment”

(Simó Algado and Cardona 2005, p346)

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SUSTAINABLE GLOBAL WELLBEINGImplications:

1. Reframe current occupational therapy interventions

2. Promote leadership on sustainable practice

3. Develop new community opportunities

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Canadian Model of Occupational Performance and Engagement (CMOP-E) (Polatajko, Townsend & Craik, 2007)

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PROMOTE LEADERSHIP ON SUSTAINABLE PRACTICE

Principles of Sustainable Clinical Practice

1.Preventative healthcare

2.Patient empowerment and self-care

3.Lean and efficient service delivery

4.Lower carbon treatment options

(Mortimer 2010)

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STEP A

SPOTTING OPPORTUNITY

STEP B

PRIORITISING

STEP C

EFFECTIVE ACTION

TOOL 1 - euphemisms for carbon waste

TOOL 2 - inputs and outputs

TOOL 3 - lean questionnaire

TOOL 4 - developing a process flow

TOOL 5 - opportunity spotting

TOOL 6 - collecting data

TOOL 7 – Excel spreadsheet for data

TOOL 8 - initial options & simple prioritising

TOOL 9 - 5-why

TOOL 10 – where are we going

TOOL 11 - from cause to effect

TOOL 12 - 5S

TOOL 13 - incentives that work

TOOL 14 - action plan & setting KPIs

TOOL 15 - example Action Plan & blank

TOOL 16 - management commitment

TOOL 18 – mistake proofing

TOOL 19 – engaging people

T E A M

INTEGRATE INTO NORMAL MANAGEMENT OF THE UNIT

CYCLE OF ON-GOING IMPROVEMENT “We’ll do it better tomorrow, and better still the day after”

www.sap.sustainablehealthcare.org.uk

value =outcomes

costseconomic

socialenvironmental

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DEVELOP NEW COMMUNITY OPPORTUNITIES• OT process could enable people outside

the health service to live more sustainably

• Widespread inertia around change• Hope• Empowerment • Engagement in meaningful activity

Green Lifestyle Redesign® Camille Dieterle OTD, OTR/L

A Wellness Program for Environmental Sustainability

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“Health is a collective value. One person’s health should not, and ultimately cannot, be maintained at the expense of another’s, nor through the excessive use of natural resources” (Stott 2000, p14)

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Joel Pett/Lexington Herald-Leader. Reprinted with permission.

HOPE

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REFERENCES• Carlisle S, Henderson G and Hanlon PW (2009) 'Wellbeing': a

collateral casualty of modernity? Social Science and Medicine, 69(10), 1556-1560.

• College of Occupational Therapists (2002) From Interface to Integration: A Strategy for Modernising Occupational Therapy Services in Local Health and Social Care Committees – A Consultation. London: COT

• College of Occupational Therapists (2013) Essential Briefing: Sustainable Development. London: COT

• Dieterle C (2013) Creating a Sustainable Lifestyle. Available at: www.sustainablehealthcare.org.uk/occupational-therapy-sustainable-practice-network-ot-susnet/blog/2013/02/creating-sustainable-lifest Accessed on: 04.03.2013

• Hagedorn R (2004) Foundations for Practice in Occupational Therapy (Third Edition). Edinburgh: Churchill Livingstone

• Lawson-Porter A (2009) The Elizabeth Casson Memorial Lecture 2009: Rethink, reimagine and refocus. British Journal of Occupational Therapy, 72(7), 286-293

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REFERENCES• Mortimer F (2010) The sustainable physician. Clinical Medicine,

10(2), 110-111• Mortimer F (2013) Transforming models of care: Sustainable clinical

practice. CleanMed Europe, Oxford, 18.09.2013. Available at: http://cleanmedeurope.org/speakers/plenary-speakers-slides Accessed on: 12.03.2014

• Pett J (2010) “What if it’s a big hoax and we create a better world…?” editorial cartoon. USA Today, 07.12.2009, A.8

• Polatajko HJ, Townsend EA & Craik J (2007) Canadian Model of Occupational Performance and Engagement (CMOP-E). In: Townsend EA & Polatajko HJ (2007) Enabling Occupation II: Advancing an Occupational Therapy Vision for Health, Well-being & Justice through Occupation. Ottawa, ON: CAOT ACE

• Simó Algado S and Cardona CE (2005) The return of the corn men: an intervention project with a Mayan community of Guatemalan retornos. In: F Kronenberg, S Simó Algado, N Pollard (Eds) Occupational Therapy Without Borders: Learning from the Spirit of Survivors. Edinburgh: Elsevier, 336-50

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REFERENCES• Stott R (2000) The Ecology of Health. Dartington: Green Books.• Swedish Association of Occupational Therapists (2012)

Occupational therapy and sustainable development – from a Swedish perspective. Nacka, Sweden: SAOT.

• UK National Ecosystem Assessment (2011) The UK National Ecosystem Assessment: Synthesis of the Key Findings. UNEP-WCMC, Cambridge

• Watts (2009) The Health Benefits of Tackling Climate Change: An Executive Summary for The Lancet Series. Available at: http://download.thelancet.com/flatcontentassets/series/health-and-climate-change.pdf Accessed on: 01.12.2009

• Whittaker B (2012) Sustainable global wellbeing: a proposed expansion of the occupational therapy paradigm. British Journal of Occupational Therapy, 75(9), 436-439.

• World Federation of Occupational Therapists (2012) Position Statement: Environmental Sustainability, Sustainable Practice within Occupational Therapy. Forrestfield: WFOT.

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WEBSITESwww.carbonaddict.org

www.climateandhealth.org

www.climateandhealthalliance.org

www.theclimateconnection.org

www.nhsforest.org

www.sustainablehealthcare.org.uk/ot-susnet

www.sap.sustainablehealthcare.org.uk

www.sd-commission.org.uk

www.sduhealth.org.uk

www.sustainabilityforhealth.org

ben.whittaker@sustainablehealthcare.org.uk