Client-centred occupational therapy with children: A critical perspective

Abstract

Background: Client-centredness is a central theme within occupational therapy; however, its application within clinical practice has not been thoroughly examined within the literature. Aim: The aim of this practice reflection is to provide a critical perspective on client-centredness in occupational therapy practice with children. Methods: Two action points of the Canadian Practice Process Framework (CPPF): Set the Stage and Agree on Objectives and Plan are applied to examine the concept of client-centred practice using a common practice example. Results: There are multiple benefits to using a client-centred approach to goal setting and developing a therapy plan. Practical challenges to client-centred practice include a lack of time, organizational support, and professional autonomy. Therapists may exert power over clients by enforcing institutional policies that prioritize the client diagnosis and organizational processes. Conclusion: The authors support a client-centred approach to occupational therapy practice with children but suggest that therapists may feel conflicted in trying to apply these principles within the current context of rehabilitation for children. Occupational therapists are encouraged to identify opportunities where they can advocate for a client-centred approach to services.

Key words:

• practice reflection
• family-centred care
• Canadian Practice Process Framework

Acknowledgements

Michelle Phoenix is currently funded by a Canadian Institutes of Health Research (CIHR) Doctoral Award and the Canadian Child Health Clinician Scientist Program (CCHCSP) Career Enhancement Program Award. The authors would like to thank their past, present, and future clients for fueling their desire to learn about client-centred practice and explore challenges to its implementation.

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.