The Impact Of Communication And Cultural Differences On Occupational Therapy Practice

To provide competent care to a client, the therapist has to be culturally prepared to work with the client. To be culturally competent as a therapist I have to be aware of my own bias, my identity, and my values in regards of my culture. I also need to be aware of the judgments that I have about the client’s cultural identity. In order to know the client’s culture, I would inquire about the identity during the intake. I would use the Addressing model by Pamela Hays to inquire the cultural identity of my clients. The addressing model helps to consider the various social categories that a client belongs to. Also, providing culturally competent services is to be aware of the population surrounding the therapist’s office or agency in order to

A therapist will face problems, issues and client troubles everyday. The professional must understand how their client relates to the world around them. These feelings and ideas affect how the client sees the problem and how they respond to their situation. Their actions, in turn, have bearing on individual thoughts, needs, and emotions. The therapist must be aware of the client's history, values, and culture in order to provide effective therapy. This paper will outline and provide information as to the importance of cultural competence and diversity in family therapy.

In my personal opinion and experience, I find that the field of psychology is lacking in diverse cultural competencies as much as the society is diverse in its population. I believe that as with using any theoretical model, the therapists’ cultural knowledge needs to include understanding of the many cultural considerations influencing the effectiveness of treatment when dealing with clients from diverse backgrounds. When servicing the individuals in the family, care and attention needs to be directed towards family and community norms and values around help seeking, secrecy and confidentiality, family roles, child rearing and spiritual practices.

The occupational therapy profession shares many objectives across the communities, clients, and families they serve. Some of these aims include: “Developing the field of occupational therapy and enhance the professions capabilities to meet the needs of the entire population, providing evidence on the efficacy of occupational therapy. This includes working with organizations and local communities, incorporating education, research, and practices as a complete whole. In addition, developing a team of professionals that innovates and adapts to the developing health needs of the population” (AOTA, 2013). This includes advocacy efforts with policymakers to ensure continued funding to provide care to individuals (AOTA, 2013). Occupational therapy is a distinctive profession that helps

Cultural competence in nursing is imperative for effective patient care. A nurse must know his or her own values and beliefs as well as knowing about a patient cultural practices in relation to healthcare. Cultural competence is defined by some as: “the learned, shared and transmitted values, beliefs, norms and lifeways of a particular group that guides their thinking, decisions and actions.” Also it is noted that an important change to this definition is “the recognition of the dynamic,

This link between occupation, health and well-being (i.e. the fact that people are occupational by nature and that engagement in meaningful occupation is essential to health) forms part of the core beliefs and values – the philosophy – of the occupational therapy (OT) profession (Kramer et al, 2003). OT has its foundations in both philosophy and science, but unlike other medical professions, it was the philosophy that came first

Culture is a strong determinant of people's views of the very nature and meaning of

I am committed to embracing cultural diversity and social responsibility in my counseling practice (Corey, et al., 2015, p. 112). I am committed to my own cultural competency and, although I am not perfect, I am open to learning and growth (p. 118). I invite you to challenge my assumptions. Many therapy approaches reflect Western patriarchal values that do not fit the needs of all cultural perspectives (p. 117-118). I consider your disclosure of personal information to be an important aspect of therapy, but I will encourage you to self-disclose according to your own timeline, not mine (p. 120). Some people hesitate to speak due to respect and cultural norms, so I encourage you to let me know when I am being too direct or assertive in my questions (p. 122). Therapy sometimes assumes a goal of individualization, buy I realize this might not be your goal, so I am open to exploring issues of collective responsibility as well as self-actualization (p. 123). Finally, I come from a Western cultural orientation, both personally and professionally, and am often unconscious of my nonverbal behaviors, so I encourage you to let me know when I treat you disrespectfully in my use of eye contact, facial expression, or gestures, or when my interventions feel uncomfortably personal or intrusive (p. 123). “Recognizing our own cultural and historical embeddedness can remind us that our assumptions about what a person is and what a person should be or become

This caused me to think about various aspects of cultural diversity that are fundamental while dealing with clients. The information I gathered was key to my path to becoming a culturally competent occupational therapist in various ways. First, the idea of viewing patients from culturally and linguistically diverse community from various perspectives is new to me, and I intend to incorporate it into strategies with my potential clients by taking each individual as unique and distinct from the other hence serving them better. Secondly, the information on cultural competency being a dynamic and complex process requiring continuous expansion of personal, cultural know-how and self-evaluation was new. I intended to incorporate this while dealing with potential clients by continuous interaction with people from distinct cultures to be acquainted with knowledge on how best to serve the needs of each person

The future of occupational therapy is consistently changing and requires new legislation to oversee the needs of the professional and their clients. The idea of a government, eliminating funding sources to OTs in hope of decreasing federal spending is not an unspoken idea. As more and more individuals in our society are crossed-trained and expected to do-more and produce-more, the efforts of Willimarth is critical.

The AOTA’s societal statement (2013) on health disparities asserts that OT practitioners have a duty to “intervene with individuals and communities to limit the effects of inequities that result in health disparities.” These disparities can be a result of many factors including social discrimination, access, and quality of health care as well as socioeconomic status (2013). The statement concludes by saying that OT practitioners have necessary skills and knowledge available to help these populations and that efforts to lessen or eliminate health disparities are supported by the Occupational Therapy Code of Ethics, 2010 (2013). This statement reaffirms the idea that even though it is not traditional OT, this is an area that OTs can and should be involved

Occupational identity as developed in the MOHO is based on who someone is as an occupational being and therefore is extremely useful to inform the direction of a client-centered approach to occupational therapy (Lee, Taylor, Kielhofner, & Fisher, 2008). Collaboration on therapeutic procedure between the client and the occupational therapist is known as client-centered practice, which is the utilization of clients’ values, goals and experiences to drive therapeutic intervention

Health care practitioners are a major influence on a person’s culture as it pertains to health care. Not only are they a representation of all practitioners to their patient, they are ambassadors for the tools and practices they implement. They are also an educational resource for many patients who will be listening to their advice. This domain is important to me because I am training to become a health care practitioner. Not only will I be representing health care providers, I will be striving to uphold the reputation of Physical Therapy as a practice of medicine. My ability to educate patients and select appropriate treatments will have an affect on my patients physically and culturally. For example a patient who sees a grumpy uneducated therapist now has the mentality and belief physical therapy is an unhappy environment. If this same patient sees an uplifting, educated, and thorough therapist they may think positively of physical therapy.

In accordance with Occupational Therapy Practice Framework (OTPF), “the efforts directed toward promoting occupational justice and empowering clients to seek and obtain resources to fully participate in their daily life occupations.” (Occupational Therapy Practice Framework, 3rd Ed., p. S41). I consider occupational therapy to be a compassionate career, practitioners try to grant their clients’ wants and needs to better suit the

Pierce (2003) described that understanding an individual’s personally interpreted meaning of an experience is critical for occupational therapists. An individual is considered as loci of an experience. As occupational therapists, we appreciate the contextual dimensions (spatial, temporal, sociocultural) that can influence an individual’s occupational experience. Pierce (2003) emphasizes that descriptive research in occupational science can help researchers understand the dynamics of occupation in an individual’s life. In contrast, medical anthropology is focused on the interpretation of behaviors based on a cultural group or a sub-group. According to Leavitt (2010), medical anthropologist takes an interpretive or cultural constructivist approach of the study of disability, focusing on the symbols, values, attitudes and reactions associated with the experience of disability (p. 28). Medical anthropology also emphasizes on politics and socio-economical diversities that influences health, illness, disability and healthcare delivery system.