Post on 21-Dec-2015
CENTRE for SUSTAINABLE HEALTHCARE
SUSTAINABLE OCCUPATIONAL THERAPY PRACTICE
Ben Whittaker (Occupational Therapy Programme Lead)
CENTRE forSUSTAINABLEHEALTHCARE
“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)
CENTRE forSUSTAINABLEHEALTHCARE
• Incorporate each individual’s interdependency with the global ecosystem
• Addressing global wellbeing through sustainable development can improve individual, community and social wellbeing (Whittaker 2012)
CENTRE forSUSTAINABLEHEALTHCARE
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)
CENTRE forSUSTAINABLEHEALTHCARE
SUSTAINABLE GLOBAL WELLBEINGImplications:
1. Reframe current occupational therapy interventions
2. Promote leadership on sustainable practice
3. Develop new community opportunities
CENTRE forSUSTAINABLEHEALTHCARE
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)
CENTRE forSUSTAINABLEHEALTHCARE
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
CENTRE forSUSTAINABLEHEALTHCARE
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
CENTRE forSUSTAINABLEHEALTHCARE
“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)
CENTRE forSUSTAINABLEHEALTHCARE
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
CENTRE forSUSTAINABLEHEALTHCARE
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
CENTRE forSUSTAINABLEHEALTHCARE
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.
CENTRE forSUSTAINABLEHEALTHCARE
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