Exam (elaborations)
Exam answers (elaborations) OT, Health Promotion and Youth Wellness (OCT211)
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2020 FINALQuestion 1:
1.1
When an individual is experiencing a human right violation, then there is an occupational injustice
being experienced. According to Hammel and Iwamma, a person’s occupational rights are linked
to a person’s rights and well being and if there are social injustices or human rights violations then
there may be a decrease in well being. All individuals should be able to engage in meaningful
occupations that contribute positively to their own well being and the well being of the community
and if they are unable to do these occupations, there is an occupational injustice. Occupational
therapists see why they are experiencing these violations and how they can change these
violations. Individuals experiencing occupational injustices can decrease their health and well
being. Occupational therapists can educate individuals around the topic of choosing your own
occupations and engaging in them freely.
Question 2:
2.1
Community entry is a process of initiating, nurturing, and sustaining a desirable relationship with
the community, to secure and sustain the community’s interests. It helps to gain the support from
the community leaders, establishing a good working relationship in all aspects of the programme.
Going into the community, you are not the expert but the community is. You are there to help them
where you can and find out information but it has to be a gradual process. Making relationships,
speaking to the community members, helping them with their work, asking them questions will
allow you to gain a positive relationship with the community and they will then be able to trust you.
The community must come to realize that change is needed through a process an occupational
therapist can do which is awareness creation. Once an occupational therapist has a good
relationship with the community members then they can try to make them conscious or aware
about a problem or issue in the community. There may be human rights violations and social
injustices in the community but the community members are not aware of it so making them aware
and coming up with solutions together will improve the state of the community.
2.2
Using look, listen , learn from parasyn. Look is observation of what is happening in the community,
listening is having interactions and conversations with members of the community and learning will
be understanding why they are doing what they are doing.
Question 3:
3.1
1. Everyone has gifts: people can contribute and want to contribute. Gifts must be discovered
and gift giving opportunities must be offered. There is unrecognized capacity and assets in
every community, it's all about finding it. People in the community have hidden skills and
gifts which would contribute to the community.
2. Relationships build a community: build and nourish relationships - see them, make them
and utilize them.
3. Citizens at the center: it is essential to engage the wider community as actors (citizens) not
just as recipients of services (clients). People in leadership must be at the center of
community initiatives.
, 4. Leaders involve others as active members of the community: having a circle of people to
act and be involved. Engaging others from different sectors.
5. People care about something: just need to find out what they care about and what can
motivate them to act.
6. Motivation to act: only will act when it is very important. People will act on certain themes
strongly felt, concerns to address, dreams to realize, and personal talents to contribute.
3.2
Relationships build a community principle as being at MES, we struggled to build relationships
with the workers and thus struggled to speak to them. Once we put more effort into building the
relationships, we saw that there was a difference and we were able to have deep conversations
with them. Building relationships with the workers allowed them to trust us and open up to us. We
did the same and due to this, we were able to have conversations with them about personal issues
and issues they experience at MES. They aired their grievances about MES to us as they felt
comfortable and we created a bond and weren’t just strangers.
Everyone has gifts principle as being at MES, there is an individual who works in the garden and
they are not supposed to. He is meant to be street sweeping but chooses to go to the garden and
do work there for free. He has a gift when it comes to gardening and enjoys his time there but if
what he was doing was what he is supposed to be doing then who wouldn't be putting his gift to
use. Finding out why he loves gardening so much and speaking to one of the supervisors to find
out why he can't be gardening instead of street sweeping. This will make me understand why they
made that decision.
Question 4:
4.1
Service provision and authentic community development.
Service provision is not changing the system but bringing more experts in to help make the system
and the community more accessible. In service provision, you as the health professional is the
expert.
Authentic community development is about working with the community and not for them.
● Integrated approach
● Collective action
● Needs orientation
● Objective orientation
● Action at grassroots level
● Asset based
4.2
Question 5:
5.1
Advocacy will be a strategy that I would try to implement as members at MES Grow are scared to
speak up about issues and problems that they have as they are either punished for speaking up or
aren’t listened to. As an occupational therapy student, speaking to the employees at MES and
trying to speak to some of the head employees, I will advocate for the workers.
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