Introduction: The World Health Organization’s International Classification of Functioning Disability and Health (ICF) identifies that personal and environmental factors affect participation in a range of life contexts, including children’s rehabilitation services. With critical application, occupational therapists can identify aspects of identity (e.g., age, race) that interact with systems of privilege and oppression (e.g., ageism, racism) to impact access and engagement in services. A trauma and violence-informed approach to care may improve access, limit harm, and promote engagement.
Objectives and Methods: We critically applied the ICF framework and principles of trauma and violence-informed care to occupational therapy (OT) practice-based scenarios (e.g., missed appointments, goal-setting, and parent coaching). This application, reflection, and dialogue will exemplify how this framework and principles can be applied to foster holistic, equitable and family-centred care.
Approach/Results: We will expand on our published perspectives on application of the ICF as related to access to pediatric services and trauma and violence-informed care in rehabilitation, to include reflection on OT specific examples that are commonly experienced. The results will provide recommendations to illustrate how the social determinants of health and trauma-informed principles can be integrated into pediatric OT practice.
Practice Implications and Significance to the Occupational Therapy Profession: Occupational therapists provide holistic and family-centred care to children and their families. This requires support and guidance that encourages the critical consideration of the systemic inequities that may affect children, families and communities. Application of critical reflection and a trauma-informed approach to service may improve aspects of OT care.