Introduction / Rationale Cultural competence remains prevalent in occupational therapy education despite critiques of its static representation of culture. This theoretical paper examines cultural responsiveness as a dynamic alternative that better addresses the complexities of cultural engagement in therapeutic relationships.
Objectives This poster aims to: 1) critically analyze limitations of traditional cultural competence frameworks; 2) synthesize current evidence supporting cultural responsiveness; and 3) propose a theoretical framework for implementation in occupational therapy practice.
Approach This theoretical paper applies a critical inquiry approach to examine cultural responsiveness in occupational therapy. Drawing from occupational therapy, occupational science, critical theory, and implementation science literature, we develop a conceptual framework that challenges traditional cultural competence models and offers actionable alternatives for practice, education, and professional development.
Practice Implications The proposed framework will aim to transform occupational therapy practice through three actionable shifts: practitioners engage in ongoing cultural self-reflection rather than static knowledge acquisition; interventions should be co-created with clients rather than standardized; and evaluation will prioritize the therapeutic process over predetermined outcomes. This approach will equip OT practitioners with practical strategies to navigate power dynamics, adapt interventions to diverse cultural contexts, and build more authentic therapeutic relationships across settings.
Significance to the Occupational Therapy Profession This theoretical framework aims to provide occupational therapists with an evidence-informed approach to cultural responsiveness that aligns with the profession's commitments to client-centeredness and justice. By moving beyond the limitations of cultural competence, therapists can develop more nuanced, reflexive approaches to practice that honor clients' cultural identities while avoiding essentialism, ultimately enhancing occupational therapy's relevance across diverse populations.