Collaborative Relationship-Focused Occupational Therapy & COTIPP Framework Study Notes

Vocabulary flashcards focusing on key concepts, terminology, and action domains from Chapters 5 & 6 on Collaborative Relationship-Focused Occupational Therapy and COTIPP.

Collaborative Relationship-Focused Occupational Therapy

A foundational occupational therapy approach that focuses on developing and maintaining relationships with individuals and collectives, emphasizing context, power, justice, equity, safety, rights, and self-determination.

Explicit Bias

Bias that a person is at least partly consciously aware of.

Implicit Bias

Bias that occurs outside conscious awareness and can influence communication, clinical decisions, assumptions, offered interventions, and therapeutic relationships.

Cultural Humility

A lifelong process involving ongoing self-reflection, self-evaluation, learning, recognition of bias and power, and openness to different worldviews.

Contextually Nuanced Relationships

Relationships tailored to suit the specific individual or collective (such as a family, group, community, or population) and their unique circumstances.

Temporally Nuanced Relationships

Relationships that change and adapt over time according to a person's changing circumstances, perspectives, goals, priorities, and needs.

Cultural Safety

An approach that considers social, political, and historical contexts in healthcare, recognizing power relationships, colonisation, racism, systemic barriers, and diverse cultural and spiritual beliefs.

Boundary Violation

An occurrence when a relationship changes from a therapeutic alliance toward a personal alliance and the therapist begins acting to meet their own needs rather than the client's.

Countertransference

The therapist's own emotional responses and reactions within the therapeutic relationship.

Structural Violence

Indirect harm built into social structures that creates unequal access to resources, opportunities, and life chances through forces like racism, sexism, ableism, and poverty.

Historical Trauma

Historical experiences of oppression or harm involving communities and systems that continue to affect people's experiences and sense of safety.

Intergenerational Trauma

The transmission of the effects of trauma across generations.

Self-Determination

The ability or power to make decisions for oneself, particularly decisions about how one will be governed.

COTIPP

Canadian Occupational Therapy Inter-Relational Practice Process; a practice framework emphasizing occupational participation, collaborative relationships, context, justice, equity, and rights-based practice.

Practice Context

The environment and systems in which occupational therapy occurs, influencing practice across micro (individuals), meso (organisations/communities), and macro (broader systems/policies) levels.

Reflection

Thinking deeply about practice and learning from experiences, which can occur during practice (reflection-in-practice) or after practice (reflection-on-practice).

Critical Reflection

An analytical process that questions underlying assumptions, beliefs, accepted ways of doing things, power dynamics, oppression, systems, and structures.

Critical Consciousness

Recognising and questioning social and political conditions that create or maintain inequity and oppression.

Practice Reasoning

The complex professional thinking used by occupational therapists when deciding what actions to take, what to say, or what to avoid.

Connect (COTIPP Action Domain 1)

The action domain occurring when establishing the relationship, involving mutual dialogue on occupational therapy benefits, expectation setting, role transparency, and informed consent.

Seek Understanding and Define Purpose (COTIPP Action Domain 2)

The action domain focused on deep listening to understand a person's story, context, and occupations while co-identifying the underlying purpose of occupational therapy.

Explore Occupational Participation (COTIPP Action Domain 3)

The action domain where conditions are co-created to investigate current occupations, participation experiences, barriers, supports, environments, and possibilities for change.

Co-Design Priorities, Goals, Outcomes and Plans (COTIPP Action Domain 4)

The action domain in which therapist and individual/collective engage in shared decision-making to establish priorities, goals, desired outcomes, and action plans.

Trial the Plan, Explore Change and Refine Plan (COTIPP Action Domain 5)

The action domain where the agreed plan is implemented, progress is monitored, user experiences are evaluated, and adjustments are made as needed.

Plan for Transition (COTIPP Action Domain 6)

The action domain involving collaborative creation of plans for discharge, service transfer, referral, or moving into another stage of care.