Using Environments to Enable Occupational Performance
Lori Letts,
PhD, OT Reg. (Ont.)
;
Patty Rigby,
MHSc, OT Reg. (Ont.)
;
Debra Stewart,
MSc, OT Reg. (Ont.)
Product Description
Using Environments to Enable Occupational Performance is a unique new text that specifically
focuses on how environments (physical, social, cultural, institutional) can be used by occupational
therapists to enable occupational performance with all types of clients.
This informative text provides a framework to think about how environments fit into occupational
therapy theory and practice. Examples of different approaches to occupational therapy intervention
involving environments are demonstrated in a comprehensive format. Community settings, institutions,
mental health, pediatrics, hand rehabilitation, health promotion, and gerontology are just a few of
the areas covered inside.
Each chapter contains "real world" scenarios from occupational therapists about how the
environment can be used to optimize occupational performance. Review questions are also
included that ask the reader to apply the learned knowledge in a variety of settings. These
features, along with the shared expertise of contributing authors, are beneficial to both students
and clinicians in reinforcing the theory-practice link.
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Contents
- Acknowledgments
About the Editors
Contributing Authors
Preface
Foreword
- Section One Occupational Therapy and Environment: Conceptual Underpinnings
- Chapter 1: The Environment: Paradigms and Practice in Health, Occupational Therapy, and Inquiry
- Debra Stewart, MSc, OT Reg. (Ont.); and Mary Law, PhD, OT Reg. (Ont.)
- Chapter 2: Environment and Occupational Performance: Theoretical Considerations
- Patty Rigby, MHSc, OT Reg. (Ont.); and Lori Letts, PhD, OT Reg. (Ont.)
- Section Two Using Environments to Enable Occupational Performance at the Community and Societal Level
- Chapter 3: Changing Institutional Environments to Enable Occupation Among People With Severe Physical Impairments
- Karen Whalley Hammell, PhD, MSc, OT(C), DipCOT
- Chapter 4: Occupation, Health Promotion, and the Environment
- Ann Wilcock, PhD, GradDipPH, DipCOT, BAppScOT; and
Gail Whiteford, PhD, MHSc (OccTherapy), BAppSc (OccTherapy)
- Chapter 5: Enabling Citizen Participation of Older Adults Through Social and Political Environments
- Lori Letts, PhD, OT Reg. (Ont.)
- Chapter 6: Culture as Environment: Complexity, Sensitivity, and Challenge
- Sue Baptiste, MHSc, OT Reg. (Ont.)
- Chapter 7: Universal Design of the Built Environment to Enable Occupational Performance
- Laurie Ringaert, MSc, BMR-OT, BSc
- Section Three Using Environments to Enable Occupational Performance With Communities, Groups, and Individuals
- Chapter 8: An Interdisciplinary Approach to Environmental Intervention: Ecology of Human Performance
- Melisa Rempfer, PhD; Wendy Hildenbrand, MPH, OTR; Kathy Parker, MS, OTR; and Catana Brown, PhD, OTR, FAOTA
- Chapter 9: Creating Supportive Work Environments for People With Mental Illness
- Susan Strong, MSc, BSc, OT Reg. (Ont.); and
Karen Rebeiro, MScOT, BScOT, OT Reg. (Ont.)
- Chapter 10: Enabling Young Children to Play by Creating Supportive Play Environments
- Patty Rigby, MHSc, OT Reg. (Ont.); and Lorrie Huggins, MA, EdS, BScOT
- Chapter 11: Enabling Student Participation Through Occupational Therapy Services in the Schools
- Mary Muhlenhaupt, OTR/L, FAOTA
- Chapter 12: Peer Mentorship as an Environmental Support for Adolescents and Young Adults With Disabilities
- Debra Stewart, MSc, OT Reg. (Ont.)
- Chapter 13: An Environmental Approach to Evaluation and Treatment in an Upper Extremity Injury Clinic
- Carol Anderson, MA, OTR, CHT; and Jean Spencer, PhD, OTR, FAOTA
- Chapter 14: Home Modifications That Enable Occupational Performance
- Susan Stark, PhD, OTR, FAOTA
- Chapter 15: Accessible Transportation: Novel Occupational Therapy Perspectives
- Susanne Iwarsson, PhD, Reg. OT; Agneta Ståhl, PhD; and Gunilla Carlsson, PhD, Reg. OT
- Chapter 16: Therapeutic Design of Environments for People With Dementia
- Barbara Acheson Cooper, PhD, DipP&OT; and Kristen Day, PhD
- Chapter 17: Expanding Environments Through Technology
- Linda Petty, BSc (OT), OT Reg. (Ont.)
- Section Four Conclusion
- Chapter 18: Using Environments in Occupational Therapy: Challenges, Opportunities, and Future Directions
- Lori Letts, PhD, OT Reg. (Ont.); Patty Rigby, MHSc, OT Reg. (Ont.); and
Debra Stewart, MSc, OT Reg. (Ont.)
- Appendix A Typology of Mental Health Vocational Programs
- Appendix B Explanation of Key Terms Related to the Environment
- Index
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Reviews
"Using Environments to Enable Occupational Performance" provides state of the art information on theoretical and practical aspects of the environment crucial to enabling occupation. This book fills an important gap in the occupational therapy literature. It provides a much-needed language and structure for occupational therapy's examination and use of environmental resources in practice and research, and is recommended as a key resource for both."
— Mary Egan, Revue Canadienne D'Ergotherapie
"It provides invigorating reading for experienced practitioners and educators, like myself, and inspiration for students and younger practitioners who have discovered roadblocks to occupational performance narrowly focused on the individual occupational issues, and their immediate environment. Using Environments to Enable Occupational Performance is a scholarly and comprehensively referenced book guiding readers to the sources of evidence that support each chapter. The accessibility of the content is enhanced by explicit chapter titles and an engaging style, making this book one you will want to return to on a regular basis."
— Glenys French, Australian Occupational Therapy Journal
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About the Editors
Lori Letts, PhD, OT Reg. (Ont.)
Lori Letts, PhD, OT Reg. (Ont.) is an Assistant Professor within the School of Rehabilitation Science at McMaster University. She received her Bachelor of Science degree in Occupational Therapy from the University of Western Ontario in 1987. In 1991, she received a Master of Arts with a joint degree in Gerontology and Regional Planning and Resource Development. She received her PhD in Environmental Studies at York University, Canada. Her research and practice interests include aging, environment (theory, assessment, intervention), health promotion, community rehabilitation, evidence-based practice, program evaluation, and participatory research.
Patty Rigby, MHSc, OT Reg. (Ont.)
Patty Rigby, MHSc, OT Reg. (Ont.) is an Assistant Professor in the Department of Occupational Therapy, Faculty of Medicine, University of Toronto. She is also the Research Coordinator for Occupational Therapy at Bloorview MacMillan Children’s Centre in Toronto. She completed her undergraduate studies in occupational therapy at the University of Alberta in 1976, and in 1991 received a Master of Health Sciences degree from McMaster University. Her research and practice interests include enabling childhood occupations such as play and school productivity, assistive technology for children, environment (theory, assessment, and intervention), and cost-utility evaluation of assistive technology.
Debra Stewart, MSc, OT Reg. (Ont.)
Debra Stewart, MSc, OT Reg. (Ont.) is an Assistant Clinical Professor in the School of Rehabilitation Science, and a Co-Investigator at CanChild Centre for Childhood Disability Research at McMaster University. She received her Bachelor of Science degree in Occupational Therapy from the University of Toronto in 1976, and has worked clinically in the field of pediatrics for many years. In 1998, she received her Master of Science degree in Design, Measurement, and Evaluation at McMaster University. Debra’s research interests include person-environment relations in occupational therapy, evidence-based practice, and the experiences of young people with disabilities in transition from adolescence to adulthood.
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Related Web Site

Instructor Materials
Instructors: Visit our new website especially for you at efacultylounge.com! Through this website you will be able to access a variety of materials including, Using Environments to Enable Occupational Performance, Instructor’s Manual. Available on-line, this exciting manual provides learning activities, a review of chapter objectives, potential responses to study questions, and additional resources.
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