Occupational Therapy News OTnews May 2020 | Page 22

FEATURE COVID-19 Retaining the essence of occupation remotely The COVID-19 outbreak is presenting a very real threat to service provision for individuals with complex cognitive and executive needs. Here, the team from a specialist independent provider of neurological occupational therapy services reflect on the challenge of delivering remote services ‘overnight’ while remaining true to the values of occupation T he underpinning principles of occupational therapy have intensified due to the dramatic changes to our daily routines caused by the COVID-19 outbreak and the consequences of social isolation. Now, more than ever, we are recognising the value of occupation and social connection. As professionals, occupational therapists are unique in placing activity participation at the heart of our therapeutic intervention. Our holistic assessment process enables us to consider and analyse the consequences of the pandemic in relation to the sociocultural and geopolitical elements that may further impact on the people we support. These consequences can have a very real impact on an individual living with brain injury. The security and consistency offered by familiar routines promotes feelings of confidence and wellbeing. Previously valued activities, both within extended family networks and community environments, offer opportunity for social connection, skill acquisition, and leisure and work opportunities. These interactions are the central component of community based neurological rehabilitation but, when the UK went into COVID-19 lockdown, maintaining them posed 22 OTnews May 2020