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Can We Talk - Community Report

Can We Talk - Community Report

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Published by: arcane25 on Apr 01, 2012
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1
Challenges & Opportunities:Identifying
 
Meaningful Occupations in Low-Income, RacializedCommunities in North End, Halifax
 
Report Written by:Ingrid R.G. Waldron, Ph.D. Assistant ProfessorSchool of Occupational TherapyFaculty of Health ProfessionsDalhousie UniversityHalifax, Nova Scotia
Submitted to:North End Community Health CenterNorth End, Halifax
December 1
st
, 2010
 
“Challenges & Opportunities:Identifying
 
Meaningful Occupations in Low-Income, Racialized Communities in North End,Halifax”
 
Report Written by:Ingrid R.G. Waldron, Ph.D. Assistant ProfessorSchool of Occupational TherapyFaculty of Health ProfessionsDalhousie UniversityHalifax, Nova Scotia
Submitted to:North End Community Health Center2165 Gottingen StreetHalifax, Nova ScotiaB3K 3B5
December 3
rd
, 2010
 
 
2
 Table of Contents
 Acknowledgements
………………………………………………………………….......................4
Executive Summary
……………………………………………………………………………....5
 
Summary of Project Description........................................................................................................5
 
Key Messages……………………………………………………………………………....5
 
Research Objectives………………………………………………………………………..6
 
Summary of Key Recommendations………………………………………………………..6
I. Project Description
......................................................................................................................................8
II. Project Partner: North End Community Health Center
..............................................................11
III. The North End: A Profile
..................................................................................................................11
IV. Context & Background
.........................................................................................................................14
 
Part One: Aboriginal & African Nova Scotian Communities: A Profile…………………...14
 
Part Two: Defining Occupational Participation………………………………..……….…15
 
Part Three: Defining Meaningful Occupations……………………………………………17
 
Part Four: Inequality & Discrimination…………………………………………………...19
 
Part Five: Meaningful Occupations & Health...............................................................................21
 V. Research Questions 
….…………………………………………………………………….29
 VI. Research Objectives
…………………………………………………………………...…29
 VII. Conceptual Models & Theories
…………………………………………………..............29
 
Part One: Canadian Model of Occupational Performance & Engagement………………...30
 
 
Part Two: Model of Human Occupation……………………………………………..........31
 
 
Part Three: Occupational Justice Theory……………………………………………...........32
 
 
Part Four: Intersectional Analysis…………………………………………………….........35
  VIII. Methodology
…………………………………….…………...................................................36
 
Part One: Sample & Recruitment…………………………………………………………37
 
Part Two: Data Collection………………..……………………………………………….39
 
Part Three: Data Analysis…………………………………………………………………39
IX. Findings 
……………….….……………………………………………………………...….41
 
3
X. Discussion
…………………………………………………………………................................77
 
Part One: Conceptualizations of Meaningful Occupations..........................................................77
 
Part Two: Personal, Social & Economic Factors Shaping Access to & Participation inMeaningful Occupations....................................................................................................................79
 
Part Three: Engaging Community Members in the North End in MeaningfulOccupations.........................................................................................................................................81
 
Part Four: The Relationship Between Meaningful Occupations & Health...............................83
 
Part Five: Broadening the Applicability of Occupational Therapy Models to Low-IncomeRacialized Communities.....................................................................................................................84
 
Part Six: Health Equity………………………………………………………………….....88
XI. Conclusion
…………………………………………………………............................................89
XII. Key Messages
………………………………………………………………………..............89
XIII. Recommendations
………………………………………………………………………...90
XIV. Model for a Community-Driven Initiative in the North End
………………………........93
XV. Knowledge Sharing Activities
......................……………………………………………....…94
REFERENCES
……………………………………………………………………………..…...98
 APPENDICES:  Appendix A: Interview Guide for Community Members
…………………………….108
 Appendix B: Interview Guide for Community Agencies
…………………………….110

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