Pereira Robert B
Hospital Admission Risk Program, Barwon Health, Geelong, Victoria, Australia.
Discipline of Occupational Therapy, School of Public Health and Nutrition, Faculty of Health, University of Canberra, Canberra, Australia.
Aust Occup Ther J. 2017 Dec;64(6):429-435. doi: 10.1111/1440-1630.12394. Epub 2017 Jun 29.
BACKGROUND/AIM: Occupation is a human right and a social determinant of health. It is also taken for granted. Having access to, and participating in, occupation, is intricately linked to positive health and wellbeing. Despite theory and evidence to support the link between occupation, health and wellbeing, occupational therapists can struggle with applying an occupation focus in practice and knowing how to use occupational frameworks to enable occupation. The purpose of this paper is to introduce the Capabilities, Opportunities, Resources and Environments (CORE) approach for inclusive and occupation-focused practice. It provides occupational therapists with a means of operationalising occupational enablement and facilitating social inclusion.
The CORE approach is introduced by linking its main ideas to Economist and Nobel Prize Laureate Amartya Sen's capabilities approach, as well as findings from the author's doctoral research into entrenched disadvantage and social inclusion. Practical questions guided by the CORE approach's acronym are given to explore how the approach can be utilised alongside other occupational models and frameworks to encourage strategies for effective enablement through occupation for social inclusion.
As experts in enabling occupation, occupational therapists can use the CORE approach to design occupation-focused interventions and promote inclusive occupational therapy.
背景/目的：职业是一项人权，也是健康的社会决定因素。它也被视为理所当然。获得并参与职业与积极的健康和幸福紧密相连。尽管有理论和证据支持职业、健康与幸福之间的联系，但职业治疗师在实践中可能难以专注于职业，并知道如何运用职业框架来促成职业。本文的目的是介绍能力、机会、资源和环境（CORE）方法，以实现包容性且以职业为重点的实践。它为职业治疗师提供了一种将职业赋能付诸实践并促进社会包容的方法。
通过将CORE方法的主要理念与经济学家及诺贝尔奖获得者阿玛蒂亚·森的能力方法，以及作者关于根深蒂固的劣势和社会包容的博士研究结果相联系，来介绍CORE方法。给出了由CORE方法的首字母缩写引导的实际问题，以探讨该方法如何能与其他职业模型和框架一起使用，以鼓励通过职业实现有效赋能以促进社会包容的策略。
作为职业赋能方面的专家，职业治疗师可以使用CORE方法来设计以职业为重点的干预措施，并促进包容性职业治疗。
