Unit rationale, description and aim

Understanding factors that influence quality of life, health and well-being for people with disabilities is important for occupational therapists because of the profession’s focus on participation in everyday occupations and roles. In this unit, students examine the social context of disability by exploring key environmental factors identified in the International Classification of Functioning Disability and Health (ICF) including community attitudes, policies, legislation, health service delivery and barriers to participation. Students engage critically with societal issues to examine and reflect on the role which occupational therapists, health professionals, families, communities, and government agencies play in enabling occupational participation for people with disabilities.

The unit builds on the experience and personal development gained by students in OTHY211 by undertaking 25 hours of Community Engagement placement in partnership with community organisations. The community engaged learning experience is designed to facilitate deep learning by connecting theoretical concepts and frameworks to the lived experience of people with disabilities. This unit includes learning outcomes from the Aboriginal and Torres Strait Islander Health Curriculum Framework (HCF, 2014), specifically addressing the HCF Cultural Capabilities - Respect and Communicate. It has been designed to align with ACU Community- Engaged learning principles.

The overall aim of this unit is for students to understand the social construction of disability and the role occupational therapists play in affirming human rights and dignity through enabling occupational participation for people with disabilities. The unit blends CE with professional outcomes while prioritising CE learning outcomes.

2026 10

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Prerequisites

OTHY211 Social Determinants of First Peoples Health and Wellbeing

Learning outcomes

To successfully complete this unit you will be able to demonstrate you have achieved the learning outcomes (LO) detailed in the below table.

Each outcome is informed by a number of graduate capabilities (GC) to ensure your work in this, and every unit, is part of a larger goal of graduating from ACU with the attributes of insight, empathy, imagination and impact.

Explore the graduate capabilities.

Apply community engaged learning principles to und...

Learning Outcome 01

Apply community engaged learning principles to understand the lived experiences of people with disabilities and identify person-centred priorities for collaborative decision making.
Relevant Graduate Capabilities: GC4, GC6

Reflect on the role of the occupational therapist,...

Learning Outcome 02

Reflect on the role of the occupational therapist, health professionals, families and community in supporting occupational participation for people with a disability.
Relevant Graduate Capabilities: GC1, GC3, GC6, GC7

Apply the International Classification of Function...

Learning Outcome 03

Apply the International Classification of Functioning, Disability and Health to analyse personal and environmental factors that influence human dignity and participation for people with a disability.
Relevant Graduate Capabilities: GC1, GC2, GC7, GC11

Engage critically with societal issues to explore ...

Learning Outcome 04

Engage critically with societal issues to explore the impact of services, systems, social theories, policies and frameworks on health, participation, disability and the common good.
Relevant Graduate Capabilities: GC1, GC2, GC6, GC7, GC11, GC12

HCF 2.2 - Examine Aboriginal and Torres Strait Isl...

Learning Outcome 05

HCF 2.2 - Examine Aboriginal and Torres Strait Islander key concepts of health and well being and the influence of culture, family and connection to country in health practice
Relevant Graduate Capabilities: GC4, GC5, GC6, GC8, GC12

HCF 7.2 - Analyse how knowledge of improvements in...

Learning Outcome 06

HCF 7.2 - Analyse how knowledge of improvements in Aboriginal and Torres Strait Islander mortality/ morbidity can be used in strengths-based communication
Relevant Graduate Capabilities: GC4, GC5, GC6, GC8, GC12

Content

The construction of disability and its relationship to Occupational Therapy:

Use of occupational therapy models and processes

Social determinants of health and well-being

Person-centeredness

Strengths-based communication

Defining and describing disability

International Classification of Functioning Disability and Health (ICF)

Occupational participation and inclusion

The social construction of health, illness and disability

The influence of culture, family and connection to country on participation for First Peoples

Principles of Community-Engaged Learning

Theories informing societal attitudes and values:

Historical perspectives

Human services and disability

Social reform

The social model of disability

Empowerment and self-determination

Service systems, policies and supports:

Describing and evaluating environments for people in service systems

Issues for carers and families

Natural supports, networks and relationships

The inter-relationship between environment, health, participation and disability

Advocacy

Legislation

Community living

Employment and vocation

National Disability Insurance Scheme & National Disability Insurance Agency

Inter-professional collaboration and the multidisciplinary team 

Products and technology

The impact of the natural and built environment on participation

Assessment strategy and rationale

The assessment strategy includes: a written assignment (Assessment 1), a case-based group oral presentation (Assessment 2) and a written reflection (Assessment 3). Assessments are scaffolded to support student progression, starting with identifying occupational priorities and influences of people in provided videos; then considering broader social factors, including service systems, policies and supports on participation opportunities through case-based group oral presentations; and finishing with reflections on environmental factors (including themselves) influencing participation for specific individuals students have encountered during community engagement.

To pass this unit, students must submit every assessment task, achieve a cumulative mark of at least 50% for the unit, demonstrate achievement of every unit learning outcome and pass all hurdle tasks.

Assessment 2 is a graded hurdle as the only assessment task that evaluates achievement of LO6. A grade of at least 50% in this assessment is required to pass the unit. Student groups who achieve a grade lower than 50% in this assessment will be provided one further attempt at this assessment. If this further attempt is passed a grade of 50% will be assigned for this assessment.

Completion of an NDIS Worker Orientation Module and Pre-Community Engagement Documentation and submission of Community Engagement Timesheet forms an ungraded Hurdle. These provide evidence of satisfactory completion of 25 hours of professional practice education in the Bachelor of Occupational Therapy program.

Overview of assessments

Assessment Task 1. Written Assignment Studen...

Assessment Task 1. Written Assignment

Students will demonstrate skills in gathering and presenting material related to evaluating the impact of social and environmental factors on occupational participation and communication for a client with a disability.  

Weighting

30%

Learning Outcomes LO1, LO2, LO3
Graduate Capabilities GC1, GC2, GC3, GC4, GC6, GC7, GC11

Assessment Task 2. Case-based group presentation:...

Assessment Task 2. Case-based group presentation: students will deliver a group oral presentation examining the barriers and enablers to the NDIS supporting occupational participation for Aboriginal and Torres Strait Islander people.

Weighting

30%

Graded Hurdle

Learning Outcomes LO1, LO3, LO4, LO5, LO6
Graduate Capabilities GC1, GC2, GC4, GC5, GC6, GC7, GC8, GC11, GC12

Assessment Task 3. Post Unit Critical Reflection:...

Assessment Task 3. Post Unit Critical Reflection:

Students apply community-engaged learning principles to reflect on their community engagement experience using concepts which have shaped their understanding of working with people with disabilities.

Weighting

40%

Learning Outcomes LO1, LO2, LO4
Graduate Capabilities GC1, GC3, GC4, GC6, GC7, GC11, GC12

Completion of Community Engagement hours includin...

Completion of Community Engagement hours including:

  1. Completion of an NDIS Worker Orientation Module
  2. Completion of Pre-Community Engagement Documentation
  3. Community Engagement Timesheet
Weighting

Pass/Fail

Ungraded Hurdle Tasks

Learning Outcomes LO4, LO5
Graduate Capabilities GC1, GC2, GC4, GC5, GC6, GC7, GC8, GC11, GC12

Learning and teaching strategy and rationale

This unit uses constructivist learning strategies to engage students in understanding factors that influence occupational participation for people with disability, and the roles of occupational therapists and other professionals in supporting it. Through lectures, tutorials, and self-directed learning, students explore the social model of disability and the ICF framework to analyse individual and environmental influences on participation. Group-based tutorials use case studies and the ICF to deepen this understanding.

Students examine how services, systems, and policies, including the National Disability Insurance Scheme (NDIS), affect participation. Weekly readings and discussions focus on the NDIS’ role, with group presentations analysing barriers and enablers to participation for First Peoples.

Throughout the semester, students undertake community engagement to apply their learning in real-life settings. They analyse environmental impacts on participation and collaborate with a person with disability to explore meaningful goals. They reflect on this experience in tutorials and in their final assessment.

Australian Occupational Therapy Competency Standards (AOTCS) 2018

In connection to the learning outcomes, Australian occupational therapy competency standards (AOTCS) 2018 developed within this unit are:

  • Relating to

    Professionalism

    An occupational therapist practises in an ethical, safe, lawful and accountable manner, supporting client health and wellbeing through occupation and consideration of the person and their environment.

    An occupational therapist:

    Relevant Learning OutcomeLO1, LO2, LO3, LO5, LO6

  • Relating to

    Complies with the Occupational Therapy Board of Australia’s standards, guidelines and Code of conduct

    Relevant Learning OutcomeLO1, LO2, LO3, LO5, LO6

  • Relating to

    Adheres to legislation relevant to practice

    Relevant Learning OutcomeLO1, LO2, LO3, LO5, LO6

  • Relating to

    Maintains professional boundaries in all client and professional relationships

    Relevant Learning OutcomeLO1, LO2, LO3, LO5, LO6

  • Relating to

    Recognises and manages conflicts of interest in all client and professional relationships

    Relevant Learning OutcomeLO1, LO2, LO3, LO5, LO6

  • Relating to

    Practises in a culturally responsive and culturally safe manner, with particular respect to culturally diverse client groups

    Relevant Learning OutcomeLO1, LO2, LO3, LO5, LO6

  • Relating to

    Collaborates and consults ethically and responsibly for effective client-centred and interprofessional practice

    Relevant Learning OutcomeLO1, LO2, LO3, LO5, LO6

  • Relating to

    Adheres to all work health and safety, and quality requirements for practice

    Relevant Learning OutcomeLO1, LO2, LO3, LO5, LO6

  • Relating to

    Identifies and manages the influence of her/his values and culture on practice

    Relevant Learning OutcomeLO1, LO2, LO3, LO5, LO6

  • Relating to

    Practises within limits of her/his own level of competence and expertise

    Relevant Learning OutcomeLO1, LO2, LO3, LO5, LO6

  • Relating to

    Maintains professional competence and adapts to change in practice contexts

    Relevant Learning OutcomeLO1, LO2, LO3, LO5, LO6

  • Relating to

    Identifies and uses relevant professional and operational support and supervision

    Relevant Learning OutcomeLO1, LO2, LO3, LO5, LO6

  • Relating to

    Manages resources, time and workload accountably and effectively

    Relevant Learning OutcomeLO1, LO2, LO3, LO5, LO6

  • Relating to

    Recognises and manages her/his own physical and mental health for safe, professional practice

    Relevant Learning OutcomeLO1, LO2, LO3, LO5, LO6

  • Relating to

    Addresses issues of occupational justice in practice

    Relevant Learning OutcomeLO1, LO2, LO3, LO5, LO6

  • Relating to

    Recognises and manages any inherent power imbalance in relationships with clients.

    Relevant Learning OutcomeLO1, LO2, LO3, LO5, LO6

  • Relating to

    Knowledge and learning

    An occupational therapist’s knowledge, skills and behaviours in practice are informed by relevant and contemporary theory, practice knowledge and evidence, and are maintained and developed by ongoing professional development and learning.

    An occupational therapist:

    Relevant Learning OutcomeLO1, LO2, LO3, LO4, LO5, LO6

  • Relating to

    Applies current and evidence-informed knowledge of occupational therapy and other appropriate and relevant theory in practice 

    Relevant Learning OutcomeLO1, LO2, LO3, LO4, LO5, LO6

  • Relating to

    Applies theory and frameworks of occupation to professional practice and decision-making

    Relevant Learning OutcomeLO1, LO2, LO3, LO4, LO5, LO6

  • Relating to

    Identifies and applies best available evidence in professional practice and decision-making

    Relevant Learning OutcomeLO1, LO2, LO3, LO4, LO5, LO6

  • Relating to

    Maintains current knowledge for cultural responsiveness to all groups in the practice setting

    Relevant Learning OutcomeLO1, LO2, LO3, LO5, LO6

  • Relating to

    Reflects on practice to inform current and future reasoning and decision-making and the integration of theory and evidence into practice

    Relevant Learning OutcomeLO1, LO2, LO3, LO4, LO5, LO6

  • Relating to

    Maintains knowledge of relevant resources and technologies, and

    Relevant Learning OutcomeLO1, LO2, LO3, LO4, LO5, LO6

  • Relating to

    Maintains digital literacy for practice.

    Relevant Learning OutcomeLO1, LO2, LO3, LO4, LO5, LO6

  • Relating to

    Occupational therapy process and practice

    An occupational therapist’s practice acknowledges the relationship between health, wellbeing and human occupation, and their practice is client-centred for individuals, groups, communities and populations.

    An occupational therapist:

    Relevant Learning OutcomeLO1, LO2, LO3, LO4, LO5, LO6

  • Relating to

    Addresses occupational performance and participation of clients, identifying the enablers and barriers to engagement

    Relevant Learning OutcomeLO1, LO2, LO3, LO4, LO5, LO6

  • Relating to

    Performs appropriate information gathering and assessment when identifying a client’s status and functioning, strengths, occupational performance and goals

    Relevant Learning OutcomeLO1, LO2, LO3, LO4, LO5, LO6

  • Relating to

    Collaborates with the client and relevant others to determine the priorities and occupational therapy goals

    Relevant Learning OutcomeLO1, LO2, LO3, LO4, LO5, LO6

  • Relating to

    Develops a plan with the client and relevant others to meet identified occupational therapy goals

    Relevant Learning OutcomeLO1, LO2, LO3, LO4, LO5, LO6

  • Relating to

    Selects and implements culturally responsive and safe practice strategies to suit the occupational therapy goals and environment of the client 

    Relevant Learning OutcomeLO1, LO2, LO3, LO4, LO5, LO6

  • Relating to

    Reflects on practice to inform and communicate professional reasoning and decision-making

    Relevant Learning OutcomeLO1, LO2, LO3, LO4, LO5, LO6

  • Relating to

    Identifies and uses practice guidelines and protocols suitable to the practice setting or work environment

    Relevant Learning OutcomeLO1, LO2, LO3, LO4, LO5, LO6

  • Relating to

    Reviews, evaluates and modifies plans, goals and interventions with the client and relevant others to enhance or achieve client outcomes 

    Relevant Learning OutcomeLO1, LO2, LO3, LO4, LO5, LO6

  • Relating to

    Evaluates client and service outcomes to inform future practice

    Relevant Learning OutcomeLO1, LO2, LO3, LO4, LO5, LO6

  • Relating to

    Uses effective collaborative, multidisciplinary and interprofessional approaches for decision-making and planning

    Relevant Learning OutcomeLO1, LO2, LO3, LO4, LO5, LO6

  • Relating to

    Uses appropriate assistive technology, devices and/or environmental modifications to achieve client occupational performance outcomes, and

    Relevant Learning OutcomeLO1, LO2, LO3, LO4, LO5, LO6

  • Relating to

    Communication

    Occupational therapists practise with open, responsive and appropriate communication to maximise the occupational performance and engagement of clients and relevant others.

    An occupational therapist:

    Relevant Learning OutcomeLO2, LO3, LO5, LO6

  • Relating to

    Communicates openly, respectfully and effectively

    Relevant Learning OutcomeLO2, LO3, LO5, LO6

  • Relating to

    Adapts written, verbal and non-verbal communication appropriate to the client and practice context

    Relevant Learning OutcomeLO2, LO3, LO5, LO6

  • Relating to

    Uses culturally responsive, safe and relevant communication tools and strategies 

    Relevant Learning OutcomeLO2, LO3, LO5, LO6

  • Relating to

    Obtains informed consent for practice and information-sharing from the client or legal guardian

    Relevant Learning OutcomeLO2, LO3, LO5, LO6

  • Relating to

    Maintains collaborative professional relationships with clients, health professionals and relevant others

    Relevant Learning OutcomeLO2, LO3, LO5, LO6

  • Relating to

    Uses effective communication skills to initiate and end relationships with clients and relevant others

    Relevant Learning OutcomeLO2, LO3, LO5, LO6

  • Relating to

    Seeks and responds to feedback, modifying communication and/or practice accordingly, and

    Relevant Learning OutcomeLO2, LO3, LO5, LO6

  • Relating to

    Identifies and articulates the rationale for practice to clients and relevant others.

    Relevant Learning OutcomeLO2, LO3, LO5, LO6

Representative texts and references

Representative texts and references

Bickenbach, J., Felder, F., & Schmitz, B. (Eds.). (2014). Disability and the good human life. Cambridge University Press.

Brown, T., Isbel, S., Gustafsson, L., Gutman, S., Powers, D. D., Collins, B., & Barlott, T. (Eds.). (2024). Human occupation: Contemporary concepts and lifespan perspectives. Taylor & Francis Group.

Cooms, S. (2023). Decolonising disability: weaving a Quandamooka conceptualisation of disability and care. Disability & Society, 1–24. https://doi.org/10.1080/09687599.2023.2287409

Dancza, K., Mesa, S. & Powrie, B. (2025) Occupational Therapy Intervention Process Model. In Ikiugu, M. N., Kantartzis, S., Taff, S. D., & Pollard, N. (Eds.). Routledge companion to occupational therapy: theories, concepts and models . Routledge.

Egan, M. and Restall, G. (2022). Promoting occupational participation: collaborative, relationship focused occupational therapy. 10th Canadian Occupational Therapy Guidelines. CAOT.

Ferdinand, A., Massey, L., Cullen, J., Temple, J., Chamravi, D., Meiselbach, K., Paradies, Y., Baynam, G., Savarirayan, R. and Kelaher, M. (2019). Understanding disability through the lens of Aboriginal and Torres Strait Islander people–challenges and opportunities. Cerebral Palsy Alliance (Producer). 

Hull, E. (2022). We’ve got this: stories by disabled parents. Black Inc.

Imms, C. (2020). The nature of participation. In Imms, C., & Green, D. (2020). Participation: Optimising outcomes in childhood-onset neurodisability (pp. 5-11). Mac Keith Press.

Olney, S., & Dickinson, H. (2019). Australia's New National Disability Insurance Scheme: Implications for Policy and Practice. Policy Design and Practice, 2(3), 275-290.

Vine, G. (2024). Occupational therapy, disability activism, and me : challenging ableism in healthcare. Jessica Kingsley Publishers.

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