Culture and Diversity Considerations in Driver Rehabilitation


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Abstract:

This is a 1.5 contact hour course. Given the importance of driving for independence across adulthood, it is important to consider how a clients’ background (e.g., race, ethnicity, gender, generation, social location) influences the meaning they place on driving. Individuals responsible for evaluating driving capacity inherently hold power over clients because of their role in determining outcomes of treatment or license suspension. How do our cultural norms and unconscious biases influence the decisions we make when our clients are different from us in any way? Within driving rehabilitation, cultural factors can even begin by deciding who we are able to see (i.e., who can afford driving evaluation and rehabilitation services), the importance of driving and alternative transportation, the rapport-building process and how we deal with conflict. By reflecting on how we understand concepts of culture and power dynamics, we can directly improve driver rehabilitation practice and client outcomes.

Learning Objectives:

By the completion of this course the attendee will…
Understand concepts of cultural competence, cultural safety, and cultural humility.
Be aware of the influence of transcultural power dynamics in driver evaluation and rehabilitation.
Recognize implications of cultural differences on driver rehabilitation.
Learn approaches for critical reflection in maintaining cultural competence/ safety/ humility in client relationships.

Janna MacLachlan, OT Reg. (Ont.)

Janna MacLachlan, OT Reg. (Ont.), is an Occupational Therapist and PhD Candidate at the University of Toronto, studying Social and Behavioral Health Sciences in Public Health. Janna has practiced as an Occupational Therapist since 2006, with roles involving generalist practice in remote Northern Inuit communities, acute care practice in an urban center and editor of a national occupational therapy practice magazine. Her dissertation research will explore how rehabilitation services should be offered in Inuit communities by centering Inuit worldviews. She is interested in the impact of colonization on health care, how Indigenous-settler reconciliation can occur within the occupational therapy profession, and the impact of societal power and privilege in clinical practice.

Ruheena Sangrar

Occupational Therapist

Ruheena Sangrar is an Occupational Therapist, Adjunct Lecturer in the Department of Occupational Science and Occupational Therapy at the University of Toronto, and PhD Candidate in the School of Rehabilitation Science at McMaster University. She has experience working in multiple hospital-based settings, including acute care, in-patient and out-patient rehabilitation within the Greater-Toronto-Area and Northern Ontario, having conducted driver screening and office-based assessments, neuro-rehabilitation, and health promotion. Her doctoral research focuses on designing proactive evidence- and user-informed approaches to keeping older drivers safe behind-the-wheel for as long as possible. Her research has also included exploring how older drivers learn to use in-vehicle technologies in their new cars and the influence of changes to regulatory requirements for reporting medically at-risk drivers in Ontario on Occupational Therapy practice.

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