In this episode of the New PossibilOTs podcast, Mahek Bansal and Larissa Ferrari explore the top-down and bottom-up approaches in occupational therapy and explain the fundamental concepts of both approaches. The top-down approach involves focusing on the performance of specific tasks or occupations, aiming to enhance their execution through adaptations or skill training. On the other hand, the bottom-up approach concentrates on developing foundational skills required for successful task completion, such as fine motor, gross motor, or cognitive skills. They share their perspectives on when and how they apply these approaches, often finding value in combining both for comprehensive intervention, highlighting the importance of linking these approaches to the overarching goal of improving participation and function in clients’ daily lives. They also touch on the challenge of measuring outcomes and advocating for occupation-centred interventions, particularly in the context of healthcare funding systems. Join Mahek and Larissa as they share their enthusiasm for sharing their experiences and insights.

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