Optimal Wellness through Participation: The Importance of Partnerships Outside of the “Therapy” World

When we think of the word “barrier” what comes to mind? Many immediately think of physical barriers like lack of wheelchair access, poor lighting, or limited transportation options. The framework of the International Classification of Functioning, Disability, and Health (ICF) provides a structure for rehabilitation professionals to address context as a component of our health [1]. The context of a person’s life is made up of facilitators and barriers to activities and participation in the environment. Facilitators are factors in the environment that improve or reduce disability, while barriers limit functioning and create disability [2]. Sometimes we neglect to acknowledge the barriers that we place on ourselves psychologically or the barriers society places on us in terms of their perceptions of what we are able to do. As therapists, we must promote inclusiveness in our communities to maximize engagement and participation to increase quality of life and promote healthy habits and routines. As occupational therapists we should also promote not only role fulfillment, but also development of new roles and routines with our clients. Physical therapists should encourage clients to engage in new activities that sustain strength and mobility.