Photo by Kyle West

By: Adriana Skaljin

Being in athletics, especially at a university level, can add pressure to the lives of athletes. Whether it comes from personal expectations, or those of coaches and fans, pressure can affect both their physical and mental states. 

Matt Quiring, who has been a forward for the McMaster men’s basketball team for four years, began playing due to his family’s love for the sport.

“I started playing when I was in the third grade, but started playing competitively in Grade five,” said Quiring. “I’m glad that my parents forced me to play, considering that I was shy. It got me to where I am today.”

Through basketball, Quiring met many important coaches and players who provided him with opportunities he would not have experienced otherwise.

“Basketball also taught me hard work ethic, [which] I wouldn’t have learned anywhere else,” explained Quiring. “This skill can be translated later on in life.”

https://www.instagram.com/p/BsgmAYBBlS6/

Sefa Otchere, first-year starting guard, also acknowledged the ways in which basketball has positively impacted his life.

“[The sport] is still impacting my life,” Otchere said. “Playing sports made me get out of my house, and [ultimately] showed me different places [while] making new friends.”

Both players also commented on the pressures that playing at a university level places on them.

“There is a lot of pressure that comes with the sport, both academically and athletically,” said Quiring. “It can get to you a lot of times. The mental and physical struggles can become taxing.”

Quiring and Otchere have implemented motivational strategies to work through their doubts and create a positive mindset when going into their games.

“[The pressure] is something I’ve struggled with,” said Quiring. “Recently, I have increased my confidence and have used pregame techniques given to me by a sports psychologist. There is a whole mental side to preparing.”

Otchere has a similar approach to handling pressure, starting with not putting expectations on himself.

“Basketball should be used to relieve stress and pressure, rather than provide that. I try and remind myself that before games,” said Otchere. “I make sure to remember that I need to go out and have fun.”

A healthy mindset is also important when coming back from a loss or a tough game. Recently, the Marauders suffered back-to-back tough losses against Brock University and Western University on Jan. 30 and Feb. 2.

“It’s always hard coming back from a loss because you have to watch the film and look at your mistakes. Then you have to fix them before the next game,” said Otchere.

That’s what we’re talking about 😤💪 @sefa_otchere https://t.co/R7DfdZpImM

— McMaster Basketball (@mcmastermbb) January 19, 2019

“You need time to mourn the loss, in a sense,” added Quiring. “After that, you need to put it behind you and realize where you messed up, and then learn and move on.”

Otchere also had to prepare for his comeback after his injury earlier in the season.

“I felt like I had to get my [groove], and confidence back,” said Ochere. “I also had to do extra practices to physically get back into the game as well.

Going into the end of the regular season, the players have applied these techniques as a means for achieving their goals.

“Besides winning, we want to make it to the final four and get to nationals,” said Quiring. “[Coach] Patrick Tatham preaches consistency [and] sets up team and individual workouts to develop skills needed to achieve our goals.”

“We need to make it known that we are one of the best teams,” said Ochere. “[All of] my focus is towards playing right and making playoffs.”

It is evident that both mental and physical health are important towards the well-being of athletes. The McMaster men’s basketball team’s perseverance and passion for the game will definitely be reflected in the upcoming games and in their journey towards nationals.

 

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Photo from Silhouette Photo Archives

If you browsed through social media on Jan. 30, chances are you saw #BellLetsTalk circulating around. Political leaders, celebrities, corporations and even McMaster University shared the hashtag in support of “ending the stigma” around mental illness.

Success and meaning can be found along many paths, but the paths can be rough and winding. | @McMasterSWC #BrighterWorld #BellLetsTalk https://t.co/fzBIjSte6G

— McMaster University (@McMasterU) January 30, 2019

But like #BellLetsTalk, McMaster’s mental health initiatives seem more performative than anything else. While offering “self-care” tips and hour-long therapy dog sessions can help students de-stress and perhaps initiate conversations about mental health, it alone is not sufficient.

This sentiment is shared amongst many other students and has been brought up time after time. It is truly disheartening then that the university seems to do little to meaningfully address students’ concerns.

https://twitter.com/calvinprocyon/status/1090777829510397952

Instead of investing in more counsellors at the Student Wellness Centre or restructuring their support systems on campus, starting Feb.4, McMaster is running Thrive Week. Thrive Week is a week-long initiative aimed to “explore [students’] path to mental health”. The week boasts events including yoga, Zumba and meditation circles.

There is no doubt that engaging in wellness and mindfulness activities, including activities like yoga and Zumba, can help alleviate some of the stresses of university and can positively benefit your mental health.

However, it is in itself not enough to actually help students overcome mental health issues. McMaster acknowledges that most students seem to experience, at least during some point in their undergraduate career, mental health issues. This is telling of a systemic issue. Mental health issues are largely attributable to socioeconomic factors. Financial strain, food insecurity and lack of a responsive administration can all factor into developing mental health issues as a student.

The best way to help students is to address the root of the problem, which often lies within the very structures of the university. Until McMaster addresses these systemic issues, yoga classes and wellness panels will do little to remedy students’ concerns.

Beyond addressing systemic issues, students struggling with mental health issues can’t colour their issues away; they require professional help. It is true that the university offers trained peer-support volunteers at services like the Student Health Education Centre and the Women Gender and Equity Network, but again, this is not enough. The responsibility of students’ mental health should not fall on the shoulders of other students.   

If the university truly cared about their students’ mental health, they would invest in more counsellors and actively work towards ensuring that waiting times at SWC aren’t months on end. They would make systems for receiving academic accommodations more accessible, as they currently require students to provide documentation of diagnosed mental health issues.

Talk is cheap. So are free Zumba classes. While raising awareness and reducing the stigma around mental is important, what students need is real change to ensure there are actual support systems on campus. The university has a responsibility to make that change happen.

 

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By: Natalie Clark

The definition of “Thrive” is most simply put as “to progress toward or realize a goal despite or because of circumstances.” This definition embodies the true meaning of McMaster’s first ever Thrive Week, beginning Feb. 4.

Thrive Week is a week-long series of events focusing on improving and maintaining good mental health of students, staff and faculty on campus.

Events include yoga, Zumba, meditation circles, stress management workshops and various panels for students to get information on a variety of topics such as career planning and suicide awareness.  

Although Thrive Week is new to McMaster, the wellness event has been a part of many schools around Canada for the past 10 years.

 

“Thrive began at [University of British Columbia] in 2009 and since then, a number of Canadian colleges and universities have adopted the spirit of Thrive,” mentioned McMaster wellness educator, WilPrakash Fujarczuk.

“The wellness education team decided to join these schools for a number of reasons…  one reason is to connect students to pre-existing services on campus… we know that there are a number of departments that promote mental wellness in ways that may not be so obvious,” said Fujarczuk.

Fujarczuk mentions “Sketching Thursdays” at the McMaster Museum of Art, which is a weekly event that allows students to distance themselves from their devices and work on mindfulness and creative expression.

Thrive Week is intended to promote events similar to “Sketching Thursdays” on campus and add additional resources and events throughout Thrive Week for students to participate in to further their mental health journey.

“Thrive is also an opportunity to bring in community partners to showcase the valuable expertise that Hamilton community resources have to offer,” mentioned Fujarczuk.

Some of the community partners that are taking part in Thrive Week at McMaster include Healing Together Yoga, The AIDS Network and Asian Community AIDS Services.

 

Body Brave, another Hamilton-based organization, will also be taking part in the event to introduce students and staff to their off campus support system. Body Brave’s main purpose is to address the major gaps in resources for eating disorders, raise awareness and reduce the stigma around eating disorders, particularly with those who are over the age of 18.

Kelsea McCready, a McMaster student who holds the position of secretary on the board of directors at Body Brave, mentions the barriers that individuals may face when struggling with an eating disorder and are looking for help.

“Programs within Ontario as a whole have a limited capacity which means that many individuals who are struggling are left on long waitlists without any kind of specialized support,” mentioned McCready.

McCready notes that although Body Brave is not a direct replacement for professional specialized support for eating disorders, the organization offers a variety of affordable treatment programs such as workshops, individual treatment and support groups.

“It is a priority for Body Brave to engage more with the McMaster community as an off-campus support in addition to on-campus services,” said McCready.

Body Brave’s involvement in Thrive Week is important for those who may be suffering from an eating disorder and are wary to seek out support. Thrive Week introduces programs and organizations to the McMaster campus that are similar to Body Brave in order to make these services more accessible to students.

“Given that it’s our first year running Thrive, we are hoping to use it as an opportunity to evaluate programs and build on for future years,” said Fujarczuk.

While Thrive events will only be taking place for a week, the path towards bettering the mental health of the McMaster community needs to be addressed and explored on a consistent basis. Thrive Week is the first step towards shedding light on the services available on-campus and in the community.

 

Thrive Week will be running on campus from Feb. 4 to Feb. 9. More information about the event can be found on the Student Wellness Centre’s website, which includes the Thrive Week schedule and other mental health resources found year-round on campus.

 

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Photo by Kyle West

By: Saadia Shahid

How does a student get good grades? I know the most obvious answer being shouted out is “by studying, of course,” with some sarcastic replies of “watching Netflix” thrown in the mix. But what if I told you both those answers were correct?

A balance of socializing and studying, which can include watching Netflix, is necessary to achieve those highly sought-after grades.

Though our cognitive needs are met by virtue of being university students, it is our need for "love and belongingness" that is present on Maslow's hierarchy of needs. Socializing is a basic human need. To become functioning members of the society, we must engage in leisure activities.

Yet, we almost never put time aside to socialize with our friends. Even when we do, studying takes precedence and ends up taking over the time we allocated for socializing.

This is often a result of procrastination. Whether it is procrastinating by scrolling through clickbait articles or watching videos, when we procrastinate, we take away time from both socializing and studying.

Procrastination is also looked down upon so badly. Rarely do we try to understand why the person might be engaging in procrastination. Procrastination is a sign of anxiety.

In my opinion, procrastination is often a hugely unrecognized sign, too. Besides anxiety, procrastinating habits have been linked to depression and low self-esteem.

If you find your friend procrastinating, don’t “leave them alone so they can study”. Study with them. If left alone, they may continue procrastinating for even longer, and worsen their mental health.

Some people do emphasize their preference for studying alone. In that case, make sure they’re okay and continually check on their progress and their mental health. In severe cases of anxiety, they may even lie about it.

As a perfectionist, I speak from experience. My habit of procrastination stemmed from being anxious about the imperfect outcome that might ensue. As a result, I took longer getting started on assignments with the thought that if I didn’t do well, I could justify it by telling myself that I didn’t have enough time.

So far this year, I have been doing better as I have come to terms with the non-existent nature of perfection. This is something creatives struggle with as well. Things like “is this good enough?”, “should I post this now?” and “I want to make this better” are examples of what goes through their minds on a regular basis.

So how do you achieve the grade you’ve been aiming for? Consistency is the answer. Being consistently diligent with your workflow will not just aid in improving your skills, but also get you your coveted grade. Doing well in a course is a long-term goal, and definitely doesn’t occur when you start an assignment a day before its due.

Procrastination also leads to long hours of isolation in the library behind laptop screens or a stack of books, taking away the satisfaction of “love and belongingness”, and according to Maslow, halting an individual’s growth.

So, the next time you find your friend procrastinating, ask them why, take them out to get them relaxed and help them get started on their studying. Mental health is no light issue.

 

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Photos C/O Kyle West

On the evening of Jan. 24, Josh Marando was voted in as the next unofficial president-elect of the McMaster Students Union.

Marando, a fourth year arts and science student, garnered over 600 first-choice votes compared to the second-place candidate Jeffrey Campana.

Overall, Marando received 40 per cent of the 2,654 first-place votes.

Marando’s platform consists of 12 pillars, touching on issues like mental health support, sexual violence and education costs.

 

Marando learned of the news of his victory via a phone call from the current MSU president Ikram Farah at 9:00 p.m. on Jan. 24.

He was surprised by how early he got the call.

“I was not expecting to hear as soon as we did. Last year, I knew that they heard at around 3:10 a.m, so when Ikram called me at 9:00 p.m., I was not really sure. I thought she was joking at first. I really expected her to say, ‘Just kidding,’” Marando said.

Marando was relieved to hear he won, admitting the last few days of the campaign were the most stressful ones. On the last day of polling, he went home in the afternoon to relax on his own before his campaign team gathered to await the results.

“We just invited the core team over because either way we just wanted to be happy because I think we did run a pretty good campaign and I think we are all pretty proud of the work that we did, regardless of what the outcome would have been,” said Marando.

After receiving word of his victory, Marando quickly sent a text to his parents.

“I sent a nice little text in our group chat just saying that I won,” Marando said. “I think my parents still don't fully understand what it is. They do not really know what the MSU does. There are obviously so supportive because they know it's something I have been working on for a very long time and they're just very, very excited.”

Looking ahead to the next few months, Marando said he will begin implementing smaller projects, like creating a student lounge in the McMaster University Student Centre, while continuing to consult different services on bigger projects, like academic accessibility and mental health support.

Marando is also focused on formulating a plan to advocate against the provincial government’s changes to the Ontario Student Assistance Program and student fees.

“Something that I am trying to do is fully understand the changes, fully see what impact that will have on students and see what we could do differently than what we were doing before,” Marando said. “We have been advocating to this government for however many months now and we still saw this happen, so clearly something needs to change.”

Reflecting on his campaign, Marando believes he was successful because his message resonated with what students truly wanted.

“Something that we really try to do is just talk to students and see what exactly they wanted, and also some things that they would have wanted when they were in first year,” Marando said. “The people see the MSU president that shirt and jacket and suit and it feels very disconnected from students, but I think the real way that you can create meaningful change is by being one of the students and really connecting with them during this process.”

Slated to begin his term in May, Marando is excited and optimistic about the job in front of him.

 

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When Jess completed her undergraduate degree, she found herself at a crossroads. Look for an entry-level position in primary health care? Or pursue additional studies to streamline her career path?

Having decided to take the further education route, Jess began her search for a graduate certificate program that would provide the experience she needed to make her resume stand out. She found the right fit in Hamilton at Mohawk College and enrolled in the Mental Health and Disability Management Graduate Certificate program.

"My degree gave me a solid foundation, but I knew I needed practical skills and workplace experience," says Jess. “With so many opportunities to learn outside of the classroom and get involved in the community, Mohawk’s graduate certificate program checked all the right boxes for me."

 

From classroom to career

As a leader in experiential learning, Mohawk’s graduate certificate programs prepare you, in one year or less with experience you will use in the workplace. Embedded in all programs are learning opportunities developed in cooperation with industry partners, such as capstone projects, work placements, and interactive simulations. These partnerships formed between industry, colleges and universities are key to students leaving with relevant skills for today's job market.

As a university graduate, these opportunities to specialize and gain industry-relevant experiences can build on your degree and make a difference in your job search. In fact, 88.6% of Mohawk grads find employment within six months of graduating. *

 

So, what’s your goal?

Securing a job in a field directly related to your undergraduate studies? Consider a graduate certificate program that complements your existing knowledge base.

Interested in working in an industry that’s entirely different from your university major? Your bachelor’s degree is the key to being eligible for a diverse range of graduate certificate programs.

For Jess, combining her undergraduate degree with a graduate certificate has given her the confidence that she’ll have both the knowledge and the skills to help fill gaps that exist in primary health care environments.

Ready to go further? Explore Mohawk College Graduate Certificates today and find the one that’s the right fit for you.

 

* 2017-18 KPI Student Satisfaction and Engagement Survey

 

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Article contains mentions of suicide

Year after year, mental health is a consistent topic of discussion that sometimes gives a catalyst forward. The Student Mental Health and Well-Being Strategy, released back in 2015, is one example of this where the foundation of how the university approaches the subject radically changes.

The results came shortly afterwards as McMaster topped the list of Maclean’s magazine as the top ranked university in Canada for mental health services based on their Student Satisfaction Survey. There were a few problems with the survey itself, but it was a good sign.

Then nothing happened. The work was done. The Mental Illness Awareness Week continues to persist from before the strategy, you get a few sound bites from McMaster Student Union presidential hopefuls about what they would do to help improve our services and that is about it.

On June 26, a new bright yellow bench was introduced to the lobby of the Health Sciences Library. It was donated by the family and friends of Dr. Robert Chu, a graduate of our School of Medicine, after he committed suicide in 2016.

The Friendship Bench program was co-founded by Sam Fiorella in honour of his son, Lucas, who committed suicide in 2014. At the time of writing, there are 33 benches across Canadian secondary and post-secondary schools with 40 more in queue for fundraising. They are meant as a constant, visual reminder, to encourage peer-to-peer discussion and to connect students to available mental health resources. It works in collaboration with existing services.

It has put mental health back into the conversation that McMaster should always be having, and does it effectively with respect and purpose. My main concern is that the effort for the foreseeable future will stop there.

It is not that the inspiration does not seem to be there. As mentioned previously, presidential hopefuls bring it up all the time because it is, unfortunately, such as prominent issue. There are a few inhibiting factors that get in the way.

One of the things our original critique of Ehima Osazuwa’s platform during his campaign trail, later the 2015-16 MSU president, included was a point to his want to lobby for mandatory training for TAs in accommodating students with disabilities. The MSU vice-president (Education) at the time stated that he had resistance in implementing mental health-specific training for TAs, so it was arguable whether further training could be mandated for the entire university.

Despite this, the idea of training specifically related to mental health came up again in three different platforms in the campaign for the 2016-17 presidency including the victor’s, Justin Monaco-Barnes, and on two platforms in the 2017-18 presidency race.

Our current president, Chukky Ibe, had a platform that mentioned, “…providing funds for student groups who create independent programming in regards to the welcome week strategic themes,” including mental health, but it remains to be seen if he can follow through with that promise.

Let us hold those in charge more accountable for improving our services. While talking about it is important and the benefits of discussion guided by things such as The Friendship Bench and Mental Illness Awareness Week cannot be understated, we should continue to strive for more than empty promises or promises that cannot be followed through.

It should not take circumstances like this or a presidential campaign to start caring about the problem again.

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Hating your body is NOT normal

You do not have to hate yourself. It is not normal, even if it is common. Often, our negative thoughts about ourselves become habits and we don’t even notice how much they have taken over our lives. It is perfectly OK to love your body as it is, or even just to come to terms with it.  Disordered eating is pervasive, and bodily self-hate is everywhere, but it doesn’t have to be. The mantra of “every body is beautiful, including my own” is one that I repeat to myself constantly, and that I also tell those I love when they are struggling. Find your own mantra and use it wisely. You and your body are on the same team; cultivate a good relationship and you will be astonished what you can accomplish together.

Food is everywhere

And I don’t just mean physically, I mean socially. You don’t realize just how many events — religious, family, or friendly — revolve around food until you try to give it up. Swearing off food is nothing short of social death. In hindsight, the saddest moments in my life were those when I sat and ate my pitiful meals alone, picking at celery sticks and egg whites alone in the quiet confines of my room. Food was never meant to be a solitary activity, yet we spend too much time eating independently or in the company of Netflix. Treasure your communal meals, because the nourishment of company is just as important as what you are eating together.

Everyone is beautiful

A funny thing happened when I started being open about my body dysmorphia. The people I thought would be the happiest with their bodies — the slim and conventionally appealing — were no more satisfied with their appearance than the ordinary looking. What I discovered is that how you feel about your body has very little to do with your body itself. When I was a full 70 pounds heavier than my sickest weight, I was also happier with my body than I’d ever been (and the healthiest I’d ever been too). The best way I’ve found to begin healing your relationship with your body is to stop judging other people for their appearance. If you can learn to accept other people, it becomes a hell of a lot easier to coexist with your own “faults.”

Life is too short for diets

Remember what I said about food and social death? I was not kidding. A diet takes away your focus on the important things in life and replaces it with a cycle of guilt, self-hatred, and smug superiority. While not all diets are eating disorders, they have one important thing in common; they narrow your focus down to one thing and one thing only — the food you cannot eat. They also don’t work. Five years after a diet your chances of keeping the weight off is only five percent likely, and many people actually gain back more weight than they’ve lost. My — admittedly extreme — diet has even had permanent or semi-permanent negative effects on my body and mind. You are torturing yourself for nothing. Seriously, life is too short.

Relearn everything about your health

Thinness is not health. We all have that one skinny friend that eats terribly and does not exercise — and as an autonomous human being, that is their right — but why on earth would we assume that they are healthier than the fat person who exercises daily and enjoys wholesome food? More and more studies are showing that lifestyle has a much larger impact on health than size, and the two are not necessarily correlated. We accept the fact that some people can be naturally skinny, but we can’t accept that some people may be naturally larger, and that there is nothing wrong with that. Some people are naturally fat and they are not any less healthy, beautiful, or worthy of respect.

Photo Credit: Cicanevelde.hu

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I will admit that I am a hypochondriac. The slightest suspicion has me out the door and in line at the walk-in clinic. Unfortunately, this often leaves me feeling frustrated because seeing your family doctor or visiting a walk-in clinic doesn’t always give you the answers you’re looking for. If something doesn’t feel right, it is worth getting it checked out by a medical professional, but depending on what your problem is, doctors might not always have solutions. If you are suffering from a disorder with no physical manifestations — such as mental health concerns — a clinic or family doctor may send you away without resolving the problem.

While many sufferers of mental illness benefit greatly from medication prescribed by their doctors, it is not always necessary or as helpful as one might imagine. Two cases that come to mind in which non-medicinal alternatives can help are situational anxiety and seasonal affective disorder, both very common ailments. Both can vary in symptoms from person to person. Since doctors diagnose based on evidence presented to them, it’s going to be difficult in cases like these for them to be entirely sure of their analyses. Only you have a complete picture of how you are feeling, and while medication may be necessary in some cases, you might find that you simply need a bit of mediation, exercise, and a healthy diet. These are a few options that could help lift your spirits, if not addressing the root cause of your problem. Non-medical treatments also don’t have the side effects that medication can. One option is counselling or cognitive behavioural therapy.

I am by no means saying that doctors should be avoided. They should be consulted, however, it’s important to not rely completely on the medical system when you don’t have to.

CBT works by examining negative thinking in order to change your outlook and responses. The purpose of this type of psychotherapy is to minimize overall distress levels and self-defeating behaviour. Considering the amount of stress we students face daily, therapy is one solution to a wide range of mental health problems that is more sustainable than taking unnecessary prescription drugs.

I am by no means saying that doctors should be avoided. They should definitely be consulted. However, it’s important to not rely completely on the medical system when you don’t have to. We all know how difficult it can be to get an early appointment let alone a same-day one. Wait times can be long, especially when you need to follow up with a specialist. Therefore, one of the best things you can do for yourself if you are struggling is closely examine your own situation. Write everything down. Document your moods during the day, what you’re eating, when you’re going to bed, and anything about your health that seems out of the ordinary. Start looking for trends so that when you do see your doctor you can deliver as full a picture as possible. Sometimes you might feel like things are hopeless and that you have no control over the way you feel, but in many cases, you do have at least some agency. Sure, these tips and tricks may not completely solve the problem, but they can’t hurt. Ultimately, doctors are here to help, but they aren’t all-knowing deities. They want patients to feel better, but they are only human. If there is a problem that we may be able to help fix, we should explore all other avenues available to us.

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By: Sabrina Lin/ Meducator and Sarah Ge

Frustrated by the inefficiency of the therapy model used to support children with special needs in schools, McMaster School of Rehabilitation Science professor Cheryl Missiuna decided it was time for change. At the onset of her journey, she didn’t realize how her team’s innovative service delivery model would revolutionize the field of special needs therapy in elementary schools across Canada.

Prof. Missiuna has served as Senior Scientist and Director at the CanChild Research Centre for seven years and is leading the Partnering for Change project. The project introduces a novel service delivery model that allows occupational therapists to provide services to school-aged children with Developmental Coordination Disorder.

Touching nearly one in five children across Canada, DCD is a motor disability that affects a child’s ability to complete everyday self-care and academic tasks such as zipping up a jacket, folding a piece of paper or using a pencil for schoolwork.

In Ontario, children identified with DCD are referred to school health support services for occupational therapy, after which they spend up to 24 months on waitlists to receive in-school treatment. Without the proper support, children with DCD remain at a standstill in these crucial years of development. Meanwhile, secondary academic, mental health, and physical health issues unfold, making their needs more complex and difficult to cope long-term.

Promoting collaboration between families, educators, and therapists, Partnering for Change is distinct from previous therapy models as it takes a more holistic approach to special needs therapy. “We have had traditional models in the past of servicing children one child at a time. At Partnering for Change, we recognize that this one-child-at-a-time model is not effective in large part because the kids spend so long on waitlists. Even if we had an intervention that was effective, children are waiting two years to see a therapist,” Missiuna said.

In response to this issue, she has worked with families, educators, therapists and other stakeholders to create a socio-educational therapy model that sees the whole school as the client. This is a departure from the current medical model characterised by referrals, check-ins, and long wait times.

“[Partnering for Change] helps to support features within the school to change or improve the environment around the child,” she said. Unlike previous methods, the development of the model centers around the needs of the children it services. It provides support with a focus on the child, and employs strategies in the classroom to resolve problems the child is having.

Occupational therapists play an important role in the process. After observing the child in the education setting, they assist in the development of individual learning profiles that are catered to the needs of the child. OTs will then provide knowledge and resources to educators and parents by either suggesting specialized instructional strategies or recommending specific tools that enhance learning.

In Ontario, children identified with DCD are referred to school health support services for occupational therapy, after which they spend up to 24 months on waitlists to receive in-school treatment.

P4C has seen widespread success in the school community. Missiuna explained that this is largely due to participatory action research, an approach that incorporates the opinions of families into the project design. “From the very beginning, we made sure that we were developing a model that was going to target issues that were identified by families, educators, and the health care system,” she said.

As the John and Margaret Lillie Chair in Childhood Disability Research, Missiuna hopes to continue to develop P4C in the next four years, systematically expanding its outreach both provincially and nationally. The program has already been implemented in 40 schools across three school boards, including the Hamilton Wentworth Catholic District School Board.

In addition to contributing to the field of childhood disability research, the new integrated delivery model has the potential touch the lives of nearly 400,000 Canadian children who are affected by the disorder.

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