An environment built to include rather than exclude me: Creating inclusive environments for human well-being

Layton, Natasha A. and Steel, Emily J. (2015) An environment built to include rather than exclude me: Creating inclusive environments for human well-being. International Journal of Environmental Research and Public Health, 12 (9). pp. 11146-11162. ISSN 1660-4601

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Abstract

Contemporary discourses which challenge the notion of health as the 'absence of disease' are prompting changes in health policy and practice. People with disability have been influential in progressing our understanding of the impact of contextual factors in individual and population health, highlighting the impact of environmental factors on functioning and inclusion. The World Health Organization's (WHO) more holistic definition of health as 'wellbeing' is now applied in frameworks and legislation, and has long been understood in occupational therapy theory. In practice, however, occupational therapists and other professionals often address only local and individual environmental factors to promote wellbeing, within systems and societies that limit equity in population health and restrict inclusion in communities. This paper presents an in-depth analysis of the supports and accommodations identified by a cohort of individuals (n-100) living with disability. A range of environmental facilitators and barriers were identified in peoples' experience of 'inclusive community environs' and found to influence inclusion and wellbeing. The roles and responsibilities of individuals, professionals, and society to enact change in environments are discussed in light of these findings. Recommendations include a focus on the subjective experience of environments, and application of theory from human rights and inclusive economics to address the multiple dimensions and levels of environments in working towards inclusion and wellbeing.


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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: © 2015 by the authors; licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution license (http://creativecommons.org/licenses/by/4.0/).
Faculty / Department / School: Current - Faculty of Health, Engineering and Sciences - School of Health and Wellbeing
Date Deposited: 13 Feb 2018 01:06
Last Modified: 03 Sep 2018 03:09
Uncontrolled Keywords: occupational therapy; inclusion; disability; ICF; environmental factors; health policy; accessibility; usability
Fields of Research : 11 Medical and Health Sciences > 1117 Public Health and Health Services > 111703 Care for Disabled
16 Studies in Human Society > 1605 Policy and Administration > 160508 Health Policy
11 Medical and Health Sciences > 1117 Public Health and Health Services > 111712 Health Promotion
12 Built Environment and Design > 1205 Urban and Regional Planning > 120599 Urban and Regional Planning not elsewhere classified
Socio-Economic Objective: C Society > 92 Health > 9204 Public Health (excl. Specific Population Health) > 920403 Disability and Functional Capacity
C Society > 92 Health > 9202 Health and Support Services > 920207 Health Policy Economic Outcomes
C Society > 94 Law, Politics and Community Services > 9401 Community Service (excl. Work) > 940101 Ability and Disability
Identification Number or DOI: 10.3390/ijerph120911146
URI: http://eprints.usq.edu.au/id/eprint/33607

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