Preparation for an uncertain world: international curriculum development for mental health occupational therapy

Occupational therapy graduates are entering increasingly complex practice landscapes. Supported by funding from the Thelma Cardwell Research Foundation, WFOT, an international, online learning module involving four countries (UK, South Africa, Belgium, Singapore) was developed and researched with the aim to improve graduates' preparedness for practice. The project offered undergraduates the opportunity to explore a globalised picture of mental health practice, pedagogically designed, to encourage students to critically reflect, engage in problem-solving, develop culturally-sensitive services, take calculated risks, and consider ways and means of extending professional reach.

Objectives
The paper will:
1. Detail the research process and present the study findings with recommendations for curriculum development.
2. Discuss how a richer understanding of occupational therapy in other contexts, including enhancement of students' intercultural sensitivity and critical self-reflection, equips students to deal with greater levels of complexity in their practice.

Methods
Using an Open Moodle platform, 215 final year occupational therapy students engaged in an online discussion forum, drawing on complex scenarios donated by graduate therapists. Case study methodology and mixed methods were used to explore student and staff perspectives about the learning experience.

Results
The study revealed significant increases in intercultural sensitivity amongst students measured pre-and post-project, alongside numerous challenges in engagement for both staff and students. Findings from the study provide opportunity to compare work contexts and pedagogic responses.

Conclusion
Augmented learning opportunities within the curriculum are vital to equip graduates with enhanced agency, and greater resilience for managing complexity to inform the professions role in mental health practices.