The Future of Occupational Therapy: Recovery, Participatory Citizenship and the Impact of Technology

This chapter was co-authored by a peer researcher with lived experience. People with mental health challenges are often pushed to the margins of society, and experience powerlessness, which prevents them from being able to access their full rights as citizens. The chapter explores the concept of citizenship within the context of mental health and occupational therapy. Limitations of the recovery approach are discussed and opportunities for enacting participatory citizenship to address the limitations are explored. The intersection between participatory citizenship and occupational justice is examined. The chapter also delves into the impact of technology on citizenship, discussing the opportunities and challenges it presents for individuals with mental health conditions. It highlights the importance of considering technology's role in shaping social norms, facilitating participation, and promoting inclusion. In an increasingly technological society, occupational therapists could play a key role in public health and through ‘occupation’ support people with their identity and finding meaning. It is essential that occupational therapists engage in promoting digital citizenship, people’s interaction with AI, and participation in the virtual world. The chapter suggests reflective exercises for readers to consider; these can be undertaken individually or collaboratively as part of group activities. These reflections are designed to support a shift in thinking towards a more participatory approach to promote citizenship, address occupational injustice, and create inclusive societies for individuals with mental health challenges.