The Canadian Occupational Performance Measure (COPM): Critiquing its Applicability With Indigenous Peoples and Communities

Indigenous Peoples experience significant health inequities that must be understood in relation to historical and ongoing colonialism, racism, discrimination. The occupational therapy profession has claimed commitment addressing the Truth Reconciliation Commission (TRC) calls action, however, is firmly grounded Euro-Western epistemologies, including its assessments. purpose of this paper was assess Canadian Occupational Performance Measure (COPM) for use with clients communities. Although COPM uses flexibility through semi-structured interviews exclusion standardized score comparisons, it mired colonial underpinnings hierarchical therapist-client power dynamics threaded throughout. potential given nature client-led approach. However, acknowledgement assessments’ roots biases are necessary. This assessment may modified improved use, which should occur collaboration clients, communities, leaders.