Beyond the care system: exploring occupational choices of young care leavers in Ireland

Introduction: Occupational justice has increasingly become a focus of attention in occupational science. Embedded within occupational justice is the expression of occupational choice. Choice from this perspective is particularly relevant to a marginalised group in Irish society, young care leavers. Although there is limited research regarding outcomes of Irish care leavers there is no data offering an occupational perspective on their transition to independent living which is formally known as aftercare. The literature reviewed demonstrates the potential for research regarding the influence of context on the occupational choices of this cohort. This qualitative study, underpinned by an occupational justice perspective aimed to explore the influence of social context on the occupational choices of young care leavers during this transition. Method: Five young care leavers; aged 18-21 were interviewed using the participatory data collection method of photo-elicitation in conjunction with a semi-structured interview guide. Interviews were transcribed verbatim and subsequent data was thematically analysed. Findings: The social contexts in which young care leavers live inform occupational choice serving as both an enabler and barrier to choice. This is evidenced by four themes; the past present and future, the reality of adulthood, the people around us and the meaning of doing. Conclusion: Findings suggest that the social context of formal aftercare support promotes choice however there is potential for a greater impact. Occupational therapists can play a lead role in providing equitable opportunity for young care leavers to engage in meaningful occupations. Thus, promoting their health and well-being and creating a context within which they can express occupational choice as is their human right.