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Guide for practitioners to effectively help people experiencing Occupational Injustice

This page is intended to publicly share resources about the Occupational Justice Health Questionnaire and how it can be used both in research, teaching, and practice.

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About OJHQ

The OJHQ is a tool originally created by Prof. Ann Wilcock (+) and Prof. Elizabeth Townsend (Wilcock & Townsend, 2014). This tool was developed to aid occupational therapists in identifying injustices experienced by individuals, groups, and communities in their daily practice. Through an interview process,  practitioners can identify "justice determinants" that facilitate or hinder a person or group’s occupational and activity participation. The OJHQ allows practitioners to use narratives and intersecting contexts in designing interventions and recommending appropriate and immediate services to people experiencing complex life situtations (Sy et al., 2021).

OJHQ FAQs

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The OJHQ is a tool used by occupational therapists, health professionals and social care professionals to supplement clinical assessments. One can use this for complex cases that involve injustices and human rights issues affecting the health, survival, and occupational participation of persons and groups.

OJHQ is an assessment based on human stories. The tool can be used by an interprofessional team to guide contextual intervention planning as well as advocate for individuals and groups.

While the OJHQ had been conceptualised in the West, its utility in the past decade has been spreadout in both developing and developed nations in diverse settings: Philippines, India, Germany, and Slovenia. The use of the OJHQ in these countries has been backed up by published research.

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OJHQ Toolkit

In 2025, the OJHQ Team has been working to consolidate all the published documents related to the OJHQ into one document containing its background, glossary of terms, interview guide, and the tool itself. It is available in pdf and is ready for printing in page and booklet (ready to print) layouts. Feel free to download and use the OJHQ toolkit for use in your clinical and community practice, and give us your feedback in the next 6 months.

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Get the OJHQ Toolkit for FREE

We’d love to keep you updated on new OJHQ versions and related research. Enter your email below to download the toolkit.

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OJHQ Original

(Wilcock and Townsend, 2014)​  

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​OJHQ Filipino

(Sy Delos Reyes et al. 2021; Sy, Roraldo 2021; used and implemented for Filipinos recovering from substance addiction)

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OJHQ Modified

(George, et al. 2025; utilised for women who survived exploitation in rural South India context)

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OJHQ German

(Dürtscher, 2025; utilised among youth and refugee population in Germany)

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OJHQ Slovenian

(Bohinc Penček et al. 2025; translated, adapted and open for use in Slovenian context)

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Key OJHQ Publications 

  • Buenafe, J. P. M., Bejasa, N. P., Caseres, M. S., Arago, Q., Tuibeo, K. K., & Delos Reyes, R. C. (2022). Experiences of gay men during the pandemic through the lens of occupational justice. Philippine Journal of Health Research and Development, 26, 10–17. https://pesquisa.bvsalud.org/portal/resource/pt/wpr-987625

  • Delos Reyes, R. C., Baes, D. M., Gualberto, S. M., & Pagcaliwagan, E. (2021). Experiences of university students during COVID-19: A case study using occupational justice perspective. Journal of Social Health, 4(1), 1–9. https://share.google/82YEVUcQx3De79JHJ

  • Dürtscher, K. (2025) Cultural environment. In K. Fechner, L. Bring-Hase, & D. Wild (Eds.), Occupational therapy in child and adolescent psychiatry (pp. 452-490). Schulz-Kirchner Publishing House. https://www.skvshop.de/ergotherapie/ergotherapie-in-der-kinder-und-jugendpsychiatrie-978-3-8248-1082-6.html

  • George, E., Moorthy, S., Di Tommaso, A., Rankin, E., Oxlad, M., Murthy, G., … D’Souza, B. (2025). Developing a modified and contextualised Occupational Justice Health Questionnaire (OJHQ) for use with marginalised populations: A Delphi study. Journal of Occupational Science, 32(3), 533–554. https://doi.org/10.1080/14427591.2025.2463013

  • Sy, M. P., & Ohshima, N. (2019). Utilizing the Occupational Justice Health Questionnaire (OJHQ) with a Filipino drug surrenderee in occupational therapy practice: a case report. World Federation of Occupational Therapists Bulletin, 75(1), 59-62. http://dx.doi.org/10.1080/14473828.2018.1505682

  • Sy, M. P., Reyes, R. C. D., Roraldo, M. P. N. R., & Ohshima, N. (2021). Uncovering the lived experiences of Filipino drug recoverees towards occupational participation and justice through an interpretative phenomenological analysis. Scandinavian journal of occupational therapy, 28(6), 457–470. https://doi.org/10.1080/11038128.2019.1642380

  • Sy, M. P., Roraldo, M. P. N. R., Delos Reyes, R. C. R., Yao, D. P. G., & Pineda, R. C. S. (2021). Occupational justice health questionnaire: reflections on its application. Brazilian Journal of Occupational Therapy/Cadernos Brasileiros de Terapia Ocupacional, 29, e2961. https://doi.org/10.1590/2526-8910.ctoAO2244

Let's Meet OJHQ Team

A collaborative group of international researchers and practitioners dedicated to advancing occupational justice through teaching, research, and community practice.

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Michael Sy, PhD

ZHAW Zurich University of Applied Sciences (Switzerland)​

 

 

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Ma. Patricia Nicole Roraldo, MAOT

Occupational Therapist

Mariveles Mental Wellness and General Hospital (Philippines)- Advanced Comprehensive Center for Mental Health

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Shobana Devi Moorthy, MSc(OT), MSc(Psych)

Senior Occupational Therapist

Clinical Manager, Smart Sensory Kids (Ireland)​

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Roi Charles Pineda, PhD

KU Leuven (Belgium)

G-sport Vlaanderen (Belgium)

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Camille Anne L. Guevara, OTRP

Lecturer

Department of Occupational Therapy, ​University of the Philippines Manila​

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    Maša Bohinc Penček, BSc OT

    MSc Student

     


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    Rod Charlie Delos Reyes, PhD

    University of Batangas (Philippines)

     

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    Emma George, PhD

    Adelaide University (Australia)

     

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      Urša Bratun, PhD

      University of Ljubljana (Slovenia)​

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