Ecological crises associated with the global degradation of the natural environment call for dialogues and action to develop an economically and environmentally sustainable world. This paper proposes a new narrative for humanity by connecting ecology with broad ideas about occupation and occupational justice. The authors reflect on literature and action projects on ecology, occupation, and occupational justice. The authors propose that doing ecology is essentially occupational, and necessarily a matter of occupational justice given the strong link between poverty and the degradation of the natural environment. Eco-social occupational therapy practices are illustrated in poverty reduction projects, funded through university–community partnerships in Spain. The potential to expand eco-social occupational therapy lies in publicly embracing ecological challenges, focusing practices on changing the environment, and attracting partners to find new funding for enabling people everywhere to participate in ecological sustainability through occupation. This paper calls on occupational therapists to spark dialogues and take action in doing ecology and justice through occupation.

Occupational therapy is underpinned by the premise that engagement in occupation is fundamental to health and well-being. Through occupations, people are able to orchestrate their lives in ways that enable them not only to survive, but also to experience human flourishing. Through occupation, people can develop and maintain their families, neighbourhoods and communities as sources of belonging, opportunities and common action. Occupation, therefore, is not only important to each individual, but also, through collective occupation, people develop the kind of lives that they live together. Occupation is an essential factor in life quality, the experience of being human and the social transformation of individuals and of the societies of which people are a part. This article describes the formation of an International Think Tank for Occupation based social transformation. It begins with a brief overview of the conditions and context that underpinned the development of the group, and the milestones achieved to date in the establishment of a global network.

Background: “Digital Partners” is an intergenerational information and communications technology learning project carried out in the municipalities of Vic and Centelles (Catalonia) from April to May 2018. Within the framework of the introduction of community service as a subject in secondary education, the Centre for Health and Social Studies (University of Vic) created a training space with 38 intergenerational partners (aged 14-15 years and >65 years), with the aim of improving the senior users’ digital skills in terms of use of smartphones and tablets, thus helping reduce the digital divide in the territory. Objective: The aim of this paper is to evaluate the satisfaction of both junior and senior participants toward the intervention and to explore its main drivers. Methods: Participants who volunteered to participate in the study were interviewed. Quantitative and qualitative data gathered in paper-based ad hoc surveys were used to assess participants’ satisfaction. Results: The experience shows a broad satisfaction of both junior and senior users. The project’s strengths include the format of working in couples; randomly pairing individuals by operating system; the ability to practice with the device itself; individuals’ free choice to decide what they wish to learn, develop, or practice; and the availability of voluntary practice material that facilitates communication and learning. With regard to aspects that could be improved, there is a need to review the timetabling flexibility of meetings to avoid hurrying the elderly and to extend the project’s duration, if necessary. Conclusions: This activity can serve to create mutual learning through the use of mobile devices and generate security and motivation on the part of the seniors, thus reducing the digital divide and improving social inclusion.

This article proposes that occupational therapists must take on the role of agents of change in order to act in an eco-responsible way towards the population. Our recent literature review explores the critique of the foundations of the occupational therapist profession through the perspective of professional practices focused on eco-systems, and its respect rather than its exploitation. Several concepts have been defined in order to support occupational therapists in understanding the current and future challenges of populations, especially those most vulnerable to the climate and ecological crisis. These concepts thus aim to maintain the balance of ecosystems, promote eco-occupations and support intergenerational occupational justice. It is therefore important for us, occupational therapists, to be rooted in eco-humanist values, to be aware of the real role we face as citizens of the world. It is also about engaging us to build on our professional identity to give meaning to our new professional activities and support eco-social and sustainable occupational therapy.

The following article highlights the need to develop an occupational ecology, that is, the study of the deep and inseparable connection between human occupation and the ecological environment. Occupational ecology emerges as an occupational science field of study in an interprofessional and transdisciplinary dialogue. Potential fields of study are proposed for the development of an occupational ecology. Different projects and examples are presented to illustrate this proposition. This knowledge may empower, among other disciplines, the development of an ecosocial occupational therapy, translating theory to praxis, whose purpose is the creation of healthy, inclusive, and sustainable communities. Ecopations and eco-occupations are presented as key related concepts for occupational ecology.

Introduction: A mental health peer support program was implemented at two reference institutions in Central Catalonia. The program culturally and contextually adapted successful international projects by training people with experience of mental health problems and ensuring their employment in multidisciplinary health care teams. This study explores the influence of peer interventions in mental health on the three groups of participants: peer support workers, service users, and mental health professionals.Methods: A mixed observational method design included pre-, inter-, and post-experimental components and a qualitative description of the impact. The triangulation of the qualitative and quantitative findings showed its coherence and facilitated the understanding of the results. Outcomes and measures were as follows: self-stigma (Self-Stigma Questionnaire); life satisfaction (Scale of Satisfaction with Life); participation in relevant activities (Engagement in Meaningful Activities Survey); personal recovery (Scale-revised Recovery Assessment); occupational performance (Canadian Occupational Performance Measure); and attitudes toward mental illness (Community Attitudes toward Mental Illness).Results: The program showed beneficial effects on peer support workers' (PSW) perceptions of occupational performance, specifically on the ability to find work (p = 0.038), work as a peer support worker (p = 0.016), give to the community (p = 0.011), and satisfaction in the ability to find work (p = 0.031). The assessment made by the three groups of participants was very positive: the PSWs showed an increase in self-esteem and a feeling of usefulness; users of the service described the experience as a source of hope and optimism in their recovery process; and professionals described the program as a positive step in their professional growth.Discussion: The peer-to-peer strategy is a source of hope in the personal recovery process, providing meaning to life for the PSWs while providing an extra source of support to service users in their process of personal recovery. The results offer us lines of improvement for future implementations. PSW's final emphasis has us reflecting on improvements to enhance their own wellness in mental health care services. The findings show the importance of working on life projects and their impact on the recovery process.