The World Health Organisation published the International Classification of Functioning Disability and Health (ICF) in 2001 and in that framework defined participation as involvement in a life situation. Participation has been highlighted as both a determinant of health and a key outcome of health and social services. Publication of the ICF has been credited with heralding a paradigm shift – especially in rehabilitation. So, what should we expect 20 years later? What do we know now, that we did not know then, and how are we using that knowledge?

In this presentation, I aim challenge your satisfaction with contemporary practice in child-onset disability, and present principles and practices to advance participation-focused knowledge use. The process of translating evidence-to-practice remains too slow and we need to increase the pace of change. Are you ready?

Margaret Mayston