Hanneke E. van Bruggen, Hon. Dscie, Bsc OT, FWFOT, is Director of Facilitation and Participation of Disadvantaged Groups (FAPADAG), The Netherlands, Senior Lecturer, Ivane Javakhishvili Tbilisi State University (TSU), Georgia, Adjunct Professor, Dalhousie University, Canada, and Honorary Research Fellow in the school of Health Sciences in the University of Kwazulu-Natal, South Africa