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Extreme Makeover: OT Edition Pamela E. Toto, PhD, OTR/L, BCG, FAOTA Assembly of Student Delegates April 25, 2012

Extreme Makeover: OT Edition

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Extreme Makeover: OT Edition. Pamela E. Toto, PhD, OTR/L, BCG, FAOTA Assembly of Student Delegates April 25, 2012. Acknowledgement. - PowerPoint PPT Presentation

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Page 1: Extreme Makeover: OT Edition

Extreme Makeover: OT Edition

Pamela E. Toto, PhD, OTR/L, BCG, FAOTA

Assembly of Student Delegates

April 25, 2012

Page 2: Extreme Makeover: OT Edition

Acknowledgement

• Parts of this presentation are an excerpt from my 2011 presentation at the 2011 AOTA Annual Conference (SC 216) and OT Practice article published April 23, 2012

Page 3: Extreme Makeover: OT Edition

Occupational Therapy in the beginning…….

Page 4: Extreme Makeover: OT Edition

Proto-type of the average OT practitioner

Nice

Goes with “the flow” Doesn’t need to be in charge

Gets along with everyone

Helps people “get dressed”

Has lots of cool gadgets

Kind

Common Sense

Exercises peoples’ arms

Teaches handwriting

Page 5: Extreme Makeover: OT Edition

External Threats to OT (as we know it today)

Page 6: Extreme Makeover: OT Edition

Shrinking Reimbursement

• Increased scrutiny for necessity of services

• Arbitrary limits on coverage– Reimbursement source– Management

• Increased competition for $$ from other healthcare services

Page 7: Extreme Makeover: OT Edition

Shift to Focus on Function• Increased interest in

activity and participation– World Health

Organization ICF – Chronic health

conditions

• Adoption of ADL terminology and focus by multiple disciplines

• Varying definitions

ADLs

OTR

Page 8: Extreme Makeover: OT Edition

Lack of Occupational Therapy Awareness

Occupational Therapy: The Misunderstood Monster

Page 9: Extreme Makeover: OT Edition

Challenge of Defining Occupational Therapy

• Takes too long to explain• Term “occupation” is confusing• Confused with other rehabilitation services• Varies greatly by population and setting

Page 10: Extreme Makeover: OT Edition

Internal Threats to OT (things WE could do better….)

Page 11: Extreme Makeover: OT Edition

“Sin” of Omission

• Accepting “status quo”

• “Following the herd”

• The “devil” made me do it (aka “the boss”)

Page 12: Extreme Makeover: OT Edition

“Short-selling” the Value of Occupational Therapy

• Attributing skill to “common sense”

• Lack of evidence in communication and documentation

• Deferring our clinical judgment to other disciplines

Page 13: Extreme Makeover: OT Edition

Happy to be another face in the crowd...

• Representation by disciplines other than occupational therapy

• Avoiding the “limelight”– More comfortable interacting with clients

than decision-makers– More comfortable advocating for others

than yourself

• Who are "they”?

Page 14: Extreme Makeover: OT Edition

The Occupational Therapy Practitioner of Today

Client-centered

Unique and Necessary

Gets client back to living

Creative Problem-solver

Collaborative

Advocate

Facilitator/Group leader

Empowering

Page 15: Extreme Makeover: OT Edition

Changing IMPOSSIBLE…..

…to POSSIBLE!

Page 16: Extreme Makeover: OT Edition

Own our identity

Page 17: Extreme Makeover: OT Edition

Names Matter• Call yourself an occupational therapist

or occupational therapy assistant– Avoid use of the terms “OT” or “COTA”

• Correct those who identify you as something else– Examples: Physical therapist, therapist,

nurse, aid

• Nametags and business cards• Other

“Sticks and stones may break my bones but names will never hurt me!”

Page 18: Extreme Makeover: OT Edition

Define what you do

• The “elevator” definition– Brief (20 sec)– One to two

sentences– Word choice

depending on your audience

• The “unabridged” version– 2 minutes– Don’t limit to one

population– Use examples– Word choice

depending on your audience

Page 19: Extreme Makeover: OT Edition

“Don’ts” for defining what you do…

• Don’t be too narrow in focus• Don’t describe OT by relating how it is

different from another profession (i.e. physical therapy)

• Don’t use too much OT jargon– Who else “doffs” their socks except

occupational therapy practitioners?

• Don’t be too wordy – make your point!

Page 20: Extreme Makeover: OT Edition

Expand the “Army” of Occupational Therapy Adovcates

• Clients as advocates for occupational therapy– Must know who provided the service– Must understand how the intervention has

impacted their occupations and participation– Encourage to promote and talk about the

benefits of occupational therapy– Apply to family and friends

Page 21: Extreme Makeover: OT Edition

Practice OCCUPATION

Page 23: Extreme Makeover: OT Edition

Have a “Voice” and Be Heard!

• Leadership comes in many packages– Active leaders– Active doers

• Choose opportunities that “match” your personality and interests– Words– Actions

• Practice self-efficacy OT

Page 24: Extreme Makeover: OT Edition

Toolkit

Mental Resources• Definitions of

occupational therapy

• Evidence bytes• Real life examples• A position on the

role and scope of occupational therapy

Tangible Resources• Handouts defining

occupational therapy• Goal sheets for

clients• Evidence briefs

– Abstracts– Electronic References

• Giveaways

Page 25: Extreme Makeover: OT Edition

Questions?

Thank You

GOOD LUCK!

[email protected]