FINAL MINUTES OF THE AMERICAN OCCUPATIONAL …/media/Corporate/Files/About...AMERICAN OCCUPATIONAL THERAPY FOUNDATION (AOTF) REPORT (Addendum VII.A) The Speaker recognized Jane Davis

FINAL MINUTES

OF

THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATION, INC.

REPRESENTATIVE ASSEMBLY

APRIL 14 - APRIL 17, 1999 Prepared By: Mary Evanofski, OTR/L Representative Assembly Recorder

THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATION, INC. (AOTA) 1999 REPRESENTATIVE ASSEMBLY (RA) MINUTES

TABLE OF CONTENTS OPENING SESSION, WEDNESDAY, APRIL 14, 1999 ............................................................................................. 1

ROLL CALL .............................................................................................................................................................. 1 Officials of the Association ........................................................................................................................................ 2 Officials of the Assembly ........................................................................................................................................... 2 Commission Chairpersons ......................................................................................................................................... 2 Non-Voting Members ................................................................................................................................................. 2 QUORUM ................................................................................................................................................................. 2 LOCAL CONFERENCE COMMITTEE .................................................................................................................. 2 CRAC REPORT ........................................................................................................................................................ 2 ADOPTION: RULES OF THE DAY (ADDENDUM I.B) ...................................................................................... 2 ADOPTION: REVISED GENERAL AGENDA ...................................................................................................... 2 AD HOC MINUTES REVIEW COMMITTEE ........................................................................................................ 2 APPROVAL OF 1998 RA MINUTES ...................................................................................................................... 2 ANNUAL ORAL REPORTS TO THE REPRESENTATIVE ASSEMBLY ............................................................ 3

PRESIDENT'S REPORT (Addendum V.A.) ......................................................................................................... 3 EXECUTIVE DIRECTOR'S REPORT (Addendum VI.A) ................................................................................... 3 AMERICAN OCCUPATIONAL THERAPY FOUNDATION (AOTF) REPORT (Addendum VII.A) .............. 3 NATIONAL BOARD OF CERTIFICATION OF OCCUPATIONAL THERAPY .............................................. 3

DEFEAT: COMMITTEE OF THE WHOLE ........................................................................................................... 3 ADOPTED: TASK GROUP DISCUSSIONS OF MARKETPLACE ISSUES ......................................................... 3 DEFEAT: EXECUTIVE BOARD COMPOSITION ............................................................................................... 3 ADOPTED: TASK GROUP DISCUSSION OF EXECUTIVE BOARD COMPOSITION ..................................... 4

THURSDAY APRIL 15, 1999 ...................................................................................................................................... 4 ANNUAL ORAL REPORTS TO THE REPRESENTATIVE ASSEMBLY (CONT.)............................................. 4 TREASURER'S REPORT (ADDENDUM V.C.) ...................................................................................................... 4 CRAC REPORT ........................................................................................................................................................ 4 DEFEAT: AGENDA NEW BUSINESS ITEM ........................................................................................................ 4 ADOPTION: AGENDA NEW BUSINESS ITEM .................................................................................................. 4 ADOPTION: AGENDA NEW BUSINESS ITEM .................................................................................................. 4 ADOPTION: CONSENT AGENDA Z .................................................................................................................... 4

FRIDAY, APRIL 16, 1999 ............................................................................................................................................ 6 CRAC REPORT ........................................................................................................................................................ 6 RECOGNITION OF OUTGOING REPRESENTATIVE ASSEMBLY MEMBERS AND ..................................... 6 COMMITTEE/TASK FORCE MEMBERS .............................................................................................................. 6 RECOGNITION OF OUTGOING COMMITTEE CHAIRPERSONS, OFFICERS, AND OFFICIALS ................. 6 ADOPTION: CONSENT AGENDA Y ..................................................................................................................... 6 ADOPTION: AGENDA B ...................................................................................................................................... 7 ADOPTION: GUIDELINE FOR SUPPORTING DOCUMENTATION FOR A RESOLUTION ........................... 7 DEFEAT: CREATION OF A SPEAKER ELECT POSITION IN THE RA ........................................................... 7 ADOPTION: POLICY 1.41.R USE OF PRACTICE EMBLEMS FOR OCCUPATIONAL THERAPIST, ........... 7 REGISTERED AND CERTIFIED OCCUPATIONAL THERAPY ASSISTANT ................................................... 7 DEFEAT: RESOLUTION A: THE PROMOTION OF COMMUNITY-BASED PROGRAMS IN OT ................. 8 CRAC REPORT ........................................................................................................................................................ 8 ADOPTION: SUBSTITUTE MOTION FOR RESOLUTION A: THE PROMOTION OF COMMUNITY ........... 9 BASED PROGRAMS IN OT .................................................................................................................................... 9 CRAC REPORT ........................................................................................................................................................ 9 ADOPTION: RESOLUTION J: MOVEMENT TO REQUIRED POSTBACCALAUREATE LEVEL OF ............ 9 EDUCATION ............................................................................................................................................................ 9 CRAC REPORT ...................................................................................................................................................... 13 ADOPTION: THE ROLE OF THE COTA & ASCOTA REPRESENTATIVES ON THE RA ............................ 13 DEFEAT: RESOLUTION C: THE NECESSARY LINK TO INCLUSION OF ALL OT PRACTIONERS ........ 13 DEFEAT: RESOLUTION H: MULTICULTURALISM, DIVERSITY AND INCLUSION IN PREPARATION FOR THE 21ST CENTURY ............................................................................. 14

TABLE of CONTENTS Page ii

ADOPTION: MULTICULTURALISM, DIVERSITY & INCLUSION ................................................................. 15 ADOPTION: DEADLINE FOR SUBMISSION OF RESOLUTIONS TO AGENDA COMMITTEE .................. 15 ADOPTION: CONTINUING COMPETENCY PART A ...................................................................................... 15 ADOPTION: CONTINUING COMPETENCY PART B ..................................................................................... 16 ADOPTION: CEASE ACTION ON DEVELOPMENT OF AQUATIC THERAPY POSITION PAPER ............ 16 ADOPTION: AQUATIC THERAPY DOCUMENT ............................................................................................. 16 DEFEAT: RESOLUTION I: POSITION PAPER ON SPIRITUALITY ............................................................... 16 ADOPTION: COP TO EXAMINE SPIRITUALITY ............................................................................................. 17 CRAC REPORT ...................................................................................................................................................... 17 NOMINATING COMMITTEE REPORT: SLATE FOR ELECTIONS ................................................................ 18 CRAC REPORT ...................................................................................................................................................... 18 DEFEAT: RESOLUTION B: ADDITION OF A STUDENT TRACK ................................................................. 18 ADOPTION: SUBSTITUTE FOR RESOLUTION B: STUDENTS AT AOTA NATIONAL CONFERENCE.... 19 REFERRED: RESOLUTION E: EQUITABLE PROFIT SHARING FOR THE ANNUAL AOTA ...................... 19 CONFERENCE FOR ALL HOST STATES AND AOTA ELECTION AREAS ................................................... 19 DEFEAT: RESOLUTION D: REDUCED MEMBERSHIP FEES FOR OT PRACTITIONERS WHO ARE ....... 20 ENROLLED FULL TIME IN POST PROFESSIONAL GRADUATE PROGRAMS ........................................... 20 ADOPTION: MEMBERSHIP DUES FOR FY 1999-20000 .................................................................................. 21

ROLL CALL VOTE: ........................................................................................................................................... 21 ADOPTION: GUIDE FOR SUPERVISION OF OT PERSONNEL ....................................................................... 22 CRAC REPORT ...................................................................................................................................................... 23 DEFEAT: RESOLUTION K: INFORMATION ON EMPLOYMENT RECRUITERS AND JOB SEEEKING ... 23 SKILLS ON THE WEB PAGE ............................................................................................................................... 23 ADOPTION: ASSOCIATION GUIDELINES FOR MEETING MINUTES......................................................... 24

SATURDAY, APRIL 17, 1999 ................................................................................................................................... 24 CRAC REPORT ...................................................................................................................................................... 24 PRESENTATION OF THE BALLOT .................................................................................................................... 24 NOMINATING COMMITTEE REPORT: SLATE FOR ELECTIONS ................................................................ 24 CRAC REPORT ...................................................................................................................................................... 24 ELECTION: NOMINATIONS CHAIRPERSON, AGENDA COMMITTEE ....................................................... 24

ADOPTION: DESTROY THE BALLOTS ......................................................................................................... 24 PRESENTATION OF THE BALLOT .................................................................................................................... 25 ADOPTION: AGENDA C .................................................................................................................................... 25 ADOPTION: POLICY 1.22: CONFLICT OF INTEREST ..................................................................................... 25 ELECTION: DANA WOODS CHAIRPERSON, AGENDA CHAIR ................................................................... 25

ADOPTION: DESTROY THE BALLOTS ......................................................................................................... 25 ADOPTION: CONFLICT OF INTEREST GUIDELINES ..................................................................................... 25 ADOPTION: ADMINISRATIVE SOP ................................................................................................................... 25 ADOPTION: CONFLICT OF INTEREST STATEMENT ..................................................................................... 26 CRAC REPORT ...................................................................................................................................................... 26 ADOPTION: APPLICATIONS OF CONFLICT OF INTEREST POLICY AND GUIDELINE ........................... 26 ADOPTION: REVISE UNIVERSAL NOMINATING FORM ............................................................................. 27 ADOPTION: LEGISLATIVE LEADERSHIP FOR COMPETITIVE ADVANTAGE .......................................... 27 CRAC REPORT ...................................................................................................................................................... 27 DEFEATED: EXECUTIVE BOARD COMPOSITION ......................................................................................... 28 ADOPTION: INTERNATIONAL YEAR OF THE OLDER PERSON .................................................................. 28 ADOPTION: STUDENT MEMBERSHIP CARDS ................................................................................................ 29 ADOPTION: EFFICIENT COMMUNICATION # 1 ............................................................................................. 29 ADOPTION: EFFICIENT COMMUNICATION # 2 ............................................................................................. 29 ADOPTION: CEASE ACTION ON EXECUTIVE BOARD COMPOSITION ..................................................... 30 ADOPTION: GUIDING PRINCIPLES AOTA/NBCOT COLLABORATION RE: CONTINUING ................... 30 COMPETENCE....................................................................................................................................................... 30 DEFEAT: RESOLUTION F: CHANGE AOTA PERIODICALS COPYRIGHT PERMISSION FROM 1 - 5 ..... 31 YEARS .................................................................................................................................................................... 31 DEFEAT: RESOLUTION G: REMOVE COPYRIGHT CHARGE FOR AOTA PERIODICALS ...................... 31 ADOPTION: SUBSTITUTE RESOLUTION G: REVISE PROCEDURE TO ESTABLISH COPYRIGHT ........ 32 FEES ........................................................................................................................................................................ 32 ADOPTION: POLICY 5.3.1: DEFINITION OF OT PRACTICE FOR STATE REGULATION ........................ 33

TABLE of CONTENTS Page iii

ADOPTION MARKETPLACE ISSUES AND INNOVATION ............................................................................. 33 ADOPTION: MARKETPLACE ISSUES ............................................................................................................... 33 ADOPT: AGENDA NEW BUSINESS ITEM......................................................................................................... 34 ADOPTION: GUIDELINES FOR SUPPORTING DOCUMENTS OF SUBMITTED RESOLUTIONS ............. 34 ADOPT: AGENDA NEW BUSINESS ITEM......................................................................................................... 34 ADOPTION: ASCOTA AND ADMINISTRATIVE SOP ...................................................................................... 34 ADJOURNMENT ................................................................................................................................................... 35 ADDENDUM – MOTIONS REQUIRING ADDITIONAL ACTION CARRIED OUT BY MAIL BALLOTS .... 35 ADOPTION: GUIDELINES FOR THE USE OF AIDES IN OCCUPATIONAL THERAPY PRACTICE .......... 35 ADOPTION: THE MODEL SUPERVISION LANGUAGE FOR REGULATORY BOARDS ............................. 35

ADDENDUM SUMMARY........................................................................................................................................... I RESOLUTION SUMMARY ........................................................................................................................................ II

Minutes of the 1999 Representative Assembly Page 1

THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATION, INC. (AOTA) 1999 REPRESENTATIVE ASSEMBLY (RA) MINUTES

THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATION, INC. REPRESENTATIVE ASSEMBLY

The twenty-fourth meeting of the Representative Assembly (RA) was held at the Westin Hotel in Indianapolis, Indiana, April 14 to April 17, 1999. OPENING SESSION, WEDNESDAY, APRIL 14, 1999 The Speaker, Kathryn Loukas, called the meeting of the American Occupational Therapy Association, Inc. (AOTA) Representative Assembly to order at 7:04 p.m. The Speaker welcomed the Representatives and Guests and introduced the RA Officials, the Parliamentarian, and the Agenda Chairpersons. The Speaker then recognized Diana Petroff of the National Office and thanked her for her participation in preparation for the RA. She also recognized National Office Staff Charlotte Gironda, Claudia Jackson, Melanie Ringle and technology specialist Don Brizendine. The Speaker expressed thanks to Stephanie Hoover for her two years of service with the RA and many years of service to AOTA and the profession. She introduced the AOTA Officers, the RA Commission and Committee Chairpersons, and the Sergeant-at-Arms and Sergeant-at-Arms Committee of Pages. The Speaker called Carol Gwin, the new National Office Staff Liaison for the Representative Assembly to come to the podium and address the Assembly. The Speaker recognized the Sound Engineers and then the Speaker gave microphone instructions to the Assembly. ROLL CALL The Recorder, Mary Evanofski, reviewed roll call procedures and called the roll. Those present were as follows: Alabama Lawrence Zachow Rep New Hampshire Karen Donovan Rep Alaska Joanne Boehme Rep New Jersey Diana Hunt Rep Arizona Janet Menke Rep New Mexico Howard Karnes Rep Arkansas Catherine Acre Rep New York # 1 Paulette Bell Rep California # 1 Sarah Kelly Rep New York # 2 Lynn Blewett-Dombrowski Rep California # 2 Irene Ayala Decredico Rep North Carolina Carol Ann Lust Rep Colorado Ruth Berenbeim Rep North Dakota Sonia Zimmerman Rep Connecticut Brenda Smaga Rep Ohio Daniel Lipka Rep Delaware Jo Anne Tate Rep Oklahoma Susan Tucker Rep District of Columbia Shirley Jackson Rep Oregon Karen Foley Rep Florida # 1 Dana Woods Rep WFOT 1st

Alternate * Mary Evert Rep

Florida # 2 R. Kaye Kellar Rep Pennsylvania #1 Stephen Kern Rep Georgia Tabitha Bundenthal Rep Pennsylvania #2 Cathy Dohli Rep Hawaii Avis Sakata Rep Puerto Rico Dyhalma Irizarry Rep Idaho Wendy Cary Rep Rhode Island Shawn Baxter Rep Illinois Ruth Campbell Rep South Carolina Carol Berenbock Rep Indiana Janet Raisor Rep South Dakota Denise Rotert Rep Iowa Christine Malaski Rep Tennessee Patty Bowyer-Johnson Rep Kansas Trina Schulz Rep Texas Dianna Puccetti Rep Kentucky Robert Cunningham Rep Utah Caroline Bass Rep Louisiana Luanne Roberson Rep Vermont Margaret Anderson Rep Maine Lynn Gitlow Rep Virginia Judith Hanshaw Rep Maryland Marcie Weinstein Rep Washington Caroline Kus Rep Massachusetts Elizabeth Salvucci Rep West Virginia Mary Hager Rep Michigan Nary Kay Currie Rep Wisconsin Gail VandeCastle Rep Minnesota Sandra Wenner Rep Wyoming Sheri Lee Montgomery Rep Mississippi Peter Giroux Rep ASCOTA Patricia Reynolds Rep Missouri Carol Ponciroli Rep OTA Patty Shiokari Rep Montana Doreen Scherr Rep Nebraska Joanne Boyer Rep


Nevada Penny Fairbanks Rep Officials of the Association Officials of the Assembly

President Karen Jacobs Speaker Kathryn Loukas Vice President Thom Fischer Vice Speaker Penelope Moyers Secretary Robin Jones Recorder Mary Evanofski Treasurer David Ethridge Treasurer Elect Lynne Barnes Commission Chairpersons

Education (COE) Cynthia Hughes Harris Practice (COP) Mary Jane Youngstrom Standards & Ethics (SEC)

Barbara Kornblau

Non-Voting Members Executive Director Excused Parliamentarian Esther Bell Agenda Chair Peggy Futer Nominating Comm. Jody Bartle Garber CRAC Chair Eunice Zee Chen Recognition's Comm Mary Hager WFOT 1st Alternate, hereafter in these minutes, known as OTs in Foreign Countries (OTFC). RA Charge 1998N93 QUORUM The Recorder, Mary Evanofski, announced that a quorum was present. LOCAL CONFERENCE COMMITTEE: The Speaker recognized Melinda Clause and Julie Hana-Stewart, Co-Chairpersons of the Local Conference Committee who welcomed Representatives. CRAC REPORT Eunice Zee-Chen, Credentials Review and Accountability Committee (CRAC) Chairperson, reported (59) Representatives, (4) Officers, (3) RA Officials and (3) Commission Chairs present, giving a potential of (69) votes, with a majority of (35) necessary to carry a motion. ADOPTION: RULES OF THE DAY (ADDENDUM I.B) Mary Evanofski, Recorder, reviewed the Rules of the Day as printed and distributed and moved for their adoption.

THE MOTION WAS ADOPTED

ADOPTION: REVISED GENERAL AGENDA Peggy Futer, Agenda Committee Chairperson, moved adoption of the revised general agenda.

THE MOTION WAS ADOPTED AD HOC MINUTES REVIEW COMMITTEE The Speaker appointed the following representatives to assist the Recorder in the review and preparation of the minutes of the 1999 Representative Assembly Meeting: Brenda Smaga, Connecticut; Christine Malaski, Iowa; Joanne Boyer, Nebraska; Penny Fairbanks, Nevada. APPROVAL OF 1998 RA MINUTES The minutes of the 1998 Representative Assembly have been reviewed and approved by the Minutes Review Committee as distributed prior to this meeting. There were no objections.

THE MINUTES STAND APPROVED The Speaker welcomed the ASCOTA Representatives who joined the Assembly in the gallery. She thanked the ASCOTA Representatives and their leaders for their work.


ANNUAL ORAL REPORTS TO THE REPRESENTATIVE ASSEMBLY PRESIDENT'S REPORT (Addendum V.A.) The Speaker recognized Karen Jacobs, President who gave a verbal report expanding and updating the information from her report. The President highlighted the Action Agenda enacted by the Executive Board. She described activities in progress and answered questions from the Assembly. EXECUTIVE DIRECTOR'S REPORT (Addendum VI.A) The Speaker recognized President Jacobs who welcomed Brena Manoly to give the Executive Director's Report in Jeanette Bair's absence. Brena highlighted projects, initiatives and activities of the National Office as described in the Executive Director's Report. She relayed information about the National Office realignment which has been restructured with focus for a more effective response in a changing environment, to improve our ability to anticipate and influence trends effecting occupational therapy practice, and to enhance work with state associations and regulatory boards and to introduce management efficiencies. AMERICAN OCCUPATIONAL THERAPY FOUNDATION (AOTF) REPORT (Addendum VII.A) The Speaker recognized Jane Davis Rourk, President AOTF, who discussed the Foundation's Mission and described AOTA and AOTF collaboration in the following areas: CORE, Educational Initiatives and the Consensus Conference. She recognized AOTF Executive Director, Martha Kirkland for her contributions. President Rourk showcased the new AOTF logo and theme line, "Creating Opportunities through Education and Research". She introduced Jean Dietz, Research Advisory Chairperson who described the successful interdisciplinary research conference: "A Synthesis of Knowledge regarding Habit", and plans for a future conference. Research Advisory Chairperson Dietz also gave details of the Consensus Conference. NATIONAL BOARD OF CERTIFICATION OF OCCUPATIONAL THERAPY The Speaker welcomed Diana Ramsay, President NBCOT, to give a report to the Assembly. President Ramsay described her insights in regards to the current environment and trends for the future as they relate to opportunities for collaboration between AOTA and NBCOT. President Ramsay described current NBCOT activities including strengthening the entry-level examination and exam process; streamlining the credential verification and review process and a hold on action related to continued competency. She described collaborative activities that NBCOT and AOTA have been engaged in since the beginning of the year, including: the NBCOT/AOTA Collaboration Task Force; AOTA participation in the National Commission on Continued Competency and AOTA participation in NBCOT Research Meetings. President Ramsay then answered questions from the Assembly. DEFEAT: COMMITTEE OF THE WHOLE The Speaker remarked that the agenda, having been approved, indicated a move to Committee of the Whole to discuss Marketplace Issues, at this time. The pleasure of the Assembly was not to move to a Committee of the Whole.

ADOPTED: TASK GROUP DISCUSSIONS OF MARKETPLACE ISSUES The Speaker recognized SEC Chairperson, Barbara Kornblau for a motion. Motion: I move that the issue of market place issues be put on all of the task group agendas for discussion not to exceed one hour and a summary brought back by the task group leaders for a discussion by the committee of the whole not to exceed one hour. The Speaker recognized the Representative from California, Irene Decredico who moved to amend by insertion of “not to exceed 1 hour in two locations”.

MOTION TO AMEND WAS ADOPTED MOTION WAS ADOPTED AS AMENDED

Charge 1999NB53 DEFEAT: EXECUTIVE BOARD COMPOSITION The Speaker remarked that the agenda, having been approved, indicated that the Assembly should now move to Committee of the Whole to discuss Executive Board Composition. The pleasure of the Assembly was not to move to a Committee of the Whole.


ADOPTED: TASK GROUP DISCUSSION OF EXECUTIVE BOARD COMPOSITION The Speaker recognized the OTFC Representative, Mary Evert to make a motion. Motion: I move to put the Executive Board Composition issue into a Task Group.

THE MOTION WAS ADOPTED Without objection, the Speaker recessed the meeting at 10:40 p.m. THURSDAY APRIL 15, 1999 The Speaker called the meeting to order at 9:45 a.m. The Speaker made morning announcements. The Recorder called the roll and it was determined that there was a quorum. ANNUAL ORAL REPORTS TO THE REPRESENTATIVE ASSEMBLY (CONT.) TREASURER'S REPORT (ADDENDUM V.C.) David Ethridge, Treasurer and Lynne Barnes, Treasurer-elect gave a verbal report reviewing financial outcomes for the 1998 - 1999 fiscal year and status for the current fiscal year. Treasurer Ethridge and Treasurer-elect Lynne Barnes answered questions from the Assembly. CRAC REPORT Eunice Zee-Chen, Credentials Review and Accountability Committee (CRAC) Chairperson, reported (59) Representatives, (5) Officers, (3) RA Officials and (3) Commission Chairs present, giving a potential of (70) votes, with a majority of (36) necessary to carry a motion. The reports to the Assembly were received without their items for action. DEFEAT: AGENDA NEW BUSINESS ITEM The Speaker recognized Mary Kay Curry, Representative from Michigan who moved to accept a new business item relating to Designations of State Organizations.

ITEM NOT ACCEPTED TO THE AGENDA

ADOPTION: AGENDA NEW BUSINESS ITEM The Speaker recognized Lynn Blewett-Dombrowski, Representative from New York, who moved to accept a new business item relating to the resolution: "The Ability of OT to Stand Alone".

THE MOTION WAS ADOPTED ADOPTION: AGENDA NEW BUSINESS ITEM The Speaker recognized Judith Hanshaw, Representative from Virginia, who moved to accept a new business item relating to a resolution supporting the International Year of Older Persons.

THE MOTION WAS ADOPTED ADOPTION: CONSENT AGENDA Z The Speaker recognized Agenda Chairperson Futer, who moved adoption of Consent Agenda Z. The Speaker recognized Sherry Lee Montgomery, BPPC Chairperson who briefed the Assembly regarding the policies on Agenda Z. She also reported that Policy 1.32 was put on the Consent Agenda in error; Policy 1.32 was rescinded at the 1997 RA. Policy 1.32, which was Item Number 6, was removed from the Agenda. Motion: The Speaker recognized Agenda Chair Futer who moved to adopt Consent Agenda Z with amendments.

CONSENT AGENDA Z WAS ADOPTED AS AMENDED

Motion: I move to adopt Policy 1.14.1: CENSURE OF ASSOCIATION OFFICERS, OFFICIALS OF THE ASSEMBLY, REPRESENTATIVES AND ALTERNATE REPRESENTATIVES, CHAIRPERSONS OF COMMITTEES AND COMMISSIONS, WFOT DELEGATES AND ALTERNATES AND APPOINTED INDIVIDUALS


THE MOTION WAS ADOPTED Charge 1999P37

Motion: I move to adopt policy 1.15: REMOVAL AND APPEAL


Motion: I move to adopt Policy 1.24: ANTI-TRUST COMPLIANCE


Motion: I move to adopt Policy 1.31: DISPOSITION OF OFFICIAL DOCUMENTS


Motion: I move to adopt Policy 1.31.1: SYSTEMATIC REVIEW OF ALL AOTA WHITE PAPERS


Motion: I move to adopt Policy 1.4: CORPORATE LOGO


Motion: I move to adopt Policy 1.38: SCHEDULING OF OFFICIAL AOTA MEETINGS


Motion: I move to adopt Policy 1.9: OPEN MEETINGS


Motion: I move to adopt Policy 4.2: PARTICIPATION IN COALITIONS


Motion: I move to adopt Policy 4.4: AGREEMENTS


Motion: I move to adopt Policy 4.8: STANCE ON COLLECTIVE BARGAINING


Charge 1999P48 Motion: I move to adopt Policy 5.9: NO SMOKING


The Speaker asked the Assembly to refer to the AOTPAC Report, which was distributed as a pink report, Section VIII, AD HOC, Special Committees and Task Force Reports. Speaker Loukas reminded the Assembly that although this report had a


suggested motion, because AOTPAC is not a formal body of the Assembly, it has not been placed on the Agenda. Speaker Loukas recommended that Task Group 5 take this into consideration when deliberating on Executive Board Composition. The Speaker assigned New Business to Task Groups. The Speaker recognized Agenda Chairperson Futer, who reviewed Task Group Assignments. The Speaker recessed the meeting to task groups at 11:03 am. Friday, April 16, 1999 The Speaker, Kate Loukas, called the meeting back to order at 8:04a.m. The Recorder called the roll and it was determined that there was a quorum. CRAC REPORT Eunice Zee-Chen, Credentials Review and Accountability Committee (CRAC) Chairperson, reported (59) Representatives, (5) Officers, (3) RA Officials and (3) Commission Chairs present, giving a potential of (70) votes, with a majority of (36) necessary to carry a motion. RECOGNITION OF OUTGOING REPRESENTATIVE ASSEMBLY MEMBERS AND COMMITTEE/TASK FORCE MEMBERS The Speaker and the Representative Assembly recognized and awarded Service Awards to the twenty-one Representatives who were completing their terms. Service Awards were also presented to eight members of the Agenda Committee and five members of the Nominating Committee, for completion of their service. RECOGNITION OF OUTGOING COMMITTEE CHAIRPERSONS, OFFICERS, AND OFFICIALS The Speaker and the Representative Assembly recognized and acknowledged the contributions of Peggy Futer, Agenda Committee Chairperson, Jody Bartle Garber, Nominating Committee Chairperson and Patricia Reynolds, ASCOTA Representative to the Assembly. Service Awards were presented to these individuals who were completing their terms. ADOPTION: CONSENT AGENDA Y The Speaker recognized Peggy Futer, Agenda Committee Chairperson, who moved to adopt Consent Agenda Y.

CONSENT AGENDA Y WAS ADOPTED

Motion: I move to adopt the revised position paper, Occupational Therapy’s Commitment to Nondiscrimination and Inclusion.

THE MOTION WAS ADOPTED Charge 1999M4

Motion: I move to approve Attachment B.2.a Post professional Education Issues Committee SOP.


Motion: I move to adopt Policy 1.44: CATEGORIES OF OCCUPATIONAL THERAPY PERSONNEL as revised.


Motion: I move to rescind Policy 3.9: OCCUPATIONAL THERAPISTS EDUCATED AT THE DOCTORAL LEVEL


Motion: I move to adopt Policy 3.8: SUPPORT OF GRADUATE EDUCATION as revised.


Motion: I move to adopt the revised statement as written Occupational Therapy Services for Management of Persons


with Cognitive Impairments with a change in title to Occupational Therapy Services for Persons with Cognitive Impairments.

THE MOTION WAS ADOPTED Charge 1999B86

Motion: I move to rescind the statement, The Role of Occupational Therapy in the Independent Living Movement.


Motion: I move to adopt the Nomination and Election Procedures for Assembly Elections, and that this document become an attachment to the Nominating Committee SOP.


Motion: I move that the information about the AHCPR Smoking Cessation Guidelines be disseminated through AOTA publications and papers.


ADOPTION: AGENDA B The Speaker recognized Chairperson Futer who moved adoption of Agenda B.

THE MOTION WAS ADOPTED The Speaker recognized Leader of Task Group 5, Sandra Wenner, for a report. ADOPTION: GUIDELINE FOR SUPPORTING DOCUMENTATION FOR A RESOLUTION Motion: I move to refer this item to the Bylaws, Policies and Procedures Committee (BPPC) for review and approval. Rational: This item has not followed Standard Operating Procedures for amendments to SOPs. This item requires review by BPPC prior to RA approval.

THE MOTION WAS ADOPTED Charge 1999R21

DEFEAT: CREATION OF A SPEAKER ELECT POSITION IN THE RA Motion: I move to charge the BPPC to work with the RA Officials to prepare a By-laws amendment for a Speaker-Elect position. A new SOP will need to be written. The speaker-elect will be voted on in Assembly in the year 2000, and will take office as speaker in the year 2001. Rational: 1) Fiscal implications not considered are a minimum of $9,000 for Bylaws Revision, mailing and vote as well as $2,600 for support of position. 2) Length of term increased from 3 to 4 years may deter individual participation. 3) Transition could be made through improving nomination process and pre-planning on potential candidates.

THE MOTION WAS DEFEATED Charge 1999M20

ADOPTION: POLICY 1.41.R USE OF PRACTICE EMBLEMS FOR OCCUPATIONAL THERAPIST, REGISTERED AND CERTIFIED OCCUPATIONAL THERAPY ASSISTANT


MOTION: I move that Policy 1.4.1-R be adopted as amended.

THE MOTION WAS ADOPTED Charge1999M28

ADOPTION: BYLAWS, POLICIES AND PROCEDURES MOTION: I move to charge the BPPC to edit the Association bylaws, policies and procedures to remove as necessary the R from OTR, C from COTA, Certified from Certified Occupational Therapy Assistant, and Registered from Registered Occupation Therapist. Rational: These designations are currently referenced in several places in the Bylaws and official policies and procedures of the Association based on the presumption that they are owned by the Association. Because the Federal Court has now ruled otherwise, in the NBCOT v. AOTA lawsuit, these references need to be corrected to acknowledge the Court's decision and the settlement agreement.

THE MOTION WAS ADOPTED Charge1997N27

DEFEAT: RESOLUTION A: THE PROMOTION OF COMMUNITY-BASED PROGRAMS IN OT The Speaker recognized the Recorder, Mary Evanofski, to bring forward Resolution A.

RESOLUTION A The Promotion of Community-Based Programs in Occupational Therapy

WHEREAS, the trend for the profession of occupational therapy in the United States is changing from a medical

model to a community model;

WHEREAS, there is a growing focus on wellness, health promotion and prevention in health care in the United States;

WHEREAS, it is important to expand the role of the profession into community structures where occupational therapy can meet the occupational needs of society in the face of a changing health care climate;

WHEREAS, a great deal of verbal and written discussion has occurred regarding

the promotion of occupational therapy in the community;

WHEREAS, action is required to develop and implement community based structures;

THEREFORE, BE IT RESOLVED, that the Representative Assembly form a task force to investigate the

development of community-based practice with an occupational therapy focus.

THEREFORE, BE IT FURTHER RESOLVED, that the task force consist of 5 AOTA members who are registered occupational therapists, 2 of whom are already involved in community-based programming. THEREFORE, BE IT FURTHER RESOLVED, that the task force be formed by August 1, 1999, and that it make a preliminary report of its findings to the Representative Assembly by February 1, 2000. Motion: I move to adopt Resolution A. The Speaker recognized Leader of Task Group 2, Dan Lipka, who recommended defeat of Resolution A with a substitute motion to follow. CRAC REPORT Eunice Zee-Chen, Credentials Review and Accountability Committee (CRAC) Chairperson, reported (59) Representatives,


(5) Officers, (3) RA Officials and (3) Commission Chairs present, giving a potential of (70) votes, with a majority of (36) necessary to carry a motion.

RESOLUTION A WAS DEFEATED Charge1999R8

ADOPTION: SUBSTITUTE MOTION FOR RESOLUTION A: THE PROMOTION OF COMMUNITY BASED PROGRAMS IN OT The Speaker recognized Leader of Task Group 2, Dan Lipka, for a report. Motion: I move that AOTA make a commitment to support and expand the role of Occupational Therapy in primary care and prevention through community-based practice. I further move to charge the Executive Board to direct the Chair of the Special Interest Section Steering Committee, or other appropriate bodies to investigate, collect, and disseminate innovative, creative, and exemplary models of Occupational Therapy community-based practice. I further move to charge the Commission on Practice to develop, on an expedited basis after the information is collected from the SIS, an appropriate document on practice-driven models of community-based intervention in Occupational Therapy. Financial Implications: Done within existing budgets. Rational: 1. This addresses a significant marketplace issue, which shows a shift towards community-based practice for

Occupational Therapy. There are Occupational Therapy practitioners working in community-based practice and others who desire to move into community based-practice.

2. There is a need to share, collect, and disseminate this information. While some excellent information has appeared in OT Practice and other publications, there needs to be more emphasis on this area.

3. The Special Interest Sections are the Association's link to Occupational Therapy practitioners across the different practice areas. The SIS's have existing methods to collect this data such as through their list servs, and newsletters and OT Week and OT Practice.

4. The Commission on Practice can use non-traditional, low-cost methods of disseminating the proposed position paper for review such as all AOTA list servs, and AOTA's web page.

The Speaker recognized the Representative from Mississippi, Peter Giroux who moved to amend by deletion and insertion of “a position paper reflecting” (delete) and “an appropriate document” (insert).

THE MOTION WAS AMENDED The Speaker recognized Leader of Task Group 2, Dan Lipka, for a report. The Speaker recognized the Representative from Indiana, Janet Raisor, for an additional amendment by substitution of “RA 2000” for “January 2000”.

THE MOTION WAS AMENDED A SECOND TIME

THE MOTION WAS ADOPTED AS AMENDED TWICE Charge 1999M72

CRAC REPORT Eunice Zee-Chen, Credentials Review and Accountability Committee (CRAC) Chairperson, reported (59) Representatives, (5) Officers, (3) RA Officials and (3) Commission Chairs present, giving a potential of (70) votes, with a majority of (36) necessary to carry a motion. ADOPTION: RESOLUTION J: MOVEMENT TO REQUIRED POSTBACCALAUREATE LEVEL OF EDUCATION The Speaker recognized Recorder, Mary Evanofski, to bring forward Resolution J.


RESOLUTION J Movement to Required Post baccalaureate Level of Education

WHEREAS, contemporary practice arenas require occupational therapists, including new graduates, to

demonstrate an unprecedented level of advanced clinical reasoning; and

WHEREAS, new graduates, now more than ever, need to define, demonstrate and articulate the uniqueness and value of occupational therapy; and

WHEREAS, new graduates need to be capable of functioning as autonomous professionals and must be encouraged to see themselves in this role; and

WHEREAS, practice arenas are shifting and therapists are challenged to establish programs in areas where occupational therapy services have not previously been offered; and

WHEREAS, new graduates enter settings and are challenged to make decisions and engage in a level of clinical decision-making previously reserved for experienced clinicians; and

WHEREAS, the move to the post baccalaureate level is apt to clarify the delineation between professional and technical education; and

WHEREAS, movement to post baccalaureate entry is consistent with current trends in other related professions; and

WHEREAS, analyses conducted by the COE Entry-Level Task Force confirm that the environment reinforces current readiness to move to this level; and

WHEREAS, currently, many graduates of entry-level programs have essentially been conferred the baccalaureate degree for the equivalent of masters level education; and

WHEREAS, preparation of more therapists at the post baccalaureate degree level is likely to meet the current and future needs for qualified faculty in our education programs; and

WHEREAS, preparation at the post baccalaureate degree level would position occupational therapy to better meet personnel needs in emerging practice arenas including effective and cost efficient staffing patterns; and

WHEREAS, movement to post baccalaureate degree entry reflects and acknowledges the complexity of our knowledge base and the high degree of professional judgment required for practice; and

WHEREAS, the preparation of occupational therapists at the post baccalaureate level would address the needs for more outcomes research supporting the tenets of occupational therapy practice, efficacy interventions and staffing models;

THEREFORE BE IT RESOLVED, that the official position of AOTA is one that supports a post baccalaureate degree in occupational therapy as the required level of professional entry into the field of occupational therapy; and

BE IT FURTHER RESOLVED, that the AOTA recommend that ACOTE consider the implications of a required post baccalaureate degree in occupational therapy and, if feasible, move the Standards for an Accredited Educational Program for the Occupational Therapists to the post baccalaureate degree level; and

BE IT FURTHER RESOLVED, that the AOTA recommend that ACOTE establish timelines whereby established programs must be at the post baccalaureate degree level in order to be re-accreditation; and

BE IT FURTHER RESOLVED, that the AOTA recommend that ACOTE establish timelines whereby new programs must be at the post baccalaureate degree level in order to receive initial accreditation; and

BE IT FURTHER RESOLVED, that AOTA insure the membership that all rights and privileges of occupational therapists who have graduated from baccalaureate degree programs prior to the implementation of this change will be continued; and


BE IT FURTHER RESOLVED, that the Executive Board identify and charge appropriate groups within the AOTA to make support available to baccalaureate professional level occupational therapists for addressing their concerns and their professional development activities; and

BE IT FURTHER RESOLVED, that the Executive Board identify and charge appropriate groups within the AOTA to develop and make support available to professional level occupational therapy educational programs to facilitate their transition to the post baccalaureate degree level.

BE IT FURTHER RESOLVED, that information regarding this transition be communicated in AOTA

publications Motion: I move adoption of Resolution J. The Speaker recognized Leader of Task Group 2, Dan Lipka, for a report. Task Group 2 recommends adoption of Resolution J as amended. Rationale: 1. ACOTE has already adopted higher professional entry level standards which will take effect in July, 2000. ACOTE reports that bachelor's level occupational therapy educational programs will have great difficulty meeting these new accreditation standards. 2. ACOTE reported that over 60% of the accredited and developing programs have already decided on their own to move to a post baccalaureate level. 3. ACOTE also reported that only about 12 of the 62 existing or developing programs may be affected by this change because they are only in a bachelor's level educational institution. ACOTE/COE have explored numerous options for these programs to help them address this change. 4. Some constituents expressed concern regarding how the role and responsibilities of the OTA's might be influenced by this resolution. This resolution only addresses professional level degree education and does not address the OTA degree level. 5. There was constituent concern that culturally diverse groups may not be targeted for recruitment, admission and graduation from post baccalaureate programs. COE reported that when Physical Therapy (PT) moved to master's level entry, there was in fact an increase among applicants from culturally diverse groups. 6. Financial concerns of students were identified and discussed. These included:

A. Students may have more difficulty gaining financial aid on a graduate level, B. Students may have a greater debt from which to recover as a new clinician, C. Increased cost of graduate education may adversely affect culturally diverse applicants more than majority

populations. D. Cost of graduate education may deter applicants from lower income brackets.

The Task Group felt that although these concerns may cause some challenges, the benefits to the profession as a whole far outweigh these individual issues. The Speaker recognized the Representative from Oregon, Karen Foley who moved to amend Resolution J, by addition of “Therefore, be it further resolved that the RA supports ACOTE's timeline to be as responsive and timely as possible.”

THE RESOLUTION WAS AMENDED The Speaker recognized the Representative from Mississippi, Peter Giroux who made a motion for a substitution to the amendment of the word “recommends” for “supports”.

THE RESOLUTION WAS AMENDED A SECOND TIME THE RESOLUTION WAS ADOPTED AS AMENDED TWICE

Charge1999R9 The Speaker made several announcements.


CRAC REPORT Eunice Zee-Chen, Credentials Review and Accountability Committee (CRAC) Chairperson, reported (58) Representatives, (5) Officers, (3) RA Officials and (3) Commission Chairs present, giving a potential of (69) votes, with a majority of (35) necessary to carry a motion. The Speaker recognized Jody Garber, Nomination's Chairperson for a report. Nominations for both Nominating Chairperson and Agenda Chairperson are still open. The Speaker called on Task Group Leader 4, Lynn Blewett-Dombrowski, for a report. ADOPTION: THE ROLE OF THE COTA & ASCOTA REPRESENTATIVES ON THE RA Motion: Task Group 4 moves to charge the Speaker to: 1) Collaborate with OTA representative in clarifying role and function; 2) Collaborate with ASCOTA representative in defining role and function and developing appropriate Standard Operating Procedures (SOPs) for this position; 3) Establish mechanism for RA communication; 4) Implement such procedures. This will be completed by RA 2000. Rational: To ensure that OTA and ASCOTA representatives have an efficient mechanism in place to adequately represent their perspective during Assembly business. The Speaker called on ASCOTA Rep, Patricia Reynolds who moved to amend by addition to change the due date to RA 2000.

THE MOTION WAS AMENDED The Speaker called on Task Group Leader 4, Lynn who moved to amend by addition in section 2 “ . .. and developing appropriate SOPs for this position.”

THE MOTION WAS AMENDED A SECOND TIME THE MOTION WAS ADOPTED AS AMENDED TWICE

DEFEAT: RESOLUTION C: THE NECESSARY LINK TO INCLUSION OF ALL OT PRACTIONERS The Speaker recognized the Recorder, Mary Evanofski, to bring forward Resolution C.

RESOLUTION C: The Necessary Link to Inclusion of all OT Practitioners

WHEREAS, prejudice and issues of equity of practitioners and students with disabilities has increased, mainly as

a direct result of the changes in the health care delivery system. Additional strain has been put not only on these practitioners and students with disabilities, but also on the profession as a whole.

WHEREAS, the Rehabilitation Act of 1973, section 504 and the Americans with Disabilities Act of 1990 have provided legal avenues for the practitioners and students with disabilities and the OT profession as an entirety. The relationship of these prejudice, issues of equity and the laws is critical to understand.

WHEREAS, the breach of these laws by individuals, institutions, or organizations can lead to both legal and ethical violations according to federal and state laws, policy, and the Occupational Therapy Code of Ethics.

WHEREAS, the Multicultural Affairs Program (MAP) has provided the immediate and necessary support and expertise to circumvent both legal and ethical concerns of practitioners and students with disabilities, educational programs, AOTA, AOTA members, health care facilities both private and public, and to the OT profession as a whole.


WHEREAS, the MAP provided the necessary and timely support to practitioners with disabilities so that they may become and/or remain employed in the OT profession.

WHEREAS, the MAP provided the necessary and timely support to students with disabilities so that they may be afforded an equal education.

WHEREAS, the MAP is necessary to ensure equal inclusion of all practitioners and students at all levels of the OT profession.

THEREFORE, BE IT RESOLVED, that the Multicultural Affairs Program at the AOTA National Office be reinstated with a director employed that possesses the knowledge and expertise to handle the issues of diversity in the OT profession, especially the unique issues and concerns regarding OT practitioners and students with disabilities, the Americans with Disabilities Act of 1990 and the Rehabilitation Act of 1973. Motion: I move adoption of Resolution C. The Speaker called on Task Group Leader 4, Lynn Blewett-Dombrowski, who recommended defeat of Resolution C with a substitute motion to follow.

RESOLUTION C WAS DEFEATED Charge 1999R15

DEFEAT: RESOLUTION H: MULTICULTURALISM, DIVERSITY AND INCLUSION IN PREPARATION FOR THE 21ST CENTURY The Speaker recognized the Recorder, Mary Evanofski, to bring forward Resolution H.

RESOLUTION H: Multiculturalism, Diversity And Inclusion In Preparation For The 21st Century.

WHEREAS, the demographic trends indicate and support a diverse consumer base and diverse healthcare practitioners that are a link to the future. The need remains for the membership at large to become culturally competent as mandated by the needs of our consumer base.

WHEREAS, the future clients of our members at large will become more diverse, the individual member will need the ability to facilitate the process of inclusion in order to serve this diverse population.

WHEREAS, the Multicultural Affairs Program (MAP) provided a source of contact, representation, information, inclusion, leadership development and services not only for members of diverse backgrounds but AOTA members at large.

WHEREAS, the MAP was an avenue of information to the SEC Chair regarding issues and concerns of members of diverse backgrounds in order to provide information for consideration by the AOTA Executive Board.

WHEREAS, the MAP provided resources and training for OT educational programs to meet the essentials of an OT/OTA accredited program and assisted with recruiting students. The MAP also provided information, education and resources to the ASCOTA and student population about diversity and multiculturalism.

WHEREAS, the MAP provided an avenue and contact person for the diverse organizations/networks via the

Multicultural Coalition in order to work with the AOTA for the betterment of the organization.

THEREFORE, BE IT RESOLVED, that the Multicultural affairs program must be reinstated. Motion: I move adoption of Resolution H. The Speaker called on Task Group Leader 4, Lynn Blewett-Dombrowski, who recommended defeat of Resolution H, with a substitute motion to follow.

RESOLUTION H WAS DEFEATED


Charge 1999R16 ADOPTION: SUBSTITUTE MOTION FOR C & H: MULTICULTURALISM, DIVERSITY & INCLUSION The Speaker called on Task Group Leader 4, Lynn Blewett-Dombrowski, for a report. Motion: Task Group Four moves that the Executive Board be charged to: • Seek and allocate resources for Multicultural, Diversity, and Inclusion concerns; • Identify ongoing and emerging issues relative to these concerns; • Integrate these issues into education, practice and research; • Disseminate information to membership on a quarterly basis. Considerations should include but are not limited to the use of an advisory board, grant funding, and regional consultants. The results will be shared with the RA on an annual basis through the Executive Director's report beginning with the RA in 2000. Rational: Task Group 4 reaffirms the professional organization's commitment in recognizing the trend of the nation's diversity and culturally relevant issues impacting the delivery of healthcare. It is critical that these issues be addressed and supported by the AOTA so as to demonstrate the profession's proactive stance as we move into the 21st century. Membership supported the intent of Resolutions C & H but was sensitive to the financial situation of the organization. The financial implications are unknown, as there may be multiple methods available to the Executive Board to carry out the motion's charges. Whereas no exact dollar amounts are known, possible considerations include the financing of a consultant or advisory board to seek grant funding, and the creation of a listserv for the constituent caucuses. The Speaker recognized the Representative from Maine, Lynn Gitlow, who moved to amend by insertion of “ongoing and” after “identify” in the second bullet.

THE MOTION WAS AMENDED THE MOTION WAS ADOPTED AS AMENDED

Charge 1999M66 ADOPTION: DEADLINE FOR SUBMISSION OF RESOLUTIONS TO AGENDA COMMITTEE The Speaker recognized Task Group Leader 6, Luanne Roberson for a report. Motion: I move that only one copy of a resolution needs to be provided to AOTA by midnight of the established submission day, no matter what form of communication. Rational: Currently, OT Week states that "resolutions must be postmarked by the submission date." Uncertainty exists, however, regarding if members are allowed to submit resolutions in other formats, such as fax or e-mail. This motion would make it clear that only one copy of the resolution needs to be submitted, and can be submitted in any form of communication, including fax and e-mail.


ADOPTION: CONTINUING COMPETENCY PART A The Speaker recognized Task Group Leader 6, Luanne Roberson for a report. Motion: I move that the 1999 Representative Assembly adopt the proposed standards as presented in the continuing competency task force report to the Executive Board. Furthermore, I charge the Executive Board to prepare these standards for dissemination to the membership as an official AOTA document. Rational: AOTA is responsible for establishing the standards for our profession.



Charge 1999M33 ADOPTION: CONTINUING COMPETENCY PART B The Speaker recognized Task Group Leader 6, Luanne Roberson for a report. Motion: I move that the 1999 Representative Assembly approve the proposed "Professional Development For Continuing Competence Plan" as referenced in the Continuing Competency Task Force Report to the Executive Board. Furthermore, I charge the Executive Board to implement the plan for continued competence. Rational: * AOTA is in the initial phase of addressing continued competency with NBCOT in the AOTA/NBCOT task force. * continued competence is of vital importance to the integrity of the profession. * the plan supports an individual's need for continued competence. * the intent of this document is for AOTA to provide the membership with the tools and the strategies to assist members in promoting their professional competence. * this is a voluntary program.


ADOPTION: CEASE ACTION ON DEVELOPMENT OF AQUATIC THERAPY POSITION PAPER The Speaker recognized Task Group Leader 1, Peter Giroux for a report. Motion: I move that COP cease action on the development of a position paper entitled, Aquatic Therapy: Utilization of Aquatic Rehabilitation Techniques. Rational: • COP has a strong feeling that position papers should not be written on "techniques". • The issue has already been through 2 COP's in an effort to understand the topic beyond the level of "technique". • Constituent comments indicate agreement on ceasing action on this issue. • Reimbursement and access issues brought up in the original resolution cannot be adequately addressed in a position

paper.


ADOPTION: AQUATIC THERAPY DOCUMENT The Speaker recognized the Representative from Tennessee, Patty Bowyer Johnson for a new motion. Motion: I move that COP draft a document on OT's role in Aquatic Therapy and submit to the RA 2000. The Speaker recognized the Representative from New York, Lynn Blewett-Dombrowski, who moved to amend by deletion of the word “appropriate”.

THE MOTION WAS AMENDED The Speaker recognized Representative from Tennessee, Patty Bowyer Johnson, who moved to amend by addition of “and submit to the RA 2000."

THE MOTION WAS AMENDED A SECOND TIME THE MOTION WAS ADOPTED AS AMENDED TWICE

Charge 1999N83 DEFEAT: RESOLUTION I: POSITION PAPER ON SPIRITUALITY The Speaker recognized the Recorder, Mary Evanofski to bring forward Resolution I.

RESOLUTION I: Position Paper on Spirituality in Occupational Therapy


WHEREAS, occupational therapy over the last 81 years has demonstrated itself as having a holistic approach in

assessment and treatment; and WHEREAS, Uniform Terminology was developed as a tool for uniform language to be used by the profession of

occupational therapy; and WHEREAS, spirituality may be an intrinsic motivator during occupational therapy assessment and treatment; and WHEREAS, occupational therapy should not dictate specific religious or components of spirituality, but continue

to be sensitive to the needs of individual belief systems; and WHEREAS, spirituality is globally addressed in the Uniform Terminology currently in the [Values] Performance

Component and the [Cultural] Performance Context; and WHEREAS, spirituality has not been clearly defined in relation to occupational therapy services and AOTA; and WHEREAS, a trend toward including spirituality in occupational therapy can readily be seen in literature. THEREFORE, BE IT RESOLVED, the Commission of Practice be charged with the

development of a position paper addressing the issue of spirituality in occupational therapy during the 1999 year and present to the RA by April of 2000. Motion: I move adoption of Resolution I. The Speaker recognized Task Group Leader 1, Peter Giroux, who recommended defeat as the task group will present an alternative motion.

RESOLUTION I WAS DEFEATED Charge 1999R1

ADOPTION: COP TO EXAMINE SPIRITUALITY The Speaker recommended Task Group Leader 1, Peter Giroux for a report. Motion: I move to charge the COP to address the issue of spirituality through Uniform Terminology revision or through creation of a new document. COP will provide RA with an interim report in 2000 RA and a final report to the 2001. Rational: The originator was present and agreed with the substitute motion. Constituent feedback was taken into consideration for the defeat of Resolution I. However, there were numerous positive comments directing the COP to critically examine the issue. Because the Uniform Terminology is currently being revised, the task group recommends that the COP consider the issue of spirituality in this revision. The profession's awareness of this topic appears to be increasing. There are no financial implications. CRAC REPORT Eunice Zee-Chen, Credentials Review and Accountability Committee (CRAC) Chairperson, reported (58) Representatives, (5) Officers, (3) RA Officials and (3) Commission Chairs present, giving a potential of (69) votes, with a majority of (35) necessary to carry a motion. The Speaker recognized the Representative from Oregon, Karen Foley, who moved to amend by deletion of “this decision will be made by COP, if deemed appropriate after studying the issue.”

THE MOTION WAS AMENDED The Speaker recognized the Representative from the District of Columbia, Shirley Jackson, who moved to amend by deletion of the word “or” and insertion of the word “and”.

THE MOTION TO AMEND WAS DEFEATED


THE MOTION WAS ADOPTED AS AMENDED ONCE. Charge 1999M67

Without objection the Speaker recessed for lunch at 12:34 p.m. The Speaker, Kathryn Loukas, called the meeting back to order at 2:03 p.m. The Recorder called the roll and it was determined that there was a quorum. NOMINATING COMMITTEE REPORT: SLATE FOR ELECTIONS The Speaker recognized Jody Garber, Chairperson of the Nominating Committee, to present the 1999 election slate. The following nominations were presented: Chairperson, Nominating Committee Joanne Boyer Janet Menke Nominations were closed for the positions of Chairperson, Nominations Committee. The candidates presented speeches. CRAC REPORT Eunice Zee-Chen, Credentials Review and Accountability Committee (CRAC) Chairperson, reported (58) Representatives, (5) Officers, (3) RA Officials and (3) Commission Chairs present, giving a potential of (69) votes, with a majority of (35) necessary to carry a motion. DEFEAT: RESOLUTION B: ADDITION OF A STUDENT TRACK The Speaker recognized the Recorder, Mary Evanofski, to bring forward Resolution B.

RESOLUTION B: Addition of a Student Track to the Annual AOTA National Conference

WHEREAS, according the AOTA membership department, as of September 1998, the approximate total of

AOTA members is 60,000 and the number of student members is 14,500. Statistically, the student membership is equal to 25% of the total AOTA membership which is important to the discipline of occupational therapy as they will comprise the workplace in the near future; and WHEREAS, other allied health professional organizations such as physical therapy, have held an annual national conclave for students since 1993; recent statistics found that 1,500 students attended the conference in 1997 and students reported that this educational event was very beneficial; and WHEREAS, students who may attend this student track at national conference would have the opportunity to learn about current issues and concerns of AOTA, as well as obtaining further educational information, thus enhancing professionalism; and WHEREAS, although students may attend the AOTA national conference held in April annually, many issues may be presented at a higher clinical level than is developmentally appropriate for students to attend and may not address issues and concerns that would be beneficial for student involvement; and WHEREAS, inservices and workshops which could be presented at this student conference could provide students with knowledge and techniques outside of the content area specified to be currently included in OT Educational Programs as dictated by the GUIDELINES. Thus, this knowledge, as well as clinical skills, could potentially benefit future patients/clients of OT; and WHEREAS, this student track would offer the opportunity for an increase in student membership, as well as continued membership as students transition from the student to the professional role; and


WHEREAS, this student track at AOTA national conference would provide issues relevant to the students, (i.e., clinical information which may not have been presented in the students academic program, resume writing, job recruiters, interviews, professionalism, ethical decisions), as well as interaction with other students from all over the nation to allow for networking and to better prepare the student for graduation. THEREFORE BE IT RESOLVED, that the RA charge the Executive Board and the Chairperson of COE to determine the feasibility for implementation of a 2-day student track in conjunction with the AOTA national conference beginning in April 2000. BE IT FURTHER RESOLVED, that AOTA develop programming for a student track on an annual basis to address the current needs of AOTA student members. Motion: I move to adopt Resolution B. The Speaker recognized Task Group Leader 3, Tabitha Bundenthal, for a report. Task Group 3 recommended defeat of Resolution B. This resolution increases the potential for segregation of students and practitioners. Networking opportunities would be lost. This would be cost prohibitive for AOTA. Substitute motion B that addresses the intent of the resolution will follow. The originator is in agreement with the recommendation of the task group and the substitute motion.

RESOLUTION B WAS DEFEATED Charge 1999R11

ADOPTION: SUBSTITUTE MOTION FOR RESOLUTION B: STUDENTS AT AOTA NATIONAL CONFERENCE Motion: I move to charge the Executive Board to provide a section in the annual conference literature that describes activities, meetings and orientation information beneficial to students. In addition, I further charge the Executive Board to consider scheduling alternatives that would support student attendance. Rational: This substitution is supported by the originator of Resolution B. This motion partially meets the intent of Resolution B in a cost-effective manner. Completion of this will assist students in making decisions in their planning for conference events.


Charge 1999N63 REFERRED: RESOLUTION E: EQUITABLE PROFIT SHARING FOR THE ANNUAL AOTA CONFERENCE FOR ALL HOST STATES AND AOTA ELECTION AREAS The Speaker recognized the Recorder, Mary Evanofski, to bring forward Resolution E.

RESOLUTION E: Equitable Profit Sharing for the Annual AOTA Conference for all Host States and AOTA Election Areas.

WHEREAS, the AOTA policy and annual conference procedure manual, (Exec. Board minutes, Randy Strickland

8/85, page 7) provide for AOTA to include fair and reasonable contracts for State Associations, and to avoid a negative financial impact and

WHEREAS, AOTA has repeatedly affirmed its commitment to create stronger, more collaborative relationships with State Associations as specified in the Strategic Plan Goals I, II, and III; and in the substitute motions for Resolutions B, C, and D; and

WHEREAS, AOTA’s current conference profit sharing program is $5000 +1% to the host state; and WHEREAS, some states depend on profits from their state for a significant percentage of their revenue (i.e.

California depends on the State Conference for 25 - 30% of its revenue) and above $5000 + 1% is significantly less than that; and


WHEREAS, several of the large states who have hosted past AOTA conferences have experienced financial hardship because they could not also put on a successful state conference in the same area within the same year (due to continuing education cuts most OTs will attend only one conference in a years time); and

WHEREAS, State Associations in host states expend many hours in volunteering, planning, and hosting AOTA members before, during and after the annual conference, taking time and effort away from the host state associations conference; and

WHEREAS, AOTA joint efforts with the states to have an equitable profit sharing would be of benefit to both parties to increase the number of available host sites;

THEREFORE, BE IT RESOLVED, that AOTA develop an equitable profit sharing plan and program for all host site State Associations based on each states need for solvency after the annual AOTA conference.

BE IT FURTHER RESOLVED, that by the year 2000 Representative Assembly meeting, the actions in resolution are implemented. Motion: I move to adopt Resolution E. The Speaker recognized Task Group Leader 3, Tabitha Bundenthal, for a report. Motion: I move to refer Resolution E to the Executive Board for inclusion in the work of RA/CSAP State Relations Task Force. Rational: • RA/CSAP State Relations Task Group has been charged by the Executive Board to include revenue sharing in the

issues it is examining. • It is premature to make any recommendations until the RA/CSAP task force completes its charge. • It is a fiduciary/financial issue, which comes under the authority of the Executive Board according to bylaws and

incorporation.

THE MOTION WAS ADOPTED Charge 1999N71

RESOLUTION E WAS REFERRED Charge 1999R11

DEFEAT: RESOLUTION D: REDUCED MEMBERSHIP FEES FOR OT PRACTITIONERS WHO ARE ENROLLED FULL TIME IN POST PROFESSIONAL GRADUATE PROGRAMS The Speaker recognized the Recorder, Mary Evanofski, to bring forward Resolution D.

RESOLUTION D: Reduced Membership Fees for OT Practitioners Who are Enrolled Full-Time in Post-Professional Graduate

Programs WHEREAS, The American Occupational Therapy Association has a stated goal to increase membership and

WHEREAS, OT practitioners who are enrolled full-time in post-professional graduate programs are recognized as a

vital part of the occupational therapy profession and

WHEREAS, The American Occupational Therapy Association has a stated goal to promote research to further the development of the profession through theoretical development, evaluation of the effectiveness of various clinical interventions, and determining cost effectiveness of OT interventions and

WHEREAS, OT practitioners who are enrolled full-time in post-professional graduate programs are likely to generate new research to benefit occupational therapy and


WHEREAS, OT practitioners who are enrolled full-time in post-professional graduate programs have lessened

financial resources

THEREFORE, BE IT RESOLVED, that OT practitioners who are enrolled full-time in post-professional graduate programs, as verified in a letter from the students educational program director, will be able to obtain membership to AOTA at a reduced rate. Motion: I move to adopt Resolution D. The Speaker recognized Task Group Leader 3, Tabitha Bundenthal, for a report. Task Group 3 recommends defeat of Resolution D. Rational: • It would be difficult and costly for AOTA to monitor full time student and employment status. • More employment opportunities and financial assistance are available for post-professional students. • There is no proven correlation between lower dues and higher membership. • This action may set a precedent for other groups.

RESOLUTION D WAS DEFEATED Charge 1999R12

ADOPTION: MEMBERSHIP DUES FOR FY 1999-2000 The Speaker recognized Task Group Leader 3, Tabitha Bundenthal, for a report. Motion: I move that the member dues be increased by five percent (5%) for the coming year. Rational: • This increase equates to $9.00 for OTs, $6.00 for OTAs, and $3.00 for students. • Additional monies derived from the increase will help to ensure funding for the association's priorities as guided by the

members. • These rates are reasonable when compared to six other healthcare associations. • The Executive Board, in conjunction with the national office staff, has already made significant reductions in expenses

for the past two fiscal years. • In this volatile healthcare environment, this dues increase is necessary to position AOTA to continue to carry out its

mission to promote the viability of the profession. The Speaker recognized the Representative from Massachusetts, Elizabeth Salvucci who moved to amend by substitution of “3%” for “5%”

THE MOTION TO AMEND WAS DEFEATED THE MOTION WAS ADOPTED

Charge 1999M14 ROLL CALL VOTE: The roll call vote was as follows: Alabama Lawrence Zachow Y New Hampshire Karen Donovan Y Alaska Joanne Boehme Y New Jersey Diana Hunt Y Arizona Janet Menke Y New Mexico Howard Karnes N Arkansas Catherine Acre Y New York # 1 Paulette Bell Y California # 1 Sarah Kelly Y New York # 2 Lynn Blewett-Dumbrowski N California # 2 Irene Ayala Decredico Y North Carolina Carol Ann Lust Y Colorado Ruth Berenbeim Y North Dakota Sonia Zimmerman Y Connecticut Brenda Smaga N Ohio Daniel Lipka Y Delaware Jo Anne Tate Y Oklahoma Susan Tucker Y District of Columbia Shirley Jackson Oregon Karen Foley N


Florida # 1 Dana Woods Y OTs in Foreign Countries

Mary Evert N

Florida # 2 R. Kaye Kellar Y Pennsylvania #1 Stephen Kern Y Georgia Tabitha Bundenthal Y Pennsylvania #2 Cathy Dohli Y Hawaii Avis Sakata Y Puerto Rico Dyhalma Irizarry N Idaho Wendy Cary Y Rhode Island Shawn Baxter Y Illinois Ruth Campbell N South Carolina Carol Berenbock Y Indiana Janet Raisor Y South Dakota Denise Rotert N Iowa Christine Malaski Y Tennessee Patty Bowyer-Johnson Y Kansas Trina Schulz Y Texas Dianna Puccetti Y Kentucky Robert Cunningham Y Utah Caroline Bass Y Louisiana Luanne Roberson Y Vermont Margaret Anderson Y Maine Lynn Gitlow N Virginia Judith Hanshaw Y Maryland Marcie Weinstein Y Washington Caroline Kus Y Massachusetts Elizabeth Salvucci Y West Virginia Mary Hager Y Michigan Mary Kay Currie Y Wisconsin Gail VandeCastle Y Minnesota Sandra Wenner Y Wyoming Sheri Lee Montgomery N Mississippi Peter Giroux N ASCOTA Patricia Reynolds A Missouri Carol Ponciroli N OTA Patty Shiokari Y Montana Doreen Scherr Y Nebraska Joanne Boyer Y Nevada Penny Fairbanks Y

Officers of the Association Officials of the Assembly

President Karen Jacobs Y Speaker Kathryn Loukas * Vice President Thom Fisher Y Vice Speaker Penelope Moyers Y Secretary Robin Jones Y Recorder Mary Evanofski Y Treasurer David Ethridge Y Treasurer Elect Lynne Barnes Y

Commission Chairpersons

Education (COE) Cynthia Hughes Harris Y Practice (COP) MaryJane Youngstrom Y Standards & Ethics Barbara Kornblau Y

Total Votes Y = Yeas 57 N = Neas 11 X = Absent 1 A = Abstentions 1 * The Speaker only votes in the event of a tie. ADOPTION: GUIDE FOR SUPERVISION OF OT PERSONNEL The Speaker recognized Task Group Leader 1, Peter Giroux for a report. Motion: I move to adopt the revised document, Guide for Supervision of Occupational Therapy Personnel in the Delivery of Occupational Therapy Services with the following revision: (p.4 Table 1--last box in middle column) Delete, "Intermittent or continuous supervision by all levels of occupational therapy practitioners." Replace with, "For non-client related tasks, supervision is determined by the supervising practitioner. For client related tasks, continuous supervision is provided by all levels of practitioners." Rational: *COP has recommended adoption of this document.


*COP has extensively reviewed this document. *Reflects the changes in the adopted document, Guidelines for the Use of Aides in Occupational Therapy Practice. *This document further clarifies levels of supervision for all occupational therapy practitioners.


CRAC REPORT Eunice Zee-Chen, Credentials Review and Accountability Committee (CRAC) Chairperson, reported (58) Representatives, (5) Officers, (3) RA Officials and (3) Commission Chairs present, giving a potential of (68) votes, with a majority of (35) necessary to carry a motion. POSTPONED: LEGISLATIVE LEADERSHIP FOR COMPETITIVE ADVANTAGE (SUBSTITUTE RESOLUTION D) The Speaker recognized the Representative form Indiana, Janet Raisor, who moved to postpone New Business 79 (Legislative Leadership for Competitive Advantage) until 4/17/99.

THE MOTION TO POSTPONE WAS ADOPTED DEFEAT: RESOLUTION K: INFORMATION ON EMPLOYMENT RECRUITERS AND JOB SEEEKING SKILLS ON THE WEB PAGE The Speaker recognized the Recorder, Mary Evanofski to bring forward Resolution K.

RESOLUTION K: Information On Employment Recruiters And Job Seeking

Skills On The AOTA Web Page.

WHEREAS, upon contacting several ASCOTA representatives across the nation yielded the fact that no representative had any knowledge about the AOTA brochure concerning recruiters. WHEREAS, the student resources section of the AOTA web page offers information on the following: general AOTA information, accreditation, educational programs, fieldwork information, a list of post-professional programs in OT, The Journal of Occupational Therapy Students, membership, the OT LINE-newsletter of the American Student Committee, questions and answers, recognizing new OTA students, Student Occupational Therapy Associations (SOTA) registry. WHEREAS, currently there is no information on the AOTA web page concerning the use of recruiters and job seeking skills. WHEREAS, due to the lack of experience new graduates may have the possibility of being placed in unethical employment situations. WHEREAS, the web page information concerning the use of recruiters and job seeking skills will demonstrate AOTA concern and support for OTSs and OTAs across the nation by increasing their knowledge on how to obtain ethical jobs that match their skills. THEREFORE, BE IT RESOLVED, that the Executive Board examine the current brochure, and with assistance of the AMSIS develop materials regarding use of recruiters for the AOTA web page. BE IT FURTHER RESOLVED, that three Executive Board members finish the web page within two trips to Bethesda for two-day sessions by December 1999. BE IT FURTHER RESOLVED, that the Executive Board report back to the Representative Assembly by April 2000. BE IT FURTHER RESOLVED, that the Executive Board select a member of AMSIS to oversee the revision of the web page information and add updated information quarterly.


Motion: I move to adopt Resolution K. The Speaker recognized Task Group Leader 1, Peter Giroux who recommended defeat of Resolution K. Rational: There are currently other job seeking resources available. The role of recruiters within the OT profession has diminished. Therefore the issue of recruiters is no longer a major concern. The constituent feedback regarding this resolution was divided.

RESOLUTION K WAS DEFEATED Charge 1999R18

ADOPTION: ASSOCIATION GUIDELINES FOR MEETING MINUTES The Speaker recognized Task Group 5, Sandra Wenner, for a report. Motion: I move to approve Association Guidelines for Meeting Minutes and charge to the BPPC to attach to the Administrative SOP as Attachment H. Rational: The Guidelines will provide uniform and consistent format for association minutes to meet legal requirements.


Charge 1999M70 Without objection, the Speaker recessed the Assembly at 4:24 p.m. Saturday, April 17, 1999 The Speaker called the meeting to order at 10:20 a.m. The Recorder called the roll and it was determined that there was a quorum. CRAC REPORT Eunice Zee-Chen, Credentials Review and Accountability Committee (CRAC) Chairperson, reported (59) Representatives, (5) Officers, (3) RA Officials and (2) Commission Chairs present, giving a potential of (69) votes, with a majority of (35) necessary to carry a motion. PRESENTATION OF THE BALLOT The Speaker recognized Jody Garber, Chairperson, Nomination's Committee for a presentation of the ballot for Nominations Committee Chairperson. The ballots for Nomination's Committee Chairperson were distributed. NOMINATIONS COMMITTEE REPORT: SLATE FOR ELECTIONS The Speaker recognized Jody Garber, Chairperson of the Nominating Committee, to present the 1999 election slate. The following nominations were presented: Chairperson, Agenda Committee Dana Woods Carol Poncerolli Nominations were closed for the position of Chairperson, Agenda Committee. The candidates presented speeches. CRAC REPORT Eunice Zee-Chen, Credentials Review and Accountability Committee (CRAC) Chairperson, reported (60) Representatives, (5) Officers, (3) RA Officials and (2) Commission Chairs present, giving a potential of (69) votes, with a majority of (35) necessary to carry a motion. ELECTION: JANET MENKE, NOMINATIONS COMMITTEE CHAIRPERSON The Speaker announced the election results and declared Janet Menke, Nomination's Committee Chairperson. ADOPTION: DESTROY THE BALLOTS It was moved and seconded to destroy the ballots.


THE MOTION WAS ADOPTED The Speaker thanked all the candidates for running and congratulated Chairperson Menke. PRESENTATION OF THE BALLOT The Speaker recognized Jody Garber, Chairperson, Nomination's Committee, for a presentation of the ballot for the Agenda Committee Chairperson. The ballots were distributed. ADOPTION: AGENDA C The Speaker recognized Chairperson Futer who moved adoption of Agenda C.

AGENDA C WAS ADOPTED ADOPTION: POLICY 1.22: CONFLICT OF INTEREST The Speaker recognized Task Group Leader 5, Sandra Wenner for a report. Motion: I move to adopt Policy 1.22 Conflict of Interest as revised. Rational: The Association has had a policy on Conflict of Interest since 1977. The previous policy called special attention to the conflict that may exist for individuals serving on ACOTE and SEC by nature of what they are responsible for. The changing healthcare environments with the complexity and diversity of issues coming before all bodies of the association has highlighted the need to proactively address conflict of interest across all functions of the volunteer sector.


ELECTION: DANA WOODS, AGENDA COMMITTEE CHAIRPERSON The Speaker announced the election results and declared Dana Woods, Agenda Chairperson. ADOPTION: DESTROY THE BALLOTS It was moved and seconded to destroy the ballots.

THE MOTION WAS ADOPTED The Speaker thanked all the candidates for running and congratulated Chairperson Woods. ADOPTION: CONFLICT OF INTEREST GUIDELINES The Speaker recognized Secretary, Robin Jones to make a motion. Motion: I move to adopt the proposed Conflict of Interest Guidelines as amended and charge the BPPC to add as Attachment I to the Administrative SOP. Rational: • At the present time the only guidelines relating to conflict of interest exist within the ACOTE and SEC SOPs. • There exists a need to provide a consistent means to evaluate whether or not a conflict of interest exists which will

affect association business. These guidelines clarify principals and procedures affecting individuals who are elected or appointed to Association bodies.


Charge 1999M65 ADOPTION: ADMINISTRATIVE SOP The Speaker recognized Task Group Leader 5, Sandra Wenner for a report Motion: I move to approve the Administrative Standard Operational Procedures as further amended by Task Group 5 as follows:


X. Conflict of Interest See Association Policy 1.22 - Conflict of Interest (Attachment G). See Attachment I - Conflict of Interest Guidelines A. All persons elected or appointed to carry out the business of the Association are responsible to the Association through

its official representatives. At no time shall the personal relationships, professional, business, financial, or volunteer responsibilities outside the association take priority over the best interests of the Association in the individual's execution of the position for which the individual has accepted the responsibility.

B. Elected or appointed individuals will acknowledge a review of Policy 1.22 and complete the appropriate statement

acknowledging compliance with the Policy. Rational: • Additional accountability needed regarding responsibility of association bodies to monitor conflict of interest of their

members. • Clarifies the administration of the Conflict of Interest Policy.


ADOPTION: CONFLICT OF INTEREST STATEMENT The Speaker recognized Task Group Leader 5, Sandra Wenner for a report Motion: I move that the BPPC develop a Conflict of Interest Statement and bring back to the RA 2000. Rational: • This Statement will provide a mechanism to formally document acknowledgment of potential conflict of interest as

identified in Policy 1.22. • This Statement will verify that individuals have reviewed the policy and identified any potential conflict, thus

increasing awareness of and minimize the potential for conflict of interest. The Speaker recognized Vice President Thom Fisher who moved to amend to add “and bring back to the RA 2000”.

THE MOTION WAS AMENDED The Speaker recognized Secretary Robin Jones who moved to amend by striking “and attach this document to the Administrative SOP as Attachment J”.

THE MOTION WAS AMENDED THE MOTION WAS ADOPTED AS AMENDED TWICE

Charge 1999M77

CRAC REPORT Eunice Zee-Chen, Credentials Review and Accountability Committee (CRAC) Chairperson, reported (58) Representatives, (4) Officers, (3) RA Officials and (3) Commission Chairs present, giving a potential of (68) votes, with a majority of (35) necessary to carry a motion. ADOPTION: APPLICATIONS OF CONFLICT OF INTEREST POLICY AND GUIDELINE The Speaker recognized Secretary Robin Jones, to make a motion. Motion: I move to charge the BPPC to investigate applications of Conflict of Interest Policy and Guidelines to bodies of the Association such as but not limited to CSAP, ASCOTA, etc. with a report back to the RA 2000.



ADOPTION: REVISE UNIVERSAL NOMINATING FORM The Speaker recognized Task Group Leader 5, Sandra Wenner for a report Motion: I move to charge the Nominating Committee to revise the Universal Nominating Form to include Policy 1.22 - Conflict of Interest. Rational: Individuals should be made aware of association policy regarding conflict of interest at the earliest time, when considering nomination to office. Attachment of the policy to the Universal Nomination Form will increase the likelihood that individuals will read it.


ADOPTION: LEGISLATIVE LEADERSHIP FOR COMPETITIVE ADVANTAGE The Speaker recognized Task Group Leader 2, Daniel Lipka for a report. Motion: I move to charge the Executive Board to consider the following actions: 1.) Support AOTA leadership participation in lobbying efforts in Washington DC 2.) Establish funds to support:

A. Per Diem for time attached to existing meetings (Executive Board, Task Forces, SIS meetings, Commissions, ALIVE, CSAP, Program Directors, and Representatives). B. Per Diem and travel for occupational therapy leadership for lobbying not in conjunction with other meetings. C. Establish low-cost, regional legislative conferences presented by the appropriate National Office staff.

3.) Promote grassroots lobbying via AOTA web site (AOTA's software purchase-ezletters). 4.) Advertise in Washington D.C./metropolitan area publications focusing on policy issues. 5.) Promote and help finance leader participation in AOTA legislative conference. 6.) Send legislative alerts via e-mail to wider AOTA member audience. 7.) Send Ergo-Exercise screen saver to every state legislator (sent to all senators, representatives in congress last week). 8.) Train OT educators in teaching advocacy and lobbying through COE, EDSIS scheduled meetings. Rational: 1.) It's a lot less than $2 million! 2.) It's such a deal! 3.) The profession and the association need to make this commitment to assure viability of the profession in the marketplace in response to overwhelming member feedback. 4.) Individual members need to have ready access to tools for grassroots lobbying. 5.) The Internet represents the future of communication with members and member access to legislators. 6.) Association leaders need to model lobbying efforts to promote activism by AOTA members. Financial Details (FY 1999-2000): 100 days per Diem x $180 $18,000 Extra airfare 5,000 Software "ezletters" 6,500 Materials 5,000 Advertising (such as 4 full page ads)

30,000

4 Regional legislative conferences

10,000

Legislative conference support (FY1998-1999) 2,000 Other Fiscal Implications: Administrative staff to support activities (appointments, mailings, etc.) will be needed. CRAC REPORT Eunice Zee-Chen, Credentials Review and Accountability Committee (CRAC) Chairperson, reported (57) Representatives, (4) Officers, (3) RA Officials and (3) Commission Chairs present, giving a potential of (68) votes, with a majority of (35) necessary to carry a motion.


The Speaker recognized the Representative from Maine, Lynn Gitlow, who moved to amend by addition, to charge the Executive Board to “direct the Government Relations Department and Public Relations Department to a launch political and public awareness initiative focusing primarily on the goal of obtaining the right of Occupational Therapy, as a healthcare profession, to stand alone as a provider of service in the health care arena in the following ways: ”

THE MOTION TO AMEND WAS DEFEATED The Speaker recognized Treasurer-Elect, Lynne Barnes who moved to amend by addition of “to consider the following actions.”

THE MOTION WAS AMENDED The Speaker recognized the Representative from California, Sarah Kelly who moved to amend by addition of “with a report back to the RA by July of 1999”.

THE MOTION TO AMEND WAS DEFEATED THE MOTION WAS ADOPTED AS AMENDED ONCE

Charge 1999N79 DEFEATED: EXECUTIVE BOARD COMPOSITION The Speaker recognized Task Group Leader 5, Sandra Wenner for a report. Motion: I move to charge the President to conduct a study using the formalized Continuous Quality Improvement (CQI) Process surrounding the role and function of the Board with recommendation for action to the 2000 Assembly. Rational: • The professional environment has changed markedly since the issue was first raised. • The purpose and intent of reviewing the Board composition needs to reflect the current and future of the profession. • Executive Board composition has been discussed since 1991 using a variety of methods and consultants. Various

structures have been proposed, but no consensus has been reached. This CQI will be a formalized, structured process to look at the Board's role and function (cost, representation, structure, etc.). The CQI study will result in an objective recommendation(s) for action(s).

• Fiscal Implications are not known at this time. Cost of the CQI will be determined by the chosen method of the President.

THE MOTION WAS DEFEATED

Charge 1999N68 ADOPTION: INTERNATIONAL YEAR OF THE OLDER PERSON The Speaker recognized Task Group Leader 3, Tabitha Bundenthal for a report. Motion: I move that the members of the AOTA commend the United Nations for directing world attention to this issue through designating 1999 as the International Year of Older Persons and affirm the United Nations Principles for Older Persons; and that members of the AOTA Representative Assembly support incorporation of the United Nations Principles for Older Persons in their national, state, and local programs whenever possible. Recognizing that those principles closely parallel the goals toward which OT treatment is directed, i.e., independence, client participation, care, self-fulfillment, and dignity; and that information, provided to the AOTA/RA membership from the US Committee through the AOTA’s Representative to that Committee, be thoughtfully reviewed with others in your state OT Association; if possible implement an event(s) at your state OT association meeting, or in a local community during 1999 which benefit older persons and their caregivers, and for whom services provision may, or may not yet be considered; and that those AOTA members who participate at the state/local level by celebrating IYOP through choosing to hold an event on the theme of: health/fitness, older women, disability issues, minority issues, the arts, cultural heritage, crime/abuse, nutrition, etc., consider sharing that information with the local media, with the US Committee on the survey form found in the packet, and communicated through AOTA publications; and those AOTA members who participate in the Global Embrace, the worldwide Intergenerational Walk to promote the idea of health and quality of life throughout the lifespan on October 2nd, consider sharing that information with the local media, the US Committee on the survey form provided, and communicated through AOTA publications.


• Rational: • Older persons are one of our most significant consumer groups and this is seen as an opportunity to promote

occupational therapy and the professions commitment to this groups wellness. • The significance of this issue is emphasized by the fact that this is an international event sponsored by the United

Nations Committee/UN Year of Older Persons. • This is not a mandate, but a suggestion of support and involvement.


ADOPTION: STUDENT MEMBERSHIP CARDS The Speaker recognized Task Group Leader 3, Tabitha Bundenthal for a report. Motion: I move to charge the Executive Board to make the necessary administrative changes to allow student members of occupational therapy educational programs that are in developing status to receive membership cards. Rational: These students currently receive all of the other benefits currently associated with student membership. These students are provided with membership numbers. The Speaker recognized Vice President, Thom Fisher who moved to amend by addition of “in developing status” and deletion of “not yet accredited”.


Charge 1999N73

ADOPTION: EFFICIENT COMMUNICATION # 1 The Speaker recognized Task Group Leader 3 , Tabitha Bundenthal for a report. Motion: I move to charge the Speaker to arrange an annual pre-conference audio-conference for and with association leaders for the purposes of annual meeting preparation. Rational: • Even though face to face meetings were favored, audio-conferencing was beneficial and more cost-effective. • Audio-conferencing was an excellent orientation for new representatives and presidents. • Representatives found it beneficial to receive national feedback from association leaders. • Multiple audio-conferences allow for flexible scheduling. • Funds have already been designated for this in the draft budget.


Charge 1999M19 ADOPTION: EFFICIENT COMMUNICATION # 2 The Speaker recognized Task Group Leader 3, Tabitha Bundenthal for a report. Motion: I move to charge the Speaker to investigate and implement strategies to reduce costs and improve communication within the Representative Assembly. Rational: • The increased use of technology provides a low cost method and effective means of sharing information. • Costs of these audio-conferences are minimal compared to costs of travel and regional face to face meetings.


The Speaker made announcements and recessed until after lunch.


The Speaker recognized the Recorder, Mary Evanofski, who called the roll and it was determined there was a quorum. ADOPTION: CEASE ACTION ON EXECUTIVE BOARD COMPOSITION The Speaker recognized Secretary Robin Jones for a new motion related to earlier business. Motion: I move to charge the Executive Board to cease action on 1998M114 Fast Track Executive Board compositions Report at this time. I further charge the Executive Board to invite a representative from the AOTPAC Board of Directors to attend all Executive Board Meetings and serve without a vote but have a voice (1998N129) until the RA takes any action to change this status. Rational: • This issue has been under study by various groups in the Association since 1991. The climate that AOTA and the field

of OT are functioning in is vastly different now. The priorities of the Association have changed and consensus appears to be that the current structure is not necessarily "broken". The time and energy of the Association and its members should be best spent elsewhere. The changes underway in the market and society in general will drive future organizational changes, which may include the executive board and other association bodies. This issue will resurface again in and when it is needed.

• This action does not preclude the executive board from addressing this issue in the future. • The 1998 RA approved participation of the AOTPAC Chairperson on the Board as invited participant. As an invited

member no by-laws amendment is needed. Non-voting member requires bylaw amendment with approximately $9,000 implication. Functionally, this allows continuation of current practice. RA action would be required to change status.

Fiscal: Contained in current budget due to 1998 action (3 meetings per year).


ADOPTION: GUIDING PRINCIPLES AOTA/NBCOT COLLABORATION RE: CONTINUING COMPETENCE The Speaker recognized Task Group Leader 6, Luanne Roberson for a report. Motion: I move that the Representative Assembly establish guiding principles to govern the Association's collaboration with NBCOT regarding the issue of continuing competence. These principles should be consistent with the Representative Assembly's functions and include consideration of the following: There are roles for both AOTA and NBCOT in continuing competency. 1. AOTA sets the standard for the profession. 2. One role of AOTA is to support the efforts of individual practitioners to meet the standards of continuing competence. 3. One role of NBCOT is to certify entry-level competence into the profession. 4. AOTA supports the enforcement efforts of states and other jurisdictions. 5. There are multiple options for continuing competency other than re-certification. 6. Occupational Therapy Practitioners need to provide input throughout the process of continuing competence. 7. Communication with state regulatory boards, third party payers, and stakeholders should be collaborative to the

maximum extent possible consistent with legal review. 8. AOTA has a continuing role in providing practitioners with continuing education. Rational: As we address the recommendation of the AOTA Continuing Competency Task Force report titled "Professional Development for Continuing Competence" and our new collaborative relationship with NBCOT, it is important that the Association have clearly established guidelines. The Executive Board's NBCOT/AOTA Issues Task Force has recommended that the Representative Assembly is the appropriate body to establish principles to govern this collaboration. The Speaker recognized Secretary, Robin Jones, who moved to amend by addition of “should be collaborative” and deletion of “needs to be unified”.

THE MOTION WAS AMENDED


THE MOTION WAS ADOPTED AS AMENDED Charge 1999M35

DEFEAT: RESOLUTION F: CHANGE AOTA PERIODICALS COPYRIGHT PERMISSION FROM 1 - 5 YEARS The Speaker recognized the Recorder, Mary Evanofski, to bring forward Resolution F.

RESOLUTION F:

Change AOTA Periodicals Copyright Permission Term from 1 to 5 Years. WHEREAS, support of occupational therapy education is a primary mission of AOTA, and

WHEREAS, educational use of articles and documents from AOTA periodicals demonstrates the

importance of those publications to occupational therapy students, and WHEREAS, once issued, copyright permission for any specific article or document does not change

from year to year, and

WHEREAS, faculty are well versed at the need to secure copyright permission for course readings, and

WHEREAS, yearly re-issuing copyright permission unnecessarily uses resources at AOTA and at the

institutions requesting these permits WHEREAS, the decision to require yearly renewal of copyright does not appear founded on legal

requirements for that specific length of time, therefore permitting an alternative to be proposed and

WHEREAS, copyright permission rules are already applied differently depending on the profi status of the requesting party;

THEREFORE, BE IT RESOLVED THAT, Beginning with fiscal year 1999, AOTA’s Executive Board direct the Director of Publications for AOTA to grant copyright permission to requesting educational institutions and non-profit continuing education groups for AOTA periodical articles and documents for a period of 5 continuous years instead of 1 year. Motion: I move to adopt Resolution F. The Speaker recognized Task Group Leader 6, Luanne Roberson for a report. Task Group 6 recommends defeat of Resolution F with a substitute motion to follow.

RESOLUTION F WAS DEFEATED Charge 1999R31

ADOPTION: SUBSTITUTE MOTION FOR RESOLUTION F: AOTA COPYRIGHT PROCEDURE The Speaker recognized Task Group Leader 6, Luanne Roberson for a report. Motion: I move to charge the President to implement and evaluate a simplified AOTA copyright permission procedure and report back to the Representative Assembly in 2000. Rational: The current system is cumbersome and needs to be streamlined to be effective. A more user-friendly system would result in an efficient application and renewal process.


DEFEAT: RESOLUTION G: REMOVE COPYRIGHT CHARGE FOR AOTA PERIODICALS The Speaker recognized the Recorder, Mary Evanofski to bring forward Resolution G.


RESOLUTION G:

Remove Copyright Charge for AOTA Periodicals

WHEREAS, support of education of occupational therapists is a major mission of AOTA, and WHEREAS, use of AOTA periodical articles and documents as course readings demonstrates the

importance of those publications and of SIS membership to occupational therapy students, and WHEREAS, AOTA currently charges educational institutions and non-profit continuing educational

efforts for articles or documents that are more than 10% of a total periodicals issue, and WHEREAS, SIS newsletter issues are only a few pages long, making most SIS articles longer than 10%

of the issues total length, and therefore incurring a charge, and WHEREAS, this policy also creates a charge of $15 when longer articles or series articles in a single issue

of AJOT are requested, and WHEREAS, the cost of such copyright permission is passed onto students, with students in small classes

paying proportionally higher amounts for articles, and WHEREAS, this cost adds up, if several AOTA articles are used in a course, and WHEREAS, this added cost leads educators to avoid or limit their use of these AOTA periodicals, and

thereby limit students exposure to these journals.

THEREFORE, BE IT RESOLVED THAT, beginning with fiscal year 1999 AOTA’s Executive Board direct the Director of Publications for AOTA to grant copyright permission to occupational therapy academic programs and non-profit continuing education programs to copy articles and documents from AOTA periodicals for educational purposes, without cost, regardless of length of work.

Motion: I move to adopt Resolution G. The Speaker recognized Task Group Leader 6, Luanne Roberson for a report. Task Group 6 recommends defeat of Resolution G with a substitute motion to follow.

RESOLUTION G WAS DEFEATED Charge 1999R32

ADOPTION: SUBSTITUTE MOTION FOR RESOLUTION G: REVISE PROCEDURE TO ESTABLISH COPYRIGHT FEES The Speaker recognized Task Group Leader 6, Luanne Roberson for a report. Motion: I move to charge the President to review and revise the procedures for establishing copyright fees for educational institutions and not-for-profit continuing education. Rational: • Support was not overwhelming in either direction for Resolution G. • This motion was discussed with the originator of Resolution G and National Office Staff, and their feedback was

incorporated into this motion. • Recoup the processing costs and a reasonable percentage of developmental costs. • Maintain reasonable expenses for the education institutions and not-for-profit continuing education. • Ensure consistency in implementation of procedures.



ADOPTION: POLICY 5.3.1: DEFINITION OF OT PRACTICE FOR STATE REGULATION The Speaker recognized Task Group Leader 6, Luanne Roberson for a report. Motion: I move that the proposed revised definition of occupational therapy practice for state regulation (Addendum to President's Report (v.A.), dated April 1, 1999, Attachment B.2.a.) be adopted. I charge the Executive Board to disseminate the revised definition of OT practice for state regulation to membership and the appropriate external audiences. Charge BPPC to amend policy 5.3.1 to reflect definition for consistency. Rational: • The definition was last revised in 1994, and changes in practice and the environment necessitate another revision at this

time. • The proposed revised definition more clearly describes current occupational therapy practice and the importance of

occupational based practice. • The draft has been refined in order to adapt it for use as statutory language and clarify terminology for external

audiences such as policy makers. The Speaker recognized the Secretary, Robin Jones who moved to amend by addition of “charge BPPC to amend Policy 5.3.1 to reflect definition for consistency”


Charge 1999M10

ADOPTION: MARKETPLACE ISSUES AND INNOVATION The Speaker recognized Task Group 1, Peter Giroux for a report. Motion: I move to charge the individual RA members through the RA Speaker to provide innovative examples of OT practice. These include moving into an innovative environment outside of the medical model, payment possibilities and resources utilized. This information would be disseminated on a regular basis in publications such as OT Week as well as posted on the AOTA web page. Rational: Examples of information could include: • unique fieldwork site experiences • innovative use of products and resources • disability evaluation • non-traditional job settings • community service settings • unique use of grants and business loans The task group felt strongly that the individual members of the RA should demonstrate initiative to their constituents in "actively" sharing information. The task group felt a motion was necessary for this task to be carried out. The Speaker recognized the Representative from Oregon, Karen Foley who moved to amend by addition of “Speaker” and deletion of “Leadership”.


Charge 1999M75 ADOPTION: MARKETPLACE ISSUES The Speaker recognized Task Group Leader 6, Luanne Roberson for a report. Motion: I move to charge the Speaker to collect all Task Group feedback on Market Place discussion and include it in the June 1999 Executive Board report. Rational: The discussions in Task Groups were informative and creative, the information will be valuable to the Executive Board as new strategies are planned.



Charge 1999N80 The Speaker recognized the Agenda Chair for a report on outstanding new business. ADOPT: AGENDA NEW BUSINESS ITEM The Speaker recognized the BPPC Chairperson, Sheri Montgomery who moved to present a new business item.

ITEM ACCEPTED TO THE AGENDA

ADOPTION: GUIDELINES FOR SUPPORTING DOCUMENTS OF SUBMITTED RESOLUTIONS The Speaker recognized the BPPC Chairperson, Sheri Montgomery for a motion. Motion: I move to accept "Guidelines for Supporting Documents of Submitted Association Resolutions" and charge BPPC to add as Attachment W to the Agenda Committee SOP.

Guidelines for Supporting Documents of Submitted Association Resolutions 1. All submitted resolutions must have a statement or letter of support from the originator(s). 2. Submitting documentation may include statements, letters, historical documents, research articles or any other

information that the originator deems appropriate to further explain or justify the intent of the submitted resolution.

3. Information that is provided to the Preliminary Resolution Review Committee and the Assembly prior to the

meeting of the Assembly will consist of two pages. 4. The originators of the submitted resolution will determine which two pages, by including them as the first two

pages after the submitted resolution. 5. Any other submitted information will be included for Task Group review at the Assembly Meeting. 6. When additional supporting materials related to the resolution are submitted they will be provided to the task

group or other interested individuals upon request. Rational: • The BPPC met at conference and reviewed the document. We recommend approval at this time. • Confusion has been experienced regarding what is supporting documents. In the past there has been letters of support,

and even research articles of support. All this information is not feasible to provide to the Preliminary Review Committee or the RA for review, but has been provided to the task groups. Therefore, it would be clearer for the Agenda Chair SOP to include an attachment.

• A previous motion charged to BPPC to complete this task of reviewing the "Guidelines for Supporting Documents of Submitted Association Resolutions."


Charge 1999N84 ADOPT: AGENDA NEW BUSINESS ITEM The Speaker recognized the ASCOTA Chairperson, Patricia Reynolds who moved to present a new business item.

ITEM ACCEPTED TO THE AGENDA ADOPTION: ASCOTA AND ADMINISTRATIVE SOP The Speaker recognized the ASCOTA Chairperson, Patricia Reynolds for a motion. Motion: I move to charge the BPPC to review the Administrative SOP for inclusion of ASCOTA officers as appropriate throughout and amend as appropriate with a report back to the RA 2000.


Rational: The Administrative SOP only addresses the Chairperson of ASCOTA in area III Assumption of Office and VIII Disciplinary Action. The Officers of ASCOTA are elected and should be included where appropriate.


ADJOURNMENT The Speaker, Kate Loukas, stated that the agenda had been completed. Hearing no objections, the Speaker adjourned the 1999 Representative Assembly at 3:14 p.m. ADDENDUM – MOTIONS REQUIRING ADDITIONAL ACTION CARRIED OUT BY MAIL BALLOTS In January, 1999, a mail ballot was sent to voting members of the Representative Assembly. Ballots returned by February 8, 1999 were tallied. A quorum of Representatives returned their ballots. The following two motions were adopted by a majority vote by mail ballot. ADOPTION: GUIDELINES FOR THE USE OF AIDES IN OCCUPATIONAL THERAPY PRACTICE Motion: I move the adoption of the Guidelines for the Use of Aides in Occupational Therapy Practice.

THE MOTION WAS ADOPTED 44 for, 5 against

Charge 1999M91 ADOPTION: THE MODEL SUPERVISION LANGUAGE FOR REGULATORY BOARDS Motion: I move adoption of the model supervision language for regulatory boards.

THE MOTION WAS ADOPTED 41 for, 8 against

Charge 1999M92

Approved by the Ad Hoc Minutes Review Committee on September 8, 1999 Mary Evanofski, OTR/L Recorder

I

ADDENDUM SUMMARY ADDENDUM SUBJECT I. Instructions I.A. Agenda I.B. Rules of the Day ANNUAL REPORTS OF REPRESENTATIVE ASSEMBLY OFFICIALS II.A. Speaker's Report II.B. Vice-Speaker's Report II.C. Recorder's Report ANNUAL REPORTS OF REPRESENTATIVE ASSEMBLY STANDING COMMITTEES/COMMISSIONS III.A. Commission on Education (COE) Report III.B. Commission on Practice (COP) Report III.C. Commission on Standards and Ethics (SEC) Report II.C.1 Standards Review Committee (SRC) Report IV.A. Agenda Committee Report IV.B. (Part I) Bylaws, Policies, and Procedures Committee (BPPC) Report (Part I) IV.B. (Part II) Bylaws, Policies, and Procedures Committee (Part II) IV.C. (Part I) Credentials Review and Accountability Committee (CRAC) Report (Part I) IV.D. Strategic Plan Committee Report IV.E. Nominating Committee Report IV.F. Recognition's Committee Report ANNUAL REPORTS OF ASSOCIATION OFFICERS V.A. President's Report V.B. Secretary's Report V.C. Treasurer's Report ANNUAL REPORTS OF THE EXECUTIVE BOARD VI.A. Executive Director's Report VI.B. Committee of State Association President's (CSAP) Chairperson's Report VI.C. American Student Committee of the American Occupational Therapy Association (ASCOTA)

Report VI.D World Federation of Occupational Therapists (WFOT) Delegate’s Report VI.E. Specialty Certification Board (SCB) Report VI.F. Accreditation Council for Occupational Therapy Education (ACOTE) Report VI.G. Special Interest Sections Steering Committee (SISSC) Report OTHER REPORTS TO THE REPRESENTATIVE ASSEMBLY VII. American Occupational Therapy Foundation (AOTF) Report VII.A. Research Advisory Council (RAC) Report VIII. American Occupational Therapy Political Action Committee (AOTPAC) Report X. 1999 Proposed Resolutions

II

RESOLUTION SUMMARY RESOLUTIONS RESCINDED: None RESOLUTIONS ADOPTED AS WRITTEN OR AMENDED: LETTER TITLE NUMBER Resolution J Movement to Required Post baccalaureate Level of Education 679-99 RESOLUTIONS REFERRED: Resolution E Equitable Profit Sharing for the Annual Conference for all Host 674-99 States and AOTA Election Areas (Referred to the EB) RESOLUTIONS DEFEATED: LETTER TITLE NUMBER Resolution A The Promotion of Community-Based Programs in 670-99 Occupational Therapy (substitute motion adopted 1999M72) Resolution B Addition of Student Track to the Annual AOTA National 671-99 Conference (substitute motion adopted 1999N63) Resolution C The Necessary Link to Inclusion of all OT Practitioners 672-99

(substitute motion adopted 1999M66) Resolution D Reduced Membership Fees for OT Practitioners Who are Enrolled 673-99 Full-Time in Post-Professional Graduate Programs Resolution F Change AOTA Periodicals Copyright Permission Term from 675-99 1 to 5 Years (substitute motion adopted 1999N64) Resolution G Remove Copyright Charge for AOTA Periodicals (substitute 676-99 Motion adopted 1999N81) Resolution H Multiculturalism, Diversity and Inclusion in Preparation for the 677-99 21st Century (substitute motion adopted 1999M66) Resolution I Position Paper on Spirituality in Occupational Therapy (substitute 678-99 Motion adopted 1999M67) Resolution K Information on Employment Recruiters and Job Seeking Skills on 680-99 The AOTA Webpage