OT Practice August 20 Issue

CE ARTICLEHome Modifications An Introduction to Practice Considerations

reg

A Story of Complex Neurological Recovery

AOTA T H E A M E R I C A N O C C U P A T I O N A L T H E R A P Y A S S O C I A T I O N

AUGUST 20 2012

Organizing a Backpack Awareness EventHelping People With AddictionsWorking With VeteransProposed 2013 Amendments to AOTA Articles of Incorporation and Bylaws

PLUS

Setting One Goal at a Time

THANK YOU

PrimArY COrPOrATe SPONSOr

AOTA wants to specially thank our sponsors and exhibitors for the 2012 AOTA Specialty ConferencemdashAdvanced Practice in Traumatic injuries amp PTSD

We could not have done this without their support

PR-208

exHibiTOrS

Occupational Therapy Practice Guidelines for Adults With Traumatic Brain InjuryBy Kathleen Golisz OTR OTD

Using an evidence-based perspective and key concepts from the Occupational Therapy Practice Framework this guideline provides an overview of the occupational therapy process for adults with traumatic brain injury (TBI) including definition epidemiology stages of recovery referral evaluation and interventions throughout the various recover phases

This publication is designed to help occupational therapists and occupational therapy assistants as well as individuals who manage reimburse or set policy for occupational therapy services understand the contribution of occupational therapy in treating adults with TBI This guideline also can serve as a reference for parents school administrators educators and other school staff health care facility managers education and health care regulators third-party payers and managed care organizations

Practice Guideline From AOTA Press

To Order call 877-404-AOTA or visit httpstoreaotaorgviewSKU=2214

Order 2214 bull AOTA Members $59 bull Nonmembers $84

ISBN-13 978-1-56900-258-2

BK-155

1

AOTA bull THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATIONV O L U M E 1 7 bull I S S U E 1 5 bull A U G U S T 2 0 2 0 1 2

FEATURESetting One Goal 9 at a TimeA Story of Complex Neurological RecoveryAndrew Waite tells the story of how occupational therapy helped one client in Maine re-learn skills and rebuild her life step by step

CO

VER PHOTOGRAPH COURTESY OF TRUDY NEWTON

DEPARTMENTSNews 2

Capital Briefing 5Congressional Storm Ahead Navigating the Upcoming Year-End Budget Disaster

Practice Perks 6Housing First Meets Harm Reduction Adapting Existing Social Services Models to Help People With Addictions

Evidence Perks 7Conflict of Interest Policies for Creating a Culture of Accountability

Perspectives 13Working With Veterans

Careers 15Breast Cancer and Occupational Therapy Developing an Oncology Occupational Therapy Program

Social Media Spotlight 18Updates From Facebook Twitter YouTube and OT Connections

OT PRACTICE bull AUGUST 20 2012

bull Discuss OT Practice articles at wwwOTConnectionsorg in the OT Practice Magazine Public Forumbull Send e-mail regarding editorial content to otpracticeaotaorg bull Go to wwwaotaorgotpractice to read OT Practice online bull Visit our Web site at wwwaotaorg for contributor guidelines and additional news and information

OT Practice serves as a comprehensive source for practical information to help occupational therapists and occupational therapy assistants to succeed professionally OT Practice encourages a dialogue among members on professional concerns and views The opinions and positions expressed by contributors are their own and not necessarily those of OT Practicersquos editors or AOTA

Advertising is accepted on the basis of conformity with AOTA standards AOTA is not responsible for statements made by advertisers nor does acceptance of advertising imply endorsement official attitude or position of OT Practicersquos editors Advisory Board or The American Occupational Therapy Association Inc For inquiries contact the advertising department at 800-877-1383 ext 2715

Changes of address need to be reported to AOTA at least 6 weeks in advance Members and subscribers should notify the Membership department Copies not delivered because of address changes will not be replaced Replacements for copies that were damaged in the mail must be requested within 2 months of the date of issue for domestic subscribers and within 4 months of the date of issue for foreign subscribers Send notice of address change to AOTA 4720 Montgomery Lane Suite 200 Bethesda MD 20814-3449 e-mail to membersaotaorg or make the change at our Web site at wwwaotaorg

Back issues are available prepaid from AOTArsquos Membership department for $16 each for AOTA members and $2475 each for nonmembers (US and Canada) while supplies last

Chief Operating Officer Christopher Bluhm

Director of Communications Laura Collins

Director of Marketing Beth Ledford

Editor Ted McKenna

Associate Editor Andrew Waite

CE Articles Editor Maria Elena E Louch

Art Director Carol Strauch

Production Manager Sarah Ely

Director of Sales amp Corporate Relations Jeffrey A Casper

Sales Manager Tracy Hammond

Advertising Assistant Clark Collins

Ad inquiries 800-877-1383 ext 2715 or e-mail salesaotaorg

OT Practice External Advisory Board

Donna Costa Chairperson Education Special Interest Section

Michael J Gerg Chairperson Work amp Industry Special Interest Section

Dottie Handley-More Chairperson Early Intervention amp School Special Interest Section

Kim Hartmann Chairperson Special Interest Sections Council

Gavin Jenkins Chairperson Technology Special Interest Section

Tracy Lynn Jirikowic Chairperson Developmental Disabilities Special Interest Section

Teresa A May-Benson Chairperson Sensory Integration Special Interest Section

Lauro A Munoz Chairperson Physical Disabilities Special Interest Section

Linda M Olson Chairperson Mental Health Special Interest Section

Regula Robnett Chairperson Gerontology Special Interest Section

Tracy Van Oss Chairperson Home amp Community Health Special Interest Section

Jane Richardson Yousey Chairperson Admin-istration amp Management Special Interest Section

AOTA President Florence Clark

Executive Director Frederick P Somers

Chief Public Affairs Officer Christina Metzler

Chief Financial Officer Chuck Partridge

Chief Professional Affairs Officer Maureen Peterson

copy 2012 by The American Occupational Therapy Association Inc

OT Practice (ISSN 1084-4902) is published 22 times a year semimonthly except only once in January and December by The American Occupational Therapy Association Inc 4720 Montgomery Lane Suite 200 Bethesda MD 20814-3449 301-652-2682 Periodical postage is paid at Bethesda MD and at additional mailing offices

US Postmaster Send address changes to OT Practice AOTA 4720 Montgomery Lane Suite 200 Bethesda MD 20814-3449

Canadian Publications Mail Agreement No 41071009 Return Undeliverable Canadian Addresses to PO Box 503 RPO West Beaver Creek Richmond Hill ON L4B 4R6

Mission statement The American Occupational Therapy Asso-ciation advances the quality availability use and support of occupational therapy through standard-setting advocacy edu-cation and research on behalf of its members and the public

Annual membership dues are $225 for OTs $131 for OTAs and $75 for student members of which $14 is allocated to the subscription to this publication Subscriptions in the US are $14250 for individuals and $21650 for institutions Subscrip-tions in Canada are $20525 for individuals and $26250 for institutions Subscriptions outside the US and Canada are $310 for individuals and $365 for institutions Allow 4 to 6 weeks for delivery of the first issue

Copyright of OT Practice is held by The American Occupational Therapy Association Inc Written permission must be obtained from the Copyright Clearance Center to reproduce or photo-copy material appearing in this magazine Direct all requests and inquiries regarding reprinting or photocopying material from OT Practice to wwwcopyrightcom

Calendar 20Continuing Education Opportunities

Employment Opportunities 27

Research Update 32Depression Health Interventions and Play

CE ArticleHome Modifications An Introduction to Practice ConsiderationsEarn 1 AOTA CEU (1 contact hour or 125 NBCOT professional development units) with this creative approach to independent learning

SPECIALProposed 2013 Amendments 16 to AOTA Articles of Incorporation and Bylaws

Organize a 19 Backpack Awareness Event

2 AUGUST 20 2012 bull WWWAOTAORG

N e w sAssociation updatesprofession and industry news

AOTA News

Specialty Conference on Adults With Stroke

More than 700000 people in the United States experience a new or

recurrent stroke each year resulting in cognitive disorders muscle weakness vision loss and other effects on their abil-ity to live independently The AOTA Adults with Stroke Spe-cialty ConferencemdashNovember 30 to December 1 in Baltimore Marylandmdashis a special oppor-tunity for occupational therapy practitioners to advance their stroke rehabilitation knowledge and skills from top-level speak-ers and earn up to 13 contact hours Registration opens September 5 at wwwaotaorgconfandeventsstroke

AOTA Responds to Research in Autism Spectrum Disorders Article

As part of multiple ongo-ing activities underway in support of occupational

therapyrsquos important role in addressing autism spectrum disorders AOTA responded to a negative article about occu-pational therapy and sensory integration therapy The article was published in the JulyndashSep-tember 2012 issue of Research in Autism Spectrum Disor-ders and analyzed 25 studies involving sensory integration AOTArsquos response challenges the researchersrsquo questionable conclusions about sensory integration therapy For more as well as a link to AOTArsquos response visit wwwaotaorgnewsconsumerresponse-on-si

Hill Day Coming Soon

Be part of the contingent of occupational therapy practitioners converging

on Washington DC as part of AOTA Capitol Hill Day 2012 on September 24 If yoursquore pas-sionate about your profession donrsquot miss your chance to meet with elected officials to discuss key legislative issues affecting occupational therapy practice By participating you can help make a difference in the lives of your clients and for the profes-sion For more visit wwwaotaorgpractitionersadvocacyhill-day-12

Public Disciplinary Actions

The Ethics Commission (EC) has taken the following recent disciplinary actions

According to Section 13 of the Enforcement Procedures for the Occupational Therapy Code of Ethics with the excep-tion of those cases involving only reprimand the American Occupational Therapy Associa-tion (AOTA) ldquowill report the conclusions and sanctions in its official publications and will also communicate to any appro-priate persons or entitiesrdquoName Sandra M Ingram-

Watson OTRL Sanction Censure Effective June 11 2012 Violation of Principles 5E 5F 5H 6A 6C and 6D Occupational Therapy Code of Ethics and Ethics Standards (2010)

Name Robin Lea Branine OT Sanction Censure Effective June 11 2012 Violation of Principle 5E Occupational Therapy Code of Ethics and Ethics Standards (2010)

Name Shana Elyse Novegrod MA OTRL Sanction Cen- sure Effective July 31 2012 Violation of Principles 2E and 5E Occupational Therapy Code of Ethics and Ethics Standards (2010)

Please contact Deborah Slater AOTA liaison to the EC at dslateraotaorg if there are questions concerning this information

New ACOTE Officers and Members

A t the Accreditation Council for Occupational Therapy Education (ACOTEreg)

summer meeting in August Letha Mosley completed her term as ACOTE Chairperson Following a 1-year term as ACOTE Chairperson-Elect in 2008 Mosley served as the ACOTE chairperson for the past 3 years During her tenure as chairperson Mosley has overseen a standards review process a petition for recogni-tion to the US Department of Education development of the e-accreditation system and unprecedented growth in pro-gram applications and reviews

Ellen McLaughlin EdD OTRL who has served in the chairperson-elect position for the past year became the new chairperson of ACOTE on August 5 McLaughlin has been a member of ACOTE since August 2007 and served as chairperson of ACOTErsquos Educational Standards Review Committee

Current ACOTE member Pam Roberts PhD OTRL SCFES CPHQ FAOTA was selected to serve as ACOTErsquos new vice chairperson Roberts is manager of Rehabilita-

tion and Neuropsychology Department of Rehabilitation Cedars-Sinai Medical Center in Los Angeles California Roberts has been a member of ACOTE since August 2008

The following three new ACOTE members began their terms at the August meet-ing Tia Hughes DrOT MBA OTRL department chair of the Occupational Therapy Program at the Florida Hospital College of Health Sciences in Orlando Heather M Stagliano MHS OTRL an occupational thera-pist with the Department of Veterans Affairs at the VA Palo Alto Health Care System in Palo Alto California and Donald E Walkovich DHSc MS OTRL associate dean at the School of Health Sciences and chair of and professor at the Depart-ment of Occupational Therapy at Saint Francis University in Loretto Pennsylvania

They replaced the positions held by Dorothy Bethea EdD OTRL Dahlia Castillo MS OTR and Letha Mosley who fulfilled their terms after sev-eral dedicated years of service More information on the leader-ship changes and a complete list of ACOTE members may be found on the ACOTE Web site at wwwaotaorgeducateaccreditoverview

AOTF Scholarship Opportunities Abound

The American Occupational Therapy Foundation (AOTF) will offer more

than 40 Scholarships in the 2012ndash2013 academic year

AOTF will be accept-ing online applications from students currently enrolled full time in either a profes-

3OT PRACTICE bull AUGUST 20 2012

sional occupational therapy educational program or an occupational therapy assis-tant program You must be a member of AOTA to be eligible to receive a scholarship Addi-tional eligibility requirements can be found at wwwaotforg Online applications must be submitted by November 15 2012 Please direct questions to Jeanne Cooper at jcooperaotforg Scholarships will be awarded based on academic merit and leadership potential

Recognize a Colleague for an AOTA Award

The AOTA Recognitions Committee encourages you to recognize colleagues

who have made significant con-tributions to the profession by nominating them for one of the awards offered by the Associa-tion each year Descriptions of the awards nominations forms FAQs and the general point system can be found on the AOTA Web site at wwwaotaorgpractitionersprofdevawards Questions can be directed to awardsaotaorg

SIS Call for Nominations (Chairperson Positions)

Nominations are being accepted until September 15 for the next chairper-

son of four Special Interest Sections (SISs) Education Gerontology Physical Disabili-ties and Technology The term of office is 3 years beginning July 1 2013 The chairperson coordinates the projects and activities of the Standing Com-mittee including the sectionrsquos program(s) at AOTArsquos Annual Conference amp Expo SIS Inter-net activities and the topics for

the SIS Quarterly publication The chairperson represents the SIS with all bodies of AOTA and is a member of the SIS Council

Each nominee will submit the information outlined in the SIS Chairperson Nomination Form (Attachment E of the SIS SOPs) to the Nominating Chairperson via e-mail This form is available on the AOTA Web site in the Nominations and Election Areas area of the SIS section Nominees may also request this form by contact-ing the SIS administrative assistant Barbara Mendoza at bmendozaaotaorg or 800-SAY-AOTA ext 2042 Self-nominations are welcome

New Resources

Do you work with older adults If so you might find a new OT in Productive

Aging PowerPoint to be helpful Look for it in the Resources on the AOTA Web site at wwwaotaorgPractitionersPresenta tion-Resourcesaspx

A new AOTA information sheet on grief and loss is being offered as part of the online School Mental Health Tool-kit Find it at wwwaotaorgPractitioners-SectionChildren-and-YouthNewGrief-and-LossaspxFT=pdf

Industry News

Help Promote Falls Prevention Awareness Day

Donrsquot let Falls Prevention Awareness Day slip your mind Itrsquos coming up on

September 22 2012 National Falls Prevention Awareness Day is observed the first day of fall to promote and increase public awareness about how to prevent and reduce falls among older

A O T A B u l l e T i N B O A r D

Occupational Therapy in Acute CareH Smith Gabai

This text lays the foundation for occupation-based practice and

addresses the contextual issues of working within the acute care setting The research cov-ers occupational therapy practition-ersrsquo knowledge of

how diseases affect the human body including the cardiovascular ner-vous and endocrine systems Color illustrations of the human bodyrsquos systems and functions as well as tables delineating the signs and symptoms for various diseases help clarify important concepts $109 for members $154 for nonmembers Order 1258 httpstoreaotaorgviewSKU=1258

Ways of Living Interven-tion Strategies to Enable Participation 4th EditionC H Christiansen and KM Matuska

This edition reflects the terminol- ogy and content of the Occu-

pational Therapy Practice Framework Domain and Pro-cess 2nd Edition in light of the new realities of health care including intervention strate-

gies beyond adaption to activities of daily living (ADL) and instrumental ADL challenges The 20 chapters include nearly 300 tables figures and case examples to illustrate key points This book will be valuable to students practitioners and researchers $79 for Members $112 for Non-members Order 1970B httpstoreaotaorgviewSKU=1970B

Pain Fear and Avoidance Therapeutic Use of Self With Difficult Occupational Therapy Populations (CEonCDtrade) R TaylorEarn 2 AOTA CEU (25 NBCOT PDUs2 contact hours)

D iscover strategies for

managing three of the most common and difficult client reactions in occupational therapy practicemdashpain fear and avoidance Learn how to best manage these emotions and behaviors so that treatment goals can be accom-plished$68 for members $97 for non-members Order 4836 httpstoreaotaorgviewSKU=4836

Letrsquos Think BIG About Wellness(CEONCDtrade) W DunnEarn 25 AOTA CEU (313 NBCOT PDUs25 contact hours)

This product reviews the

official documents and materials that support our con-cept of wellness reviews examples of interdisciplinary literature on wellness and explores strengths models from other disciplines as a way to inform our bigger thinking It examines our own practices de-signs an action plan for embedding health and wellness perspectives into our current work and considers how we can expand our influence to the public$68 for members $97 for non-members Order 4879 httpstoreaotaorgviewSKU=4879

Bulletin Board is written by Amanda Fogle AOTA marketing specialist

OUTSTANDINGRESOURCES

FROM

Ready to order Call 877-404-AOTA or go to httpstoreaotaorgEnter Promo Code BB

Questions Call 800-SAY-AOTA (members) 301-652-AOTA (nonmembers and local callers) TDD 800-377-8555

continued on page 4


c a p i t a l b r i e f i n g

Congressional Storm AheadNavigating the Upcoming Year-End Budget Disaster

Tim Nanof

lection years always pose unique challenges for addressing busi-ness before Congress Extended campaigning and a hypersensitive focus on politics and political rami-fications tend to make Congress tentative when it comes to address-ing difficult and complicated issues 2012 is no exception and may be

worse than usual The 112th Congress has developed a record for inactivity and futility that is historic In addition that inactivity has led to a laundry list of critical tax spending and health care issues that must all be addressed within the last month of the year The perfect storm of critical issues facing Congress will continue to grow larger and more complex making solutions at the end of the year extremely dif-ficult to find As members of Congress are on recess for the month they are trying to meet with constituents all over their districts in anticipation of the November elections and their hoped-for return to office next year Recess and the remainder of the elec-tioneering yet to come present occu-pational therapy with an opportunity to educate these policymakers about the challenges occupational therapy faces as a profession

Although occupational therapy has significant issues hanging in the bal-ancemdashsuch as the Medicare therapy caps Medicare provider payments in general and a scheduled 84 cut to federal funding for general and special education through the sequestration processmdashthe larger issues facing Congress portend even more dire circumstances for the entire country unless Congress can work together to determine a moderate and thoughtful path ahead In the last month and a

half of 2012 Congress must address a whole range of budget busters from the expiration of the George W Bush administrationndashera tax cuts which cost $33 trillion over 10 years to the Social Security tax holiday which reduces middle class tax cuts 2 and will cost $33 billion in 2013 to passage of the National Defense Authorization Act which will cost $5542 billion in 2013 and much more

One key issue for occupational therapy is sequestration a process for engaging in mandatory across-the-board cuts to achieve $12 trillion in federal spending reductions Seques-tration was created as a blunt instru-ment to cut federal spending in the event that members could not come to an agreement on targeted cuts to achieve deficit reduction goals passed in the Budget Control Act of 2011 They did not As a result on January 1 2013 we will be faced with uniform 84 cuts (with just a few exceptions) that may cripple the nationrsquos eco-nomic recovery and its programs and services including education special education and the militarymdashall the things that are so critical to the coun-tryrsquos safety and future

For occupational therapy the challenge to special education is most significant Federal funding is already inadequate with most of the burden on local school districts The 84 cut in federal funding could have

devastating consequences for jobs and certainly the quality of education Medicare is exposed to a maximum of 2 cuts and Medicaid is barred by statute from any cuts at all under sequestration

How do we get back on track We talk to each other The political differ-ences that separate us are far less sig-nificant than the principles that unite us Political leadership is the art of the possible and stems from thoughtful consideration and compromise Tell Congress that the time for action on issues important to you is now Mem-bers are home this month and off and on through the elections in November This is your time to talk with them and educate them about your beliefs and your frustrations Do it politely do it civilly but be clear and be assertive

AOTArsquos Legislative Action Cen-ter has a Web page (httpcapwizcomaotahome) with information about how to reach your members of Congress and we are sharing informa-tion about town hall meetings that members traditionally hold during recess to hear from constituents Use the resources AOTA provides to edu-cate yourself and then educate your elected officials AOTA continues to work for you but your individual voice is critically important n

Tim Nanof is AOTArsquos director of Federal Affairs

e AOTA continues to work for you but your individual voice is critically important [Members of Congress] are home this month and off and on through the elections in November

This is your time to talk with them and educate them


Housing First Meets Harm ReductionAdapting Existing Social Services Models

to Help People With AddictionsAndrea McElroy

I am pursuing my masterrsquos degree in occupational therapy and am interested in Level II fieldwork opportunities in the area of mental health particularly related to people with drug and alcohol addictions In what ways can the profes-sion support these types of clients and provide related fieldwork opportunities

As the occupational therapy profes-sion moves toward 2017 and AOTArsquos Centennial Vision it is evident that the mental health area of practice is becom-ing revitalized and embraced by the new generation of occupational therapy practitioners Level II fieldwork stu-dents in particular have the opportunity to experience a wide range of interest-ing and challenging settings within mental health some of which are con-sidered emerging or nontraditional Community-based facilities that provide services to people who are homeless or at risk for homelessness and have drug and alcohol addictions are being seen more and more as grassroots efforts to aid people in this population These facilities often combine models used by other social services such as social work or psychiatric services to support con-sumers in their goals to maintain sobri-ety and housing One such combination is the Housing FirstHarm Reduction Model1 Housing First provides clients who are homeless or at risk for home-lessness with supportive housing as a way to reduce overall stress and anxiety and support individuals in eventually maintaining their own housing1234 The Harm Reduction model provides for practical intervention aimed at minimiz-ing negative consequences associated with drug use156 Improving quality of life and not necessarily abstinence from drug use is the goal under harm reduction16

Per the tenets of this Housing FirstHarm Reduction model some facilities now in operation provide supportive housing and utilities case management and occupational therapy services to people who are experiencing homeless-ness and addiction to heroin Additional support often includes peer mentors basic furniture clothing liaisons for educational opportunities and employ-ment and legal services According to this combined model individuals being accepted to the program are over-whelmed with attempts at navigating homelessness and managing addic-tions and are not able to participate in activities that lead to secure employ-

ment or keeping and maintaining a home These individuals are not only homeless but have many additional barriers to recovery such as a lack of employment history lack of education lack of basic employment skills such as computer use past criminal history co-morbid mental health diagnoses and poor overall health In addition these individuals also have a loss of self-worth and self-efficacy that can affect their desire to pursue a more healthful lifestyle Housing provided through the Housing First focus of the model allows clients to experience life without the stress of homelessness The Harm Reduction focus provides for an open agreement with the client in which they do not have to utilize services that do not interest them and the focus of treatment is not on disciplinary action for noncompliance

Occupational therapy has a specific skill set to bring to the table under this combined model Occupational therapy practitioners are able to focus on client interest in meaningful occupations provide experiences that lead to self-worth and self-efficacy and address all the other barriers faced by individuals in this population through a variety of frames of reference Occupational therapy complements the Housing FirstHarm Reduction model by meeting clients ldquowhere they arerdquo not ldquowhere we would like them to berdquo

To a Level II fieldwork student assisting a client who is homeless to develop self-worth and self-efficacy

may seem overwhelming However the skills needed to successfully work with this population according to the Housing FirstHarm Reduction model are in keeping with the skill set of an entry-level practitioner and Level II Fieldwork student The knowledge and skills needed for this area of practice are described in the AOTA paper Special-ized Knowledge and Skills in Mental Health Promotion Prevention and Intervention in Occupational Therapy Practice7 which includes an appendix that identifies entry-level knowledge and entry-level performance skills for occupational therapists and occupational therapy assistants The official document also lists a sampling of approaches for group and individual interventions that are commonly used in mental health Another official AOTA paper

P r A C T i C e P e r K s

QA

continued on page 8

Occupational therapy complements the Housing FirstHarm Reduction model by meeting clients ldquowhere they arerdquo not ldquowhere we would like them to berdquo


PHO

TOG

RA

PH C

OU

RTE

SY O

F TR

UD

Y N

EWTO

N

n 2005 Janie Lucas stared down from the bleachers at her second graderrsquos baseball coach She noticed how patient Mark Fox was with his young players ldquoDo you think he would be inter-

estedrdquo Janie whispered to her sister Trudy Newton Janie was not involved with her sonrsquos father

Trudy and Janie were close They even worked together at the same home care agencymdashTrudy as a care provider and Janie in the intake department handling referrals So when Janie asked Trudy what she thought about the coach Trudy told her sister to go for it

That proved to be good advice As a couple Mark and Janie enjoyed

simply spending time with each other They liked to stay home and work in the garden They lounged around the pool and read basking in beautiful Maine summers In the winter they revved snowmobiles through the statersquos untapped wilderness

ldquoShe is a very kind person Always worried about other people more than herselfrdquo Mark says of Janie

But soon Janie would need other people to care for her and occupational therapy would become the service to help her regain lifersquos meaning

CANrsquoT WAkE UPOn July 31 2008 Janie called Trudy And it wasnrsquot to chat

Janie had been diagnosed with breast cancer at the age of 45

ldquoShe was very frightened She had a young son a steady relationship [with Mark] and two other kids in her life [Markrsquos from a previous marriage] It was scary for everyonerdquo Trudy recalls

Janie underwent chemotherapy suc-cessfully But while she beat cancer the treatment beat her up in other ways

In April 2011 Janie caught a coldldquoWith a weakened immune system

the cold caused her to have double pneumonia and it set in really fastrdquo Mark says ldquoI let her sleep for a while then I couldnrsquot wake her uprdquo

Mark called Trudy who was in Florida at the time and she told Mark he needed to call 9-1-1

Doctors in Maine werenrsquot certain what happened to Janie

ldquoThey said she had developed an infection that had gone septic and her heart stopped because of that and she went into septic shockrdquo Trudy says

ldquoThey basically were telling us that she wasnrsquot going to liverdquo

During this time Trudy got to know Mark on a deeper level

ldquoI donrsquot think I knew his character as well beforerdquo Trudy says ldquoWe ended up staying at the hospital and just sort of having those quiet times when you donrsquot know what else to do but sort of sit there and stare I remember having conversations in the hospital about more philosophical type things like how did this happen and whyrdquo

Trudy saw Markrsquos optimistic spirit and began to more completely under-stand the man her sister had fallen in love with

ANDREW WAITE

How occupational therapy helped a client and her loved ones

rebuild their lives one step at a time



I

Janie Mark and sons


Miraculously Janiersquos health improved quickly She was back home and back to almost normal in less than a month Sensing there was no longer a need to put life on hold Mark proposed to Janie and she said yes in May 2011

ldquoWe seemed to be more in love with each other after that time in the hospi-talrdquo Mark recalls

SLIPPING AWAyBut before she and Mark could begin planning their wedding Janie began to slip away

ldquoThe first thing that we noticed was her laugh which sounded really bizarremdashher personality had started to changerdquo Trudy says ldquoShe used to have a great laugh but this was almost hystericalrdquo

Mark and Trudy thought maybe Janie was overextending herself They decided the change was something to monitor but not something over which to fret

But then Janiersquos walking altered too It became more of a shuffle almost a stumble Trudy says And Janie would forget things Mark and Trudy talked again Finally they admitted to each other that something wasnrsquot right Mark once again took Janie to the hospital

ldquoThey did an MRI and didnrsquot really see anythingrdquo Trudy says

But Trudy and Mark knew better They were watching their loved one lose little parts of her personality piece by piece until she steadily sank into a coma less than a month after getting engaged

ldquoThat was the scariest moment for surerdquo Mark says ldquoBecause you just saw somebody that you love slipping away And somebody was showing up that you didnrsquot recognizendashndashsomeone that wasnrsquot herrdquo

After about a week the doctors in Maine referred Janie to Massachusetts General Hospital in Boston Janie had another MRI and this time the doctors had an answermdashsort of Janiersquos myelin sheath which essentially allows the nervous system to function properly had frayed Her brain matter was intact but the white matter of her nerves was not able to transmit signals

ldquoDoctors said it was very rare to see because it was such a delay in the

onsetmdashusually it wasnrsquot delayed like that I said well thatrsquos my sister one in a million And they said more like one in 2 millionrdquo Trudy recalls ldquoThey didnrsquot have any treatment for it So we finally had a name for it but we didnrsquot know what it meant The doctors said sometimes on rare occasions people will get a little bit better But often they get worse and sometimes they dierdquo

SHARED CONNECTIONSWhile Janie was in a coma Mark and Trudy spent more time in the hospi-tal staring at vending machines and flipping through magazines Trudy was worried about her sister but Mark hung onto hope

ldquoHe has a very positive outlook on things so he had the belief that she was going to get better I tend to be a little more cynical Or maybe just a little more realisticrdquo she says

Janie came out of the coma after a few days but she was minimally responsive Mark went into the hospital room to spend some alone time with his fianceacute She still needed a feeding tube and could hardly keep her eyes open But it was there that Mark realized the strength of the connection he and Janie shared

ldquoShe could look at me she could see me Just with her eyes she would try to follow me around the roomrdquo Mark remembers ldquoI was the only one who could get her attention and she would try to keep her eyes open for merdquo

Mark believed then that he wasnrsquot going to lose Janie

Despite the doctorsrsquo grim progno-sis Janie improved Very slightly but

still And it was enough for them to move her to a nursing home in Maine and eventually to RiverRidge Center a Genesis HealthCare inpatient clinic in Kennebunk Maine about an hour and a half from Janie and Markrsquos home Janie had been diagnosed with anoxic brain damage encephalitis contracture of multiple joints and dysphagia

ldquoMedically complex patients require an occupational therapist to assess cog-nitive abilities physical performance and psychosocial drives in order to provide them the opportunity to reach minute incremental goals during the recovery processrdquo says Tracey Samela OTRL Rehabilitation Program director at Genesis HealthCarersquos Skyview Center in Wallingford Connecticut ldquoDue to the significance of Janiersquos impairments at the onset of her illness her occu-pational therapist needed to establish goals that required a passive treatment approachrdquo

REHAB AT RIvERRIDGEWhen Janie arrived at RiverRidge in July 2011 she had almost no func-tion During Janiersquos initial evaluation Melinda Morgrage MS OTRL set goals of tolerating activities of daily liv-ing (ADLs) for 10 minutes and improv-ing passive range of motion in her upper and lower extremities In addi-tion Morgrage wanted Janie to visually scan her environment with moderate assistance

ldquoAnother goal and this seems so primitive was to maintain eyes open during a treatment session for 5 min-utesrdquo Morgrage says

Christine Rosa MS OTRL Inpa-tient Program manager at RiverRidge

AOTA Platinum Partner Genesis Rehab Services (GRS) which provides educational and professional-clinical opportunities for AOTA members while serving to advance occupational therapy practice in line with

AOTArsquos Centennial Vision is a national provider of occupational therapy physical therapy speech therapy respiratory therapy and wellness services primarily for older adults GRS provides comprehensive therapy services in partnership with skilled nursing centers assisted living facilities independent living facilities hospitals home health companies adult day care programs and outpa-tient clinics in more than 1100 sites in 36 states and Washington DC


says setting such small goals is impera-tive in the recovery process

ldquoWe knew that she could use visual scanning for an actual purpose She could use it to identify what she needed Like if you held up two differ-ent colored shirts she would be able to pick what shirt she wantedrdquo Rosa says ldquoPatients tend to respond so well to occupational therapy because itrsquos in a real-world environment We do our best

to imitate home life If the issue is she wants to be able to pick out her own clothes then we are helping her reorganize her closet wersquore not bring-ing her to the gym We are actually working in her closet

Relatively quickly the therapy team at Genesisrsquos RiverRidge moved Janie into a wheelchair

ldquoOnce we were able to get her up into a wheelchair we started progress-ing the length of time and started doing more of the edge-of-mat sitting activi-tiesrdquo Morgrage recalls

But more importantly occupational therapy helped Janie re-learn practical skills that once seemed rote

ldquoOTs have a unique ability to know that something as simple as brushing your teeth is a 12-step task by the time you reach up turn on the faucet bend your elbow twist the cap squeeze the tube and so on So with our ability to look at nothing but function function function helps to keep it more real for the patient and brings the pieces togetherrdquo Rosa says ldquoThe whole purpose is that [occupational therapy] is unique and itrsquos individualized So whatrsquos functional for one person isnrsquot going to be functional for another Not only that whatrsquos functional for one per-son at a certain point in their recovery

isnrsquot going to be functional for them at a different point in their recoveryrdquo

The therapists at RiverRidge began looking at activities like upper-body bathing and hygiene and grooming tasks with a goal of moving from mod-erate to minimal assistance And Janiersquos transfers were upgraded from mechani-cal lift to stand lift Morgrage says

Janiersquos loved ones saw her come back too

ldquoI think I was the most hopeful when we started to get her personality back I would say it took months to get her personality to come throughrdquo Trudy says ldquoHer laugh came back her smile came back Shersquos a very gentle person and that came back Her calm personality came right through She started to get her vocal-ization her memory And thatrsquos the soul of a personrdquo

NExT STEPSAround that time Janie told her thera-pists that she would soon be leaving RiverRidge to marry Mark

ldquoWe had a meeting toward the beginning of October and she was convinced that on October 31 she was going to be getting married She said lsquoI am walking down the aisle no matter whatrsquo She still had a ways to go but she was confidentrdquo recalls Heidi Ful-lerton MSPT Janiersquos physical therapist at RiverRidge

But Janie remained at RiverRidge undergoing a therapy regimen 6 days a week

ldquoShe started to be able to move the wheelchair herself She was working so hard to push that chair but she could

do it herself She could get herself to the dining room she could get herself up at 7 am every day to watch her morning showsrdquo Rosa says ldquoShe wasnrsquot just wandering the hall She was saying lsquoI want to watch TVrsquo and she was going to the TV room She was not only able to have that thought but she recog-nized lsquothis is how I am going to do itrsquo and then she did itrdquo

Meanwhile Mark and Trudy would visit the clinic as often as possible

ldquoI do whatever I have to for herrdquo Mark says ldquoI always tell her that if she can get through what she has to then I wonrsquot have trouble getting through what I have tordquo

Mark and Janie found ways to make their relationship work even though their nuptials remained on hold Two

nights a week after work Mark would commute the 15 hours to the clinic to be with her And on Christmas and Thanksgiving Mark took Janie to her brotherrsquos house in Kennebunk

ldquoMany patients with cata-strophic medical complexities set milestone goals such as a visit home for the holidays a trip to

a childrsquos ball game or even to plan a weddingrdquo Samela says ldquoThese out trips require extensive planning and training by the patient therapist and their families including such tasks as car transfers stair performance wheelchair mobility and accessibility assistive device use ADL performance in the home or public environment and medication management in order to be successful These milestone goals cre-ated by the patient and facilitated by the family and occupational therapist create the motivation the patient needs to progress their functional abilities to a level needed for a successful transi-tion to homerdquo

Around the time Janie resolved to be married to Mark she also began believing in her ability to regain her life As with Mark Janiersquos positivity triumphed

Trudy thinks occupational therapy was especially beneficial for her sister

ldquoShe is very practically based mean-ing she likes to do tasks she sees that are meaningfulrdquo Trudy says ldquoAnd the family has been able to communicate with the therapists to say lsquothese activities she

ldquo[Janie] is very practically basedmeaning she likes to do tasks she sees that are meaningful

And the family has been able to communicate with the therapists to say lsquothese activities she might not connect with but doing things that she sees

are getting her closer to things she might have to do for herself at home are really important to herrsquordquo


might not connect with but doing things that she sees are getting her closer to things she might have to do for herself at home are really important to herrsquo

ldquoInstead of doing some sort of matching activity putting [the activity] into a kitchen setting and making it practical works better for Janierdquo Trudy continues

Samela says the skill of an occupa-tional therapist is to continually evalu-ate the patientrsquos functional abilities and progress while staying mindful of what the client wants to be able to do

ldquoWe provide therapeutic interventions that are patient specific and relate to their lives prior to the onset of illness In this case Janie preferred kitchen tasks as a means to improve her cognition balance coordination and problem solv-ing where another patient with similar deficits might prefer computer userdquo

lsquoIrsquoD COME A LONG WAyrsquoAs Janie spent more time in the clinic therapists continued advancing her goals At one point everyone was going to be satisfied with having Janie be independent in her wheelchair so she could get around and resume

doing things like attend her sonrsquos baseball games But in May 2012 after 10 months in rehabilitation it was time for the next step Janiersquos therapists told her she was ready to ditch the wheelchair

ldquoThey told me that I was going to have it for the weekend and then after the weekend was over I was going to be without it Then I got nervousrdquo Janie says ldquoI didnrsquot want to be without it because I really got good at moving around with itrdquo

Janie vividly remembers the moment she finally stood on her own

ldquoI had to get to the edge of the chair and position my feet correctly and I had to say lsquoPush push pushrsquo It worked I could get up that way So I did it I felt independent again Irsquod come a long wayrdquo she says

Janie her therapists and loved ones say Janie is about 80 back mentally and about 60 back physically She still has trouble with her memory and her muscle tone still needs major improve-

ment But she is at a point where she can function on her own

At the time Janie and her therapists were interviewed for this article they were preparing for Janiersquos discharge She would still have to follow a dis-charge plan but she would be able to do it at home where she could live with Mark her now 14-year-old son and Markrsquos sons

The first thing Janie planned to do after arriving home was ldquoKiss the boys tell them how much I love them and tell Mark how much I love him I know itrsquos been hard on him but hersquos been here for me the whole timerdquo she says

Mark admits that the entire situation with Janie has been trying But even when discussing how hard itrsquos been his hopefulness persists

ldquoThere are times that Irsquom upset that we probably wonrsquot ever have the

life we used to have but then I look at it and I say lsquoAt least we still have her Things may never be what they used to be but wersquoll just be happy

with what we have and not worry about what we donrsquot haverdquo

Morgrage says Janiersquos story is a testa-ment to the value of therapy particularly occupational therapy services

ldquoItrsquos not always butterflies and roses but with Janiersquos story it sort of is We can be proud that we have done every-thing we can to make her as indepen-dent as possiblerdquo she says ldquoIt really just confirms our ability to teach the body to adapt and learn new strategies and it proves that hard work pays offrdquo

Trudy says she and Mark were recently discussing what to do for Janiersquos discharge

ldquoWe talked about this huge welcome home party and making it a crazy dayrdquo she says ldquoBut the closer it gets and the more I think about it I think that can be off in the future someday toordquo Trudy explains

That big party can be Mark and Janiersquos wedding which Janie says is coming ldquosooner not laterrdquo n

Andrew Waite is the associate editor of OT Practice

He can be reached at awaiteaotaorg

F O r M O r e i N F O r M A T i O NLiving Life To Its Fullesttrade Stories of Occupational TherapyEdited by A Hofmann amp M Strzelecki 2010 Bethesda MD AOTA Press ($19 for members $27 for nonmembers To order call toll free 877-404-AOTA or shop online at httpstoreaotaorgviewSKU=1254 Order 1254 Promo code MI)

Living With Illness or Disability 10 Lessons of Acceptance Understanding and PerseveranceBy S Gutman 2005 Bethesda MD AOTA Press ($1495 for membersnonmembers To order call toll free 877-404-AOTA or shop online at httpstoreaotaorgviewSKU=1235 Order 1235 Promo code MI)

Occupational Therapy in Acute CareBy H Smith Gabai 2011 Bethesda MD AOTA Press ($109 for members $154 for nonmembers To order call toll free 877-404-AOTA or shop online at httpstoreaotaorgviewSKU=1258 Order 1258 Promo code MI)

AOTA CEonCDtradePain Fear and Avoidance Therapeutic Use of Self With Difficult Occupational Therapy PopulationsBy R Taylor 2011 Bethesda MD American Occupa-tional Therapy Association (Earn 2 AOTA CEU [25 NBCOT PDUs 2 contact hours] $68 for members $97 for nonmembers To order call toll free 877-404-AOTA or shop online at httpstoreaotaorgviewSKU=4836 Order 4836 Promo code MI)

The Texture of Life Purposeful Activities in the Context of Occupation 3rd EditionEdited by J Hinojosa amp M Blount 2009 Bethesda MD AOTA Press ($59 for members $84 for nonmembers To order call toll free 877-404-AOTA or shop online at httpstoreaotaorgviewSKU=1209B Order 1209B Promo code MI)

Ways of Living Intervention Strategies to Enable Participation 4th EditionEdited by C Christiansen amp K Matuska 2011 Bethesda MD AOTA Press ($79 for members $112 for nonmembers To order call toll free 877-404-AOTA or shop online at httpstoreaotaorgviewSKU=1970B Order 1970B Promo code MI)

Discuss this and other articles on the OT Practice Magazine public forum at httpwwwOTConnectionsorg

CONNECTIONS

ldquoIt really just confirms our ability to teach the body

to adapt and learn new strategies and it proves that hard work

pays offrdquo

felt an almost overwhelming wave of anger as I stood in front of the Viet-nam Veterans Memorial one morn-ing in 1996 My colleague and I were in Washington DC presenters for a workshop on integrating technology into small colleges She had coaxed me into accompanying her on her daily runs and suggested we visit the memorial one morning It would be my first visit one I had put off for 14 years since the Memorialrsquos dedication in 1982 We searched for and found the name of one of my friends Of the three of us who went to war he was the one who did not return Now I stood there feeling abandoned and absolutely alone as my colleague no longer stood beside me ldquoHow could she do thisrdquo I won-dered Then in the mirror-like surface of the wall I saw her She had taken a step back giving me personal space but remaining close by if I needed her support

For occupational therapy practi-tioners working with veterans I would suggest following my friendrsquos lead Stay close by but be respectful of each veteranrsquos need to deal with emotions in his or her own way

War experienced at any level changes the warrior forever I would argue however that time spent as a warrior should be regarded as only one of many occupations a servicewoman or man will experience in his or her

life To effectively work with veterans we as practitioners must not lose our historical focus on treating the whole person Each veteran will bring his or her own personal story coping mecha-nisms and needs

Occupational therapy practitioners are well trained in dealing with both the physical and psychosocial aspects of a wide variety of clients However dealing with veterans presents some unique challenges

1 There may be a ldquolatencyrdquo period in which we cannot or do not want to talk to anyone Many veterans want to ldquofocus forwardrdquo to reintegrate with families occupations education etc We do not want to ldquowasterdquo time talking about events that we are more comfortable forgetting

When I left active duty services after 4 years I was acutely aware that many of my cohort group had already completed college and begun their pro-fessional lives Talking about wartime experiences was absolutely the last of my priorities I would not likely have spoken to anyone even if the oppor-tunity presented itself It would be 12 years after my tour in Viet Nam before I began to question how that experience might have changed me

2 We may not want to talk to you Itrsquos not that we do not appreciate your con-cerns but veterans will often feel that because you are a nonvet an outsider

you cannot understand what we expe-rienced or what we feel That is not so very uncommonmdashthink of experi-ences you would feel most comfortable speaking about with those whom you know will understand you Add to this memories that evoke guilt or extreme sadness Thus veterans often prefer to talk to other veterans

3 Returning to civilian life often feels ldquohollowrdquo and with little meaning War-riors are engaged in possibly the most intense activity in which humans can participate Wartime service demands absolute dedication to the mission and onersquos fellows

My father was a WWII veteran and for years we used to travel to New Hampshire to spend time with one of his wartime friends and his family These two men would often retire to a local restaurant to talk about their experiences and lives Years later I found myself in the same restaurant talking with that manrsquos son about our respective time in Vietnam At one point he looked at me and said ldquoBill I am going to say the stupidest thing you have ever heard But those times were the only time in my life when I felt like I was doing something important for the worldrdquo

His comment mirrored another point many warriors return to civilian or even peacetime military life strug-gling to find a focus War for many

i

Working With VeteransWilliam Croninger


P e r s P e C T i v e s

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C a r e e r s

ou have breast cancer An esti-mated 226487 women and 2190

men in the United States will hear these words in 20121 These words

strike feelings of disbelief fear anger and even despair Many people report feeling overwhelmed with the myriad treatment options or lost when they complete their treatment

Many are left with challenges following surgery such as decreased range of motion tightness or pain and discom-fort with movement Still others battle potentially devastating lymphedema which is a swelling in a body part result-ing from damage done to the lymphatic system through surgery radiation or other cancer-related treatments Cancer also involves a number of psychosocial issues that may impact women and men before during and after treatment

Cancer or treatments related to cancer may lead to changes in an individualrsquos physical cognitive or emotional identity leading to decreased participation in desired daily occupa-tions2 Penfold noted that the role of an occupational therapist in oncology andor cancer care is ldquoto facilitate and enable an individual patient to achieve maximum functional performance both physically and psychologically in everyday living skills regardless of his or her life expectancyrdquo (p 75)3

Human occupation is varied and complex Thus each individual diag-nosed with breast cancer can experi-ence a number of challenges in his or her various occupations andor roles In addition these may fluctuate through-out the course of the disease A personrsquos abilities and desires to participate may change dramatically from initial diag-nosis through chemotherapy andor radiation treatment to end-of-life care3 Occupational therapy is an effective nonpharmacological option to enable an individual with breast cancer to partici-

pate in the activities he or she deems meaningful

INITIAL INTERESTMy affinity for oncology began with my first Level II fieldwork experience I was 6 weeks into a 12-week mental health rotation in urban Kansas City Missouri when one of my clients was diagnosed with cancer She was devastated Our sessions focused on using positive coping strategies and stress manage-ment in order for her to participate in her desired daily occupations It was then that I began to research oncology treatment side effects survivorship and other issues and I discovered the vital role for occupational therapy

Oncology has now grown into both my career specialty focus and passion When searching for employment oppor-tunities following graduation I was hav-ing difficulty finding oncology-specific occupational therapy positions so I cre-ated my own In January 2011 I began working at Methodist Hospital and Methodist Estabrook Cancer Center in Omaha Nebraska I was employed as an occupational therapist with the intent of developing an outpatient oncology occupational therapy and lymphedema program as well as inpatient oncology

therapy services Although Methodist has had a longstanding reputation in the Omaha and rural Nebraska communities for excellence in cancer care therapy services onsite at the Estabrook Cancer Center and an occupational therapist dedicated to oncology rehabilitation had not existed prior to my being hired

I quickly learned I needed to acquire new skills and knowledge in order to best serve this unique population I was a generalist practitioner on the acute side but I strived for a specialist role in oncology In April 2011 I attended a certified lymphedema therapy course to gain additional knowledge specific to lymphedema To compensate for a lack of therapy-focused courses specifically geared toward oncology I began read-ing medical journals from a broad range of specialties to familiarize myself with cancer and its effects on an individualrsquos performance and I began attending tumor board meetings at least once each month to learn about the latest developments in breast cancerndashrelated surgery staging pathology and treat-ment options

To educate our in-house staff about the benefits of occupational therapy

Breast Cancer and Occupational TherapyDeveloping an Oncology Occupational Therapy Program

Lauren Robins

Y

continued on page 17PHO

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s O C i A l M e D i A s P O T l i g h T

BA

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ILLI

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wwwaotaorgtwitter

Amy Jo Lambajlamb1216 Students join me in Columbus OH for the National Student Conclave Nov 9ndash10 2012 A conf tailored for youour next gen leader frankaota 7 Jul 12

Cindi PetitoCindiPetito See our latest blog post regarding AOTArsquos Policy Statement on Complex Rehab Technology and HR 4378 httpfbme1qZJsR5UO 21 June 12

Erik JohnsonarmyOTguy I uploaded a YouTube video httpyoutubekIN7tvcKWYsa Garrett Carneskinda a big deal 27 July 12

PutMeBackTogether pmbtogether An OT guide for assessing children ages 3 and up pediOT OTpeeps OccupationalTherapy httphtlycvpkH 26 July 12

Recreation Therapy Scope of Practicehttpotconnectionsaotaorgforumst14933aspx

Kristy Posted Sun Jul 15 2012 728 PM

I am 3 weeks into my first Level II placement in mental health at a medical center At a recent team meeting the recreation therapist mentioned that he was doing the same purposeful activities that my supervisor was planning to do with the same group She asked me to look up the recre-ation therapy scope of practice so she can in fact prove that OTs are more competent in this specific area

OTshira replied Wed Jul 18 2012 536 PM

I have to say I struggled with a similar question on my mental health fieldwork It kind of depends on how the hospitalsetting divides the responsibilities in the same way that both PT and OT could do car transfers in a physi-cal dysfunction setting In my setting the rec therapists did more leisure skills groups etc and the OTs did more ldquoadvancedrdquo skills groups such as anger management coping skills discharge readiness and home manage-ment Another comment One of my classmates in OT school had been a rec therapist for 3 years prior to getting her OT degree In her opinion the major difference was that OTs do ADLs while rec therapists donrsquot It is one of the challenges of OT mental health practice to differentiate what we do and prove that we are worth the extra money in helping clients improve occupational performance

For more of this discussion and to view other posts go to wwwOTConnectionsorg New user Click on ldquoUserrsquos Guiderdquo in the upper right hand corner of the Web page

Jaclyn Tarloff Schwartz replied Thu Jul 19 2012 330 AM

Sometime groups might look the same but different professions will approach it with different reasons and techniques Take a cooking group for example A rec therapist may engage clients in a cooking activity for the benefits of diversion and leisure and therefore grade the activity to an easier level An OT can do the same cooking group with a different focus Maybe it is following com-plex directions such as a recipe Maybe the focus is on memory and attention by working on remembering the needed ingredients and scanning the shelves to find them Perhaps the focus is on learning new cooking techniques to help clients develop healthy nutritional habits

AOTA Poll ResultsSurvey Says Staying Connected With WorkDo you use todayrsquos technology to stay connected with your job even when itrsquos not work hours

Yes I like knowing whatrsquos going on 28 Yes but it encroaches on my downtime 28 Sometimes For something important 24 No I go completely offline 20

For more visit httpotconnectionsaotaorgblogspulsecheckarchive20120717poll-results-work-emailaspx

Find us on Facebookwwwaotaorgfacebook

American Occupational Therapy Association shared a link July 17

Occupational Therapists (13) in Forbes Top 20 Best-Paying Jobs For Women In 2012 httpowlyciH6p

446 people like this

Sheila Ann Olis Oh heck yeah Thatrsquos whatrsquos up ppl July 17 at 129pm

Joe Patrick Also a great profession for men ) July 17 at 144pm

Christina Ross Hint hint Stepahie Stephanie Zangroniz Hannah Jewel Conner July 17 at 711pm

Kris Kagawa I wish I work as an OTR for pennies and love But itrsquos all good because I love being an OT July 17 at 1011pm

yoursquoll also find AOTA on wwwaotaorgyoutube

and httppinterestcomaotainc


For this yearrsquos AOTA National School Backpack Awareness Day to be held on September 19 AOTA is encouraging members

to start planning their own event now Occupational therapy practitioners and students can help educate the public about how to avoid pain and injury by holding a weigh-in targeting backpacks purses briefcases purses or other heavy bags

PLAN yOUR WEIGH-INThe first step is to secure a venue Talk with the principal andor administrator in charge of scheduling (in a school) or the manager of other facilities to request permission to hold the event Be sure to share the date times desired room or area anticipated number of attendees number of adults volunteering at the event and so forth

Well before the event consider what you will need n At least one scale n Handouts n Stickers or other artwork n Enough occupational therapy practi-

tioners or adults to assist (be sure to provide them with training)

n Charts showing the maximum sug-gested backpack or bag weight for different body weights (no more than 10) for those who prefer not to be weighed

n Signed permission slips for minorsn A display table for materials

TARGET yOUR EvENTThe following are examples of what to focus on during a weigh-inBackpacksn Weigh-in events have been very

successful in demonstrating to students teachers and parents just how heavy some of those backpacks can get And events can be funmdashthe children and young adults enjoy it which makes learning easier

n Schools and universities are the natural choices for venues but you can also target locations wherever individuals with backpacks can be found

Pursesn Over the years purses have grown

larger to accommodate the daily load that women carry every day Although these large purses seem convenient theyrsquore also potentially causing future neck shoulder and back problems

n Shopping malls are the natural choice for venues or wherever indi-viduals who buy and sell purses can be found

Briefcasesn Many men and women haul docu-

ments laptops and notebook computers back and forth to work each day If improperly packed and carried these briefcases can cause serious neck shoulder and back problems

n Corporate parks and commuter stations are natural choices of venue or wherever individuals who buy sell and use briefcases can be found

Suitcasesn Suitcases can be a burden to the

already stressful task of traveling If properly packed and carried consumers can travel stress free and

avoid the aches and pains associated with heavy suitcases

n Airports and commuter stations are natural choices for venues or wherever individuals who buy sell and use suitcases can be found

PROMOTE yOUR EvENTA weigh-in has all the elements of a great news story Donrsquot miss out on a chance to introduce your local media to occupational therapy and how it can help individuals of all ages live life to its fullest

Donrsquot limit yourself to coverage by traditional media however Promote your event on Facebook Twitter the venuersquos Web site blogs and so forth But be sure to err on the side of cau-tion however Donrsquot share photos of attendees unless you have their per-mission to do so particularly those who are less than 18 years of age n

Backpack Awareness Day

To learn more about AOTArsquoS National School Backpack Aware-ness Day and to download tip sheets artwork event strategies media tips and more visit wwwaotaorgbackpack For more suggestions on organizing events and to share outcomes of events for possible future promotion by AOTA contact AOTA Media Relations Manager Katie Riley at 301-652-6611 ext 2963 or krileyaotaorg

Organize a Event

American Occupational Therapy Ass

ocia

tion

N

atio

nal S

choo l Backpack Awareness Day

Pack It LightWear It Right

TM

TM

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STAT

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IGST

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20

C A L E N D A RTo advertise your upcoming event contact the OT Practice advertising department at 800-877-1383 301-652-6611 or otpracadsaotaorg Listings are $99 per insertion and may be up to 15 lines long Multiple listings may be eligible for discount Please call for details Listings in the Calendar section do not signify AOTA endorsement of content unless otherwise specified

Look for the AOTA Approved Provider Program (APP) logos on continuing edu-cation promotional materials The APP logo indicates the organization has met the requirements of the full AOTA APP and can award AOTA CEUs to OT relevant

courses The APP-C logo indicates that an individual course has met the APP requirements and has been awarded AOTA CEUs

AUGUST 20 2012 bull WWWAOTAORG20

September

St Louis MO Sept 12ndash15Envision Conference 2012 Learn from leaders in the field of low vision rehabilitation and research while earning valuable continuing education credits Attend the multi-disciplinary low vision rehabilitation and research conference dedicated to improving the quality of low vision care through excellence in professional collaboration advocacy research and education Envision Conference September 12ndash15 2012 Hilton St Louis at the Ballpark Learn more at wwwenvisionconferenceorg

On-Line Course Sept 17ndash28Orientation for OTs and PTs New to School-Based Practice This course is designed to familiarize OT and PT practitioners with the Individual with Disabili-ties Act (IDEA) Wis Administration Rules for spe-cial education and related services school-based assessment and intervention including paperwork requirements and evidence-based best practice standards for school therapists The educational model of service delivery will be distinguished from the medical model Contact University of Wiscon-sin-Milwaukee 414-227-3123 visit our Web site at wwwchs-ceuwmedu

Syracuse NY Sept 29ndash30Eval amp Intervention for Visual Processing Impair-ment in Adult Acquired Brain Injury Part I This intensive updated course has the latest evidence based research Participants learn to identify visual processing deficits interpret evaluations develop interventions and document Topics include visual inattention and neglect eye movement disorders hemianopsia and reduced acuity Faculty Mary War-ren PhD OTRL SCLV FAOTA Also New Orleans LA March 9 to 10 2013 Contact wwwvisabilitiescom or (888) 752-4364 Fax (205) 823-6657

October

Webcast Oct 1ndash31Encore Presentation of WI Hand Experience 2012 Treatment of Soft Tissue Conditions of the Upper Extremity Course focuses on tendinopathy and other soft tissue conditions of the upper extremity Differential diagnoses of various conditions are ex-plored Evidence to support surgical non surgical and therapeutic approaches to treatment of these conditions including new and future trends are presented Contact the University of Wisconsin-Mil-waukee 414-227-3123 visit our Web site at wwwchs-ceuwmedu

San Diego CA Oct 12ndash14Eval amp Intervention for Visual Processing Deficits in Adult Acquired Brain Injury Part II Continua-tion of Part I course this intense practicum provides hands-on experience in administering interpreting and using evaluation results to develop intervention for visual processing deficits including eye move-ment disorders hemianopsia reduced visual acu-ity and visual neglect Offered only once a year Faculty Mary Warren PhD OTRL SCLV FAOTA Also Boston MA November 8ndash10 2013 Contact

visABILITIES Rehab Services wwwvisabilitiescom or (888) 752-4364 Fax (205) 823-6657

November

Chattanooga TN Nov 3ndash13Lymphedema Management Certification courses in Complete Decongestive Therapy (135 hours) Lymphedema Management Seminars (31 hours) Coursework includes anatomy physiology and pa-thology of the lymphatic system basic and advanced techniques of MLD and bandaging for primarysec-ondary UE and LE lymphedema (incl pediatric care) and other conditions Insurance and billing issues certification for compression-garment fitting included Certification course meets LANA requirements Also in Dallas TX November 3ndash13 AOTA Approved Pro-vider For more information and additional class dateslocations or to order a free brochure please call 800-863-5935 or log on to wwwacolscom

Carmel IN Nov 8ndash11Driver Rehabilitation for Drivers Using Bioptics by Occupational Therapy Process and Intervention A focused workshop sponsored by Adaptive Mobil-ity Services Inc for the OT practitioner who is inter-ested in evaluation and in-vehicle interventions with persons who are visually impaired andor use bioptic lens Our instructors are master clinicians with this specialty group knowledgeable in state licensing requirements and skilled in focused interventions in this sub-specialty practice area Teaching strategies include classroom instruction working in the car with the instructors and observing real clients in the car Instructors Mary Ellen Keith COTA CDRS and Car-men Palanca OTR CDRS To register call 407-426-8020 or click on educational workshops for therapists at wwwadaptivemobilitycom

Ongoing

Clinicianrsquos View Offers Unlimited CEUs Two great options $177 for 7 months or $199 for 1-Full Year of unlimited access to over 640 contact hours and over 90 courses Take as many courses as you want Approved for AOTA and BOC CEUs and NBCOT for PDUs wwwclinicians-viewcom 575-526-0012

Internet amp 2-Day On-Site Training Become an Accessibility and Home Modifica-tions Consultant Instructor Shoshana Shamberg OTRL MS FAOTA Over 22 years specializing in designbuild services technologies injury preven-tion and ADA504 consulting for homesjobsites Start a private practice or add to existing services Extensive manual AOTA APP+NBCOT CE Registry Contact Abilities OT Services Inc 410-358-7269 or infoaotsscom Group COMBO personal men-toring and 2 for 1 discounts Calendarinfo at wwwAOTSScom Seminar sponsorships avail-able nationally

DVD Course Open enrollmentExploring Injuries and the Recovery of Peripheral Nerves in the Upper Extremity A comprehensive

exploration of critical elements of neuroanatomy and nerve physiology evaluation of peripheral nerve involvement treatment of nerve injuries surgical in-tervention for peripheral nerve injuries and the ther-apistrsquos role in post operative care management of the painful UE corrective orthosis fabrication and future trends in enhancing nerve function Contact University of Wisconsin-Milwaukee 414-227-3123 visit our Web site at wwwchs-ceuwmedu

ACROSS PRACTICE AREASCEonCDtradeNEW OT Manager Topics by Denise Chisholm Penelope Moyers Cleveland Steven Eyler Jim Hinojosa Kristie Kapusta Shawn Phipps and Pat Precin Supplementary content from chapters in The Occupational Therapy Manager 5th Edition with additional applications relevant to selected is-sues on management Earn 7 CEU (875 NBCOT PDUs7 contact hours) Order 4880 AOTA Mem-bers $194 Nonmembers $277 httpstoreaotaorgviewSKU=4880

CEonCDtradeNEW Everyday Ethics Core Knowledge for Occupational Therapy Practitioners and Educa-tors 2nd Edition by AOTA Ethics Commission and presented by Deborah Yarett Slater Foundation in basic ethics information that gives context and as-sistance with application to daily practice and ratio-nale for changes in the Occupational Therapy Code of Ethics and Ethics Standards 2010 Earn 3 AOTA CEU (375 NBCOT PDUs3 contact hours) Order 4846 AOTA Members $105 Nonmembers $150 httpstoreaotaorgviewSKU=4846

CEonCDtradeNEW Ethics TopicmdashDuty to Warn An Ethical Responsibility for All Practitioners by Deborah Yarett Slater Staff Liaison to the Ethics Com-mission Professional ethical and legal responsi-bilities in the identification of safety issues in ADLs and IADLs as they evaluate and provide interven-tion to clients Earn 1 AOTA CEU (125 NBCOT PDUs1 contact hour) Order 4882 AOTA Mem-bers $45 Nonmembers $65 httpstoreaotaorgviewSKU=4882

CEonCDtradeEthics TopicsmdashOrganizational Ethics Occupa-tional Therapy Practice In a Complex Health Envi-ronment by Lea Cheyney Brandt Issues that can influence ethical decision making and strategies for addressing pressure from administration on servic-es in conflict with code of ethics Earn 1 AOTA CEU (125 NBCOT PDUs1 contact hour) Order 4841 AOTA Members $45 Nonmembers $65 httpstore aotaorgviewSKU=4841

CEonCDtradeEthics TopicsmdashMoral Distress Surviving Clinical Chaos by Lea Cheyney Brandt Complex nature of todayrsquos health care environment and results in increased moral distress for occupational therapy practitioners Earn 1 AOTA CEU (125 NBCOT PDUs1 contact hour) Order 4840 AOTA Mem-bers $45 Nonmembers $65 httpstoreaotaorgviewSKU=4840

CEonCDtradeLetrsquos Think Big About Wellness by Winnie Dunn Official documents and materials that support OT concept of wellness interdisciplinary literature and models from other disciplines Earn 25 CEU (313 NBCOT PDUs25 contact hours) Order 4879 AOTA Members $68 Nonmembers $97 httpstore aotaorgviewSKU=4879

CEonCDtradeExploring the Domain and Process of Occupa-tional Therapy Using the Occupational Therapy Practice Framework 2nd Edition by Susanne Smith Roley and Janet V DeLany Ways in which

22

C A L E N D A R

AUGUST 20 2012 bull WWWAOTAORG

Framework supports practitioners by providing a holistic view of the profession Earn 3 AOTA CEU (375 NBCOT PDUs3 contact hours) Order 4829 AOTA Members $73 Nonmembers $10300 httpstoreaotaorgviewSKU=4829

Online CourseOccupational Therapy in Action Using the Lens of the Occupational Therapy Practice Frame-work Domain and Process 2nd Edition by Susanne Smith Roley and Janet DeLany Oc-cupational therapy and the occupational therapy process as described in the 2008 second edition of Framework Earn 6 AOTA CEU (75 NBCOT PDUs6 contact hours) Order OL32 AOTA Members $180 Nonmembers $255 httpstoreaotaorgviewSKU=OL32

ASSESSMENT amp EvAlUATIONSelf-Paced Clinical Course Occupational Therapy and Home Modification Promoting Safety and Supporting Participa-tion edited by Margaret Christenson and Carla Chase Education on home modification for OT professionals and an overview of evaluation and in-tervention and detailed descriptions of assessment tools Earn 2 AOTA CEUs (25 NBCOT PDUs20 contact hours) Order 3029 AOTA Members $259 Nonmembers $359 httpstoreaotaorgviewSKU=3029

CEonCDtradeThe Short Child Occupational Profile (SCOPE) by Patricia Bowyer Hany Ngo and Jessica Kramer Introduction of SCOPE assessment tool and de-scription of documenting child motivation for occu-pations habits and roles skills and environmental supports and barriers Earn 6 AOTA CEU (75 NB-COT PDUs6 contact hours) Order 4847 AOTA Members $210 Nonmembers $299 httpstoreaotaorgviewSKU=4847

CEonCDtradeStrategic Evidence-Based Interviewing in Occu-pational Therapy presented by Reneacutee R Taylor Structured semi-structured and general clinical interviewing and set of norms and communication strategies that can maximize accurate relevant and detailed information Earn 2 AOTA CEU (25 NBCOT PDUs2 contact hours) Order 4844 AOTA Members $68 Nonmembers $97 httpstoreaotaorgviewSKU=4844

CEonCDtradeModel of Human Occupation Screening Tool (MO-HOST) Theory Content and Purpose by Gary Kielhofner Lisa Castle Supriya Sen and Sarah Skinner Information from observation interview chart review and proxy reports to complete the MO-HOST occupation-focused assessment tool Earn 4 AOTA CEU (5 NBCOT PDUs4 contact hours) Order 4838 AOTA Members $125 Nonmembers $180 httpstoreaotaorgviewSKU=4838

BRAIN amp COGNITIONSelf-Paced Clinical CourseNeurorehabilitation Self-Paced Clinical Course Series by Gordon Muir Giles Kathleen Golisz Margaret Newsham Beckley and Mary A Corco-ran Includes 4 componentsmdashthe Core SPCC and 3 Diagnosis-Specific SPCCs Core SPCC Core Concepts in Neurorehabilitation Earn 7 AOTA CEU (875 NBCOT PDUs 7 contact hours) Or-der 3019 AOTA Members $91 Nonmembers $12880 httpstoreaotaorgviewSKU=3019 Diagnosis-Specific SPCCs Neurorehabilitation for Dementia-Related Diseases (Order 3022 httpstoreaotaorgviewSKU=3022) Neurorehabilita-tion for Stroke (Order 3021 httpstoreaotaorgviewSKU=3021) and Neurorehabilitation for Trau-matic Brain Injury (Order 3020 httpstoreaotaorgviewSKU=3020) Each 1 AOTA CEU (125

NBCOT PDUs10 contact hours) AOTA Members $12950 Nonmembers $18410

CEonCDtrade NEW Using the Occupational Therapy Practice Guidelines for Adults with Alzheimerrsquos Disease and Related Disorders (ADRD) To Enhance Your Practice by Patricia Schaber Evidence-based perspective in defining the process and nature frequency and duration of interventions and case studies of adults at different stages of Alzheimerrsquos disease Earn 2 AOTA CEU (25 NBCOT PDUs2 contact hours) Order 4883 AOTA Members $68 Nonmembers $97 httpstoreaotaorgview SKU=4883

ADED Approved CEonCDtradeDetermining Capacity to Drive for Drivers with Dementia Using Research Ethics and Profes-sional Reasoning The Responsibility of All Occupational Therapists by Linda A Hunt Re-quired professional reasoning and ethics for making final recommendations about the capacity for older adults with dementia to drive or not Earn 2 AOTA CEU (25 NBCOT PDUs2 contact hours) Order 4842 AOTA Members $68 Nonmembers $97 httpstoreaotaorgviewSKU=4842

ChIlDREN amp YOUThSelf-Paced Clinical CourseEarly Childhood Occupational Therapy Services for Children Birth to Five edited by Barbara E Chandler Federal legislation in OT practice and public awareness strategies on expertise in transi-tioning early childhood development into occupa-tional engagement in natural environments Earn 2 AOTA CEUs (25 NBCOT PDUs20 contact hours) Order 3026 AOTA Members $259 Nonmembers $359 httpstoreaotaorgviewSKU=3026

Self-Paced Clinical CourseCollaborating for Student Success A Guide for School-Based Occupational Therapy edited by Barbara Hanft and Jayne Shepherd OT collab-orative practice with education teams using profes-sional knowledge and interpersonal skills to blend hands-on services for students and system sup-ports for families and educators Earn 2 AOTA CEUs (25 NBCOT PDUs20 contact hours) Order 3023 AOTA Members $259 Nonmembers $359 httpstoreaotaorgviewSKU=3023

CEonCDtradeAutism Topics Part I Relationship Building Eval-uation Strategies and Sensory Integration and Praxis edited by Renee Watling Content from Au-tism 3rd Edition to expand OT practice with children through building the intentional relationship using evaluation strategies addressing sensory integra-tion challenges and planning intervention for prax-is Earn 6 CEU (75 NBCOT PDUs6 contact hours) Order 4848 AOTA Members $210 Nonmembers $299 httpstoreaotaorgviewSKU=4848

CEonCDtradeNEW Autism Topics Part II Occupational Thera-py Service Provision in an Educational Context edited by Renee Watling Second in 3-part CE series with content from Autism 3rd Edition ad-dressing OT practice within public school systems and early intervention through elementary years and transition process Earn 6 CEU (75 NBCOT PDUs6 contact hours) Order 4881 AOTA Mem-bers $210 Nonmembers $299 httpstoreaotaorgviewSKU=4881

CEonCDtradeYoung Adults on the Autism Spectrum Life After IDEA by Lisa Crabtree and Janet DeLany Critical issues of autism in adulthood and knowledge and tools to advocate health and community participa-tion of young adults and adults on the autism spec-trum Earn 3 AOTA CEU (375 NBCOT PDUs3 con-

tact hours) Order 4878 AOTA Members $105 Nonmembers $150 httpstoreaotaorgviewSKU =4878

ADED Approved CEonCDtradeCreating Successful Transitions to Community Mobility Independence for Adolescents Address-ing the Needs of Students With Cognitive Social and Behavioral Limitations by Miriam Monahan and Kimberly Patten Community mobility skill de-velopment for youth with diagnoses that challenge cognitive and social skills such as autism spectrum and attention deficit disorder Earn 7 AOTA CEU (875 NBCOT PDUs7 contact hours) Order 4833 AOTA Members $175 Nonmembers $250 httpstoreaotaorgviewSKU=4833

ADED Approved CEonCDtradeDriving Assessment and Training Techniques Ad-dressing the Needs of Students With Cognitive and Social Limitations Behind the Wheel by Miriam Monahan Critical issues related to driving assess-ment and training with highlights of skills deficits methods and tools that address driving skills assess-ment techniques and intervention techniques Earn 1 AOTA CEU (125 NBCOT PDUs10 contact hours) Order 4837 AOTA Members $249 Nonmembers $355 httpstoreaotaorgviewSKU=4837

CEonCDtradeSensory Processing Concepts and Applications in Practice by Winnie Dunn Core concepts of sensory processing based on Dunnrsquos Model of Sen-sory Processing and comparison with other sensory based approaches with evidence reviews for best practice assessment and intervention methods Earn 2 AOTA CEU (25 NBCOT PDUs2 contact hours) Order 4834 AOTA Members $68 Nonmembers $97 httpstoreaotaorgviewSKU=4834

CEonCDtradeResponse to Intervention (RtI) for At Risk Learn-ers Advocating for Occupational Therapyrsquos Role in General Education by Gloria Frolek Clark and Jean Polichino Core components of RtI the role of occupational therapists at each tier case stud-ies and highlighted opportunities for OT within RtI frameworks in public education Earn 2 AOTA CEU (25 NBCOT PDUs2 contact hours) Order 4876 AOTA Members $68 Nonmembers $97 httpstoreaotaorgviewSKU=4876

CEonCDtradeStaying Updated in School-Based Practice by Yvonne Swinth and Mary Muhlenhaupt Informa-tion and strategies on issues trends and knowledge related to services for children and youth in public schools with topics on IDEA 2004 NCLB and Sec-tion 504 of the Rehabilitation Act Earn 15 AOTA CEU (188 NBCOT PDUs15 contact hours) Order 4835 AOTA Members $51 Nonmembers $73 httpstoreaotaorgviewSKU=4835

CEonCDtradeThe New IDEA Regulations What Do They Mean to Your School-Based and EI Practice by Leslie L Jackson and Tim Nanof Purpose and impact of 2004 reauthorization of IDEA and Part B regulations on school-based and early intervention practice Earn 2 AOTA CEU (25 NBCOT PDUs2 contact hours) Order 4825 AOTA Members $68 Nonmembers $97 httpstoreaotaorgviewSKU=4825

CEonCDtradeOccupational Therapy and Transition Services by Kristin S Conaboy Susan M Nochajski Sandra Schefkind and Judith Schoonover Importance of addressing transition needs as part of a studentrsquos IEP and the key role of the occupational therapy practitioner as a potential collaborative member of the transition team Earn 1 AOTA CEU (125 NBCOT PDU1 contact hour) Order 4828 AOTA Members $34 Nonmembers $4850 httpstoreaotaorgviewSKU=4828

Stand apart from the ordinary

Ready to find the career yoursquove been waiting forHighlight your extraordinary at

wwwOTJobLinkorgPR-207


E M P L O Y M E N T O P P O R T U N I T I E S

Open Faculty PositionsThe Department of Occupational Therapy at Colorado State University is seeking exceptional applicants for two (2) tenure-track 9-month appointment positions at any academic rank assistant through full professor The successful candidate will be responsible for

bull conductinganddisseminatingresearchrelatedtohumanperformanceandparticipationineveryday occupations and contexts

bull teachingandmentoringgraduatestudentspursuingmastersandPhDdegreeoptions

bull providingserviceatdepartmentaluniversitycommunityandprofessionallevelsand

bull developingandmaintainingcollegialrelationshipsinthedepartmentuniversityandwithexternal professional and scientific communities

Candidates must have rank-appropriate records of scholarship teaching and service Full posi-tion qualifications and application procedures are posted at wwwcahscolostateeduotsearch Electronic applications must be submitted to this same URL address by September 17 at 5 pm Confidential inquires may be directed to Robert Gotshall PhD Search Chair at robertgotshallcolostateedu or 970-491-6374

Colorado State University is an EOEAAA employer CSU conducts background checks on all final candidates

F-6081

Faculty

Faculty

AssistantAssociate ProfessorOccupational Therapy and Occupational ScienceCollege of Health Professions Towson University

Fall 2013 bull CHP-N-2601The Department of Occupational Therapy and Occupational Science at Towson University established in 1975 is currently recruiting a tenure-track faculty member with experience in teaching research and with graduate programs Current programs include a combined BSMS degree professional and post-professional masterrsquos degree programs and a doctoral degree program in occupational sciencePosition Responsibilities

bull Teaching and advisingbull Conducting scholarship in a research line consistent with the

mission of the department college and universitybull Developing and obtaining external grant funding to support

research linebull Contributing to service mission of the department college and

universityQualifications Applicant must be licensed or eligible for licensure as an occupational therapist in the state of Maryland have a minimum of 3 years of occupational therapy practice experience have an earned doctoral degree with a research component (ie PhD ScD EdD) and a commitment to excellence in teaching scholarship and service Prior academic teaching experience is required Ongoing involvement in professional activities and evidence of scholarship outcomes with external funding are preferred Candidates for the rank of associate professor must have 6 years at the rank of assistant professor and a well-established line of researchApplication Process Applications will be reviewed beginning on October 29 2012 and should include a letter of application cur-riculum vitae transcript(s) from degree granting institutions evidence of initial certification as an OTR and names addresses and telephone numbers of four references to

Sonia Lawson PhD OTRL Search Committee Chair Department of Occupational Therapy amp Occupational Science Towson University

8000 York Road Towson MD 21252-0001slawsontowsonedu

Upon submitting your curriculum vitae to indicate that you are an applicant for this position please be sure to visit httpwwwtowsoneduodeoapplicantdataasp to complete a voluntary online applicant date form The information you provide will inform the universityrsquos affirmative action plan and is for statistical purposes only and shall not be used to illegally discriminate for or against anyone F-6114

South

AMERICAN OCCUPATIONAL THERAPY ASSOC CH048181B

KGOEBEL

jb

KINTHE0388

Healthcare

1

225 x 4375rdquo

8202012

Program DirectorOccupational Therapist

At RehabCare we revere both our patients

and our work force with a combination of

Fun Integrity Respect Support and Teamwork

We are currently seeking a Program Director

Occupational Therapist for our busy sub acute

rehab facilities in Roberta GA Must possess

or be eligible for a GA OT license

For more information please contact

Devin Roos at 502-596-6822

Email DevinRooskindredhealthcarecom

Have you checked out

RehabCare lately

EOES-6105

Northeast

AMERICAN OCCUPATIONAL THERAPY ASSOC FL044228B

JBOYD

baf

AMEDI0001

Medical

1

22500 x 43750

8202012

Amedisys HomeHealth is now hiring OccupationalTherapists in the ChautauquaCounty area

bull OccupationalTherapists (Full-time)$5000 Sign-onBonusRelocationpackage offered

bull OccupationalTherapists (Part-time Per Diem)

Apply online atamedisyscomcareers Foradditional information pleasecontact Mary Ann Pereira at(877) 263-9613 ormaryannpereiraamedisyscom

Life balanceCompetitive salaryBar-setting benefits

You canhave it all

Amedisys is an equal opportunityemployer committed to

diversity in the workplace

N-6115

NEW EDITION OF BESTSELLER

Cognition Occupation and Participation Across the Life Span Neuroscience Neurorehabilitation and Models of Intervention in Occupational Therapy 3rd Edition

Edited by Noomi Katz PhD OTRForeword by Beatriz Colon Abreu PhD OTRL FAOTA

The translation of cognitive neuroscience into occupational therapy practice is a required competence that helps practitioners understand human perfor-mance and provides best practice in the profession This comprehensive new edition represents a significant advancement in the knowledge translation of cognition and its theoretical and practical application to occupational therapy practice with children and adults Chapters written by leaders in an interna-tional field focus on cognition that is essential to everyday life

GENERAL TOPICS bullCognitive Intervention and Cognitive Functional EvaluationbullHigher-Level Cognitive Functions Enabling ParticipationbullImpact of Mild Cognitive Impairments on ParticipationbullTransition to Community Integration for Persons With Acquired Brain InjurybullFamily Caregiversrsquo Participation in RecoverybullCognitive Information ProcessingbullCognitive AgingbullVirtual Reality for Cognitive Rehabilitation

MODELS FOR INTERVENTIONbullDynamic Interactional Model of Cognition in Cognitive RehabilitationbullDynamic Interactional Model in SchizophreniabullMetacognitive Model for Children With Atypical Brain DevelopmentbullCognitive Rehabilitation of Children and Adults With Attention Deficit Hyperactivity DisorderbullRetraining Model for Clients With Neurological DisabilitiesbullCognitive Orientation to Daily Occupational Performance (CO-OP)bullDynamic Cognitive Intervention Application in Occupational TherapybullA Neurofunctional Approach to Rehabilitation After Brain InjurybullThe Cognitive Disabilities Model in 2011bullThe Cognitive Disabilities Reconsidered Model Rehabilitation of Adults With Dementia

Each model includes (1) a theoretical base (2) intervention including evaluation procedures assessments and treatment methods (3) individual and group treatment case studies that illustrate the intervention process and (4) research supporting the evidence base of the model or parts of it Chapters feature learning objectives and review questionsISBN 978-1-56900-322-0

Order 1173B AOTA Members $89 Nonmembers $126

A must-read book for occupational therapy pro-fessionals and students to

consider cognitive interven-tion strategies as critical to promote occupation-based

client-centered care and everyday participation in a

fuller life

Shop online at httpstoreaotaorgviewSKU=1173B or call 877-404-AOTA

BK-244


E M P L O Y M E N T O P P O R T U N I T I E SFaculty

Occupational Therapy Graduate ProgramUNIVERSITY OF NEW MEXICO (UNM)

New Full-time Faculty PositionApplications are invited for a 12-month full-time assistantassociate professor position to join our innovative entry-level Occupational Therapy Graduate Program at the Uni-versity of New Mexico a research-intensive university in a culturally rich and unique location Occupation is the foundation of the curriculum which includes a strong prob-lem-based learning component Although the occupational therapy program is housed in the Department of Pediatrics within the School of Medicine we seek faculty with clinical and research expertise in diverse areas such as pediatrics gerontology physical disabilities and curriculum development incorporating distanceblended learning Op-portunities are available to develop and teach in the post-professional OTD ProgramResponsibilities will include collaborating with faculty in teaching and administering the masterrsquos program developing courses engaging in scholarly activity writing grants mentoring graduate student research and serving on program and university commit-tees Rank and tenure status will be commensurate with educational background and experience Minimum Qualifications Applicant must have a doctoral degree or verified completion of doctoral degree by start date at least 2 years of teaching and 3 years of practice expe-rience and eligibility for an occupational therapist license in New MexicoPreferred Qualifications Record of scholarly activity experience in advising research projects and theses and experience in grant writing and obtaining research funding The position will remain open until filled For complete details of this position or to ap-ply please visit this Web site httpsunmjobsunmedu Please reference Posting Num-ber 0811161 For assistance with UNMJobs or technical questions please contact Cynthia Layton Search Coordinator at claytonsaludunmeduFor Program information you may contact

Dr Betsy VanLeit Program DirectorOccupational Therapy Graduate Program

MSC09 52401 University of New Mexico

Albuquerque NM 87131-0001(505) 272-9435

bvanleitsaludunmeduUNM offers a competitive salary with excellent benefits and continuing education opportunities

UNM is an Equal Opportunity Affirmative Action Employer and Educator This position may be subject to criminal screening in accordance with New Mexico Law F-6092

Faculty

ASSISTANT PROFESSOROCCUPATIONAL THERAPy

Chatham University a thriving dynamic institution with three colleges and one schoolmdashChatham College for Women

and the co-educational College for Graduate Studies College for Continuing and Profes-sional Studies and School of Sustainability and the Environmentmdashinvites applications for the position of assistant professor to teach in our Master of Occupational Therapy Program This is a 9-month renewable term position

We are seeking candidates with clinical ex-perience in mental health and evidence-based practice who value a collaborative collegial environment in which to further the programrsquos excellent reputation for entry-level education

The successful candidate will hold an earned doctorate a minimum of 5 years of clinical experience and eligibility for occupa-tional therapy licensure in Pennsylvania Re-sponsibilities include teaching student advise-ment scholarship and service to the university and community

Chatham University offers a competitive salary an excellent benefits package including tuition remission for qualified personnel and a generous retirement plan

Applicants should send a cover letter with salary requirements resume and the names of three professional references to

CHATHAM UNIVERSITYATTN HR Dept

Pos 1463Woodland Road

Pittsburgh PA 15232E-mail chathrchathamedu

Visit wwwchathamedu

Chatham University is an Equal Opportunity EmployerF-6096

Faculty

New England Institute of Technology seeks full-time faculty for the occupational therapy programs Doctoral degree Rhode Island license NBCOT registration and 1 year teaching experience re-quired Experience in pediatric and adult disabilities preferred Position requires teaching in the MSOT weekend program and in the AS OTA program Send cover letter and resume to Donna Daigle office manager at ddaigleneitedu

Equal Opportunity EmployerF-6116

Northeast

Occupational Therapists Outpatient Adult Neuro Specialty Clinic

Community Rehab Care (CRC) is looking for FT and PT occupational therapistsCOTAs for our Quincy MA outpatient rehabilitation clinic

The position is MondayndashFridayndashndashno nights weekends or holidays We are a great small team still providing ldquoold fashioned rehab valuesrdquo like commu-nication amongst the team and with families and potential to be creative in the clinic and in the community

Send resumes to quincrcbrain-injury-rehabcom

N-6113

South

Avante Skilled Nursing and rehab Centers in FL amp VA are seeking Occupational Therapists for our in-house therapy

departments at the following locationsbull Inverness FL bull Leesburg FL

bull Harrisonburg VA bull Lynchburg VA bull Waynesboro VA

Responsible for evaluations direct patient treat-ment and discharge planning Will communi-cate with families physicians and other health care team members and maintain documenta-tion of services in the medical recordsJob Requirements Must be licensed in the appropriate state as an occupational therapist New grads welcome to apply Avante offers an excellent starting salary and a premium benefits package Sign-on bonus or relocation assistance is available

Avante Skilled Nursing and Rehab facilities in FL NC amp VA are seeking Occupational Therapists to add to our in-house therapy departments for the following locations

bull Inverness FL bull Ocala FL bull Reidsville NC bull Harrisonburg VA bull Lynchburg VA bull Waynesboro VA

Responsible for evaluations direct patient treat-ment and discharge planning Will communicate with families physicians and other health care team members and maintain documentation of services in the medical records

Job Requirements Must be licensed in the appropriate state as an Occupational Therapist with a Bachelorrsquos degree New Grads welcome to apply Avante offers an excellent starting salary and a premium benefi ts package

Please contact Gretchen NolteManager of Talent AcquisitionAvante Group Inc954-790-9589Fax 800-611-7457gnolteavantegroupcomwwwavantegroupcom

Please apply at our website wwwavantecenterscomFor information gnolteavantegroupcom

S-6117

Occupational Therapy and Home Modification Promoting Safety and Supporting Participation

Edited by Margaret Christenson MPH OTRL FAOTA and Carla Chase EdD OTRL CAPS

Earn 2 AOTA CEUs (25 NBCOT PDUs20 contact hours)

Participation in meaningful activities in the home and community contributes to health wellness and good quality of life Occupational therapy fills a unique role in environmental modification and facilitating the creation of a safe accessible home through evaluation intervention and outcomes measurement

This Self-Paced Clinical Course consists of in-depth text an exam packet and a CD-ROM with hundreds of photo-graphic and video resources all of which provide educa-tion on home modification for both occupational therapy professionals new to the practice area and to practitioners experienced in environmental modification Profession-als who work with either adults or children will find an

overview of evaluation and intervention detailed descriptions of assessments and guidelines for client-centered practice and occupation-based outcomes

Course Highlights

bull Section 1 Evaluating the Client and Environmentbull Section 2 Developing and Implementing the Planbull Section 3 Moving the Profession Forward

AOTASelf-pAced clinicAl cOurSe

CE-192

AOTA Specialty Certification in Environ-mental Modification (SCEM or SCAEM) is a major achievement for occupational therapy professionals in the field of environmental modification This SPCC supports those efforts by offering a broad range of topics that may assist occupational therapists and occupational therapy assistants to become SCEM certified

To learn more go to wwwaotaorgcertification

The American Occupational Therapy

Association

Specialty Certification

Order 3029

AOTA members $259 | Nonmembers $359

To order call 877-404-AOTA or shop online at httpstoreaotaorgviewSKU=3029


e M P l O Y M e N T

Midwest

The Comprehensive Group A HealthPRO Reha-bilitation Company is Illinoisrsquo leading provider of rehabilitation services

We offer a lsquoCareer for Lifersquo with opportunities that fit your lifestyle as well as your career goals

The Comprehensive Group provides Occupational Therapy services in a wide variety of placement settings including

ndashSkilled Nursing FacilitiesndashHospitalsndashSenior Living CommunitiesndashSchoolsndashPrivate outpatient clinics

Visit us online at wwwcomprehensiveonlinecom or contact Robin Luman VP of Staffing at robinlcomprehensiveonlinecom or call 847-904-5057

M-6118

Midwest

HEALTHCARE FACILITY INC

CERTIFIED OCCUPATIONAL THERAPY ASSISTANTPart-Time MondayndashFriday

Excellent Working EnvironmentFAX Resume to Human Resources (630) 778-9826

1347 Crystal Ave Naperville IL 60563M-6112

West

ARIZONA OTsmdash$65000 Phoenix Tucson amp Burbs

602-478-5850480-221-2573 Schools16 wks off 100 Paid Health Dental Lic Dues CEU-$1000401K HawaiiSpanish I

tripshellip JobsStudentTherapycomSTARS StudentTherapycom

W-6037

Faculty opportunities in education

Northeast Connecticut Washington DC Delaware Maine Maryland Massachusetts New Hampshire New Jersey New York Ohio Pennsylvania Rhode Island Vermont

South Alabama Arkansas Florida Georgia Kentucky Louisiana Mississippi North Carolina Oklahoma S Carolina Tennessee Texas Virginia West Virginia

Midwest Illinois Indiana Iowa Kansas Michigan Minnesota Missouri Nebraska North Dakota South Dakota Wisconsin

West Alaska Arizona California Colorado Hawaii Idaho Montana Nevada New Mexico Oregon Utah Washington Wyoming

National Multiple locations within the US

International All countries outside the United States

AD REGION COLOR KEY

Occupational Therapy Practice Guidelines for Productive Aging Community-Dwelling Older Adults

By Natalie Leland PhD OTRL

BCG Sharon J Elliott DHS

GCG OTRL BCG FAOTA

and Kimberly Johnson MS MSW

By 2030 nearly 20 of the US population will be ages 65 or older and the fastest growing segment among them will be people ages 85 or older Individuals in this oldest age group have the highest rates of health care utilization morbidity and disability

To support productive aging and continued participation despite occupational shifts in habits roles and routines preventive care models that include self-management programs and strategies to support participation are needed that will support older adults in the management of their chronic conditions and prevention of illness and injury This Practice Guideline will help occupa-tional therapists and occupational therapy assistants as well as the individuals who manage reimburse or set policy regarding occupational therapy services understand the contribution of occupational therapy in treating community-living older adults to facilitate productive aging

ISBN 978-1-56900-332-9

Order 2220AOTA Members $69 Nonmembers $98

NEW PRACTICE GUIDElINESFROM AOTA PRESS

To order call 877-404-AOTA or visit httpstoreaotaorgviewSKU=2220

BK-278


R E S E A R C H u p d A t E

Depression Health Interventions and PlaySusan H Lin

Depression Is Related to Social Functioning After Stroke

schmid and colleagues1 investigated the relationships between demo-graphic clinical and psychological

characteristics and social role function-ing (SRF) at 4 months after stroke and the association between depression improvement and 4-month SRF Per-forming a secondary data analysis of the Activate-Initiate-Monitor Study research-ers used the data from a randomized clinical intervention trial that included 371 adult survivors of ischemic stroke with and without depression (depressed only n=176) Depression was measured with the Patient Health Questionnaire (PHQ-9) and depression improvement was defined by a 50 decrease in PHQ-9 scores SRF was measured with the social domain of the Stroke-Specific Quality of Life Scale After performing a multiple linear regression researchers found that out of the potential variables (depres-sion stroke severity functional status social support and personal factors) depression and comorbidities were independently associated with SRF at 4 months after stroke Moreover depres-sion improvement emerged as the only variable to independently predict SRF in the depressed-only group This finding underscores the importance of rehabili-tation providers screening and treating poststroke depression because a satis-factory return to SRF is associated with improved quality of life

Occupation- and Activity-Based Health Interventions for Older Adults

The MayJune 2012 issue of the American Journal of Occupational Therapy includes a systematic

review of occupation- and activity-based health management and maintenance interventions for community-dwelling adults by Arbesman and Mosley2 The authors reported moderate to strong evidence for client-centered occupational therapy improving physical functioning and occupational performance related to health management in community-dwelling older adults The evidence for health education programs to reduce pain and increase physical activity and for individualized health action plans to improve activities of daily living function and participation in physical activities was moderate Similarly there was mod-erate evidence for (1) self-management programs that result in decreased pain and disability and (2) incorporating cognitive-behavioral principles into physical activity to improve long-term participation in exercise Despite the limited evidence for skill-specific training in isolation skill-specific trainingrsquos effec-tiveness increases when it is combined with health management programs In summary occupational therapy practi-tioners working with older adults play an important role in educating facilitating and supporting their health routines and health management

Play Behaviors of Children With Sensory Processing Disorders

in a study comparing the playground play behaviors of children with sen-sory processing disorders (SPD) and

typically developing peers Cosbey and colleagues3 observed two groups of chil-dren (12 per group) during unstructured recess activity over multiple sessions Although the play patterns of the two groups did not show statistically signifi-cant differences there were qualitative differences in play behaviors in the areas of conflict social play access to play opportunities and awareness of social cues The findings suggest that children with SPD engage in less complex and more solitary play than their peers and that conflict is more often observed in their play

References1 Schmid A A Damush T Tu W Bakas T

Kroenke K Hendrie H C amp Williams L S (2012) Depression improvement is related to social role functioning after stroke Archives of Physical Medicine and Rehabilitation 93 978ndash982

2 Arbesman M amp Mosley L J (2012) Systematic review of occupation- and activity-based health management and maintenance interventions for community-dwelling older adults American Journal of Occupational Therapy 66 277ndash283 doi105014ajot2012003327

3 Cosbey J Johnston S S Dunn M L amp Bauman M (2012) Playground behaviors of children with and without sensory processing disorders OTJR Occupation Participation and Health 32(2) 39ndash47

Susan H Lin ScD OTRL is AOTArsquos director of

research

Note To view the abstracts of these articles visit Google Scholar httpscholargooglecomschhphl=enamptab=ws or go to PubMed at wwwncbinlmnihgovsitespubmed and type the article title in the search box then click on Search If you would like your in-press or recently published research featured in this column please contact Susan Lin at slinaotaorg or 301-652-6611 ext 2091

SusanAOTA

Follow Susan Lin on

wwwtwittercomsusanaota

AOTA93rd annual conference amp expo

San diegocAlifOrniAapril 25ndash28 2013

plAn TOdAy fOr 2013Bring your family and visit ocean life at Sea World stroll the

beautiful Pacific Coast and see pandas at the zoo Shopping and dining are all within walking distance from the convention center and hotels

in

As an occupational therapist you see the real-life stories

bull Asuddencaraccidentcausedbyarain-slickedhighwayleavesafamilywithoutamother

bull Chestpainmdashoverlookedasindigestionmdashdevelopsintoafull-fledgedheartattackandaldquohealthyrdquomannevermakesithome

What if tomorrow your loved ones became one of those families in the waiting room Hearing the devastating news that theyrsquod need to move on without you

How would your family continue the life theyrsquove built without your paycheck to help make ends meet

What about your familyrsquos dreams of the future College for your children Who would help out your parents as they got older or take care of other family members who already rely on you

A Safety Net to Reinforce Any Coverage You Have Through Work

Many occupational therapists have ldquosomerdquo life insurance through work But for many families coverage equal to just one or two times your salary simply isnrsquot enough

Think of your own family

Would one or two times your salary take care of the bills over the long haul

Would it pay off the mortgage What about credit cards car loans or student loans

To help you bridge the gap between the life insurance you have through work (or may have bought on your own) and the level of coverage your loved ones may need AOTA set up the Occupational Therapistsrsquo Term Life Plan

AOTA Program Delivers Solid Coverage Without Application Hassles

Dependable benefits up to $250000 Applying extended on an easy-access ldquobuy it directly through the mailrdquo basis It all adds up to one of the most hassle-free ways to help protect your loved ones against the financial impact of facing tomorrow without you

Plus AOTArsquos Occupational Therapistsrsquo Term Life Plan

automatically comes with group rates designed to fit in almost any budget

MARSH

AR Ins Lic 245544 bull CA Ins Lic 0633005dba in CA Seabury amp Smith Insurance Program Management

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AGL-1550

Please donrsquot put this off Reinforce your family safety net with special AOTA-sponsored benefits today

Call 1-800-503-9230 or visit wwwaotainsurancecom

you drive to work you run errands you kiss your kids tomorrow hellip over lunch hellip good night hellip

Set Up a Solid Safety Net to Help Protect Your Familyrsquos Tomorrow with AOTArsquos Term Life Insurance Plan

A Financial Cushion That Follows You Wherever Your Career May Go

If you rely strictly on life benefits from your employer you face the real risk of

watching those same benefits disappear if you switch jobs or if your employer cuts benefits because of tough economic times

But with the Occupational Therapistsrsquo Term Life Plan for AOTA members you can rest assured your financial safety net will be there when your loved ones need itmdashno matter what changes your career brings

BEFORE BEFORE BEFORE

Underwritten by Hartford Life Insurance Company Simsbury CT 06089The Hartfordreg is The Hartford FInancial Services Group Inc and its subsidiaries including issuing company Hartford Life Insurance Company

55512 AOTA (812) Full Size 8125rdquo x 10875rdquoBleed 8625rdquo x 11375rdquoLive 7125rdquo x 10rdquoColors 4C=CMYK Stock TBD

All benefits are subject to the terms and conditions of the policy Policies underwritten by Hartford Life Insurance Company detailed exclusions limitations reduction of benefits and terms under which the policies may be continued in force or discontinued

P-6087

CE-1AUGUST 2012 n OT PRACTICE 17(15) ARTICLE CODE CEA0812

Home ModificationsAn Introduction to Practice Considerations

Education ArticleEarn 1 AOTA CEU

(one contact hour and 125 NBCOT PDU)

See page CE-7 for details

MARNIE RENDA MED OTRL CAPS ECHMPrivate Practice Destination Home LLC Adjunct Professor Xavier University Adjunct Professor Cincinnati State Technical and Community College Cincinnati OH

This CE Article was developed in collaboration with AOTArsquos Home amp Community Health Special Interest Section

ABSTRACT Occupational therapy has included home modifications for many years but because both the scope of the services we provide as well as the practice settings for these services has expanded it is considered an emerging area of practice As with all areas of practice occupational therapy practition-ers must remain vigilant of the ethical legal and practice considerations shaping this area and use our official docu-ments to help guide current and future practice This article defines the ethical legal and practice issues related to home modifications and it explores their impact on occupational therapy practice across settings including the need to use home modifications in all settings to meet consumer needs

LEARNING OBJECTIvESAfter reading this article you should be able to1 Identify the ethical and legal considerations for home

modification services across practice settings2 Identify the American Occupational Therapy Association

official documents used to provide guidance for home modifications practice across settings

3 Recognize the knowledge skills and experience neces-sary for competent practice in home modifications in emerging areas of practice

INTRODUCTION Home modifications are defined as ldquoadaptations to living environments intended to increase usage safety security and independence for the userrdquo (Siebert 2005 p 28) Home modifications are defined as both a process and a product The product is the alteration adjustment or addition to the home environment (Siebert 2005 p 3) The process is the combination of services to deliver the product This includes evaluating clients identifying and selecting solutions (assis-tive technology or alteration to the structure of the home) acquiring and installing products or solutions training end users and caregivers and assessing associated outcomes (Siebert 2005 p 4)

The goals of home modifications go beyond increasing independence performance or participation of a particular functional activity or occupation They include increasing the ease of use of a home for both caregivers and consumers decreasing environmental demands by removing environ-mental barriers improving safety and planning for future needs due to progressive conditions Some home modifica-tions are designed to increase function of consumers while others may be designed solely to decrease the activity demands of caregivers to reduce caregiver burden Likewise home modifications may accomplish both increased per-formance and decreased caregiver burden It is the role of occupational therapists to evaluate the client and caregiver needs to determine the most optimal interventions

There are many societal and health care trends that are influencing the expansion of occupational therapy services in the area of home modifications First the number of older persons in the United States is drastically increasing as the baby boomers turn 65 The US Census Bureau estimated that the percentage of persons aged 65 years and older will increase from 12 of the total population in 2020 to more than 19 in 2030 (US Census Bureau 2006) With this rise in the number of older Americans an increased need for occupational therapy services is expected Research on the boomer population indicated that these individuals plan to live long active lives in their homes (Chattanooga Times Free Press 2008)

A study by AARP found that as people age they increas-ingly desire to remain in their current homes Specifically more than 89 of respondents 75 years and older said they plan to live in their current homes as they age and 96 of people 85 years and older reportedly plan to remain in their homes Unfortunately homes constructed before 1970 which account for the majority of housing in the country typically have limited accessibility features (AARP Research amp Strate-gic Analysis 2011) For example the majority of such homes are entered through steps and feature narrow hallways and even narrower bathroom doors These characteristics require many older adults and persons with disabilities to physically alter their homes or to modify their occupations to meet the demands of the home to maintain performance over time These requirements create a tremendous opportunity for occupational therapy practitioners to provide home modifica-tion services

continued

AOTA Continuing Education ArticleCE Article exam and certificate are also available ONLINERegister at httpwwwaotaorgcea or call toll-free 877-404-AOTA (2682)

CE-2 AUGUST 2012 n OT PRACTICE 17(15)ARTICLE CODE CEA0812

HOME MODIFCATION SERvICES IN DIFFERENT PRACTICE SETTINGS Acute CareIn acute care home modification services often are limited by time and the acuity of the clientrsquos condition Short lengths of stay and frequent inability to conduct home site visits can make providing home modification interventions dif-ficult Practitioners in these settings need to evaluate their own competency in home modifications and rely on their knowledge of additional resources to provide these services including traditional home health outpatient and nontradi-tional private practice services

Skilled Nursing FacilitiesPractitioners providing home modification services in skilled nursing facilities (SNFs) may or may not have the ability to conduct home visits and make home modification recommen-dations Often services depend on facility or agency policies For example some facilities promote home visits while others prohibit them Additionally some practitioners have reported that they are able to conduct home visits within a limited geo-graphic areamdashfor example within 10 miles of the facility

In SNFs practitionersrsquo interventions are generally restorative This means that they are focused on increasing skills to reestablish function Practitioners in this setting are well versed in treatment techniques but not necessarily on the emerging products and building techniques to manage chronic or progressive conditions

Skilled Home CarePractitioners in home health provide all services within the home environment Similar to the SNF goals interventions are often focused on restoring function through acquir-ing skills versus focusing on managing chronic illness and planning for declining function related to specific medical conditions

Practitioners in this practice area must be aware of the local funding available for assistive technology and con-struction needed for home modifications Qualifications for funding change frequently especially in this economic envi-ronment It is the responsibility of individual practitioners to seek information about these resources and refer clients as appropriate

One challenge faced in home health is that occupational therapy services often may be discontinued prior to imple-mentation of the recommended modifications Therefore recipients of care may not receive the training or coordina-tion of environmental modifications that is necessary for optimal outcomes

Outpatient CarePractitioners provide home modification services in clinics and homes under outpatient insurance benefits The quality

of home modifications may differ drastically depending on the location of services Providing services in a clinic setting can prevent practitioners from conducting home site visits significantly impacting their ability to make informed recom-mendations about the clientrsquos specific home modification needs On the other hand like home health practitioners outpatient practitioners providing services in the home are able to perform comprehensive evaluations and implement home modification recommendations However time can also affect home modification services in this setting Often out-patient services are discontinued prior to acquiring assistive technologies or structural changes to a home As with prac-tice within SNFs this turn of events can prevent clients from receiving any training or alterations for home modifications

Private PracticePrivate practice practitioners often work as consultants and do not typically provide ldquoskilled treatmentrdquo Practitioners in this setting generally provide consultation on general home modifications or more extensive services such as archi-tectural changes or complex assistive technologies When expanding into more complex services practitioners must obtain additional skills training and experience to ensure competency and prevent harm to clients Finally private practice practitioners accepting private pay have the ability to provide the full scope of occupational therapy services and are not limited to reimbursable services identified by the various funding sources such as insurance providers or state or federally funded agencies or waiver programs

Table 1 on p CE-3 provides a summary of occupational therapy home modification services in different practice settings

OCCUPATIONAL THERAPy IN HOME MODIFICATIONSWhen examining the process of home modification practi-tioners must understand the theoretical foundations guid-ing practice Several theories can be used when working in home modifications and a common one is the Person-Environment-Occupation Model (PEO Law et al 1996) The PEO views occupational performance as the result of the transaction between the person the occupation and the environment The person is defined as an individual with specific performance skills preferences and experiences The occupation is defined as the ldquoself-directed meaningful tasks and activities engaged in throughout a lifespanrdquo (Law et al 1996 p 17) Finally the environment is defined as the ldquocontext within which occupational performance takes place and it is categorized into cultural socioeconomic institu-tional physical and socialrdquo contexts (Law et al 1996 p 17) This model assumes that the environment is easier to change than the person and therefore it focuses on environmental interventions

THANK YOU

PrimArY COrPOrATe SPONSOr

AOTA wants to specially thank our sponsors and exhibitors for the 2012 AOTA Specialty ConferencemdashAdvanced Practice in Traumatic injuries amp PTSD

We could not have done this without their support

PR-208

exHibiTOrS

Occupational Therapy Practice Guidelines for Adults With Traumatic Brain InjuryBy Kathleen Golisz OTR OTD

Using an evidence-based perspective and key concepts from the Occupational Therapy Practice Framework this guideline provides an overview of the occupational therapy process for adults with traumatic brain injury (TBI) including definition epidemiology stages of recovery referral evaluation and interventions throughout the various recover phases

This publication is designed to help occupational therapists and occupational therapy assistants as well as individuals who manage reimburse or set policy for occupational therapy services understand the contribution of occupational therapy in treating adults with TBI This guideline also can serve as a reference for parents school administrators educators and other school staff health care facility managers education and health care regulators third-party payers and managed care organizations

Practice Guideline From AOTA Press

To Order call 877-404-AOTA or visit httpstoreaotaorgviewSKU=2214

Order 2214 bull AOTA Members $59 bull Nonmembers $84

ISBN-13 978-1-56900-258-2

BK-155

1



CO


DEPARTMENTSNews 2
















Editor Ted McKenna










































AOTA News







































New Resources




Industry News





















FROM



continued on page 4




Tim Nanof
























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continued on page 8



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22

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F-6081

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continued














1



CO


DEPARTMENTSNews 2
















Editor Ted McKenna










































AOTA News







































New Resources




Industry News





















FROM



continued on page 4




Tim Nanof
























QA

continued on page 8



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TOG

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PH C

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EWTO

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ANDREW WAITE





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CONNECTIONS



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September




October




November



Ongoing












22

C A L E N D A R





































F-6081

Faculty

Faculty










South


KGOEBEL

jb

KINTHE0388

Healthcare

1

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RehabCare lately

EOES-6105

Northeast


JBOYD

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AMEDI0001

Medical

1

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N-6115












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BK-244







Albuquerque NM 87131-0001(505) 272-9435



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Visit wwwchathamedu


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Northeast





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continued
















AOTA News







































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Industry News





















FROM



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QA

continued on page 8



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fuller life


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Albuquerque NM 87131-0001(505) 272-9435



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Faculty



Northeast





N-6113

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S-6117







Course Highlights



CE-192




Association


Order 3029




e M P l O Y M e N T

Midwest






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West




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ISBN 978-1-56900-332-9




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SusanAOTA

Follow Susan Lin on






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P-6087

















continued
























New Resources




Industry News





















FROM



continued on page 4




Tim Nanof
























QA

continued on page 8



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ANDREW WAITE





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Albuquerque NM 87131-0001(505) 272-9435



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N-6113

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Association


Order 3029




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Midwest






M-6118

Midwest





West




W-6037








AD REGION COLOR KEY




GCG OTRL BCG FAOTA




ISBN 978-1-56900-332-9




BK-278


















research


SusanAOTA

Follow Susan Lin on






in

















MARSH



AGL-1550













P-6087

















continued

















Tim Nanof
























QA

continued on page 8



PHO

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PH C

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ANDREW WAITE





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Albuquerque NM 87131-0001(505) 272-9435



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Visit wwwchathamedu


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Northeast





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S-6117







Course Highlights



CE-192




Association


Order 3029




e M P l O Y M e N T

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West




W-6037








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ISBN 978-1-56900-332-9




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SusanAOTA

Follow Susan Lin on






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MARSH



AGL-1550













P-6087

















continued

























QA

continued on page 8



PHO

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F-6081

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EOES-6105

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JBOYD

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1

22500 x 43750

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N-6115












fuller life


BK-244







Albuquerque NM 87131-0001(505) 272-9435



Faculty











Visit wwwchathamedu


Faculty



Northeast





N-6113

South











S-6117







Course Highlights



CE-192




Association


Order 3029




e M P l O Y M e N T

Midwest






M-6118

Midwest





West




W-6037








AD REGION COLOR KEY




GCG OTRL BCG FAOTA




ISBN 978-1-56900-332-9




BK-278


















research


SusanAOTA

Follow Susan Lin on






in

















MARSH



AGL-1550













P-6087

















continued















PHO

TOG

RA

PH C

OU

RTE

SY O

F TR

UD

Y N

EWTO

N





















ANDREW WAITE





I

Janie Mark and sons
























































































CONNECTIONS



pays offrdquo













i




PHO

TOG

RA

PHS

copy L

EFT

CO

UR

TESY

US

AIR

FOR

CE

US

AR

MY

C

ENTE

R P

HIL

SC

HER

MEI

STER

CO

RB

IS R

IGH

T C

OU

RTE

SY O

F U

S A

RM

Y


C a r e e r s














Lauren Robins

Y


TOG

RA

H copy

MIC

HA

EL C

OU

RTN

EY

ISTO

CK



BA

CK

GR

OU

ND

ILLU

STR

ATIO

N

copy W

ILLI

AM

CR

AIG

IS

TOC

KPH

OTO

CO

M

wwwaotaorgtwitter



















































Organize a Event


ocia

tion

N

atio

nal S



TM

TM

PHO

TOG

RA

PHS

LEF

T C

OU

RTE

SY O

F SU

NY

DO

WN

STAT

E

RIG

HT

copy P

ICTR

OU

GH

B

IGST

OC

KPH

OTO

20





September




October




November



Ongoing












22

C A L E N D A R





































F-6081

Faculty

Faculty










South


KGOEBEL

jb

KINTHE0388

Healthcare

1

225 x 4375rdquo

8202012













RehabCare lately

EOES-6105

Northeast


JBOYD

baf

AMEDI0001

Medical

1

22500 x 43750

8202012






You canhave it all



N-6115












fuller life


BK-244







Albuquerque NM 87131-0001(505) 272-9435



Faculty











Visit wwwchathamedu


Faculty



Northeast





N-6113

South











S-6117







Course Highlights



CE-192




Association


Order 3029




e M P l O Y M e N T

Midwest






M-6118

Midwest





West




W-6037








AD REGION COLOR KEY




GCG OTRL BCG FAOTA




ISBN 978-1-56900-332-9




BK-278


















research


SusanAOTA

Follow Susan Lin on






in

















MARSH



AGL-1550













P-6087

















continued





































































































CONNECTIONS



pays offrdquo













i




PHO

TOG

RA

PHS

copy L

EFT

CO

UR

TESY

US

AIR

FOR

CE

US

AR

MY

C

ENTE

R P

HIL

SC

HER

MEI

STER

CO

RB

IS R

IGH

T C

OU

RTE

SY O

F U

S A

RM

Y


C a r e e r s














Lauren Robins

Y


TOG

RA

H copy

MIC

HA

EL C

OU

RTN

EY

ISTO

CK



BA

CK

GR

OU

ND

ILLU

STR

ATIO

N

copy W

ILLI

AM

CR

AIG

IS

TOC

KPH

OTO

CO

M

wwwaotaorgtwitter



















































Organize a Event


ocia

tion

N

atio

nal S



TM

TM

PHO

TOG

RA

PHS

LEF

T C

OU

RTE

SY O

F SU

NY

DO

WN

STAT

E

RIG

HT

copy P

ICTR

OU

GH

B

IGST

OC

KPH

OTO

20





September




October




November



Ongoing












22

C A L E N D A R





































F-6081

Faculty

Faculty










South


KGOEBEL

jb

KINTHE0388

Healthcare

1

225 x 4375rdquo

8202012













RehabCare lately

EOES-6105

Northeast


JBOYD

baf

AMEDI0001

Medical

1

22500 x 43750

8202012






You canhave it all



N-6115












fuller life


BK-244







Albuquerque NM 87131-0001(505) 272-9435



Faculty











Visit wwwchathamedu


Faculty



Northeast





N-6113

South











S-6117







Course Highlights



CE-192




Association


Order 3029




e M P l O Y M e N T

Midwest






M-6118

Midwest





West




W-6037








AD REGION COLOR KEY




GCG OTRL BCG FAOTA




ISBN 978-1-56900-332-9




BK-278


















research


SusanAOTA

Follow Susan Lin on






in

















MARSH



AGL-1550













P-6087

















continued











































































CONNECTIONS



pays offrdquo













i




PHO

TOG

RA

PHS

copy L

EFT

CO

UR

TESY

US

AIR

FOR

CE

US

AR

MY

C

ENTE

R P

HIL

SC

HER

MEI

STER

CO

RB

IS R

IGH

T C

OU

RTE

SY O

F U

S A

RM

Y


C a r e e r s














Lauren Robins

Y


TOG

RA

H copy

MIC

HA

EL C

OU

RTN

EY

ISTO

CK



BA

CK

GR

OU

ND

ILLU

STR

ATIO

N

copy W

ILLI

AM

CR

AIG

IS

TOC

KPH

OTO

CO

M

wwwaotaorgtwitter



















































Organize a Event


ocia

tion

N

atio

nal S



TM

TM

PHO

TOG

RA

PHS

LEF

T C

OU

RTE

SY O

F SU

NY

DO

WN

STAT

E

RIG

HT

copy P

ICTR

OU

GH

B

IGST

OC

KPH

OTO

20





September




October




November



Ongoing












22

C A L E N D A R





































F-6081

Faculty

Faculty










South


KGOEBEL

jb

KINTHE0388

Healthcare

1

225 x 4375rdquo

8202012













RehabCare lately

EOES-6105

Northeast


JBOYD

baf

AMEDI0001

Medical

1

22500 x 43750

8202012






You canhave it all



N-6115












fuller life


BK-244







Albuquerque NM 87131-0001(505) 272-9435



Faculty











Visit wwwchathamedu


Faculty



Northeast





N-6113

South











S-6117







Course Highlights



CE-192




Association


Order 3029




e M P l O Y M e N T

Midwest






M-6118

Midwest





West




W-6037








AD REGION COLOR KEY




GCG OTRL BCG FAOTA




ISBN 978-1-56900-332-9




BK-278


















research


SusanAOTA

Follow Susan Lin on






in

















MARSH



AGL-1550













P-6087

















continued














































CONNECTIONS



pays offrdquo













i




PHO

TOG

RA

PHS

copy L

EFT

CO

UR

TESY

US

AIR

FOR

CE

US

AR

MY

C

ENTE

R P

HIL

SC

HER

MEI

STER

CO

RB

IS R

IGH

T C

OU

RTE

SY O

F U

S A

RM

Y


C a r e e r s














Lauren Robins

Y


TOG

RA

H copy

MIC

HA

EL C

OU

RTN

EY

ISTO

CK



BA

CK

GR

OU

ND

ILLU

STR

ATIO

N

copy W

ILLI

AM

CR

AIG

IS

TOC

KPH

OTO

CO

M

wwwaotaorgtwitter



















































Organize a Event


ocia

tion

N

atio

nal S



TM

TM

PHO

TOG

RA

PHS

LEF

T C

OU

RTE

SY O

F SU

NY

DO

WN

STAT

E

RIG

HT

copy P

ICTR

OU

GH

B

IGST

OC

KPH

OTO

20





September




October




November



Ongoing












22

C A L E N D A R





































F-6081

Faculty

Faculty










South


KGOEBEL

jb

KINTHE0388

Healthcare

1

225 x 4375rdquo

8202012













RehabCare lately

EOES-6105

Northeast


JBOYD

baf

AMEDI0001

Medical

1

22500 x 43750

8202012






You canhave it all



N-6115












fuller life


BK-244







Albuquerque NM 87131-0001(505) 272-9435



Faculty











Visit wwwchathamedu


Faculty



Northeast





N-6113

South











S-6117







Course Highlights



CE-192




Association


Order 3029




e M P l O Y M e N T

Midwest






M-6118

Midwest





West




W-6037








AD REGION COLOR KEY




GCG OTRL BCG FAOTA




ISBN 978-1-56900-332-9




BK-278


















research


SusanAOTA

Follow Susan Lin on






in

















MARSH



AGL-1550













P-6087

















continued


























i




PHO

TOG

RA

PHS

copy L

EFT

CO

UR

TESY

US

AIR

FOR

CE

US

AR

MY

C

ENTE

R P

HIL

SC

HER

MEI

STER

CO

RB

IS R

IGH

T C

OU

RTE

SY O

F U

S A

RM

Y


C a r e e r s














Lauren Robins

Y


TOG

RA

H copy

MIC

HA

EL C

OU

RTN

EY

ISTO

CK



BA

CK

GR

OU

ND

ILLU

STR

ATIO

N

copy W

ILLI

AM

CR

AIG

IS

TOC

KPH

OTO

CO

M

wwwaotaorgtwitter



















































Organize a Event


ocia

tion

N

atio

nal S



TM

TM

PHO

TOG

RA

PHS

LEF

T C

OU

RTE

SY O

F SU

NY

DO

WN

STAT

E

RIG

HT

copy P

ICTR

OU

GH

B

IGST

OC

KPH

OTO

20





September




October




November



Ongoing












22

C A L E N D A R





































F-6081

Faculty

Faculty










South


KGOEBEL

jb

KINTHE0388

Healthcare

1

225 x 4375rdquo

8202012













RehabCare lately

EOES-6105

Northeast


JBOYD

baf

AMEDI0001

Medical

1

22500 x 43750

8202012






You canhave it all



N-6115












fuller life


BK-244







Albuquerque NM 87131-0001(505) 272-9435



Faculty











Visit wwwchathamedu


Faculty



Northeast





N-6113

South











S-6117







Course Highlights



CE-192




Association


Order 3029




e M P l O Y M e N T

Midwest






M-6118

Midwest





West




W-6037








AD REGION COLOR KEY




GCG OTRL BCG FAOTA




ISBN 978-1-56900-332-9




BK-278


















research


SusanAOTA

Follow Susan Lin on






in

















MARSH



AGL-1550













P-6087

















continued















C a r e e r s














Lauren Robins

Y


TOG

RA

H copy

MIC

HA

EL C

OU

RTN

EY

ISTO

CK



BA

CK

GR

OU

ND

ILLU

STR

ATIO

N

copy W

ILLI

AM

CR

AIG

IS

TOC

KPH

OTO

CO

M

wwwaotaorgtwitter



















































Organize a Event


ocia

tion

N

atio

nal S



TM

TM

PHO

TOG

RA

PHS

LEF

T C

OU

RTE

SY O

F SU

NY

DO

WN

STAT

E

RIG

HT

copy P

ICTR

OU

GH

B

IGST

OC

KPH

OTO

20





September




October




November



Ongoing












22

C A L E N D A R





































F-6081

Faculty

Faculty










South


KGOEBEL

jb

KINTHE0388

Healthcare

1

225 x 4375rdquo

8202012













RehabCare lately

EOES-6105

Northeast


JBOYD

baf

AMEDI0001

Medical

1

22500 x 43750

8202012






You canhave it all



N-6115












fuller life


BK-244







Albuquerque NM 87131-0001(505) 272-9435



Faculty











Visit wwwchathamedu


Faculty



Northeast





N-6113

South











S-6117







Course Highlights



CE-192




Association


Order 3029




e M P l O Y M e N T

Midwest






M-6118

Midwest





West




W-6037








AD REGION COLOR KEY




GCG OTRL BCG FAOTA




ISBN 978-1-56900-332-9




BK-278


















research


SusanAOTA

Follow Susan Lin on






in

















MARSH



AGL-1550













P-6087

















continued
















BA

CK

GR

OU

ND

ILLU

STR

ATIO

N

copy W

ILLI

AM

CR

AIG

IS

TOC

KPH

OTO

CO

M

wwwaotaorgtwitter



















































Organize a Event


ocia

tion

N

atio

nal S



TM

TM

PHO

TOG

RA

PHS

LEF

T C

OU

RTE

SY O

F SU

NY

DO

WN

STAT

E

RIG

HT

copy P

ICTR

OU

GH

B

IGST

OC

KPH

OTO

20





September




October




November



Ongoing












22

C A L E N D A R





































F-6081

Faculty

Faculty










South


KGOEBEL

jb

KINTHE0388

Healthcare

1

225 x 4375rdquo

8202012













RehabCare lately

EOES-6105

Northeast


JBOYD

baf

AMEDI0001

Medical

1

22500 x 43750

8202012






You canhave it all



N-6115












fuller life


BK-244







Albuquerque NM 87131-0001(505) 272-9435



Faculty











Visit wwwchathamedu


Faculty



Northeast





N-6113

South











S-6117







Course Highlights



CE-192




Association


Order 3029




e M P l O Y M e N T

Midwest






M-6118

Midwest





West




W-6037








AD REGION COLOR KEY




GCG OTRL BCG FAOTA




ISBN 978-1-56900-332-9




BK-278


















research


SusanAOTA

Follow Susan Lin on






in

















MARSH



AGL-1550













P-6087

















continued







































Organize a Event


ocia

tion

N

atio

nal S



TM

TM

PHO

TOG

RA

PHS

LEF

T C

OU

RTE

SY O

F SU

NY

DO

WN

STAT

E

RIG

HT

copy P

ICTR

OU

GH

B

IGST

OC

KPH

OTO

20





September




October




November



Ongoing












22

C A L E N D A R





































F-6081

Faculty

Faculty










South


KGOEBEL

jb

KINTHE0388

Healthcare

1

225 x 4375rdquo

8202012













RehabCare lately

EOES-6105

Northeast


JBOYD

baf

AMEDI0001

Medical

1

22500 x 43750

8202012






You canhave it all



N-6115












fuller life


BK-244







Albuquerque NM 87131-0001(505) 272-9435



Faculty











Visit wwwchathamedu


Faculty



Northeast





N-6113

South











S-6117







Course Highlights



CE-192




Association


Order 3029




e M P l O Y M e N T

Midwest






M-6118

Midwest





West




W-6037








AD REGION COLOR KEY




GCG OTRL BCG FAOTA




ISBN 978-1-56900-332-9




BK-278


















research


SusanAOTA

Follow Susan Lin on






in

















MARSH



AGL-1550













P-6087

















continued














20





September




October




November



Ongoing












22

C A L E N D A R





































F-6081

Faculty

Faculty










South


KGOEBEL

jb

KINTHE0388

Healthcare

1

225 x 4375rdquo

8202012













RehabCare lately

EOES-6105

Northeast


JBOYD

baf

AMEDI0001

Medical

1

22500 x 43750

8202012






You canhave it all



N-6115












fuller life


BK-244







Albuquerque NM 87131-0001(505) 272-9435



Faculty











Visit wwwchathamedu


Faculty



Northeast





N-6113

South











S-6117







Course Highlights



CE-192




Association


Order 3029




e M P l O Y M e N T

Midwest






M-6118

Midwest





West




W-6037








AD REGION COLOR KEY




GCG OTRL BCG FAOTA




ISBN 978-1-56900-332-9




BK-278


















research


SusanAOTA

Follow Susan Lin on






in

















MARSH



AGL-1550













P-6087

















continued














22

C A L E N D A R





































F-6081

Faculty

Faculty










South


KGOEBEL

jb

KINTHE0388

Healthcare

1

225 x 4375rdquo

8202012













RehabCare lately

EOES-6105

Northeast


JBOYD

baf

AMEDI0001

Medical

1

22500 x 43750

8202012






You canhave it all



N-6115












fuller life


BK-244







Albuquerque NM 87131-0001(505) 272-9435



Faculty











Visit wwwchathamedu


Faculty



Northeast





N-6113

South











S-6117







Course Highlights



CE-192




Association


Order 3029




e M P l O Y M e N T

Midwest






M-6118

Midwest





West




W-6037








AD REGION COLOR KEY




GCG OTRL BCG FAOTA




ISBN 978-1-56900-332-9




BK-278


















research


SusanAOTA

Follow Susan Lin on






in

















MARSH



AGL-1550













P-6087

















continued


























F-6081

Faculty

Faculty










South


KGOEBEL

jb

KINTHE0388

Healthcare

1

225 x 4375rdquo

8202012













RehabCare lately

EOES-6105

Northeast


JBOYD

baf

AMEDI0001

Medical

1

22500 x 43750

8202012






You canhave it all



N-6115












fuller life


BK-244







Albuquerque NM 87131-0001(505) 272-9435



Faculty











Visit wwwchathamedu


Faculty



Northeast





N-6113

South











S-6117







Course Highlights



CE-192




Association


Order 3029




e M P l O Y M e N T

Midwest






M-6118

Midwest





West




W-6037








AD REGION COLOR KEY




GCG OTRL BCG FAOTA




ISBN 978-1-56900-332-9




BK-278


















research


SusanAOTA

Follow Susan Lin on






in

















MARSH



AGL-1550













P-6087

















continued























F-6081

Faculty

Faculty










South


KGOEBEL

jb

KINTHE0388

Healthcare

1

225 x 4375rdquo

8202012













RehabCare lately

EOES-6105

Northeast


JBOYD

baf

AMEDI0001

Medical

1

22500 x 43750

8202012






You canhave it all



N-6115












fuller life


BK-244







Albuquerque NM 87131-0001(505) 272-9435



Faculty











Visit wwwchathamedu


Faculty



Northeast





N-6113

South











S-6117







Course Highlights



CE-192




Association


Order 3029




e M P l O Y M e N T

Midwest






M-6118

Midwest





West




W-6037








AD REGION COLOR KEY




GCG OTRL BCG FAOTA




ISBN 978-1-56900-332-9




BK-278


















research


SusanAOTA

Follow Susan Lin on






in

















MARSH



AGL-1550













P-6087

















continued

























fuller life


BK-244







Albuquerque NM 87131-0001(505) 272-9435



Faculty











Visit wwwchathamedu


Faculty



Northeast





N-6113

South











S-6117







Course Highlights



CE-192




Association


Order 3029




e M P l O Y M e N T

Midwest






M-6118

Midwest





West




W-6037








AD REGION COLOR KEY




GCG OTRL BCG FAOTA




ISBN 978-1-56900-332-9




BK-278


















research


SusanAOTA

Follow Susan Lin on






in

















MARSH



AGL-1550













P-6087

















continued




















Albuquerque NM 87131-0001(505) 272-9435



Faculty











Visit wwwchathamedu


Faculty



Northeast





N-6113

South











S-6117







Course Highlights



CE-192




Association


Order 3029




e M P l O Y M e N T

Midwest






M-6118

Midwest





West




W-6037








AD REGION COLOR KEY




GCG OTRL BCG FAOTA




ISBN 978-1-56900-332-9




BK-278


















research


SusanAOTA

Follow Susan Lin on






in

















MARSH



AGL-1550













P-6087

















continued




















Course Highlights



CE-192




Association


Order 3029




e M P l O Y M e N T

Midwest






M-6118

Midwest





West




W-6037








AD REGION COLOR KEY




GCG OTRL BCG FAOTA




ISBN 978-1-56900-332-9




BK-278


















research


SusanAOTA

Follow Susan Lin on






in

















MARSH



AGL-1550













P-6087

















continued















e M P l O Y M e N T

Midwest






M-6118

Midwest





West




W-6037








AD REGION COLOR KEY




GCG OTRL BCG FAOTA




ISBN 978-1-56900-332-9




BK-278


















research


SusanAOTA

Follow Susan Lin on






in

















MARSH



AGL-1550













P-6087

















continued































research


SusanAOTA

Follow Susan Lin on






in

















MARSH



AGL-1550













P-6087

















continued


















in

















MARSH



AGL-1550













P-6087

















continued






























MARSH



AGL-1550













P-6087

















continued






























continued



























Documents

OT Practice August 20 Issue