Online data sources for narrative analysis: An innovative use of technology in a graduate project
Presented at The Quality Report Annual Conference, Ft. Lauderdale,  FL, 1/15/20Thanks for stopping by to look at our slides!Conference slides! (Source: ABC Therapeutics Occupational Therapy Weblog)
Source: ABC Therapeutics Occupational Therapy Weblog - January 18, 2020 Category: Occupational Health Tags: OT Education Source Type: blogs

The OTD Mandate and The Great Pumpkin
It is near Halloween, so a themed entry seems appropriate.We have another motion in front of the AOTA Representative Assembly to mandate an entry level doctoral degree - even though a decision point was reached just six months ago on this same issue.  At that time, the decision was to support dual entry at both the master's and doctoral level.That did not satisfy a Small Group of individuals, and so we are at the debate again.People frequently ask me'why'the profession is going through this again.  That is where the Halloween story comes in.Each year, despite overwhelming evidence against his belief system, Linus...
Source: ABC Therapeutics Occupational Therapy Weblog - October 30, 2019 Category: Occupational Health Tags: OT Education Source Type: blogs

The need for occupational therapy educational standards reform: Addressing the real problem behind the push for a doctoral mandate
As a profession, occupational therapists have been spending time talking about opposing the motion to mandate the doctorate – but we need to spend time trying to solve the problem that is bringing this issue to the table.I believe that we have a specific problem (too many credits in masters programs) and some of our colleagues are trying to justify the escalated degree solution by conflating the real problem with a lot of side issues that may not be accurate (e.g. doctorates will give us a seat at the table, doctorates will make us more respected, doctorates will maintain parity with other professions, doctorates wil...
Source: ABC Therapeutics Occupational Therapy Weblog - October 27, 2019 Category: Occupational Health Tags: OT Education OT practice Source Type: blogs

Open letter to the Representative Assembly of the American Occupational Therapy Association
Dear Representative Assembly Members, I am a program director of an occupational therapy program. I am shocked and concerned that the AOTA's Representative Assembly has accepted a new motion to re-litigate the entry level doctoral issue after it was just voted on and decided six months ago. In any democratic process, issues should never be considered'closed.' However, we also need to have some procedural safeguards to ensure that there is not an abuse of processes in order to effect a Small Group's will. The Representative Assembly has such a process. In the document'Rubric for RA Motions'it clearly states:" Topic #4:...
Source: ABC Therapeutics Occupational Therapy Weblog - October 9, 2019 Category: Occupational Health Tags: OT Education Source Type: blogs

Can you have too many books?
On the theme of having'too many'of something...Can you have too many books?My choice to engage in private practice complicated my life plan to have dedicated spaces for work and play.  Work became a lifestyle, and the Internet just made the whole problem that much more complicated - accessing email and any other point of information at any time.  I am not sure why I didn't consider this back in 1981 when I first logged onto CompuServe.  I might have planned all this differently, and maybe made different life choices about information access.Anyway, I think that I have too many work-oriented books.  Mayb...
Source: ABC Therapeutics Occupational Therapy Weblog - August 12, 2019 Category: Occupational Health Tags: Too much information Source Type: blogs

There are too many occupational therapy educational programs in New York State
There is an alarming increase in the number of accepted applicant and developing occupational therapy programs in New York State. The current entity responsible for the accreditation of these programs is the Accrediting Council for Occupational Therapy Education (ACOTE), a function of the American Occupational Therapy Association (AOTA).According to data provided by AOTA and ACOTE, there are 22 accredited occupational therapy masters-level degree programs in NY State and 12 accredited associates-level occupational therapy assistant degree programs.There are two additional developing masters-level degree programs, ten appli...
Source: ABC Therapeutics Occupational Therapy Weblog - July 11, 2019 Category: Occupational Health Tags: OT Education OT practice policy Source Type: blogs

The Barton Project: CAOT 2019 Conference slides
Conference slides!Hi and thank you for stopping here to look at the slides for my presentation at the 2019 CAOT conference!I will update this page with more information SOON! (Source: ABC Therapeutics Occupational Therapy Weblog)
Source: ABC Therapeutics Occupational Therapy Weblog - May 31, 2019 Category: Occupational Health Tags: Barton history Source Type: blogs

Relying on student subservience in the degree escalation competition game.
I was wondering today how many students were paying attention to the early presidential primary activities.  During Joe Biden's kickoff presidential rally in Pittsburgh yesterday he discussed the problems with over-credentialing and how it can serve to restrict competition in the marketplace.Heframed his basic presentation in context of lower wage earners and Union jobs, but does his argument apply to health care other middle income licensed occupations?" They do the same thing with occupational licenses. Why should someone who braids hair have to get 600 hours of training? It makes no sense. It's designed to kee...
Source: ABC Therapeutics Occupational Therapy Weblog - April 30, 2019 Category: Occupational Health Tags: OT Education policy Source Type: blogs

Occupational therapy: The mouse that roared about degree escalation and credential inflation
It is easy for occupational therapy practitioners who have been embroiled in the intraprofessional debate about entry level credentials to lose sight of a larger perspective.  Sometimes the closer you are to a concern, the more challenging it is to understand the more broad ramifications of something that happened.The grass roots effort that pushed against a mandated escalation of the entry level degrees in the occupational therapy profession made a very broad social and cultural statement.  It was a historic example of a professional group that argued against some of its own leadership in an effort that ultimate...
Source: ABC Therapeutics Occupational Therapy Weblog - April 12, 2019 Category: Occupational Health Tags: OT Education OT practice policy Source Type: blogs

An analysis of how small changes can potentially lead to unintended consequences in a motion
An analysis of the recent motion to update policy E.6 Entry Level Education is offered for consideration.Please refer to the following for background information:A Motion to Update Policy E.6 Entry-Level Education of Occupational Therapists and Occupational Therapy Assistantsand alsoAOTA's claim to authority over entry level degree requirementsROADMAP FOR UNDERSTANDING THE ISSUE:To understand the problems with the wording changes you need to read and understand the first policy as it is written in the policy manual.  Then you have to read and understand the motion that was submitted to update.  Then you have to r...
Source: ABC Therapeutics Occupational Therapy Weblog - April 8, 2019 Category: Occupational Health Tags: policy Source Type: blogs

What will happen to the Wilma West Library and archives of the occupational therapy profession?
During the last year, minutes from the Board meetings of the American Occupational Therapy Association indicate that there has been discussion on two matters that have an important impact on the Wilma West Library, home of the collected resources that catalog the history of occupational therapy.Around last year, discussion apparently started getting more specific related to sale of AOTA's current building.  In May 2018 the board authorized the (re)allocation of funds necessary to pay off the mortgage on the building and exploration of new sites for the organization's operations.  It is unclear if a new location h...
Source: ABC Therapeutics Occupational Therapy Weblog - March 26, 2019 Category: Occupational Health Tags: history Source Type: blogs

Degree escalation and doctoral education are sinking the occupational therapy profession
Occupational therapy started on a simple premise - that man, through the use of his hands as they are energized by mind and will, can influence the state of his own health.  That statement was provided to the profession by Mary Reilly, our greatest theoretician.It is a simple concept, borne out of a core philosophy of pragmatism and infused with a dose of all the good intentions of the moral treatment movement.  If you carefully read that core philosophy of occupational therapy you will hear the Emersonian reverberations of self-reliance:'Trust thyself: every heart vibrates to that iron string. '  That is wh...
Source: ABC Therapeutics Occupational Therapy Weblog - March 12, 2019 Category: Occupational Health Tags: OT Education OT practice philosophy Source Type: blogs

The primary driver for degree escalation in occupational therapy is to solve poor curriculum design of master's level programs
Perhaps the greatest point of misinformation that is routinely spread when academicians discuss the'need'for escalating the entry level degree to the doctoral level is that master's level OT programs can vary between 80 and 100 credit hours, depending on the school.  This is not a factual statement. There are some OT schools who are configured in a 4+1 or 3+2 model and the number of graduate credits is only around 30-40.  In these schools, the bulk of the occupational therapy curriculum is delivered at the undergraduate level.Throughout the conversation, I have heard educators and practitioners both attempt ...
Source: ABC Therapeutics Occupational Therapy Weblog - February 28, 2019 Category: Occupational Health Tags: OT Education policy Source Type: blogs

The ongoing occupational therapy identity crisis: 2019 edition
What does it say about a group of professionals that can't agree on what titles to use to describe themselves?Several years ago I wrote a post entitled "Why students will be making elevator speeches to define occupational therapy for the next 100 years. "  The issue behind this is that some occupational therapists believe that the public does not recognize what the profession does and that it is important to have a handy 1 minute description.  The post describes the fact that the profession serially re-defines occupational therapy and that the constant tinkering with definitions contributes to the confu...
Source: ABC Therapeutics Occupational Therapy Weblog - January 17, 2019 Category: Occupational Health Tags: OT practice policy Source Type: blogs

A sad prediction that is coming true for occupational therapy assistants
Last year I wrote several blog posts about the devastating advocacy position taken by AOTA to remove the Medicare therapy caps that caused a'paygo'impact on services provided by occupational therapy assistants.In short, the Bipartisan Budget Act of 2018 lifted the Medicare therapy caps and was'paid for'by an agreement that OTA services under Medicare Part B would have to be paid at 85% of the standard rate whenever that therapy was delivered in whole or in part by an OTA.Professional lobbyists and policy analysts at AOTA were surprised by this'last minute'inclusion of a payment differential even though the House Rules Comm...
Source: ABC Therapeutics Occupational Therapy Weblog - January 7, 2019 Category: Occupational Health Tags: health insurance OT practice Source Type: blogs

When leaders fail to lead.
Three years ago a controversial bylaws change was suggested for the American Occupational Therapy Association that granted the Board of Directors powers to revoke memberships based on complaint of other members and a finding of'cause. ' This issue was fully discussed and documented in this blog at the time of the release of the proposal.As is the rule for all Bylaws changes, they need to be voted on by the membership, which happens at the subsequent Business Meeting.  That meeting happened in Chicago at the annual conference and is summarizedin these minutes with a synopsis of the specific issue at hand foll...
Source: ABC Therapeutics Occupational Therapy Weblog - November 11, 2018 Category: Occupational Health Tags: OT practice policy Source Type: blogs

How a motion to affirm dual levels of entry for occupational therapy was killed by the leaders of the AOTA.
CLICK ON PHOTOS TO ENLARGEIt is important for the occupational therapy profession to understand that there was close collaboration between the RA leadership and the AOTA Board of Directors leading up to the Fall meeting.  As such, the Board of Directors may have been able to shape and form the agenda and the response to motions long before they ever were formally discussed by the RA members. The reason why Motion One on dual entry was killed was by what appears to be coordinated table setting engaged in by the AOTA Board of Directors, facilitated by the RA Leadership team, and then followed by those RA members who bot...
Source: ABC Therapeutics Occupational Therapy Weblog - November 10, 2018 Category: Occupational Health Tags: OT Education OT practice Source Type: blogs

A Motion to Update Policy E.6 Entry-Level Education of Occupational Therapists and Occupational Therapy Assistants
I am receiving email asking for assistance in drafting specific language for RA Motions related to the entry level educational mandates.  Here are my suggestions - please work with your RA representatives and each other to coordinate efforts.II. BODY OF MOTION:I move that the Representative Assembly revise Policy E.6 to read as follows: PURPOSE: To state the education required for entry into occupational therapy.  IT SHALL BE THE POLICY OF THE ASSOCIATION THAT:  1. The Association recommends and supports entry-level education at the associate and bachelor degree level for occupational therapy ...
Source: ABC Therapeutics Occupational Therapy Weblog - September 15, 2018 Category: Occupational Health Tags: OT Education OT practice policy Source Type: blogs

When the shoe is on the other foot.
I am going to try to keep this simple, but the underlying message is critical for occupational therapists.The recent announcement from AOTA that places the entry level degree requirement decision of ACOTE in abeyance was a surprise to most people, whether they agreed with the decision or not.This post is not going to address the background of the issue, or the reasons for the AOTA reversal, or what some of the controversial elements are.  I want to focus on the response of some OTs who disagree with the decision, most notably program directors who lead academic programs that have to deliver the curricula.I agree with ...
Source: ABC Therapeutics Occupational Therapy Weblog - August 13, 2018 Category: Occupational Health Source Type: blogs

AOTA's claim to authority over entry level degree requirements
ACOTE released their version of the timeline of their OTD accreditation decision and AOTA released their statement along with the MOU - and now the two sides sit in opposition with the fundamental question being " Who is responsible for setting the entry level educational standards for the occupational therapy profession? "The quick and easy answer, that apparently may be wrong, is ACOTE.The more probable answer, buried in documents available on the AOTA website, is the Representative Assembly of the AOTA.The policy of the AOTA, as determined by the Representative Assembly, sets the entry level educational requir...
Source: ABC Therapeutics Occupational Therapy Weblog - August 10, 2018 Category: Occupational Health Tags: OT Education OT practice policy Source Type: blogs

Analysis of the ACOTE/AOTA Memorandum of Understanding
On January 29, 2005, the Accreditation Council for Occupational Therapy Education and the American Occupational Therapy Association entered into an agreement that has been commonly referred to as their 'Memorandum of Understanding (MOU).'As background for understanding this process it is important to consider the relationship between the national member association and its credentialing arm, which is technically a separate organization.  As I have stated for many years, in my opinion, AOTA and ACOTE are functionally indistinguishable.  ACOTE is an" Associated Advisory Council " of the AOTA Executive Boa...
Source: ABC Therapeutics Occupational Therapy Weblog - August 8, 2018 Category: Occupational Health Tags: OT Education OT practice Source Type: blogs

Trust, but...
I have been seeing Xinren for several months, on and off, in a primary care fashion.  That is a frustrating interaction pattern from an occupational therapy perspective, and perhaps one that as a profession we are simply not acculturated to.  In traditional contexts occupational therapists see children on an ongoing and regular basis.  Xinren's family would call and then would be seen for a consult and recommendations were made and then they seemed to not follow up for some time.The family initiated contact with me because they were concerned about their child's gross motor skills. The initial evaluation ind...
Source: ABC Therapeutics Occupational Therapy Weblog - June 16, 2018 Category: Occupational Health Tags: OT practice OT stories parenting Source Type: blogs

Why do students in OTD programs respond so differently to survey questions about the OTD mandate?
Question: Why do students in OTD programs respond so differently to survey questions about the OTD mandate?In May 2018, the American Occupational Therapy Association sent a survey to all AOTA members about the educational requirements put forth by ACOTE. More than 7,400 AOTA members completed the survey.  Students enrolled in OTD programs responded very differently than every other group.  That is a data point that requires some analysis. This particular graph, with this breakdown of responses, represents an ethical question for the profession. That we have 60-65% of everyone except OTD students AGAINST the ...
Source: ABC Therapeutics Occupational Therapy Weblog - June 14, 2018 Category: Occupational Health Source Type: blogs

Use of a Case Study Method To Explore Sensory-Processing Characteristics of Children With Complex Regional Pain Syndrome
Place holdercoming soon! (Source: ABC Therapeutics Occupational Therapy Weblog)
Source: ABC Therapeutics Occupational Therapy Weblog - April 2, 2018 Category: Occupational Health Tags: OT practice Source Type: blogs

A Pediatric OT's Screed on Trauma Informed Care (2015) - Three years later: Have we made progress?
Maybe some.A couple years ago I wrote this'screed'on trauma informed care (TIC) models.  My concerns at the time were related to the lack of direct intervention that was promoted as part of this model - and that it appeared that some OTs were adopting a social work approach to the issue.Last night there was an #OTalk2Us twitter conversation about these models; I was not able to participate but I have been studying the conversation.  I think that this is a good opportunity to see if we are progressing ideas on TIC to be more occupational therapy directed and intervention-focused.It was good to see more conversatio...
Source: ABC Therapeutics Occupational Therapy Weblog - April 2, 2018 Category: Occupational Health Tags: OT practice school-based practice Source Type: blogs

The AOTA reckless plan to open up all state occupational therapy practice acts
reckless. adjective(of a person or their actions) without thinking or caring about the consequences of an action." reckless driving "On February 6-7, 2017, AOTA convenedan ad hoc committee. This group was charged with the task to explore current experiential requirements for OTs and OTAs.As a result, the ad hoc group recommended a new model of experiential education that makes several disruptive changes including changes to the length of fieldwork and creation of a post-graduate first year practitioner resident program. Under this plan, graduates would complete the certification examination and practice under a l...
Source: ABC Therapeutics Occupational Therapy Weblog - March 20, 2018 Category: Occupational Health Source Type: blogs

Annual NY early intervention post
Early intervention providers in New York State should be aware that when Governor Cuomo does not get what he wants he just tries to cram it down everyone's throat via legislation - repeatedly.Blogging about the annual attacks on the early intervention programgot boring around 3 years ago.  At that point in time the State Fiscal Agent (SFA) that is costing the taxpayers of NY millions of dollars in contract fees was only collecting 15% of monies billed for services.  In 2016 nearly 85% of claims submitted by the SFA to private insurers were denied.Now in 2017,82% of claims submitted by the SFA to private insurers ...
Source: ABC Therapeutics Occupational Therapy Weblog - March 3, 2018 Category: Occupational Health Tags: health insurance OT practice Source Type: blogs

Analysis of occupational therapy leadership statements on student debt and the doctoral mandate
The occupational therapy profession is joining thecredential inflation bandwagon through the mandate of its membership organization AOTA and its educational accrediting subgroup ACOTE.  Proposals are in place toadvance the entry level for occupational therapists to the doctoral level.  A companion proposal to advance the entry level for occupational therapy assistants to the baccalaureate level has been made but isin temporary abeyance.It is important to analyze the statements of the leaders and future leaders of these groups in order to understand their positions on these topics.  Additionally, it is import...
Source: ABC Therapeutics Occupational Therapy Weblog - February 24, 2018 Category: Occupational Health Tags: OT Education Source Type: blogs

Selective use of statistics to support a flawed advocacy position on Medicare therapy cap repeal
This is a recurring theme - what should occupational therapists focus on when they are making decisions about services?  Should they focus on the people that need services, or should they focus on the amount of money being spent?These ethical choices have been discussed in this blog before.This question also applies to the latest situation with the repeal of the Medicare therapy cap and the resultant payment differential that has been applied to OTAs.When attempting to develop an advocacy position - should the occupational therapy profession measure impact in terms of lives affected or in dollars spent?  Here is ...
Source: ABC Therapeutics Occupational Therapy Weblog - February 23, 2018 Category: Occupational Health Tags: health insurance OT practice Source Type: blogs

When your honey-do list involves analysis of Medicare expenditures
The title explains my role in all this fully.A rather complex report was commissioned by AOTA that involved data related to the distribution of fee for service therapy spending in the Medicare program, as well as how different cap thresholds would impact the system.  The report also breaks out information about where spending is happening based on place of service.Now the reason why I was given this task is because if you read the report, and my first paragraph, your eyes might already be glazed over.  My purpose will be to put all of this in very plain language.Here are the three primary takeaways from this repo...
Source: ABC Therapeutics Occupational Therapy Weblog - February 14, 2018 Category: Occupational Health Tags: health insurance OT practice Source Type: blogs

The curious incident of the changing dates and content of web pages.
I was a little surprised to see a message from AOTA today that statesAfter the late-night release of the bill, the following day, Tuesday February 6, while the Senate was still creating its version of the budget package, AOTA reached out to our Congressional champions to oppose these provisions, and, alongside the American Physical Therapy Association, proposed alternatives to the OTA provision —alternatives that would have stopped its adoption or minimized its impact.Additionally, on Tuesday AOTA changed all grassroots advocacy messages related to the repeal of the therapy cap, to include details of the OTA payment ...
Source: ABC Therapeutics Occupational Therapy Weblog - February 13, 2018 Category: Occupational Health Tags: health insurance OT practice Source Type: blogs

Deconstructing the sausage - Analyzing provisions for therapy assistant payment differentials
It is commonly stated that the process of legislating is like making sausage - you generally don't want to see how it happens.The therapy community was recently disappointed with the announcement that facilities would have to code their Medicare B claims with a modifier and would receive payment at 85% of the standard rate whenever that therapy was delivered in whole or in part by an OTA or PTA.  This is hard coded into legislation - and is not a rule or regulation.  For reference, this is included in the legislation that has been called "The Bipartisan Budget Act of 2018."The addition of this requireme...
Source: ABC Therapeutics Occupational Therapy Weblog - February 10, 2018 Category: Occupational Health Tags: health insurance OT practice Source Type: blogs

This week's timeline for the #StopTheCap effort
Thanks to the efforts of the American Occupational Therapy Association, beginning in 2022 occupational and physical therapy assistant Medicare reimbursement will be cut by 15%.  Oh, and they solved the cap problem for PT and speech therapy by doing so.Per a CBO report from February 6th, 1.2 billion of the 6.45 billion cost to repeal the therapy cap would be offset by the reimbursement changes.Let's get the background here.  Therapy caps have been in place for many years, and for nearly every year there has been an exceptions process that worked around the cap.  This was a bigger problem for PT and speech, wh...
Source: ABC Therapeutics Occupational Therapy Weblog - February 9, 2018 Category: Occupational Health Tags: health insurance OT practice Source Type: blogs

AOTA and ACOTE plan for credential inflation receives national attention
This article in the Washington Examiner should be a crystal clear sign to the new incoming elected officials of the AOTA Board of Directors, and should also be a serious red flag to any person thinking of applying for their now-open position as Executive Director.  This is a problem within the occupational therapy profession that must be addressed. (Source: ABC Therapeutics Occupational Therapy Weblog)
Source: ABC Therapeutics Occupational Therapy Weblog - February 2, 2018 Category: Occupational Health Tags: OT Education OT practice Source Type: blogs

Analyzing the AOTA/ACOTE Data Dump, Part Two: Some Stakeholders Are More Equal Than Others
Please refer to this earlier post for background reading.According to the'ACOTE Entry-Level Task Force Report to ACOTE in December, 2014 (p. 381-393), some stakeholders appear to be'more equal'than others.The notion of being'more equal'is a reference to Animal Farm and the pigs who ran the farm.  They famously stated that " All animals are equal, but some animals are more equal than others. "  In simple terms, the ruling elites of Animal Farm made claims that everyone is equal, but then we discovered that they provided benefits and power and privileges only to their elite comrades.What privileges are ha...
Source: ABC Therapeutics Occupational Therapy Weblog - November 24, 2017 Category: Occupational Health Tags: OT Education Source Type: blogs

Analyzing the AOTA/ACOTE Data Dump, Part One
Today AOTA/ACOTE released 897 pages of information,stating In response to requests for background information on ACOTE ’s decision on the entry-level-degree requirement, we are sharing this workbook (see link below). The workbook includes a timeline of events and discussions undertaken by the Council leading to publication of the 2017 mandate statement. It also includes reports, surveys, open hearings, and publica tions reviewed by the members of the Council in coming to their decision. These materials support both the pros and cons of the entry-level doctorate mandate. The Council took all of these materials in...
Source: ABC Therapeutics Occupational Therapy Weblog - November 23, 2017 Category: Occupational Health Tags: OT Education OT practice Source Type: blogs

Part Three: Academic Leadership Council Meeting, October 2017
Part One: Academic Leadership Council Meeting, October 2017 posted here.Part Two: Academic Leadership Council Meeting, October 2017 posted here.This is Part Three of a multi-part report about the Academic Leadership Council meeting that was held in Dallas Texas on Thursday October 26, 2017.+++During the opportunity for conference participants to address ACOTE/AOTA a question was asked about the evidence used to inform the ACOTE Visioning Taskforce.  This is an ad hoc group that was reportedly created by ACOTE to further assess the current healthcare and educational environment. The goals of the Visioning Taskforce wer...
Source: ABC Therapeutics Occupational Therapy Weblog - November 8, 2017 Category: Occupational Health Source Type: blogs

Part Two: Academic Leadership Council Meeting, October 2017
Part One: Academic Leadership Council Meeting, October 2017 posted here.+++The morning meeting continued following President Lamb's remarks.Paul Grace from NBCOT followed with a presentation that provided an update on certification issues.  The (ultimate) pass rate for OTR candidates is around 98% and for COTA candidates is around 88%.  Thefirst time pass rate is lower: approximating the mid 80%s to the 90%s with obvious variation from program to program.  There was brief discussion about what states many new certificants are graduating from and where they are seeking their licensing.  None of this info...
Source: ABC Therapeutics Occupational Therapy Weblog - October 29, 2017 Category: Occupational Health Source Type: blogs

Part One: Academic Leadership Council Meeting, October 2017
This is Part One of a multi-part report about the Academic Leadership Council meeting that was held in Dallas Texas on Thursday October 26, 2017.+++Yesterday I participated in the Academic Leadership Council meeting in Dallas. I have not participated in this meeting previously, except for perhaps a presentation I assisted with for NBCOT some years ago. It was definitely my first participation associated with being in a program director role.One of my persistent concerns about these meetings is that they are not generally open for public scrutiny, and there is little reporting to everyday practitioners out of thes...
Source: ABC Therapeutics Occupational Therapy Weblog - October 28, 2017 Category: Occupational Health Source Type: blogs

Injuries from wearing heavy backpacks are not common in school-aged children
Conclusion:Wearing heavy backpacks is NOT a significant cause of injury in children. The incidence of these injuries is actually so small that the CPSC is unable to provide statistical estimates about these injuries.A child may receive an injury from a backpack - but the most likely cause of that injury is tripping over backpacks, swinging backpacks around unsafely, or being hit by a child who has thrown a backpack.For the rare incident of a heavy backpack causing an orthopedic injury to a child, nearly all reported cases are for middle and high school aged children. If OTs are going to dedicate resources to inju...
Source: ABC Therapeutics Occupational Therapy Weblog - September 14, 2017 Category: Occupational Health Tags: evidence-based practice injury prevention school-based practice Source Type: blogs

There is no app to solve this problem.
Her eyes still blurry from the night's rest, Emily reached for the beeping phone that alarmed her into wakefulness at precisely 6:00am each day. Barely able to focus, but still noticing the tightness of her FitBit around her wrist, she swiped around her phone until she could find her SleepTracking app. Noticing that she was restless and had 20% less REM sleep than the night before, she quickly determined that she was exhausted.She glanced at the time. 6:01am." Alexa, what is my first appointment today? " she asked into the air. She loved the syncing between her work calendar into her home.&nbs...
Source: ABC Therapeutics Occupational Therapy Weblog - September 11, 2017 Category: Occupational Health Tags: OT stories parenting Source Type: blogs

Case study: Demise of a professional membership organization
Unless there are dramatic changes in statistical trends, the New York State Occupational Therapy Association may face insolvency and may be forced into dissolution in the very near future.Two years ago I reported that the NY State OT Association was at a critical juncture. At that time, only 4.4% of all NY practitioners were members of the group.  During the period of time from 2006 through 2014 NYSOTA OT/OTA membership declined 24%.   The decreasing trend of participation is continuing.According to statistics published by NYSOTA, now there are only 379 OT members and 120 OTA members.  In consideration ...
Source: ABC Therapeutics Occupational Therapy Weblog - June 22, 2017 Category: Occupational Health Tags: OT practice policy Source Type: blogs

OT History in Clifton Springs!
A group of people made OT History today - pulling off an amazing day of celebration in Clifton Springs that was enjoyed by so many attendees.Eighteen months ago I started corresponding with Steve Egidi, an occupational therapist and Vice President of the Clifton Springs Chamber of Commerce. He invited me to join a working group that was forming to help make plans for the 100th OT Anniversary Celebration in Clifton Springs. Steve was a steady organizing force for the group and it was a real pleasure getting to work with him.Also from the Chamber was Jeff Criblear, President of the Clifton Springs Chamber of C...
Source: ABC Therapeutics Occupational Therapy Weblog - June 4, 2017 Category: Occupational Health Tags: history Source Type: blogs

Re-post: The Passion from a kid's perspective
A story worth re-posting:A fairly standard component of my pediatric occupational therapy evaluations is to ask the child to draw a picture of themselves. This assessment technique provides an opportunity to evaluate the child's skill with writing and also is a functional assessment of their cognitive and perceptual ability.Sometimes kids draw things that just beg to be probed and questioned - as was the case recently. I watched intently as 6 year old Patrick drew a representation of himself, but then he began adding odd details to his picture. First he colored dark spots on his figure's hands and feet, and then added a ro...
Source: ABC Therapeutics Occupational Therapy Weblog - April 15, 2017 Category: Occupational Health Tags: OT stories Source Type: blogs

The meaning of a word cloud
This image caught my attention when I attended the Presidential Address at the AOTA national conference in Philadelphia last week, and it has been tweeted around in occupational therapy circles since that time.The question is - what does it mean?The AOTA president discussed population health as a concept that she believes will be integral to occupational therapy's future vision.  Unfortunately, this vision has more to do with a misguided alignment with payment models (Triple Aim) than anything to do with patient care.This unusual vision has been promoted by other occupational therapists and also discussed extensively ...
Source: ABC Therapeutics Occupational Therapy Weblog - April 5, 2017 Category: Occupational Health Tags: health insurance OT practice philosophy Source Type: blogs

The danger of assuming universal and singular narrative explanations of disability
In a recentarticleappearing on the CNN website, author Wayne Drash reviews the concept of'wrongful birth'in context of Lesli, a person who has developmental disabilities.  Drash'sprofile states that he " specializes in stories off the radar " and that " his passion is to tell narratives about life and the unfolding drama of the world we live in. "It would be more accurate to state that Drash cherry picked one person's perspective and advanced a fiction that serves one ideological perspective.His initial description of Lesli in his opening sentence tells us everything he believes about her person-ho...
Source: ABC Therapeutics Occupational Therapy Weblog - April 4, 2017 Category: Occupational Health Tags: Disability rights OT practice OT stories parenting Source Type: blogs

The Barton Project: AOTA 2017 Conference Handouts
Hi and thank you for stopping here to look at the poster handouts that are being distributed at the 2017 AOTA conference!If you were unable to get a copy of the handout of the poster presentation, the files below are hi-res JPG scans that you can download and view in a larger format.This version of the timeline is one small step of a multi-year project attempting to document George Barton's life.  I was always struck by the fact that his life story was documented in such a limited way as compared to other occupational therapy founders.  The lack of previously published information on Barton motivated my effort.Ha...
Source: ABC Therapeutics Occupational Therapy Weblog - March 28, 2017 Category: Occupational Health Tags: Barton history Source Type: blogs

Governor Cuomo and the Early Intervention State Fiscal Agent boondoggle
Another update in the ongoing saga of the failing New York State Early Intervention program:The Governor's 2018 budget proposal adds new requirements on insurance companies and providers.  Under other circumstances, a provider or fiscal intermediary would simply operate within the available rules that exist in the private marketplace, but since the State has designated a fiscal agent that is unable to compete in the free market, the Governor is forced to rewrite insurance laws in order to facilitate payment. In FY 2016, nearly 85% of claims submitted by the Early Intervention State Fiscal Agent to private insurer...
Source: ABC Therapeutics Occupational Therapy Weblog - March 27, 2017 Category: Occupational Health Tags: health insurance OT practice Source Type: blogs

Reasons to yawn: Wrap up analysis of two recent SCOTUS cases involving IDEA
On 11/8/16 IwroteIn both of these cases it is important to carefully analyze the details of what is actually being litigated.  So often the truth of what is being discussed gets lost in poor reporting about the topics.  For example, many news outlets focus on the'evil school district vs. the child in the wheelchair with Wonder the GoldenDoodle'meme instead of focusing on the decidedly less appealing'what is the importance of due process'angle.As OTs become more savvy with policy analysis they will avoid the bias-trap of media reporting and try to approach a more'rational comprehensive'method of considering the ac...
Source: ABC Therapeutics Occupational Therapy Weblog - March 25, 2017 Category: Occupational Health Tags: Disability rights OT practice school-based practice Source Type: blogs

You can't keep a good event down...
...but you might delay things just a little while because of winter weather!Today a gathering was scheduled in Clifton Springs for a celebration of the occupational therapy founding.  The mayor was also scheduled to issue a proclamation but the celebration had to be postponed due to inclement weather.  The event will be rescheduled.+++The March 8. 1917 Clifton Springs Press had an announcement about the upcoming First Consolation House Conference, but it also had an interesting article about George Barton.  The subheadlines and text of the article are notable because they provide direct evidence of exac...
Source: ABC Therapeutics Occupational Therapy Weblog - March 15, 2017 Category: Occupational Health Tags: Barton history Source Type: blogs