While I agree that, sadly, OT has moved its focus away from mental
health, abandoning the mental health frame of reference could be our
professional undoing.  While I have never worked in a mental health
setting, I had a phenomenal fieldwork placement in this setting.  I
believe that every physical disabilities patient is at it's root a
mental health patient.  There is significantly greater emotional trauma
in any kind of injury than our current health care system cares to
acknowledge.  If we abandon this component of our profession we move one
step closer to becoming PT's.  The number of times I have been able to
use my mental health expertise in helping a despondent patient or family
member to overcome their perceived and real disabilities are too many to
count.  

Thus we come to the crux of our professional dilemma. How do we
continue to maintain, (or regain) our mental health roots in a
reimbursement world that fails to recognize the value of this expertise.
 We can continue to abondon opportunities to work in mental health
settings, further reducing the availability of these settings for
employment and fieldwork placement, and see OT replaced by lower paid
recreation therapists, or, worse still, para professionals; or we can
encourage our colleagues to work to support these settings and encourage
new graduates to seek these opportunites.  

When hiring a new grad into my physicial disabilities positions, I put
significantly more weight on mental health experience than I do
doctorates.

My two cents



Redge L Campbell MS OTR/L
Director of Rehabilitation Services
Harrison Hospital
Bremerton, WA  98310
360.792.6531

>>> [EMAIL PROTECTED] 12/05/02 03:20AM >>>
Hi! I'm just wondering, why is it that almost every OT students that I
know wants to pursue an OT career in physical dysfuntion settings
rather
than in the psychiatric setting? And as for the professionals, i just
wanted to know some personal insights.

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