Ron,

Sorry to hear about your frustrations.  To me the question is how to
bring about change.
For future practitioners it seems to me that education is the answer. 
For current practitioners I think the focus should be through continuing
competence. The purpose of the Fund is to promote occupational therpy
(see: http://www.promoteot.org/) The issues that you have raised are
more internal to the profession.  It seems to me that we need more
practitioners to be a part of the professional organization.  AOTA
membership is around 36,000 and we estimate that there over 110,000
licensed practitioners.   

Chuck

>>> [EMAIL PROTECTED] 3/30/2004 11:14:26 AM >>>
Just  started  an  evaluation on a new client who had a stroke a while
back.
She has had OT/PT/SLP in both rehab and home health.

We  talked  about  her previous therapy and she says that PT was
helpful but
that  her  OT  and SLP didn't do much to help her. Care to guess what
it was
that  the OT's worked on??? One hint, it wasn't her occupations!! It
was her
arm!!!!!!

Even  though  the  neurologist  had told the client that her arm would
never
return  to  it's  previous status, two OT's spend countless hours and
untold
dollars trying to bring it back....

You  know what this woman's primary concern is today?? Mobility!!! She
can't
get  from her wheelchair to her bed and it costs her extra money for
nursing
care.  In  all  fairness, I haven't talked with the therapist nor seen
their
notes, but I am planning to do so.

Either  way,  this  is such a marketing nightmare and it's what I see
almost
EVERY  TIME  I  run into a client who has had OT. And, let's not forget
that
the AOTA's proposed practice act states:

> The practice of occupational therapy means the therapeutic use of
> everyday life activities (occupations) with individuals or groups
for
> the purpose of participation in roles and situations in home,
school,
> workplace, community, and other settings.

I spent ten minutes trying to convince the client and her family that I
am a
"different  type  of  OT"....  one that focuses on client's
occupations. How
sad,  that  an  OT  has  to  call  himself a different type of OT
because he
focuses  on  occupation.  While  some  people experiences are different
than
mine, the above example is, with very few exceptions, my experience at
being
an OT.

And  to  make  things worse, it seems that just focusing on occupation
isn't
enough  either.  Because this client's daughter says, you mean you are
going
to  have her cooking and stuff!! So I say, only if that's important,
which I
know  that it's not. The other day, a different client told of a story
where
an  OT  was sending their Mom to the mall, even though she couldn't
walk and
didn't want to go.

Almost  everywhere  I  go,  all  I  hear is complaints about OT!!! Or
maybe,
that's all that I remember hearing. Who knows!!!

I  wrote  a  letter  to  the Fund to Promote Awareness of OT about
promoting
occupation rather than OT. Unfortunately, the executive director of The
Fund
has  left and been replaced. Before she left, she replied to my message
with
a message that said "interesting comments"..... Aaaaarrrggghhh

With  the  type of OT that seems to be so prevalent, I am not convinced
that
promoting OT is in our best interests. I am often unhappy when I hear
that I
client  that  I'm  seeing  has  already had OT. Because, I know that
it's an
uphill battle to convince them of the power of occupation!!!

Guess it comes with the territory!!!






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