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APRIL 9, 2012

Animal Kindness

Best Practices for Animal-Assisted Therapy


Social Media & Breast Cancer Initiative Celebrating OT Month Year Round News, Capital Briefing, & More

Promote the Profession!

April is OT Month


Visit this AOTA Silver Sponsor at Booth 807

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 & Corporate Relations: Jeffrey A. Casper Sales Manager: Tracy Hammond Advertising Assistant: Clark Collins

VOLUME 17 • ISSUE 6 • APRIL 9, 2012

Ad inquiries: 800-877-1383, ext. 2715, or e-mail
OT Practice External Advisory Board

Tina Champagne, Chairperson, Mental Health Special Interest Section Donna Costa, Chairperson, Education Special Interest Section Michael J. Gerg: Chairperson, Work & Industry Special Interest Section Tara Glennon, Chairperson, Administration & Management Special Interest Section Kim Hartmann, Chairperson, Special Interest Sections Council Leslie Jackson, Chairperson, Early Intervention & School Special Interest Section 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 Regula Robnett, Chairperson, Gerontology Special Interest Section Missi Zahoransky, Chairperson, Home & Community Health 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
© 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, Bethesda, MD 20814-3425; 301-652-2682. Periodical postage is paid at Bethesda, MD, and at additional mailing offices. U.S. Postmaster: Send address changes to OT Practice, AOTA, PO Box 31220, Bethesda, MD 20824-1220. 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 Association advances the quality, availability, use, and support of occupational therapy through standard-setting, advocacy, education, and research on behalf of its members and the public. Annual membership dues are $225 for OTs, $131 for OTAs, and $75 student members, of which $14 is allocated to the subscription to this publication. Subscriptions in the U.S. are $142.50 for individuals and $216.50 for institutions. Subscriptions in Canada are $205.25 for individuals and $262.50 for institutions. Subscriptions outside the U.S. 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 AOTA to reproduce or photocopy material appearing in OT Practice. A fee of $15 per page, or per table or illustration, including photographs, will be charged and must be paid before written permission is granted. Direct requests to Permissions, Publications Department, AOTA, or through the Publications area of our Web site. Allow 2 weeks for a response.

Animal Kindness
Best Practices for the Animal-Assisted Therapy Practitioner


Connecting Through OT Connections


An Occupational Therapy Breast Cancer Initiative
Elizabeth D. DeIuliis, Sara Cohen, Claudine Campbell, and Lisa S. Slowman describe how they used social media to share oncology knowledge and assist occupational therapist Jennifer Hughes in influencing a developing collaborative clinical care model.

Melissa Y. Winkle and Liberty Z. Jackson make suggestions for screening participants, implementing intervention techniques, measuring outcomes, and addressing liability concerns when providing animal-assisted therapy.

News Capital Briefing Careers
Occupational Therapy Is Army Strong Celebrating OT Month Year Round: Participants Show How To Get Started and Lead the Way

3 6 7

Regional Employment Outlook

Illinois, Indiana, Kentucky, Michigan, and Ohio

29 31 41

Employment Opportunities Research Update

Fieldwork Issues Calendar

Fieldwork Challenge 2012 Continuing Education Opportunities

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Habits and Routines, Carpal Tunnel Syndrome Interventions, and Research Resources

April is OT Month

Promote the profession! Visit and click on OT Month.

• Discuss OT Practice articles at in the OT Practice Magazine Public Forum. • Send e-mail regarding editorial content to • Go to to read OT Practice online. • Visit our Web site at 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 Practice’s 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 Practice’s 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, PO Box 31220, Bethesda, MD 20824-1220, e-mail to, or make the change at our Web site at Back issues are available prepaid from AOTA’s Membership department for $16 each for AOTA members and $24.75 each for nonmembers (U.S. and Canada) while supplies last.



Visit us at Booth 312



Association updates...profession and industry news
All new RAE members will receive 2.5 days of training at the November 9 to 11, 2012, Accreditation Evaluator Workshop in the Washington, DC, metropolitan area. New members will learn how to review and evaluate programs using ACOTE standards, policies, and procedures, and to suggest program enhancement methods. If you or someone you know would be well suited for this exciting and important volunteer position, download the Educator or Practitioner application for membership from the Announcements & Newsletters section of the ACOTE Web site, at, or request an application from AOTA accreditation staff by e-mail at or by phone at 301-652-6611, ext. 2914. Applications should be completed and returned by e-mail to or by mail to the ACOTE Accreditation Program, c/o AOTA, P.O. Box 31220, Bethesda, MD 208241220 no later than June 15. activities of the Standing Committee, including the section’s program(s) at AOTA’s Annual Conference & Expo, SIS Internet activities, and the topics for the SIS Quarterly newsletter. The chairperson represents the SIS with all bodies of AOTA and is a member of the SIS Council. Candidates for the chairperson position must meet the following criteria: 1. Each chairperson shall be elected by the Association members with voting rights in the Section from a slate developed by the Nominating Committee of the Section. 2. Each candidate shall be a member in good standing of the Association and election-area association at time of nomination and throughout the term of office. 3. Each chairperson shall have general familiarity with documents of the Association (bylaws, policies, appropriate SOP/JD, AOTA Occupational Therapy Code of Ethics and Ethics Standards, Administrative SOPs, and Strategic Plan). 4. Each candidate shall have a minimum of 5 years of experience in occupational therapy as an occupational therapist or occupational therapy assistant. 5. Each candidate must demonstrate active involvement in the area of special interest throughout the past 5 years. Active involvement may be demonstrated by at least one of the following: specialty clinical practice in that area, administration or management of a program or practice in a specialty area, and an education role in a university or clinical practice area. Relevant publications may be used as additional evidence to support active involvement. Candidates should explain what they feel their active involvement has meant and how that involvement qualifies them for the position. 6. Each candidate must demonstrate communication and leadership skills as evidenced by professional activities on a regional, state, or national level. Describe how selected positions held demonstrate leadership skills (be specific or give examples), and specify dates the positions were held. 7. Each candidate must demonstrate potential to meet position responsibilities as outlined. Each nominee will submit the information outlined in the SIS Chairperson Nomination Form (Attachment E of the SIS SOPs) to the appropriate Nominating Chairperson via e-mail, to be received no later than September 15. Self-nominations are welcome. This form is available on the AOTA Web site in the Election Area of the SIS section. Nominees may also request this form by contacting the SIS administrative assistant, Barbara Mendoza, at or 800-SAYAOTA, ext. 2042. Nominating chairpersons: EDSIS: Robyn Otty, OTD, MEd, OTR/L, GSIS: Allison D. Calhoun, MS, OTR/L, PDSIS: Vivianne Yang, OTR, C/NDT, TSIS: James Allen Lenker, PhD, OTR/L, ATP,

Still Time To Register


rocrastinators take heart. Even though AOTA’s Annual Conference & Expo is this month, from April 26 to 29, you have not missed your chance to register. To do so, visit the Conference and Events page on AOTA’s Web site ( and look for the 2012 Conference. After April 11 you can register on site in Indianapolis. Whether you work directly with clients, educate students, investigate science, or want to advance your career, attending Conference is a unique, one-time-a-year chance to build your knowledge and inspire your practice. Check out the blog, at http://otconnections. org/blogs/conference, for the latest videos and bulletins to get you ready for the big event, and continue to check the blog during Conference for more updates live from Indianapolis.

ACOTE Seeks New Accreditation Evaluators
re you interested in becoming a volunteer accreditation evaluator? Applications are being accepted until June 15, 2012, for the Roster of Accreditation Evaluators (RAE). For the positions to be filled in January 2013, the Accreditation Council for Occupational Therapy Education (ACOTE®) is placing a strategic emphasis on recruiting a diverse pool of accreditation volunteers. Doctorally prepared occupational therapy practitioners are especially needed and are strongly encouraged to apply.


SIS Call For Nominations
(Chairperson Positions)
ooking for an opportunity to expand your leadership skills and serve AOTA? Consider running for chairperson of your Special Interest Section (SIS). Nominations are now being accepted for the next chairperson of four SISs: Education (EDSIS), Gerontology (GSIS), Physical Disabilities (PDSIS), and Technology (TSIS). The term of office is 3 years, beginning July 1, 2013. The chairperson coordinates the projects and


A O TA B u L L e T i N B O A r d

April Is OT Month!

Call for Client Stories
or OT Month, we are launching a new initiative to gather stories from clients who want to share the positive experiences they have had with occupational therapy. We will use these stories as testimonials on our Web site and to help promote the profession in other venues. Submissions should be no longer than 250 words, and should include the person’s name and contact information. We will work with submitters on editing their stories if necessary, and we are happy to interview those clients who are not comfortable writing. Please encourage your clients and patients to share their stories by contacting Communications Director Laura Collins at with a finished piece or a request for an interview.

at if there are questions concerning this information.

Occupational Therapy in Acute Care
H. Smith Gabai his new text lays the foundation for occupation-based practice and addresses the contextual issues of working within the acute care setting. Detailed research covers the importance of occupational therapists’ knowledge of how diseases affect the human body, including the cardiovascular, nervous, and endocrine systems. $109 for members, $154 for nonmembers. Order #1258. http://store.

Falls Modules I, II, and III comprise a series of
online continuing education courses on falls Falls prevention to Prevention support occupational therapists in providing evidence-based services to older adults at risk for falling or who seek preventive services.



Evidence Exchange Opens Again for Critically Appraised Paper Submissions


Falls Module I—Falls

Occupational Therapy Assessment Tools: An Annotated Index 3rd Edition
I. Elfant Asher n international team of academicians, clinicians, researchers, and advanced-degree candidates working in various practice arenas collaborated on this update, in which nearly 400 instruments are reviewed. The assessment profiles will be useful to clinicians and students, who must choose appropriate tools for clinical practice; to educators, who select assessment procedures for the classroom; and to researchers, who will find instruments that are designed for research purposes or will benefit from further investigation. $65 for members, $89 for nonmembers. Order #1020A. view/?SKU=1020A

Among Community-Dwelling Older Adults: Overview, Evaluation, and Assessments E. Peterson & R. Newton Earn .6 AOTA CEU (7.5 NBCOT PDUs/6 contact hours) $210 for members, $299 for nonmembers. Order #OL34 http://store.

he AOTA Evidence Exchange, a central repository for evidence-based literature reviews and related resources, is currently seeking a second round of submissions of critically appraised papers, or CAPS, which are highquality summaries of research articles. There are four rounds of submissions per year. The second round began on March 1 and will end on May 1. For more information, go to www. evidence-exchange.


Falls Module II—Falls

Among Older Adults in the Hospital Setting: Overview, Assessment, and Strategies to Reduce Fall Risk R. Newton & E. Peterson Earn .2 AOTA CEU (2.5 NBCOT PDUs/2 contact hours) $158 for members, $225 for nonmembers. Order #OL35 http://store.

USC Hosts 23rd Annual Public Disciplinary Occupational Actions Science Symposium he Ethics Commission (EC)


Falls Module III—

Preventing Falls Among Community-Dwelling Older Adults: Intervention Strategies for Occupational Therapy Practitioners E. Peterson & E. Wong Espiritu Earn .45 AOTA CEU (5.63 NBCOT PDUs/4.5 contact hours) $158 for members, $225 for nonmembers. Order #OL36 http://store.
Bulletin Board is written by Jennifer Folden, AOTA marketing specialist.

has taken the following recent disciplinary actions. According to Section 1.3 of the Enforcement Procedures for the Occupational Therapy Code of Ethics, with the exception of those cases involving only reprimand, AOTA “will report the conclusions and sanctions in its official publications and will also communicate to any appropriate persons or entities.” Name: MaryEllen Thompson, PhD, OTR/L. Sanction: Censure.Violation of Principle 5A, Occupational Therapy Code of Ethics (2005) Name: Amber Lee Stevens, MOT. Sanction: Censure. Violations of Principles 2A and 2F, Occupational Therapy Code of Ethics and Ethics Standards (2010) Please contact Deborah Slater, AOTA liaison to the EC,


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

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

he Division of Occupational Science and Occupational Therapy at the Ostrow School of Dentistry at the University of Southern California (USC) on March 9 hosted the 23rd annual Occupational Science Symposium, with a theme of autism in everyday life. More than 300 faculty members, students, alumni, and community partners attended the event, in which speakers, including AOTA President Florence Clark, PhD, OTR, FAOTA, discussed their innovative research, clinical practices, or personal perspectives on autism and its impact on everyday life experiences. Rodney Peete, a former National Football League quarterback from USC who has a son with autism, recounted the day that he put aside his own


pride and decided to pursue as much professional assistance and education as possible to help his son. “From that moment on, I started to see the world through R.J.’s eyes, not mine,” he said. With years of direct clinical intervention—including occupational therapy—Peete reported that R.J., now 14 years old, has made significant progress in his social, communicative, and functional skills. R.J. now attends mainstream school, plays the piano, and, most important to his parents, says, “I love you.” More information about the USC Occupational Science Symposium and the 2012 event speakers is available at ot.usc. edu/research/symposium.


Pediatric Virtual Chats
on’t miss the upcoming pediatric virtual chat on autism on April 12 at 1 pm EST, and on violence prevention on May 14 at 2 pm EST. All chats are recorded and can be accessed at any time. For more, visit tc/73733.


Practitioners in the News
n Sherrilene Classen, PhD, MPH, OTR/L, FAOTA, an associate professor in the University of Florida Department of Occupational Therapy and director of the Institute for Mobility, Activity, and Participation, was a featured guest of the Joy Cardin Show on Wisconsin Public Radio on March 5. Classen discussed older driver research, shared resources for mature drivers and their families, and answered caller questions. The link to the recorded show may be found by visiting www.wpr. org/search and entering the search word “Classen.” n Janet DeLany, DEd, OTR/L, FAOTA, a former AOTA Commission on Practice and Representative Assembly Ad Hoc chair, was recently promoted to dean of Graduate Studies at Towson University in Maryland. n Michael Pizzi, PhD, OTR/L, FAOTA, assistant professor in the Department of Occupational Therapy at Shenandoah University in Virginia, was recently featured in the Winchester Star for his music therapy program. He will be speaking about the topic at AOTA’s upcoming Annual Conference & Expo in Indianapolis and can be reached at Andrew Waite is the associate editor of OT Practice. He can be reached at awaite@aota.og.

Infant/Toddler Sensory Profile®

Birth-3 years Parent/caregiver questionnaire

Ages 3-10 Parent/caregiver questionnaire

Sensory Profile®


Sensory Profile® School Companion
Ages 3-11 Teacher questionnaire

AOTA, APTA Presidents Dialogue at TWU Academic Day in Dallas
OTA President Florence Clark, PhD, OTR/L, FAOTA, and American Physical Therapy Association President Scott Ward, PT, PhD, met in February on the Dallas Campus of Texas Woman’s University (TWU) to engage in a joint dialog on topics important to both professions. Moderated by Jimmy Ishee, dean of the TWU College of Health Sciences, Clark and Ward responded to four key questions. These concerned membership in professional associations, the vision statements of the two professions, comments on health care reform, and their thoughts on the future. For more on the meeting, read Clark’s blog, available on AOTA’s Web site, at, under The Road to the Centennial Vision heading on the home page.

Adolescent/Adult Sensory Profile®

Age 11 and older Self-questionnaire


Confidently evaluate sensory-related difficulties in clients of all ages
Rely on the Sensory Profile family to help you assess your client’s sensory processing abilities and the effect of the sensory system on an individual’s performance at home, school, and work. Each of these research-based questionnaires contains items specific to the environment in which the client’s performance is being assessed. These age-specific tools are designed to help you gather information from parents, teachers, and clients—so that you can develop more effective treatment plans, interventions, and everyday remediation strategies.
For more information or to place an order, visit



Copyright © 2012 Pearson Education, Inc. or its affiliate(s). All rights reserved. 6570 04/12 A3G

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c A P i TA L B r i e F i N g


Occupational Therapy Is Army Strong
Tim Nanof
Wounded warriors try out a

he U.S. Army, the largest branch driving simulator. of the U.S. military, offers many lessons to occupational therapy practitioners in general about the great results that individuals can achieve with occupational therapy. Occupational therapists and occupational therapy assistants are integrated into all aspects of army life and work, from the battlefield to the home front, and the stories of what they accomplish are people with impairments of function remarkable. related to mental health and substance Army occupational therapy abuse conditions. Policymakers on the practitioners play many roles when Hill often ask what is different about deployed, including serving as memoccupational therapy and why people bers of the critical and cutting-edge with behavioral health issues need it. Combat Operational Stress Control The examples AOTA has provided of Teams, in which occupational theraarmy success with occupation therapy pists identify and develop intervenhave proven very convincing. As is also tions based on combatants’ reactions the case with conditions such as trauto stress. In some cases, occupational matic brain injury (TBI) and stroke, therapy practitioners provide the first treating mental health issues successline of treatment for soldiers. Not fully requires both a team approach surprisingly, occupational therapists and expertise in evaluating and on these teams focus on function and addressing function and performance. performance when developing interTBI and posttraumatic stress disorder ventions, which is critical everywhere (PTSD) are the signature wounds but most especially on the battlefield, of the wars in Iraq and Afghanistan, where lives are at stake. and both conditions require a team The army’s use of occupational approach, including occupational therapy to address behavioral health therapy, to help soldiers recover and conditions can be held up as a model reintegrate. for nonmilitary systems treating indiConsider, for example, occupational viduals with behavioral health issues, therapy’s role with returning soldiers including mental health and substance with PTSD who need or want to drive abuse disorders. In the army, occuvehicles in daily civilian life. No other pational therapy is used in conjuncprofession specializes in focusing on tion with an array of other available the practical aspects of how funcservices to address the functional and tion and performance affect driving, performance impairments that indiincluding providing simulators as part viduals may experience. of therapeutic interventions. OccuAOTA recently introduced federal pational therapy’s focus on helping legislation that would recognize occupeople get things done by considering pational therapy in federal law as a their anxiety, sequencing, memory, and mental health profession and improve sensory responses so they can be as access to occupational therapy for

Tim Nanof is AOTA’s director of Federal Affairs.



independent and productive as possible is unique and a much needed aspect of behavioral health care that is missing in many settings. In fact, a Congressional briefing sponsored by AOTA and Representative Paul Tonko (D-NY) was held on March 19 to educate key federal policymakers about this critical role of occupational therapy. Of course, the army uses occupational therapy practitioners for their whole range of expertise. But what health care organizations should emulate is the integration of occupational therapy into the overall system for behavioral, physical, and mental health. Using proven systems like the army’s to expand the role of occupational therapy in other settings is a key step forward for the profession’s efforts to reclaim a prominent role in mental health practice. AOTA has good relationships with representatives and senators on the Armed Services and Veterans’ Affairs committees and works to promote their understanding and support for occupational therapy in the military. In particular, AOTA is working with the other professions in the Army Medical Specialist Corps—which include physical therapists, physician assistants, and dietitians—to urge Congress to elevate the chief of the Specialist Corps (presently a colonel) to flag rank so that he or she can more fully and effectively represent the rehabilitation needs and opportunities for our soldiers. If you agree, use AOTA’s Legislative Action Center, at, to urge your members of Congress to elevate the chief and help them make sure the rehabilitation of our wounded warriors is a top priority. n


Celebrating OT Month Year Round


Participants Show How To Get Started and Lead the Way
Andrew Waite

The vast majority of those attendees, Otty says, will be participating in their first-ever AOTA Conference. “Of course I want them to learn something, but more importantly, it’s the value of being there [at Conference],” Otty says. “It’s about networking with other students and listening to leaders in the field. Conferences are one way AOTA gives back to the members. It is my hope that as student members, they will see the unmistakable value “It is my hope that as student members, they will of Conference and continue see the unmistakable value of Conference and to be members for life. I see continue to be [AOTA] members for life.” AOTA as my security, so to SOCIAL MEDIA speak. AOTA is protecting my Robyn Otty, OTD, MEd, OTR/L, —Robyn Otty, OTD, MEd, OTR/L future. AOTA is advocating for assistant professor at Maryville me and my livelihood and is University in St. Louis, wanted essentially my ‘insurance policy’ for life; a burden but as a boon to their futures to encourage her students to become a this is my profession.” as occupational therapy practitioners. part of AOTA. So she collaborated with At the meeting, Otty discussed fundanother faculty member who advises raising ideas that could help alleviate the PUBLIC AWARENESS a separate group of students and put students’ financial concerns. together a meeting at the start of the Like Otty’s initiative, social media played “I said to be part of this and to semester. a major role in Karen Jacobs’ efforts receive some assistance from the fund“I was thinking maybe 15 or 20 to mobilize the Occupational Therapy raising, I need to have you sign up as a students would show,” Otty says. Global Day of Service. But the event But more than 50 attended the event. leader for one of the fundraisers, or, if was also about seizing public awareness you don’t want to be a leader, that’s fine “We basically just had a rally session opportunities. but you need to actively assist in three with the students to get them excited The day of service began with an other fundraisers.” about Conference,” says Otty, who got unsuccessful idea. Jacobs, EdD, OTR/L, Otty created a Facebook group the attendees fired up about the value CPE, FAOTA, a professor at Boston page (!/ of an AOTA membership as well as the University’s Sargent College of Health groups/242264049183589/), and value of attending the Association’s and Rehabilitation Sciences and a forstudents used the social media site to Annual Conference & Expo. Otty says mer AOTA president, is adamant about coordinate their own fundraisers. All a lot of her students were not AOTA increasing occupational therapy’s public told, the school put on eight fundraismembers because, to them, it was an attention. So she thought if she could ers in 2 months, allowing 53 students to unnecessary cost. develop presentations for occupational register for Conference in Indianapolis. “The students see it as a big expense therapy practitioners and students to barrier, and I didn’t think that was acceptable,” Otty says. “That’s half “I think that occupational therapy practitioners and students realized empty; it’s not half full.” that they could be part of something very large. I think they realized Otty and other Maryville faculty that this would be a way globally to help promote OT in a subtle way.” want to create a climate in which their students view AOTA membership not as —Karen Jacobs, EdD, OTR/L, CPE, FAOTA, sing social media, promoting the profession publicly, providing a public service—these are the ways that occupational therapy students and practitioners can observe OT Month and promote the profession in April as well as throughout the year. In recognition of OT Month 2012, OT Practice recently checked in with a number of AOTA members to follow up on the many advocacy and promotion activities they were involved in in 2011 and so far in 2012.


“I hope we are able to provide programming and research and really be a presence in the city so we can make more people aware of OTs and what we can offer.”
—Tori Goldhammer, MS, OTR/L, ATP, CAPS
deliver at Rotary Clubs globally, the profession would gain more recognition. “But I realized that people were a little bit anxious about public speaking,” Jacobs says. Then, while attending a Boston University alumni event and learning about BU’s Global Day of Service, inspiration struck. “I sat back and started scribbling down notes about an occupational therapy global day of service.” Jacobs created a Web site (http:// and networked with her colleagues and friends via social media (Facebook, LinkedIn, Twitter, and YouTube), and started the movement. Thousands of people from more than 24 countries participated on the designated day, February 25, Jacobs says. The Occupational Therapy Global Day of Service encouraged occupational therapy practitioners and students to take part in some sort of service project while also educating the public about the profession. “If you donate blood, [you could] say, “I’m an occupational therapist. I’m giving blood today as part of the OT Global Day of Service. Blood is essential to life, and OTs help people accomplish the essential tasks in their lives by helping them maximize their abilities while minimizing their disabilities, whether physical or psychological.” Jacobs explains. “So it’s giving them little ‘elevator speeches’ and just asking them to do service that’s unrelated to OT, but always identifying themselves as an OT.” Participants volunteered at food banks, walked dogs, made quilts, led poverty eradication lectures, worked with seniors, took people bowling, and more. The initiative went international, with Iceland, India, and Slovenia in particular developing strong support. To see the progress, visit http:// Jacobs says practitioners and students didn’t need much persuading to take part. “I think that occupational therapy practitioners and students realized that they could be part of something very large. And I think they realized that this would be a way globally to help promote OT in a subtle way,” Jacobs says. “I think some of us still

feel awkward about defining OT, and this gave another way of conveying who we are and the value of what we do. It’s very important that all of us collectively and individually always promote occupational therapy. It’s not like people don’t know who we are. It’s just having this common enthusiastic voice about our profession that will be sure to get us heard.”

Whereas Jacobs’ and Otty’s initiatives focused on public awareness and social media, Tori Goldhammer, MS, OTR/L, ATP, CAPS, is sharing her activities. She started a private practice for home modifications and consultation 4 years ago in the Washington, DC, area. In doing so, she had to do a lot of research on fall prevention, because it’s a major focus of the industry. That connected her to the National Council on Aging, who suggested she start a Falls Free Coalition in DC, because one didn’t exist. The coalitions are multidisciplinary groups of providers that focus on advocacy, policy, and education relating to fall prevention. Goldhammer relied on her connections from her business to jumpstart the program. She reached out to occupational

based programs in DC to get the programs introduced into senior centers and to work with the city government to change a program that already exists to allow home safety assessments and provide residents with the proper equipment needed to age in place, Goldhammer says. “When I started researching what fall risks were, I realized there is no one discipline that can help a person mitigate the risk for falling. There are so many factors that go into it, but I think as OTs, we are really good at [evaluating] the person’s entire environment and them as a person. We are much more holistic. But, in addition, I think you also need to see your doctor to get your vision checked or see a physical therapist to get some strengthening for your leg.” But creating that collaboration requires putting in effort, Goldhammer says. “You have to be prepared to take on a lot of work. I have become a de facto leader of the group, which is not something I was comfortable with, but at this point in time it’s how it has evolved. I just think you need to be prepared that if you are wanting to start the group you need to be the one that leads it,” Goldhammer says. “I am the one who organizes the [quarterly] meetings and completes the follow up, so you have to be prepared to take the lead if you are going to start it up yourself.” Goldhammer is hoping the coalition’s effort will mount influence. “I hope we are able to provide programming and research and really be a presence

“I know that they are at least looking at driving a little differently.... At least driving is now on their radar.” —Donna Stressel, OTR, CDRS
therapists, pharmacists, senior lead agencies, and local “villages,” housing units geared toward ensuring that seniors can age in place. Though finding providers committed to fall prevention to participate in the coalition was not difficult, “it took a little while to figure out what it is we wanted to do,” Goldhammer explains. “So the first probably two or three meetings were getting to know each other and figuring out what our goals were because every coalition in every state is a little different.” Now that they have hit their stride, the group has decided to introduce evidencein the city so we can make more people aware of OTs and what we can offer in terms of fall prevention and in general,” Goldhammer says.

Just as Goldhammer’s coalition aims to provide new programming in the community, Donna Stressel’s project also strived to provide additional services to the public in a local community. Stressel, OTR, CDRS, program director of Driver Rehabilitation at Sunnyview Rehabilitation Hospital in Schenectady, New York, earned one of six of AOTA’s National

Highway Traffic Safety Administration mini grants ( sionals/ce/toolkit/programs/nhtsa) in 2010. Stressel’s intent was to use the grant funding to establish a driver assessment clinic in Saranac Lake, a retirement community 140 miles north of Schenectady, where many of Sunnyview’s clients live. “They have nothing up there,” Stressel says. “So I worked with one of the OTs up at the hospital in Saranac Lake, educated their department on screening assessments, and talked to their physicians.” Stressel met with community members and people in home health and senior centers to gauge their interest and even conducted a drive-well program. “Everyone was really fired up that there could be clinical driving assessments up there so the folks wouldn’t have to travel down here all the time,” she says. But then, the hospital’s administrators decided against the program. Stressel tried to reason with them, but got nowhere. They just didn’t see the value of a driving assessment program, and put the kibosh on the idea. Now, just like before, the Saranac hospital still sends referrals down to Schenectady. “We’re back to our old system,” Stressel says. “But I know that they are at least looking at driving a little differently up there now after all of this. They are not doing clinical assessments as planned and won’t have a certified driving specialist, but at least driving is now on their radar.” Such was Stressel’s mini-grant experience. “Like I said, I was fired up but then met a wall. So I don’t know if it’s a good story because it doesn’t have a good ending. But it’s a real-life story,” she explains. Such challenges only reinforce the need for efforts by practitioners to advocate for and promote the profession, according to professionals like Otty and Stressel, who say that the path to success in advocacy and promotion is not always easy, but that they key lies in working hard to make a difference and help clients, in whatever way possible, live life to its fullest. “You just do the best that you can every day,” Stressel says. n
Andrew Waite is the associate editor of OT Practice. He can be reached at

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Best Practices for the Animal-Assisted Therapy Practitioner
Suggestions for screening participants, implementing intervention techniques, measuring outcomes, and addressing liability concerns when providing animal-assisted therapy.

Animal Kindness
leisure activities, and, for many, dogs facilitate greater social opportunities.4–5 As dogs are already embedded into daily performance patterns, a thorough occupational profile may reveal that AAT is a meaningful and motivating intervention strategy. Dogs used in therapy have facilitated decreased agitation; and increased social interaction, global functioning, and walking distance in the aged population.6–7 They have also increased the use of language and social skills in youth with autism8 and

s the profession of occupational therapy continues to develop best practices, there is great opportunity for developing ethical guidelines and structured approaches in the emerging practice area of animalassisted therapy (AAT), which refers to using an animal during the intervention process.1 Like any other modality, practitioners require training and continuing education for AAT as an intervention method. Although many organizations offer guidelines, evaluation, and registration for human–animal volunteer visiting teams, there are no universal standards of practice that speak to the role of AAT in a professional capacity. As a profession, occupational therapy respects that both subjective (emotional and psychological) and objective (physically observable) aspects of performance are equally important.2 Our foundation includes supporting health and participation in life, and engaging in what people find meaningful. With an estimated 72.1 million households in the United States owning pets,3 it is clear that dogs (which, as the most common type of animal used in AAT, this article will focus on) are a large part of American culture, and care of pets is included in our Occupational Therapy Practice Framework: Domain and Process, 2nd Edition.2 Dogs may influence our education and work choices, play, and


There are three methods available for providing AAT during occupational therapy sessions. First, occupational therapy practitioners can contact a volunteer organization and ask for a human–animal team to come for specific sessions. In this case, the team has already been evaluated and registered through an organization, which may offer liability coverage for that team in the volunteer capacity. However, the team may have no experience working

As dogs are already embedded into daily performance patterns, a thorough occupational profile may reveal that AAT is a meaningful and motivating intervention strategy.
increased motor skill performance with preschool-aged children.9 As part of an intervention, dogs may be used to facilitate performance skill development such as using proprioception to position and balance oneself on a balance board while gathering dog treats from the floor, using motor skills to guide a dog through an agility course, or challenging cognitive skills with shopping and cooking tasks to make homemade dog treats. If the activity is meaningful to participants, we are setting them up for success. It is clear why AAT is gaining popularity as an intervention modality. with the specified population, environment, or activity demands. We must not ignore the confidentiality complications based on HIPAA compliance that this scenario also presents. Second, a practitioner may take his or her own pet through basic obedience training and complete the same volunteer team evaluation and registration protocols with the registering organization. However, in this situation, the organization may not provide insurance coverage if the practitioner is in the work capacity. Occupational therapists and occupational therapy assistants who use their own dogs during intervention

typically rely on professional liability insurance that includes AAT practices. Depending upon the skills of the practitioner and the dog, it may become problematic to multitask managing the participant, the equipment, and the dog. In addition, typical team evaluations screen for a handler and dog in a visiting capacity, which may not meet the needs for a practitioner in a dynamic, measurable intervention setting. Finally, a practitioner can obtain a trained dog from a professional assistance dog training organization that also trains dogs for therapeutic work. Although assistance dogs and dogs for therapy are not the same thing, they are frequently trained in many of the same intermediate to advanced skills. Professional dog training organizations such as members of Assistance Dog International10 maintain specific standards for the dogs and therapy recipients, including education in behavior and handling, and evaluation of the team together. However, there is a greater demand than supply, and procurement can be costly and time consuming. The first two methods may involve joining an organization. The handler and dog gain basic obedience and social skills and are then evaluated by a volunteer registering organization for reliability, predictability, and controllability. The 20-minute evaluation includes a basic obedience demonstration; brief

interactions with strangers and other dogs; ability to be touched; and reaction to simulated facility conditions such as loud voices, noises, and moving objects and crowds. The third option involves an application process, possible specialty training, placement training, and evaluation of skills, ranging from 1 to 2 weeks, with yearly follow ups.

There is interdisciplinary agreement that human–animal teams be objectively evaluated; however, a survey of the existing literature and protocols reveals that the current methods are incomplete and in many cases not appropriate for the demands of a professional health care setting.1,11–15 The existing protocols were originally written for recreational visitations rather than for inclusion in therapeutic procedures. There may be up to four members of an AAT team, including a therapist, a dog handler (who may actually be the therapist), a participant, and a dog, each of whom must be evaluated for appropriateness of fit. We must also consider the population and environmental factors that affect the performance of the client, the dog, and, therefore, the outcomes of the intervention. Historically, standards have frowned upon dogs initiating contact with

therapy participants and support that a dog engage in activity only upon direction from the handler. However, this standard does not allow for spontaneous interaction that can drive the intervention process, thus creating a balance of the therapeutic use of self and an understanding of the human–animal bond. Fredrickson-MacNamara detailed that the AAT process requires intimacy directly between the animal and the participant.11 Therefore, it may be of benefit to allow dogs to directly initiate and engage participants in the session, and ask therapists or handlers to stand back as that relationship develops. During the intervention process, our canine companions are asked to achieve both spontaneous and deliberate dynamic performance skills. For example, a large dog may be specialty trained to wear a sled dog harness and use a long towline to pull a small child on a scooter board. To be effective, the practitioner must have knowledge about the physics and biomechanics of the gear and activity, training techniques, the animal’s behavior and body language, signs of stress, and handling techniques in response to specific situational demands. At the same time, the handler must manage the safety and response of the child. Another overlooked area is developing and implementing animal-assisted intervention plans. A skilled therapist


is able to identify appropriate activities according to the participant’s occupational profile, and complete a task and biomechanical analysis to document outcomes. Simultaneously, the therapist must acknowledge his or her own abilities and those of the dog. The progression of the intervention plan requires the ability to train the dog to engage in higher-level activities as the client progresses. Without these aptitudes, there is no difference between AAT and a volunteer visitation. Although there are few guidelines, all potential participants should be screened by the attending therapist prior to engaging in AAT. Intake data should include historical information regarding their previous relationships with animals. Individuals may have participated in animal abuse,15 been unwillingly separated from pets, have a fear of certain types of animals, or have cognitive impairment in which they don’t recall previous pets but sensory triggers cause emotional reactions.16 Clients with mental health conditions should be reviewed for symptomatology that may result in misinterpreting the animal’s actions and internalizing negative connotations. For example, if numerous participants are in the environment, and a dog looks away from one participant to the other and wags its tail, will the client process the dog’s reaction as rejection? All of these can profoundly affect the outcomes of AAT. Having an animal in practice increases the propensity of bidirectional zoonosis, infectious diseases that may be passed between humans and animals. It is critical that practitioners become educated about the precautions and protocols that will minimize these risks. Clients’ medical conditions need to be carefully evaluated before implementing AAT. These conditions may include respiratory complications or allergic reactions when exposed to animals, animal grooming products, latex in dog toys, and ingredients used in dog treats. Furthermore, medical conditions that are by nature immunosuppressing or involve open wounds, burns, or delicate skin integrity must be taken into account. These conditions pose inherent challenges in facilitating AAT, for they may require a sterile environment. Finally, dogs may

be integrated members of many households, but it is important to inquire about and honor cultural and religious beliefs regarding the role of dogs in clients’ lives. For example, a client may believe that a dog is meant for protection of property and should not have access to the indoors. Few organizations educate handlers about the innate drives and desires that are part of being a dog. Dogs perceive

Americans—half of them children— seek medical attention for dog bites, according to the Centers for Disease Control and Prevention.18 It is vital to recognize this statistic because about one third of occupational therapy practitioners work primarily with people between the ages of 3 and 21 years.19 Practitioners are faced with another ethical dilemma because the volunteer visiting organization evaluation process

Dogs used in therapy have facilitated decreased agitation; and increased social interaction, global functioning, and walking distance in the aged population. They have also increased the use of language and social skills in youth with autism and increased motor skill performance with preschool-aged children.

the world primarily through their senses.17 Understanding what drives and motivates a particular dog will help ensure the best match to an activity, practitioner, and population. Proxemics, the study of personal space preferences in social situations,11 is an important part of many volunteer organization evaluations. An unfamiliar person holds a dog close and the dog’s response is scored. Although some dogs may not enjoy being held tightly, and perceive this as a stressful situation, they may enjoy other types of contact. It is the handler’s responsibility to advocate for the dog and facilitate more comfortable interactions. Dogs may develop a preference and skill for a particular setting or population; however, this may change in response to an unfortunate event, to situational demands, or over time. In addition, the diverse and fluid nature of occupational therapy allows therapists to change populations and environments at will. Many current volunteer organizations re-evaluate the human–animals teams every 2 years, which does not allow for consideration of the previous situations. It is critical for the team to be re-evaluated any time there is a change in the practice setting or population. Few evaluations include a dog’s interactions with specific populations, including children.12 This is an area of concern because each year, 800,000

does not typically include people with actual limitations or disabilities. They are evaluated with individuals who attempt to simulate disabilities. Yet we expect the dogs to engage with people with actual disabilities. The process of having a human– animal team evaluated by volunteer organizations may have questionable reliability and validity. The criterion to become a human–animal team evaluator, educator, or registering organization is not monitored or standardized. Many existing volunteer organization evaluators and educators are not required to have formal training about actual animal behavior analysis, or human– animal team dynamics, or have a working knowledge about occupational therapy scope of practice. The process does not account for the team’s performance expectations and the unpredictable environments in which the interventions occur. Therapists should inquire about the formal training and experience of evaluators and educators before asking them to determine the

appropriateness of the human–animal team within our scope of practice. We must consider animal welfare issues and develop humane and ethical evaluation techniques to accurately predict how an animal will react in many different situations. It is important to understand that although the evaluation process is meant to predict outcomes, it cannot capture the environmental factors that contribute to an overall

dents, or if they cause a dog to develop a negative response, for example, to working in an environment that includes people in wheelchairs. “As we look at human–animal teams, it is the handler who has the greatest potential to do harm” (p. 1).13 AAT practitioners would benefit from developing predictive situational analysis to better avoid putting the dog in a position that may cause harm. In addition, they would



behavior evaluations (vaccinations, internal/external parasitic prevention), incident reports, re-evaluation, registration, ongoing training, and canine emergency first-aid plans. Staff in-service and training includes requirements for AAT participation for colleagues and their clients. Areas and equipment are designated specifically for AAT, with standard precautions taken to maintain good

behavioral response of a dog. A complete evaluation could take into account the handler’s ability to interpret and interrupt a behavior, and redirect the dog in situations involving, for example, the element of surprise. From a behavioral response and ethical perspective, evaluation items that require applying aversive physical stimuli (pinching or running over a dog with equipment) may not be applicable to an actual situational response. Animal behavior occurs in context. A contrived evaluation setting may be stressful to the handler and to the dog. As the handler and dog interact and observe each other, the stress may escalate to levels much different than in a regular setting in which the team normally works. Therefore, applying aversive stimuli in a stressful, unfamiliar environment may be very different than that of an environment in which a dog and handler are comfortable. It is unclear whether or not these contrived aversive evaluation items measure the true predictability of an animal’s response to unforeseen acciOT PRACTICE • APRIL 9, 2012

benefit from learning positive and proactive training and handling methods that reduce the potential for accidents. Therefore, as AAT practitioners, we are charged with the responsibility of establishing humane and ethical evaluations and standards of practice (SOPs) that ensure safety of the humans and the animals while remaining true to using AAT as an intervention strategy. The following is a brief summary of recommendations that are meant to supplement existing organizational standards and evaluation methods.1








Documentation includes participant screening, written consent for participation in AAT services, a contract that includes expectations of the client for respectful interactions, and rules for engagement and safety. For example, “Dogs will not be left unsupervised with participants.” Ongoing documentation for the dog includes professional health and


hygiene and infection control. Measurable activities are planned and implemented according to therapeutic goals and team skill level. Novice AAT providers are required to identify and collaborate with experienced mentors in their field. Team evaluations are done by objective and qualified evaluators within each environment with similar populations, conditions, and activities with which the teams will be working. AAT re-evaluation occurs yearly or any time there is a change in population or environment. AAT providers demonstrate the ability to identify canine body language, to elicit and reinforce desired behaviors, and to interpret and interrupt undesired behaviors using professional and humane methods. The therapist/handler respects the dog’s range and capacities according to its developmental milestones, training, and preferences, and advocates on behalf of the dog.




Services are terminated if AAT no longer supports the client’s goals, because of client or animal health concerns, or if the dog’s performance is no longer conducive to intervention requirements. The therapist/handler obtains a minimum of 6 hours of continuing education per year related to AAT or animal behavior training from qualified and experienced professionals.

F O r M O r e i N F O r M AT i O N
Occupational Therapy Assessment Tools: An Annotated Index, 3rd Edition By I. E. Asher, 2009. Bethesda, MD: AOTA Press. ($65 for members, $89 for nonmembers. To order, call toll free 877-404-AOTA or shop online at Order #1020A. Promo code MI) Adults With Developmental Disabilities: Current Approaches in Occupational Therapy, Revised Edition By M. Ross & S. Bachner, 2004. Bethesda, MD: AOTA Press. ($39 for members, $55 for nonmembers. To order, call toll free 877-404-AOTA or shop online at Order #1140A. Promo code MI)




11. 12.


n n



Dogs should be evaluated for temperament, emotional soundness, interest in population, and environmental preferences (e.g., if a dog is expected to work pediatrics, it is evaluated with that population; if it demonstrates avoidance or discomfort, it does not pass for that population), and performance skills. The dog should not require physical assistance or choke/prong collars for control. The dog should be able to engage and perform directly with clients. The dog should be acquainted with the therapist/handler, equipment, environment, and activities prior to engaging in therapy sessions. The dog has the right to the 5 Freedoms (freedom from hunger or thirst; freedom from discomfort; freedom from pain, injury, or disease; freedom to express normal behavior; and freedom from fear and distress).20 If the dog is to work off lead, it should be evaluated off lead.

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

in continuing education from qualified professionals, demonstrate the ability to establish effective screening, document measureable activities, and advocate not only for our clients but also for our canine co-therapists. AAT requires reflective practitioners who are capable of evaluating not only the appropriateness of intervention with their clients, but also their own skill-set and readiness in facilitating this intervention. While research and client interest continue to support this emerging practice area, practitioners have an obligation to raise the universal practice standards for both ends of the leash. n References
1. Delta Society. (1996). Standards of practice for animal-assisted activities and animal-assisted therapy. Renton, WA: Author. 2. American Occupational Therapy Association. (2008). Occupational therapy practice framework: Domain and process (2nd ed.). American Journal of Occupational Therapy, 62, 62–683. doi:10.5014/ajot.62.6.625 3. U.S. Census Bureau. (2011). Household pet ownership: 2006. Retrieved from http://www.census. gov/prod/2009pubs/10statab/arts.pdf 4. Solomon, O. (2010). What a dog can do: Children with autism and therapy dogs in social interaction. Journal of the Society for Psychological Anthropology, 38(1), 143–166. 5. Winkle, M., Crowe, T. K., & Hendrix, I. (2011). Service dogs and people with physical disabilities partnerships: A systematic review. Occupational Therapy International. Advance online publication. doi:10.100/oti.323 6. Perkins, J., Bartlett, H., Travers, C., & Rand, J. (2008). Dog-assisted therapy for older people with dementia: A review. Australasian Journal on Ageing, 27, 177–182 7. Herbert, J. D., & Greene, D. (2001). Effect of




17. 18.



preference on distance walked by assisted living residents. Physical and Occupational Therapy in Geriatrics, 19, 1–15. Sams, M. J., Fortney, E. V., & Willenbring, S. (2006). Occupational therapy incorporating animals for children with autism: A pilot investigation. American Journal of Occupational Therapy, 60, 268–274. doi:10.5014/ajot.60.3.268 Gee, N., Harris, S., & Johnson, K. (2007). The role of therapy dogs in speed and accuracy to complete motor skills tasks for preschool children. Anthrozoos, 20, 375–386. Assistance Dogs International. (2011). Glossary of terms. Retrieved from http://www.assistance Terms.php Butler, K. (2004). Therapy dogs today: Their gifts, our obligation. Norman, OK: Funpuddle. Butler, K., & Fredrickson-MacNamara, M. (2010). Animal selection procedure in animal-assisted interaction programs. In A. Fine (Ed.), Handbook of animal-assisted therapy: Theoretical foundations and guidelines for practice (3rd ed., pp. 111–134). San Diego, CA: Academic Press. Howie, A. (2008). The handler factor: Evaluating handlers for animal-assisted interactions programs. Olympia, WA: Human-Animal Solutions. Society and Animals Forum. (1999). The Anicare model of treatment for animal abuse. Washington Grove, MD: Author. Society and Animals Forum. (2007). Anicare child: An assessment and treatment approach for childhood animal abuse practitioners handbook. Washington Grove, MD: Author. Dogs—and handlers—specially trained for animal assisted memory therapy. (2007). Canadian Nursing Home, 18(3), 27–28. Horowitz, A. (2009). Inside of a dog: What dogs see, smell, and know. New York: Scribner. Centers for Disease Control and Prevention. (2003). Non-fatal dog bite–related injuries treated in hospital emergency departments— United States, 2001. MMWR, 52, 605–610. American Occupational Therapy Association. (2010). 2010 occupational therapy compensation and workforce study. Bethesda, MD: Author. Farm Animal Welfare Council. (2009). 5 freedoms. Retrieved from freedoms.htm

As occupational therapy practitioners, it is our duty to continue to strive for and provide best practices for the populations served. Although we engage in specialty education and training for modalities used within practice, the unique nature of AAT requires careful analysis and oversight, for it encompasses a dynamic relationship between living species. The intervention is not static, without mistakes or unforeseen outcomes. If AAT is going to be a recognized and valued modality within the profession of occupational therapy, it is our responsibility to establish higher standards of practice than those of existing volunteer visiting organizations. We need to participate

Melissa Y. Winkle, OTR/L, is an occupational therapist in private practice at Dogwood Therapy Services in Albuquerque, New Mexico. She works with individuals ages 3 to 103 years with all abilities. She has practiced using AAT for more than a decade and has been an assistance dog trainer/instructor for Assistance Dogs of the West for nearly as long. Winkle provides international workshops, articles, research, and consulting for AAT, assistance dogs as assistive technology options, nature therapy, integrated services, and program development. Liberty Z. Jackson, MOT, OTR/L, is from Portland, Oregon. She works with children, teens, and adults in a variety of settings using AAT. She frequently travels to New Mexico to work at Dogwood Therapy Services. Alongside her mentor, Melissa Winkle, she contributes to both publication and workshops related to animal-assisted interventions and assistance dogs as assistive technology options.

Connecting Through

An Occupational Therapy Breast Cancer Initiative


January 2011, a posting by Jennifer Hughes, MOT, OTR, on the Oncology Rehab OT Forum on OT Connections, the professional social network platform sponsored by AOTA, called for help from practitioners who work with breast cancer patients. The mission: Participate in a conference call in order to gather clinician viewpoints to be presented at an upcoming American Cancer Society (ACS) stakeholders meeting. Occupational therapy practitioners with a more general interest in oncology were also invited to respond with the hope of including other oncology diagnoses in future discussions. The purpose of the ACS meeting was to develop a collaborative clinical care model for breast cancer rehabilitation (see “Advocating for Occupational Therapy in Breast Cancer Rehabilitation at the American Cancer Society” on p. 16). Because occupational therapy was not initially involved in this care model, Hughes reached out in hopes of gathering information about the impairments typically seen when treating individuals with breast cancer and to identify typical occupational therapy evaluations and interventions used with this specific patient population. The goal was to highlight occupational therapy’s distinct voice within the developing treatment model for breast cancer. The posting spurred occupational therapy practitioners from clinical and academic settings nationwide to form an expert group of six occupational therapists with advanced clinical skills in treating the breast cancer population. The occupational therapy clinician group discussed the fact that mediOT PRACTICE • APRIL 9, 2012


A social media platform helped occupational therapists with oncology experience connect effectively to influence a developing collaborative clinical care model.
cal and technological advances have resulted in increased cancer survivorship rates. Once considered an acute medical condition, breast cancer is now regarded as a chronic condition, with individuals often coping with long-term sequelae from the cancer or its treatment, such as lymphedema, cognitive challenges, fatigue, and altered body image. As breast cancer has become a globally recognized health care issue, there has been a clinical shift from focusing on quantity of life and care to quality of life and care. This clinical shift fits well with our profession’s central philosophies, including promoting health and wellness, advocating preventive care, maximizing quality of life, and using a client-centered approach, and it creates significant emerging areas of practice for the occupational therapy profession. The group noted that occupational therapy practitioners in different practice arenas are evaluating and treating individuals with breast cancer. Practice settings include acute-care hospitals, outpatient rehabilitation centers, home health care, and treatment provided in patients’ homes via-telecommunications. The group was able to contribute vital information about the unique role of occupational therapy with breast cancer patients across the continuum of care, which was shared by Hughes at the ACS stakeholders meeting in Washington, DC, in February 2011. After the initial meeting, the group discovered an overwhelming passion to connect with each other, and it realized that a need exists within occupational therapy to create an arena for occupational therapy practitioners with oncology experience to come together. Clinicians began to exchange e-mail. As interest increased, the group set up two additional conference calls to better capture the depth and breadth of communication. In addition, impromptu face-to-face roundtable


Advocating for Occupational Therapy in Breast Cancer Rehabilitation at the American Cancer Society

In 2011, I participated in an expert

roundtable convened in Atlanta, Georgia, by the American Cancer Society (ACS) to consider the current state of science regarding a collaborative clinical care model for prospective surveillance and intervention before, during, and after breast cancer treatment. To prepare for the roundtable and ensure that the field of occupational therapy was represented, I relied heavily on a group of occupational therapists who felt passionate about this cause (see “Connecting Through OT Connections: An Occupational Therapy Breast Cancer Initiative” on p. 15). The participants brought together to discuss a prospective model of care for breast cancer rehabilitation included the following stakeholders and core panel members: physical medicine and rehabilitation physicians; surgeons; general oncologists; radiologists; nurses; physical therapists; exercise physiologists; and representatives from patient advocacy groups, community programs, payer sources, and major research funders. The core panel members, selected by the ACS planning committee, did not include occupational therapy practitioners, but were all considered individuals with

relevant clinical and research experience in the area of breast cancer rehabilitation. Formal presentations were made by core panel members on the evidence relevant to such topics as descriptive epidemiology of various persistent adverse effects of breast cancer treatment and clinical identification and diagnosis of breast cancer treatment–related impairments and functional limitations. Each formal presentation was followed by discussion among the core panel members, and critical elements for inclusion in a prospective model of breast cancer rehabilitation were identified. After each core panel discussion period, input from stakeholders on experience, perspectives, and real-world challenges was sought. The focus of impairments was heavily weighted on physical dysfunction. In providing my input to the group, I emphasized that functional performance is based on the multi-factorial synergistic effects among physical, cognitive, spiritual, and psychosocial

aspects that are affected by culture, society, and environment. I further emphasized that occupational therapists are uniquely trained to use a holistic and individualized approach to evaluate and treat all functional and participation impairments. After the roundtable meeting, the core panel created a model of care for breast cancer rehabilitation, taking into consideration all the discussions from this meeting. Each stakeholder was sent a rough draft with the invitation to respond. The occupational therapy collaborative group met to discuss and craft a response. In summary, we viewed it as a great start to create a shift from traditional rehabilitation to a proactive prevention model, and we hope as it continues to develop it will incorporate more aspects of occupational therapy, specifically expanding beyond just the physical impairments that affect breast cancer survivors. As a profession, we can always do more to get involved in creating these sorts of collaborative clinical care models while advocating for our visibility in different areas of practice. I have put together a list of questions and thoughts to ponder about what kind of impact this roundtable and model of care can have on occupational therapy practitioners: n Many discussions circled around a changing health care environment with diminishing funds that is shifting toward prevention and community program involvement such as the YMCA: • How can we ensure that other health care professionals and payer sources view

meetings occurred at the 2011 AOTA Conference & Expo in Philadelphia to present preliminary feedback from the ACS meeting and further discuss developing oncology-focused clinical initiatives. Over the spring of 2011, the group, facilitated by Elizabeth D. DeIuliis, OTD, OTR/L, and Hughes, created and implemented a strategic plan based on the following goals: n Increase awareness of the specialized role of occupational therapy and breast cancer as an emerging area of practice n Explore occupational therapy evaluation and intervention methods used with individuals with breast cancer across the treatment continuum n Foster the AOTA Centennial Vision by expanding collaboration among


occupational therapy practitioners and promoting evidence-based practice Contribute to the ACS Clinical Care Model for Breast Cancer

With more than 10 expert clinicians participating, including Hughes and the authors of this article, the larger group separated into smaller task groups to begin to put the strategic plan into action, with one task group member volunteering to serve as an occupational therapy champion in the separate areas of evidence (led by Patricia A. Scott PhD, MPH, OT, FAOTA), education (led by DeIuliis), and survivorship/advocacy (led by Hughes). This champion served as the lead clinician within her respective area, and was responsible for fostering communi-

cation and collaboration among the smaller task group in order to meet the objectives of the strategic plan. In addition to exchanging experiences and resources related to clinical practice, some of the clinicians expressed interest in analyzing and compiling current evidence surrounding occupational therapy and breast cancer. Future tasks of the evidence group include performing a literature review, identifying areas where clinicians and researchers can collaborate, and developing outcome studies to highlight the effectiveness of occupational therapy interventions with the breast cancer population across the continuum of care. To further organize and perpetuate this expert group of clinicians, a Group Page was created on OT Connections. OT Connections has provided a format





occupational therapists as key players in evaluating patients for integration into community programs? • With increased participation by breast cancer survivors in community programs and to avoid costly traditional rehabilitation, how can we educate and collaborate with community program administrators to trigger client referral back to traditional rehabilitation when there is a safety risk or potential status change that requires skilled intervention? How can occupational therapy practitioners increase the role of preventing impairments such as lymphedema across the spectrum of care? For example, are you involved in hospital or community presentations to educate breast cancer survivors on effectively addressing functional and participation challenges? As a profession, how can we increase visibility in the public and community as experts in breast cancer survivorship challenges? For example, are we mentioned on key Web sites and brochures? As a profession, what do we believe the red flags or triggers are for a referral to occupational therapy? The ACS would like to help provide a referral guideline for health care providers to increase standard access of care for this population. How are you promoting occupational therapy’s unique role in breast cancer rehabilitation? What grassroot efforts can you make in your area of practice (e.g., recommend


occupational services in a hospital)? The core panel noted that occupational therapy lacks evidence in the area of breast cancer rehabilitation in comparison with the other professions involved. How can we objectively quantify our unique contributions? How can we measure the effects of decreased/impaired participation and function on this population’s health and longevity?

My involvement in this group helped me understand how advocacy and public policy go hand in hand. As a profession, we should make sure we are sitting at the table in as many of these types of conversations as possible. Occupational therapy was not originally considered in the rough draft of the breast cancer rehabilitation model by the core panel; however, I spent every opportunity promoting our role during the roundtable and during networking opportunities with all participants. It became very clear that the other health care professionals were unaware of our general role and its significance to breast cancer rehabilitation. I am excited to say that occupational therapy was added to the published model, many of the core panel members mentioned occupational therapy’s unique value in their discussions, and our unique perspective was added to the future publication on the model. The most important outcome of this roundtable thus far has been the planned publication of 16 articles in the journal Cancer in a supplemental issue. The supplement,

called A Prospective Surveillance Model for Rehabilitation for Women with Breast Cancer, will include papers on assessment and early intervention for individual impairments discussed at the meeting. Other topics include the prevalence of any treatment sequelae, relevant clinical practice guidelines, integration with overall survivorship care, and the definition of the proposed prospective surveillance model. The ACS is encouraging stakeholders to disseminate the proposed model for broader consideration of its testing by and application to all fields of practice. Since this original meeting, AOTA has supported many efforts to respond to this call to action. Examples include a Roundtable held at the 2011 Annual Conference & Expo in Philadelphia to disseminate information to the field; creation of a continuing education CD; a planned presentation at the annual Conference & Expo in 2012 in Indianapolis to increase awareness and education in this area of practice; and ongoing development of articles and other publications.1 n

1. Yamkovenko, S. (2011). The emerging niche: What is next in your practice area? Rehabilitation, disability, and participation: Cancer care and oncology. Retrieved from Areas/EmergingAreas/RDP/Cancer.aspx

Jennifer Hughes, MOT, OTR/L, is a clinical consultant for MediServe and a former occupational therapist at MD Anderson Cancer Center in Houston, Texas.

for the founding group to effectively communicate with each other, easily share and post documents, and advertise for and engage with prospective group members from around the country. Are you interested in learning more about occupational therapy and breast cancer? Check us out on http:// Look for the “OT Leadership Group in Breast Cancer” in the Practice Areas group. Or perhaps you are involved in another unique, emerging area of occupational therapy practice, and would like to seek out support and resources from other clinicians around the country? Browse the
Forum Topics on OT Connections, and start a new discussion thread to attract relevant

Elizabeth Dwyer DeIuliis, OTD, OTR/L, is academic fieldwork coordinator and an assistant professor at Duquesne University’s Department of Occupational Therapy in Pittsburgh. Sara Cohen, OTR/L, CLT-LANA, is an occupational therapist and a certified lymphedema therapist at the Breast and Imaging Center of Memorial SloanKettering Cancer Center in New York. She has more than 15 years of clinical experience working with women who have breast cancer and lymphedema. Claudine Campbell, MOT, OTR/L, CLT, is the inpatient occupational therapy manager at Memorial Sloan Kettering Cancer Center in New York. She has more than 10 years of clinical experience in the acute care and outpatient settings at Memorial and has extensive experience working with women who have received treatment for breast cancer. Lisa Schulz Slowman, MS, OT/L, CHT, provides outpatient occupational therapy services at Whittier Rehabilitation Hospital in Westborough, Massa-

chusetts. She is also working to build a network of resources in New England for those affected by cancer through an organization called Happy Chemo!

F O r M O r e i N F O r M AT i O N
Occupational Therapy in Acute Care By H. Smith Gabai, 2011. Bethesda, MD: AOTA Press. ($109 for members, $154 for nonmembers. To order, call toll free 877-404AOTA or shop online at view/?SKU=1258. Order #1258. Promo code MI) Applying the Occupational Therapy Practice Framework: Using the Cardinal Hill Occupational Participation Process in Client-Centered Care, 2nd Edition By C. Skubik-Peplaski, C. Paris, D. R. Collins Boyle, A. Culpert, J. Hale, L. Tudor, and E. Hunter, 2009. Bethesda, MD: AOTA Press. ($55 for members, $79 for nonmembers. To order, call toll free 877-404-AOTA or shop online at Order #1239B. Promo code MI)

clinicians who may be interested in collaborating. n


2012 AOTA Annual Conference Corporate Sponsors
AOTA Thanks Its Conference Corporate Sponsors!
Please join AOTA in specially recognizing and thanking these generous supporters of AOTA and the OT profession by stopping by their booths during your time in the Exhibit Hall.

Platinum Level
Conference Tote Bag

Booth 600

Welcome Ceremony

First Timers’ Orientation

Booth 624

Booth 227

Gold Level
Conference Program Guide Presidential Address

Booth 533

Lanyards and Program Directors’ Breakfast

Booth 814

Annual Awards & Recognition Ceremony and Reception

To all Thank you for your generous support!

Silver Level
Transportation Zone SIS Network Reception

SIS Fun Run and Walk

Booth 124 Booth 524

Poster Sessions

Conference Tote Bag Stuffer

Expo Hall Pocket Guide

Booths 701, 705, and 813 Booth 807 Booth 609

Assembly of Student Delegates’ Meeting and Students Unconferenced

Program Directors’ Meeting & Textbook Expo

Booth 801

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Bronze Level
ASAP Reception
Affiniscape Inc.

Food and Drink Station
Shepherd Center
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Cyber Café
Boston University
Booth 633

Miami Valley Hospital University of Southern California
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Audio Visual
Mary Washington Healthcare Touro College

Casamba, Inc.

Tech Day
Quinnipiac University
Booth 626

Booth 1330

Chatham University
Booth 25

Touro University Nevada

FieLdwOrk issues


Fieldwork Challenge 2012
Michael E. Roberts Rebecca L. Simon
for example. Additionally, OTs can supervise OTAs.) As many practitioners as possible must be available to ensure that students, regardless of their location or chosen practice area, are able to do the fieldwork they need. Fieldwork is the gateway to our profession, and our students are the future. Without enough practitioners who are willing to accept fieldwork students, our future is at risk. The same academic fieldwork coordinators who ensured you had a high-quality and valuable fieldwork experience are under increasing pressure due to higher workloads and smaller available placement pools. Please do your part for the future of our profession by saying “Yes!” next time you are asked for a fieldwork placement. Even better, don’t wait to be asked. Call your favorite school today and ask, “What can I do to help?” n

approximately 10 potential supervisors for each student. The United States appears to face a similar occupational therapy practitioner-to-student ratio that could explain what is anecdotally reported among academic fieldwork coordinators as a shortage of choices for placing fieldwork students. Based on several sources at AOTA, we examined the number of occupational therapy (OT) and occupational therapy assistant (OTA) programs nationally, the number of OT and OTA students nationally, and the number of licenses/registrations held nationally and state-by-state to gain a better sense of the possible practitionerto-student ratio (see Figure 1). Based on state regulator entity surveys, there were an estimated 123,751 OT licenses/registrations held in 2011.2 AOTA’s State Affairs Department estimates that those licenses were held by 102,466 OTs, with some undetermined number holding more than one license. Total entry-level enrollment in OT programs stood at 14,825 in 2011. Based on those figures, the number of licensed OTs per entry-level OT student Figure 1. is about 6.91. An estimated Estimating the Practitioner-to-Student Ratio 34,754 OTAs accounted n Total number of occupational therapy (OT) licenses for the 41,756 OTA state held nationally has increased from 97,367 in licenses held in 2011. Based 2003 to 123,751 in 2011, and the total number of on a total enrollment in OTA occupational therapy assistant (OTA) licenses held programs in 2011 of 7,122, nationally has increased from 30,648 in 2003 to the number of licensed OTAs 41,756 in 2011.2 per entry-level OTA students n Total entry-level enrollment in OT programs has is about 4.88. (Note: Several risen from 10,501 since 2003 to 14,825 in 2011, factors about the nature of and total OTA enrollment has risen from 3,451 in licensing and fieldwork mean 2003 to 7,122 in 2011.3 any ratios calculated aren’t n As of December 21, 2011, accredited OT doctoral perfectly representative of programs totaled 4, OT master’s programs totaled the true nature of fieldwork 144, and OTA programs totaled 152, for a total of placement today. The OT 300, with another 30 (3 doctoral, 3 master’s, and 24 and OTA student numbers OTA) programs with developing program status.4 include all students, not just those eligible for fieldwork, e have an OT Month challenge for all eligible occupational therapy practitioners: Remind yourselves, your colleagues, and facility managers about the benefits students bring to the workplace. Consider the positive impact that you can have on a student who enters the field as excited to learn and grow as you once were. Here’s some background on why your help is needed. In a 2005 editorial in the British Journal of Occupational Therapy, two occupational therapists asked the question, “A chronic shortage of practice placements: Whose responsibility?”1 Authors Christine Craik and Annie Turner estimated that no more than half of the 25,000 registered occupational therapists in Britain were eligible to accept a student for fieldwork, and that of the 5,000 then current occupational therapy students, approximately one third were on fieldwork at any one time. This led them to the conclusion that there were

1. Craik, C., & Turner, A. (2005). A chronic shortage of practice placements: Whose responsibility? British Journal of Occupational Therapy, 68(5), 195. 2. American Occupational Therapy Association. (2011, May). 2011 state regulatory entity survey results: Number of licensed/regulated OTs/OTAs. State policy update, 13(2), 3. Retrieved from enews/statequarterly/april-2011.aspx?ft=.pdf 3. Harvison, N. (2011). Academic programs annual data report: Academic year 2010–2011. Retrieved from http://www.aota. org/Educate/EdRes/OTEdData/42026/20102011-Annual-Data-Report.aspx?FT=.pdf 4. American Occupational Therapy Association. (2012). December 2011 accreditation actions. OT Practice, 17(1), 3. Michael E. Roberts, MS, OTR/L, is the academic fieldwork coordinator at Tufts University’s School of Occupational Therapy and co-chair of the New England Occupational Therapy Education Council. Rebecca L. Simon, MS, OTR/L, is the academic fieldwork coordinator at the New England Institute of Technology and co-chair of the New England Occupational Therapy Education Council.


To advertise your upcoming event, contact the OT Practice advertising department at 800-877-1383, 301-652-6611, or 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 education 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. April AOTA 92nd Annual Conference & Expo. The 2012 AOTA Annual Conference & Expo will be a vibrant gathering of occupational therapy practitioners, educators, researchers, and students. Focusing on science, innovation, and evidence, these 3-1/2 remarkable days will provide attendees with continuing education up to 24 contact hours through advanced-level learning in Pre-Conference Institutes and Seminars and more than 700 educational sessions; inspiring special events such as the Presidential Address, Eleanor Clarke Slagle Lecture, and Plenary Session; and numerous networking opportunities to connect with colleagues and leaders. Register online at
Lymphedema Management Seminars (31 hours). Coursework includes anatomy, physiology, and pathology of the lymphatic system, basic and advanced techniques of MLD, and bandaging for primary/secondary 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 San Francisco, CA, June 2–12, 2012. AOTA Approved Provider. For more information and additional class dates/locations or to order a free brochure, please call 800-863-5935 or log on to

Continuing Education Sensory Integration Certification Program by USC/WPS Richmond, VA: Course 1: May 17–21 London, ON, Canada: Course 1: May 31–June 4 Richmond, VA: Course 2: June 21–25 For additional sites and dates, or to register, visit or call 800-648-8857

Visit this AOTA Silver Sponsor at Booth 609
professional collaboration, advocacy, research, and education. Envision Conference, September 12–15, 2012, Hilton St. Louis at the Ballpark. Learn more at

Indianapolis, IN

Apr. 26–29

March 2013

Newton, MA

Orlando Florida

Milwaukee, WI

Pilates for Rehab. The Pilates principles can be

Apr. 27–28

applied to many populations that therapists treat on a daily basis, and they can be integrated into traditional rehabilitation programs to enhance functional goals. Research has shown that Pilates benefits breast cancer survivors, women with stress incontinence, and fibromyalgia. Lab sessions will be devoted to learning and properly executing the exercises on a phase 1 to phase 3 continuum. Applications discussed for women’s health issues can also be used for many of the populations we treat. For additional courses, information, and registration, visit our Web site at www.chs-continuing.uwm. edu or call 414-227-3123.

the therapist who has little or no experience in driver evaluation or driver rehabilitation, is developing a new driving program, or is joining an established program. Guidance for the clinical and in-vehicle portion of a comprehensive driving evaluation is taught within the OT Practice Framework. Hands-on with evaluation tools, equipment, vehicles, and real clients. Instructors: Susan Pierce, OTR/L, SCDCM, CDRS; Carol Blackburn, OTR/L, CDRS. Contact Adaptive Mobility Services, Inc. at (407) 426-8020 or visit us at

Building Blocks for Becoming a Driver Rehabilitation Therapist. A comprehensive live workshop for

Jun. 25–29


Foundation 2013 Symposium runs March 21–23, 2013 in Newton, MA. This year’s topic: Early Identification of SPD and Related Diagnosis. Also take note of our upcoming courses: SI Assessment and Intervention for Children with Autism, Sept. 21–22, Write On!, Oct. 14 and our SI Integration Treatment Intensives—Refining Praxis Intervention for Children with SPD (Jan. 2013) and Intervention for Children with Trauma and Attachment Disorders (Aug. 2013). Lastly, we’re kicking off our virtual chat sessions where you can call in to chat with experts on a variety of SPD topics—contact hours available (CEUs available in the near future). Visit www.thespiralfound for more info or contact Maribeth Conway at 617-923-4410 ext. 231 or

Upcoming at Spiral: Spiral Foundation 2013 Symposium, 2012-2013 Courses for CEUs and Virtual Chats with the Experts. Save the date—the Spiral

Mar. 21–23, 2013

Kansas City, MO


Hanover, MD

The Impact of Disabilities, Vision, & Aging, and their Relationship to Driving. Course designed for
driver education and allied health professionals who wish to apply their knowledge of the different types and levels of disabilities to the driving task. Course: DRV 509. Call 410-777-2939 or visit our Web site at

May 17–18

designed for individuals new to the field of driver rehabilitation. Topics include program development, driver training, adaptive driving equipment, and program documentation. Course will also emphasize collaboration with mobility dealers and consumers and families. Contact ADED 866-672-9466 or visit our Web site at

Introduction to Driver Rehabilitation. Course

Jul. 27–28


Jan Davis’ Home Study Courses are #1!

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The best value for your CEU budget! Easy to use. No boring lectures or powerpoint. Three excellent, professionally filmed courses on DVD, each filled with videos of real patients offering practical, functional treatment ideas that can be used immediately! View video samples online. Purchase now, earn your CEUs this year or next. $195 for 15 hours, $295 for 30 hours, train more staff for just $95 per person. Earn 18.75 NBCOT PDUs/15 contact hours. Contact: www.ICELearning or toll free 888-665-6556.

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Application of Vehicle Modifications. Course

Jul. 27–28

Milwaukee, WI

WI Hand Experience: Treatment of Soft Tissue Conditions of the Upper Extremity. An interme-

May 17–19

designed for those desiring knowledge of adaptive driving equipment as well as the process for prescribing and delivering such equipment to individuals with disabilities. Contact ADED 866-672-9466 or visit our Web site at

Internet & 2-Day On-Site Training

diate- to advanced-level course focusing on soft tissue conditions of the upper extremity, including tendinopathy of the shoulder and elbow and Dupuytren’s Contracture of the hand. Differential diagnoses of various conditions will be explored. Evidence to support surgical, nonsurgical, and therapeutic approaches to treatment of these conditions, including new and future trends, will be presented. Saturday programs address these issues in detail. For additional courses, information, and registration, visit our Web site at www.chs-continuing.uwm. edu or call 414-227-3123.

ADED Annual Conference and Exhibits. Professionals specializing in the field of driver rehabilitation meet annually for continuing education through workshops, seminars, and hands-on learning. Earn contact hours for CDRS renewal and advance your career in the field of driver rehabilitation. Contact ADED 866-672-9466 or visit our Web site at September

Kansas City, MO

Jul. 29–31

Become an Accessibility and Home Modifications Consultant. Instructor: Shoshana Shamberg,


OTR/L, MS, FAOTA. Over 22 years specializing in design/build services, technologies, injury prevention, and ADA/504 consulting for homes/jobsites. 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 Group, COMBO, personal mentoring, and 2 for 1 discounts. Calendar/info at Seminar sponsorships available nationally.

St. Louis, MO

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Sept. 12–15

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Jun. 2–12

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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

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Performing a Successful Seating and Mobility Evaluation
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Continuing Education Continuing Education

professional Doctorate of occupational therapy Emerging
Assessment & Intervention Training 2-day hands-on workshop (1.6 CEU)
Two Days of Hands-On Learning (1.6 CEU) 2008 Conference Schedule

Assessment and Intervention

as Leaders

Choose from four Advanced Certificate Programs in OT. All credits can be transferred into the OTD at Jefferson. • Teaching • Autism For additional info and to register, visit • Neuroscience • Older Adults • Enhance your career and become a leader in your profession For complete training schedule & information visit D-5932 Host a Beckman Oral Motor Conference in 2009! • Hosting info call (407) 590-4852, or email For Apply principles of evidence-based practice as a basis for Host a Beckman Oral Motor Seminar! Redefining Healthcare Education 877-533-3247 clinical decision making Host info (407) 590-4852, or • Thomas • Gain advanced knowledge of occupational therapy practice Jefferson University Philadelphia, PA D-5954 through the study and application of occupational science Visit us at Booth 309 literature and occupation-based intervention Continuing Education • Design, implement, and evaluate the effectiveness of innovative occupation-based programs in your chosen area of interest • 24/7 online experience, with just two short residencies, allows you to study with convenience and flexibility • Develop skills in areas of professional advocacy, education, • Enhance your career and become a leader in your profession and business • Apply principles of evidence-based practice as a basis for clinical • Taught by clinical educators distinguished nationally and decision making • Gain advanced knowledge of occupational therapy practice regionally in specific areas of expertise through the study and application of occupational science • Accredited by Middle States Association of Colleges and literature and occupation-based intervention Secondary Schools • Design, implement, and evaluate the effectiveness of innovative occupation-based programs in your chosen area of interest Bachelor’s Degree-to-otD option • 24/7 online experience, with just two short residencies, allows Experienced occupational therapists who hold a bachelor’s degree you to study with convenience and flexibility • Develop skills in areas of professional advocacy, education, and in occupational therapy but do not hold a master’s degree have the business option to bridge into Chatham’s OTD program • Taught by clinical educators distinguished nationally and regionally in specific areas of expertise • Accredited by Middle States Association of Colleges and Secondary Schools • Enhance your career and become a leader in your profession Bachelor’s Degree-to-otD option • Apply principles of evidence-based practice as a basis for Experienced occupational therapists who hold a bachelor’s degree clinical decision making in occupational therapy but do not hold a master’s degree have • Gain advanced knowledge of occupational therapy practice the option to bridge into Chatham’s OTD program through the study and application of occupational science Woodland Road . . . Pittsburgh, PA literature and occupation-based intervention 866-815-2050 . . . Woodland Road . . . Pittsburgh, PA • Design, implement, and evaluate the effectiveness of innovative

San Francisco, CA Feb & Dates: Upcoming Locations 29-Mar 1 Burlington, NC Mar. 14-15 Cedar Rapids, IA April 12–13 Houston, TX Mar 28-29 Andover, MN April 20–21 McAllen, TX Apr. 4-5 Chicago, IL Apr 11-12 Battle Creek, MI April 27–28 San Antonio, TX Apr 19-20 San Antonio,SC Apr 25-26 Charleston, TX May 17–18 Tampa, NE May 31–1 Kearney, FL May 2-3 Manhattan, NY Jul 17-18 Stafford, TX VA Sep 20-21 Virginia Beach, June 28–29 Harrison, AR Sep 25-26 Morganton, NCAugust 16–17 Chicago, IL August 23–24 Warrenton, VA Oct 10-11 Columbia, SC Oct 16-17 San Antonio, TX October 4–5 Sacramento, CA Oct 24-25 Orlando, October 13–14 Miami, FL FL Nov 14-15

in Autism Practice and Research
Advanced Certificate Program • Explore evidence-based research • Learn assessment strategies • Design research-based interventions • 12 graduate credits; can be completed in 12 months

professional Doctorate of occupational DOCTORATE of OCCUPATIONAL THERAPY PROFESSIONAL therapy

866-815-2050 . . . occupation-based programs in your chosen area of interest Visit this AOTA Bronze Sponsor at Booth 25 OT PRACTICE • APRIL 9, 2012 • 24/7 online experience, with just two short residencies, allows you to study with convenience and flexibility



Continuing Education Continuing Education The Cancer Rehabilitation Program of the Massey Cancer Center Virginia Commonwealth University, Medical College of Virginia Is pleased to present its

Take your education to new heights!
Why an OTD? •Develop leadership skills •Implement evidence-based practice •Conduct clinical research •Improve writing skills •Update body of knowledge •Establish expertise in practice •Gain expertise in teaching •Contribute to the profession •Learn with colleagues Why the University of Utah? •Well-known OT program •Completely on-line •Occupation-based curriculum •Knowledgeable faculty •Affordable tuition

8th Biennial Conference Integrative Medicine in Cancer Rehabilitation
May 5, 2012 Richmond, Virginia The eighth biennial conference is designed for oncology professionals, including physical therapists who provide care for cancer patients and their families. Join us for a dynamic conference that will integrative medicine as it relates to cancer rehabilitation. For information, please contact Karen Reiter, Conference Coordinator, at 804-628-1910 or e-mail Poster presentations are being solicited; poster abstracts due April 1, 2012. Contact coordinator for details. Join your cancer rehab colleagues this spring in historic Richmond, Virginia. Tuition, including proceedings, lunch, and breaks $125.00 for section members. D-5971

The University of Utah offers a Post-Professional distance education OTD program. There are two tracks for Occupational Therapists trained at both the baccalaureate and master’s degree levels. Donna Costa: 801-581-4248

Visit us at Booth 21

Find AOTA on Facebook


online for your success
Visit us at Booth 528
Continuing Education

Follow AOTA on


Advance in your profession.
NEW. Occupational Therapy Doctorate
Our clinical doctorate develops ethical, visionary leaders who want to advance their knowledge and skills to improve health and well-being. • Deepen your knowledge and grow in your career. • Meet a growing need for college educators. • Tailor your program. Choose your area of focus. • Earn your degree online. Study at your own pace. Learn more at

Henrietta Schmoll School of Health


Visit us at Booth 1035
24 St. Catherine University

OT Practice ad 2012

Quinnipiac University School of Health Sciences
PoSt-ProfeSSional MaSter’S Degree in occUPational tHeraPy

Do you love your work?
If so, our program enables occupational therapy professionals to advance their knowledge of emerging research, leadership, and entrepreneurial concepts of occupational therapy. In other words, you’ll get more out of what you love to do most – helping others. The curriculum, faculty and online learning environment will enable you to attain the advanced skills valued in the future, without interrupting your career. With a smart, intuitive interface, engineered by an award-winning team of professionals, our online program is convenient and flexible. Stop by booth #626 to speak to our faculty.

See program for QU faculty scheduled presentation times




Visit this AOTA Bronze Sponsor at Booth 626

Continuing Education Continuing Education


leadership potential…

Physical Agent Modalities
Occupation based certification course


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For currently practicing occupational therapists seeking to advance DOCTOR OF OCCUPATIONAL THERAPY

Thermal & Electrical Agents AOTA Approved course Meets most state requirements This fantastic interactive movie course retails at $599.00. Save $50.00 for a limited time. Use Promo Code: OTPAMS

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Continuing Education


Occupational Therapy Assessment Tools: An Annotated Index, 3rd Edition (With CD-ROM)
Edited by Ina Elfant Asher, MS, OTR/L

Temple University’s Clinical Doctorate of Occupational Therapy (DOT) is a 30 credit program in a distance education
format that prepares candidates for leadership positions as advanced clinical specialists, program developers, and clinical educators. 21 credits of required coursework 9 credits of specialty clinical coursework. Earn a Professional Enhancement Course Completion Certificate through specialty coursework while completing the Doctorate. Complete all coursework online with only three weekend, oncampus sessions per year at the Temple University Center City campus in the heart of Philadelphia.

Organized around the Occupational Therapy Practice Framework, this edition is a basic reference for students and professional occupational therapists for use in clinical practice, academia, and research. Introductory chapters organize the reviews that follow. Included is a searchable CD-ROM. Order #1020A. $65 AOTA Members $89 Nonmembers

Contact us for more information (215) 707-4875

L 2012


Call 877-404-AOTA, or shop online at http://store.aota. org/view/?SKU=1020A


Visit us at Booth 16

Through the USC Doctor of Occupational Therapy (OTD) program, you will learn how to apply new knowledge developed in occupational science to meet the challenges of health needs and changing health care systems. The professional doctorate program is individualized and provides the following four leadership tracks so that each student can chart his or her own future while study with our outstanding faculty who are on the vanguard of occupational therapy practice and occupational science research:

The USC Occupational Science Ph.D. program will prepare you to become an academic leader as a career scientist through immersion in established interdisciplinary funded research groups to support skill development in producing peer reviewed publications and fundable research proposals, managing a research group, and flourishing in the academic work environment. You will benefit from small classes, individual attention, mentoring from career scientists, and interaction and collaboration with fellow students of high academic ability in a community of scholars. You will participate in socially responsive research groups that will train you to take Occupational Science and the professoriate of Occupational Therapy to the next level in:

   

Advanced Clinical Practice Policy/Administrative Leadership Educational Leadership Clinical Research Expertise

All OTD students take at least two courses in other schools or divisions at USC. These courses constitute your cognates which you can choose from USC schools and programs such as:

 Clinical Trials for Occupational Therapy & Rehabilitation   
Interventions Health Disparities & Cultural Influences on Health & Recovery Community Reintegration & Social Participation Engagement, Activity, & Neuroscience

    

School of Policy, Planning, and Development School of Business School of Gerontology Public Health Program School of Education


Total support is about $60,000 per year, including: full tuition coverage, a $28,000 living stipend, and student health and dental benefits.


Visit us at Booth 1032

Visit this AOTA Bronze Sponsor at Booth 1032

online at

tweet @USCOSOT


What Every Practitioner Needs To Know About Illinois • Median Annual Salary OT: $65,0001 OTA: $42,0001 • Licensure Status Required for OTs and OTAs1 • Licensure Board Illinois Occupational Therapy Board 320 West Washington Springfield, IL, 62786 Phone: 217-782-8556 Fax: 217-782-7645 Highlights University of Illinois–Chicago, Rush University, Midwestern University, Governors State University, and Chicago State University are listed among U.S. News & World Report’s list of “Best Graduate Schools” for occupational therapy.2 Accredited OTA programs in Illinois include Illinois Central College, Lewis & Clark Community College, Lincoln Land Community College, Parkland College, South Suburban College of Cook County, Southern Illinois Collegiate Common Market, and Wright College.1 Big Picture Illinois has something for everyone, from the big-city excitement of Chicago to quaint Victorian-era villages and farming towns. Health care accounts for more than 9% of all employment in the state, which is home to 190 hospitals and is ranked fourth in the nation for the most rural clinics.3 Want More? Visit the Employment Opportunities pages starting on page 31 and www. to view job openings from the following employers in IL: • Illinois Central College, p. 35 • Med Travelers, p. 32 • Provena St. Joseph Hospital, p. 31

What Every Practitioner Needs To Know About Indiana • Median Annual Salary OT: $60,0001 OTA: $43,6801 • Licensure Status Required for OTs and OTAs1 • Licensure Board Indiana Occupational Therapy Committee 402 W. Washington St. Room W072 Indianapolis, IN, 46204 Phone: 317-234-2051 Fax: 317-233-4236 Highlights Indiana University, University of Indianapolis, and University of Southern Indiana are listed among U.S. News & World Report’s “Best Graduate Schools” for occupational therapy.2 Accredited OTA programs include Brown Mackie College and University of Southern Indiana.1 Big Picture Indiana is “pro-growth,” with a tax and regulatory climate ranked as fourth best in the nation for job creation and economic growth. The state is in the crossroads of America and is filled with robust cities, expanses of heartland, and small-town coziness. Indiana’s affordable housing and quality of life make it a great place to live.4 Want More? Visit the Employment Opportunities pages starting on page 31 and www. to view job openings from the following employers in IN: • Med Travelers, p. 32 • RehabCare, OTJK • Easter Seals Crossroads, OTJK

What Every Practitioner Needs to Know About Kentucky • Median Annual Salary OT: $63,7501 OTA: $44,6261 • Licensure Status Required for OTs and OTAs1 • Licensure Board Kentucky Board of Licensure for Occupational Therapy P.O. Box 1360 Frankfort, KY 40602 Office: 502-564-3296, ext. 226 Fax: 502-696-3833 Highlights Some of the highest-paid occupational therapist in the United States work in the Elizabethtown, Kentucky, area.5 Eastern Kentucky University in Richmond and Spalding University in Louisville are ranked among U.S. News & World Report’s list of “Best Graduate Schools” for occupational therapy.2 Accredited OTA programs in Kentucky include Brown Mackie College, Jefferson Community and Technical College, and Madisonville Community College.1 Big Picture Kentucky has a low crime rate and low housing costs, and its vibrant arts community, rich history, and beautiful scenery make it a great place to live. Kentucky bills itself as being in the middle of everything, with borders within a day’s drive—600 miles—of two thirds of America’s population, and the state’s pro-business climate attracts small and large companies.6 Want More? Visit the Employment Opportunities pages starting on page 31 and www. to view job openings from the following employers in : • Eastern Kentucky University, p. 35 • Spalding University, p. 39 • Vibra Healthcare, p.37

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What Every Practitioner Needs To Know About Michigan • Median Annual Salary OT: $61,0001 OTA: $41,0001 • Licensure Status Required for OTs and OTAs1 • Licensure Board Michigan Board of Occupational Therapists P.O. Box 30670 Lansing, MI, 48909 Phone: 517-335-0918 Fax: 517-373-2179,1607,7132-27417_27529_27545---,00.html Highlights The Battle Creek area of Michigan has one of the highest concentrations of occupational therapy jobs in the United States.7 Western Michigan University, Eastern Michigan University, Wayne State University, Grand Valley State University, Saginaw Valley State University, and Baker College Center for Graduate Studies are listed among U.S. News & World Report’s “Best Graduate Schools” for occupational therapy.2 Accredited OTA programs in Michigan include Baker College, Grand Rapids Community College, Macomb Community College, and Mott Community College.1 Big Picture Michigan’s cost of living and median home prices are among the lowest in the country. The state is committed to high standards for education from kindergarten to college. With no local sales tax and one of the lowest personal income taxes in the nation, Michigan is a state where businesses can thrive. Residents enjoy 3,200 miles of coastline, 99 state parks, and more than 11,000 inland lakes.8 Want More? Visit the Employment Opportunities pages starting on page 31 and www. to view job openings from the following employers in MI: • Med Travelers, p.32 • Bay Cliff Health Camp, OTJK • Children’s Therapy Corner, OTJK

What Every Practitioner Needs To Know About Ohio • Median Annual Salary OT: $65,2081 OTA: $43,5001 • Licensure Status Required for OTs and OTAs1 • Licensure Board Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board 77 South High Street, 16th Floor Columbus, OH 43215 Phone: 614-466-3774 Fax: 614-995-0816 Highlights Ohio State University, University of Toledo, Cleveland State University, Xavier University in Cincinnati, University of Findlay, and Shawnee State University are listed among U.S. News & World Report’s “Best Graduate Schools” for occupational therapy.2 Accredited OTA programs in Ohio include Brown Mackie College, Cincinnati State Technical and Community College, Cuyahoga Community College, Kent State University, Marion Technical College, Owens Community College, Rhodes State College, Shawnee State University, Sinclair Community College, Stark State College, and zane State College.1 Big Picture Children in Ohio schools are challenged to be analytical and imaginative, and adults in postsecondary education develop into hard-working and highly skilled graduates. The state ranks fifth in the nation for the number of institutions of higher education and has three of the nation’s top 10 libraries. With a shorter and less intense commute than most other places in the country, residents in Ohio have time to enjoy life after work at museums, wineries, and stadiums cheering on college and professional sports teams.9 Want More? Visit the Employment Opportunities pages starting on page 31 and www. to view job openings from the following employers in OH: • Med Travelers, p. 32 • Vibra Healthcare, p. 37 • Miami Valley Hospital, OTJK
1. 2. www.grad-schools.usnews.rankingsand 3. 4. 5. articles/2012/02/27/best-jobs-2012occupational-therapist 6. 7. 8. 9. For a directory of state regulatory contacts, visit

Edited by Noomi Katz, PhD, OTR Foreword by Beatriz Colon Abreu, PhD, OTR/L, FAOTA The translation of cognitive neuroscience into occupational therapy practice is a required competence that helps practitioners understand human performance 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 international field, focus on cognition that is essential to everyday life. A must-read book for occupational therapy professionals and students to consider cognitive intervention strategies as critical to promote occupation-based, client-centered care and everyday participation in a fuller life!

Order #1173B AOTA Members: $89 Nonmembers: $126

To order, call 877-404-AOTA, or visit view/?SKU=1173B



Feel the Di erence Faith Makes
As of November 1st, 2 exceptional health care systems came together as 1. Provena Health and Resurrection Health Care have now formed the largest Catholic healthcare system in Illinois , encompassing 12 hospitals, 29 long term care and senior residential facilities, numerous outpatient services and clinics, home health services, hospice, private duty, comprehensive Behavioral Health services and more. Provena Saint Joseph Hospital, located in Elgin, IL, is well-respected for delivering quality care system and Be the ONE among the largest Catholic Health System to make the

Inpatient Occupational Therapist Openings (Acute & Rehab Unit) Full Time, Part Time and Flex Opportunities Available!
Visit our website to view available positions and apply online.

We celebrate diversity in our workforce. We are inspired by the knowledge and level of care each individual brings to the communities we’re privileged to serve.




Occupational Therapists

Do you want to practice to your full scope? Do you want to be part of a dynamic team environment that encourages professional development and active involvement in your job? Do you want your contributions to be supported and valued? Then why not consider working and living in Alberta. Joining our team of Occupational Therapists will afford you the opportunity to enjoy an incomparable standard of living in whichever community you choose to work. Alberta does not charge Provincial Sales Tax and has the lowest personal income tax of any province in Canada. Imagine spending time with family and friends while enjoying Alberta’s first class amenities and exploring the natural beauty of the province. AHS values the diversity of the people and communities we serve and is committed to attracting, engaging and developing a diverse and inclusive workforce. We welcome you to apply.

excellent wages & benefits outstanding educational opportunities employ your “full scope” of practice relocation packages temporary accomodation bursary opportunities
To find out more email or serach and apply for jobs on our website




Take Your Career to a Better Place
Become a Travel Therapist.
How do you get to a better place in your career? Travel there, of course! As part of the #1 Allied Staffing company, Med Travelers has unlimited opportunities in a variety of clinical settings that can not only accelerate your career, but open it up to a whole new world of possibilities. Let Med Travelers move your career in the right direction. Call (800) 788-4815 today!

At Med Travelers you’ll gain access to:
• • • • • More job opportunities and exclusive assignments Flexible pay options Day one health insurance 401(k) plans with company match Free housing or subsidy

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We’ve earned The Joint Commission’s Gold Seal of Approval™
U-5805 APRIL 9, 2012 • WWW.AOTA.ORG

Faculty Faculty

The University of Missouri invites applications for TWO positions. Join a dedicated faculty with a strong commitment to teaching, research, evidence-based practice, and clinical service. ASSISTANT OR ASSOCIATE PROFESSOR Description: Full-time 9-month tenure-track position to teach courses in research and other related courses. Qualifications: An earned PhD or OTD, or eligible, certification by NBCOT, and eligibility for licensure in Missouri. Previous teaching experience, evidence of scholarly work, or research experience recommended for this position. Duties: Primarily a research position, with service on committees and student advisement. Candidates are required to conduct research, apply for and receive funding, and mentor students on research projects. Salaries: Competitive and commensurate with experience. CLINICAL ASSISTANT PROFESSOR Description: Full-time 9-month nontenuretrack position to teach courses in research, mental health, and neuroscience. Qualifications: An earned PhD or OTD, or eligible, certification by NBCOT, and eligibility for licensure in Missouri. Previous teaching experience, evidence of scholarly work, or research experience recommended for this position. Duties: Primarily teaching position, with service on committees and student advisement. Candidates are also encouraged to conduct research and pursue scholarly endeavors. Salaries: Competitive and commensurate with experience. ———————— Application Procedure: Go to http://hrs.missouri .edu/find-a-job/academic/index.php. LINK the following materials in the Cover Letters and Attachments section once you have registered with the system. You can link the required application materials either before or after submitting your application. There is no restriction on file type for your attachments. Each file can be no larger than 20MG. You will be able to link your CV as part of the application when you apply for a specific position. Submit: • Letter of intent addressing position qualifications, teaching experience, research interests • Curriculum vitae • Three letters of reference Application Deadline: Review of applications begins immediately and will continue until the positions are filled.
The Department of Occupational Therapy does not discriminate on the basis of race, color, religion, national origin, sex, sexual orientation, age, disability, or status as a protected veteran per the policy of the University of Missouri. For additional information, please see the MU Statement of Nondiscrimination.

West Virginia University Robert C. Byrd Health Sciences Center School of Medicine Master of Occupational Therapy Program
The West Virginia University Robert C. Byrd Health Sciences Center, Division of Occupational Therapy, is seeking applications for a full-time, 12-month faculty position. Rank and salary will be determined based on qualifications and experience. The position can be a clinical or tenure track appointment with emphasis on teaching, research, and scholarly activity. The WVU occupational therapy entry-level masters program is part of a dynamic training and research center that includes a wide range of opportunities for collaborative research and interdisciplinary program development. Position Qualifications and Responsibilities Required: Occupational therapist with earned master’s degree, minimum of 5 years of clinical experience, evidence of teaching experience, strong leadership background, eligibility for licensure in West Virginia, and familiarity with variety of educational approaches, e.g., traditional, online education, distance education. Individuals with an earned doctorate (or progress toward this degree) and a minimum of 2 years of higher education teaching experience are encouraged to apply. Applicants should have expertise in pediatrics and at least one of the following areas: occupation-based practice, neurosciences, orthopedics, and gerontology. Qualified applicants are invited to submit a curriculum vitae (include the names, addresses and phone numbers of 3 references) to: Steven Wheeler, Ph.D., OTR/L Search Committee Chair Robert C. Byrd Health Sciences Center West Virginia University School of Medicine PO Box 9139 Morgantown, WV 26506-9139 e-mail: Fax (304) 293-7105 The position will remain open until filled. However, applications received by May, 1 2012 will be assured consideration during the first review cycle. West Virginia University is a comprehensive Carnegie designated RU/H: Research University (high research activity), with approximately 29,000 undergraduate and 6,000 graduate students. Morgantown has 58,000 residents and is rated as one of the best small towns in the U.S. For more information about Morgantown and the West Virginia University Health Sciences Center and School of Medicine, please visit the following websites:; and
WVU is an Equal Opportunity/Affirmative Action Employer. WVU Health Sciences Center is a smoke free campus. West Virginia University is the recipient of an NSF ADVANCE award for gender equity.


Assistant Professor of Occupational Therapy
The School of Health Professions and Education invites applications for a tenure-track position at the assistant professor level in occupational therapy, with an August 1, 2012, start date. The Utica College Occupational Therapy Program is a community-integrated, student-centered program that uses a case-based model of instruction to promote creative clinical reasoning across its day and weekend student cohorts. Classroom coursework is supported by online course shells that link day and weekend students to program resources. Earned doctorate or in progress required. Must be initially certified and eligible for New York State licensure and have a minimum of 5 years child/adolescent experience. Demonstrated expertise in child/adolescent practice a must. Previous teaching experience preferred. To apply, please submit a letter of application, curriculum vitae, and a list of three references to Utica College is an Equal Opportunity/Affirmative Action Employer


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e M P L O Y M e N T O P P O r T u N i T i“As I help my patients reach their goals es
Mimi Schiller


Fox helps me reach mine

Fox Physical Therapis

I would like to recognize the following Fox clinicians for presenting at the AOTA Conference. We are proud of their accomplishments and contributions to the health and wellness of our nation’s older adults.

Patricia Cheney, MBS, OTR / L, BCG Denise Crowley, OTR / L Marvin Lawson, OTR / L, DRS
Fox Rehabilitation clinicians are empowered to make their own treatment decisions, create their own schedule to fit their lifestyle, and capitalize on unique opportunities to advance their career. Fox offers a number of programs and initiatives to enhance clinical excellence.

Fieldwork Education New Graduate Mentor Program Emerging Professionals Program Skills2Care

Driving Rehabilitation Fox University PACE Program LSVT BIG Certification

SCHOLARSHIPS: Fox is proud to announce up to ten $10,000 scholarships to final year OT students interested in geriatrics. For more information, please visit Well done to all!

Tim Fox, PT, DPT, GCS Founder & CEO

Visit this AOTA Gold Sponsor at Booth 814

T 1 855 407 JOIN (5646) l W



Faculty Faculty


Faculty Recruitment—Occupational Therapy

Assistant/Associate Professor of Occupational Therapy
The Department of Occupational Therapy at Eastern Kentucky University is accepting applications for a 9-month, Assistant/Associate rank, tenure-track position to teach undergraduate courses in the Occupational Science program and graduate courses in the Occupational Therapy program beginning August 2012. These are Professional and PostProfessional Master’s Programs, and we also offer a collaborative Ph.D. Program in Rehabilitation Sciences with the University of Kentucky. Summer employment is available. A research or clinical doctorate is required (ABD considered) from a regionally (SACS, North Central, etc.) accredited or internationally recognized institution at the time of applying. Licensure or eligibility for licensure in KY is also required, and three years of clinical experience is preferred. This position will remain open until filled. All interested applicants must apply at (search requisition #0611186).
All offers of employment are contingent on completion of a satisfactory background check. Eastern Kentucky University is an EEO/AA institution that values diversity in its faculty, staff, and student body. In keeping with this commitment, the University welcomes applications from diverse candidates and candidates who support diversity.


ouro University Nevada, College of Health and Human Services, School of Occupational Therapy is seeking a full-time faculty member in the Master of Science in Occupational Therapy degree program.

The ideal candidate will join a dedicated faculty in this 24-month program. Touro University Nevada utilizes classroom, experiential lab, community-based practice settings, and technology-based teaching resources to foster student learning. Faculty members participate in university, professional, and community service activities. Minimum Requirements: A doctoral degree (or significant progression toward completion) is required along with experience in classroom instruction and practice in the identified content areas. Faculty members must be eligible and obtain a Nevada Occupational Therapy License. Preference will be given to individuals with expertise and teaching experience in the following areas: mental health, research, community-based practice, life-span clinical experience, and occupational therapy foundations. Individuals with expertise in other areas of occupational therapy foundation are also encouraged to apply. Additional Information: Touro University Nevada offers generous benefits to eligible employees including: health and optional dental/vision coverage; life insurance; long-term disability; a tax-deferred retirement plan; tuition benefits; 3 weeks of paid vacation the first year; numerous paid holidays, and more. To Apply: Qualified applicants should forward a letter of interest and current vitae to: Address: William Wrightsman, MS, OTR/L, Search Committee Chairperson Touro University Nevada, School of Occupational Therapy 874 American Pacific Drive Henderson, NV 89014 Email: Applicants should fully describe qualifications and experience, since the initial review will serve to evaluate applicants based on documented, relevant qualifications and professional work experience. Positions are currently available and will remained opened until filled.


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AOTA Bronze Sponsor

Tenure Track Faculty—Occupational Therapy Assistant Program Master’s degree and current professional licensure as an Occupational Therapist or Occupational Therapy Assistant, with five years clinical work experience as an Occupational Therapist or Occupational Therapy Assistant and one year academic appointment with teaching responsibilities required. Illinois Central College offers a comprehensive benefit package. For additional details and to apply online, please visit www.icc. edu/jobs.
EOE/AA Employer

Since 1991, TheraCare has been one of the premier multi-service health care, rehabilitation, developmental, and educational organizations founded on the principle of delivering promised performance. We provide pediatric services within the five boroughs of New York City, Westchester County, and the states of Connecticut and New Jersey We currently have open positions (full time/ part time/ subcontractor) for the following disciplines:

Occupational Therapy (OTs/ COTAs)
We offer competitive compensation, excellent benefits (full time only), 401k, ESOP, excellent clinical supervision, and career advancement. If you are looking for a challenging and rewarding career, submit a cover letter and resume to:
Visit us at Booth 1138




Faculty Faculty

A.T. Still University, Arizona School of Health Sciences, Department of Occupational Therapy
invites applications for a newly created faculty position at the assistant or associate professor level to teach in the residential entry-level Master of Science Degree Program, conduct facultyled student research projects, and participate in developing a postprofessional online doctoral degree program. Responsibilities include teaching, scholarship, mentoring, and service. Rank and salary are commensurate with experience and qualifications. Qualifications: PhD or other research doctoral degree and 4 years of teaching experience preferred. Candidates with a postprofessional master’s degree near completion of doctoral degree will also be considered. The ideal candidate will also demonstrate excellence in teaching at the graduate level, a clinical background in the area of adult neuro-rehabilitation, and interest in scholarly activity. Candidates must be eligible for and agree to secure occupational therapy licensure in Arizona. ATSU is a fully accredited graduate health professions institution offering doctoral degrees in physical therapy (entry level and postprofessional), osteopathic medicine, dentistry, and audiology. Master’s programs are offered in occupational therapy, athletic training, and physician assistant studies. Opportunities for interdisciplinary education and research are available and encouraged. As the founding school of osteopathic medicine, ATSU is committed to the integration of body, mind, and spirit. Additional information can be obtained from our Web site at The residential Occupational Therapy Program is located on the Mesa, Arizona, campus close to the Phoenix metropolitan area. Mesa is an eclectic mix of museums, culture, and heritage set in the beautiful Southwest, offering year-round opportunities for outdoor recreational activities with nearby lakes, canyons, golf courses, and the Superstition Mountains. Interested applicants should fill out an application at and send a cover letter and curriculum vita to: Bernadett Mineo, PhD, OTR/L Chair, Occupational Therapy A.T. Still University 5850 E. Still Circle Mesa, Az 85206 Phone: 480-219-6075 E-mail: F-5928

University of South Alabama

The Department of Occupational Therapy, University of South Alabama (USA) invites applications for a 12-month Associate or Assistant Professor faculty position available beginning August 2012. USA is a doctoral/ research-intensive institution located in the historic southern city of Mobile on beautiful Mobile Bay close to the Gulf Coast beaches and a short drive to New Orleans. This innovative OT program is organized around occupational performance areas and has an outstanding reputation. Minimum qualifications: Master’s degree is required, doctoral degree in OT or related field is preferred (required for associate professor rank); eligible for licensure in Alabama; and a minimum of 3 years of OT practice experience. Review of applications is ongoing and will continue until the position is filled. Please send CV and names of three individuals who may be contacted for letters of reference to: Dr. Marjorie Scaffa, Department of Occupational Therapy, University of South Alabama, HAHN Bldg. Room 2027, 5721 USA Drive North, Mobile, AL 36688. E-mail mscaffa@ or call 251-445-9222 for additional information. The University of South Alabama is an Equal Opportunity/Equal Access Employer


Visit us at Booth 16

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West The Shriner’s Hospital for Children–Northen California is seeking an Occupational Therapist R/L will be responsible for evaluating and treating in and out-patients setting with emphasis in the following clinics: • Cerebral Palsy • Spina Bifida • Prosthetics • Hand • Plastic Surgery The functions are to provide ROM and Muscle Testing, ADL training, Upper Extremity Prosthetic training, splinting, and pressure garment measurement and fitting. Therapist will provide hand therapy to maximize outcomes of surgical intervention and train patients in use of adaptive equipment. In addition must be able to work efficiently and adapt to varying diagnoses. Documentation must reflect best practice and evidence based treatment. Job Requirements: • Bachelor of Science Degree in Occupational Therapy • California License (current) • Current NBOTC certification • Minimum of 3 yrs. clinical experience with intermediate splinting skills and general hand therapy • Must have extensive knowledge base of hand anatomy • Prior knowledge of prosthetic fit and function preferred • Bilingual preferred English/Spanish or faxed to 213 639-3444. W-5979

Master in Occupational Therapy Faculty Position Opening
College of Saint Mary in Omaha, Nebraska is seeking to fill a 12-month faculty position in the Occupational Therapy Program. The Occupational Therapy program at CSM is a unique combined bachelor’s/master’s program that is growing rapidly. The position will require teaching, advising, committee work, service, and scholarly work. Therapists with experience in pediatrics, research, assistive technology, rehabilitation, and mental health are encouraged to apply. The position begins in mid-summer, 2012. Position Requirements: • Licensed or eligible for licensure in Nebraska • 3 to 5 years of experience with record of exemplary clinical practice • Evidence of commitment to OT and students success • Earned doctorate preferred; Master’s degree will be considered College of Saint Mary delivers graduate-level programs in education, organizational leadership, nursing, and occupational therapy as well as a doctorate in education. A women’s college at the undergraduate level, CSM is co-ed at the graduate level and enrolls approximately 1,100 students. For more information visit the Web site at Send letter of interest describing qualifications and experience along with curriculum vitae and three references to Occupational Therapy Search, Attention: Robyn Kniffen, College of Saint Mary, 7000 Mercy Road, Omaha, NE 68106. College of Saint Mary is an equal opportunity employer. F-5977

National Northeast

Freedom to Work with the Best
Various Positions in Baltimore, Maryland for Experienced Rehabilitation Professionals
LifeBridge Health, located in northwest Baltimore, Maryland, seeks Staff Occupational Therapy professionals for various practice areas. OT provides assessments, treatment recommendations and treats referred patients. One to three years of experience preferred, and new grads seeking a mentoring environment are also encouraged to apply. PRN positions also available! LifeBridge Health offers a competitive salary and benefits package, including: • Opportunities for Professional Growth • Supportive Management • Option to Participate on Workgroups • Individualized Mentor Program • Stable Team Oriented Atmosphere • 403-b Retirement Plan with Employer Match • Free Parking, CEUs and more!




At Carolinas Medical Center-Union we believe that our patients deserve excellent care provided by extraordinary people. If you are an extraordinary person looking to enjoy an excellent career and an outstanding quality of life, then we want to hear from you!

Visit to learn more and apply.


Occupational Therapist:
(Rehab and Home Health)

Experience the Adventure!
• Low cost of living • Multicultural experiences • 180 day school year • Salaries from $52,000– $68,000 DOE • Medical • Dental • Retirement

Requirements: Graduate of an accredited school of Occupational Therapy, current licensure in NC and at least one year experience as an Occupational Therapist with good clinical judgment and skills; Ability to function independently and to provide guidance and supervision to COTA. #1 in Employee Satisfaction with a 96% response rate for 2011 within our system!
To see additional OT opportunities and to apply, visit:

Your career with the Navajo County ESA is much more than a job, it is an adventure! With great kids, great schools, and time to enjoy all northern Arizona has to offer, we offer an experience unike any other! Visit our website for an application and more information:

Visit us at Booth 107


OT PRACTICE • APRIL 9, 2012 CMC-??????-0412-OT Practice-1-6pg(2.250x4.375)-color-#1.indd 1 PM 3/28/12 4:34:07


Faculty UniverSiTy OF The SCienCeS SaMSOn COLLege OF heaLTh SCienCeS DeParTMenT OF OCCUPaTiOnaL TheraPy The University of the Sciences is seeking three dynamic individuals to join our Department of Occupational Therapy in new 12-month assistant or associate professor positions, rank commensurate with experience. These positions offer the right candidates a unique opportunity to be involved in the inception of our entry-level doctoral program, which has an emphasis on leadership and community-based practice. This is an exciting opportunity that involves working with faculty leaders, program development, and a chance to influence the future of the profession. University of the Sciences is a comprehensive health care university situated in the University City area of Philadelphia, offering tremendous academic and educational opportunities. Our department is known for providing a wide variety of hands-on learning experiences. We have developed strong community partnerships, which provide active service learning programs for our students. We highly value student centered learning, innovative teaching, and active scholarship with student participation. Applicants with clinical expertise in cognition, neuroscience, and mental health preferred; however, strong candidates will be considered regardless of expertise. Assistant or Associate Professor of Occupational Therapy (Tenure Track) • Candidates should have teaching experience and a defined research agenda. The ideal candidate for this position will hold an earned doctorate, have at least 3 years of clinical experience, and have some teaching and research experience. All candidates must be initially certified by NBCOT and be eligible for a Pennsylvania license. • Responsibilities include scholarship, teaching in our post baccalaureate MOT and entry-level Dr. OT programs, and service to the University. Assistant Professor of Occupational Therapy (Non-Tenure Track) • The ideal candidate for this position will hold an earned doctorate and have at least 3 years of clinical experience. Teaching experience is preferred. Candidates with terminal degree in progress will be considered. All candidates must be initially certified by NBCOT and be eligible for a Pennsylvania license. • Responsibilities include teaching in our postbaccalaureate MOT and entry-level Dr. OT programs, scholarship, and service to the university. Academic Fieldwork Coordinator of Occupational Therapy, Assistant Professor (Non-Tenure Track) • Master’s degree in occupational therapy or related field is required. Candidates with an earned doctorate or a commitment to pursuing doctoral education are preferred. A minimum of 3 years of clinical experience, including 2 years supervising fieldwork students, is required. All candidates must be initially certified by NBCOT and be eligible for OT licensure in Pennsylvania. • Collaborate with current academic fieldwork coordinator to coordinate Level I and Level II fieldwork placements, mentor students through the fieldwork experience, academic advising, teaching in areas of expertise, and service to the university. Qualified applicants are invited to submit their resume, unofficial transcripts, and a cover letter indicating position of interest via e-mail attachment to Colleen Maher, OTD; Search Committee Chair; E-mail: otprof@ F-5925 Electronic (e-mail) submissions only. MS Word or PDF format only. EOE/AA.

The first two modules in a threepart series on evidence-based fall prevention services. Falls Module I Falls Among CommunityDwelling Older Adults: Overview, Evaluation, and Assessments
Presented by Elizabeth W. Peterson, PhD, OTR/L, FAOTA, and Roberta Newton, PhD, PT, FGSA

Earn .6 AOTA CEU (7.5 NBCOT PDUs/6 contact hours) Falls Module 1 is divided into two sections on the application of core course concepts that examines falls issues and risk factors among community-dwelling older adults. Order #OL34 AOTA Members: $210 Nonmembers: $299 Falls Module II Falls Among Older Adults in the Hospital Setting: Overview, Assessment, and Strategies to Reduce Fall Risk
Presented by Roberta Newton, PhD, PT, FGSA, and Elizabeth W. Peterson, PhD, OTR/L, FAOTA

AOTA Silver Sponsor

In an atmosphere this distinguished… everyone is a leader.
At Trinitas Regional Medical Center, our great healthcare comes from outstanding employees and our commitment to an enriched work/life balanced environment.

Earn .2 AOTA CEU (2.5 NBCOT PDUs/ 2 contact hours) Falls Module II provides lessons on falls problems in the hospital setting, identifying older adults at risk, fall risk factors, and assessment strategies. Order #OL35 AOTA Members: $158 Nonmembers: $225

Children’s Therapy Services • Springfield, NJ • Full Time Our school-based program has almost 3 decades’ experience in providing educationally relevant physical and occupational therapy services to children in public and private school settings. The ideal candidate will have a valid NJ OT license, a degree from an approved OT program (Bachelor’s or Master’s), and a NJ state school certificate, if applicable. Pediatric or school based experience is preferred. New graduates are welcome to apply. We offer a competitive salary and comprehensive benefits package - a strong mentorship program and opportunities to grow as a professional. For consideration, please apply online at to position #4094. We are an equal opportunity/AFFIRMATIVE ACTION employer.

School-Based OTs

To order, call 877-404-AOTA, or visit



West Faculty

Anchorage School District Anchorage, Alaska

Competitive salary • Great benefits $3,000 signing bonus for 2012-2013 school year $2,000 salary supplement for SI or NDT
Contact Kate Konopasek at ( or apply online at

Join a dynamic team of 30 OT’s!

Keuka College is seeking a faculty member to join our growing occupational therapy program for fall 2012. This is a 10-month assistant or associate professor tenure-track position, depending on qualifications. The position includes teaching pediatric clinical intervention. We provide an excellent opportunity to teach and grow professionally in the beautiful Finger Lakes region of upstate New York. Emphasis of the program is on innovative teaching. The new faculty will have the opportunity to work with supportive and experienced faculty and administration in a well-established OT program. Keuka College is an equal opportunity employer committed to a diverse and inclusive workforce and encourages applications from groups underrepresented in higher education.



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Specific Responsibilities: • Coordinating and teaching the OT curriculum pediatric course sequence • Assisting with advising students • Assisting with graduate student project development and advising Qualifications: • Master’s degree required, with the understanding of progressing to an OTD or advanced doctorate preparation in OT or related field • Minimum of 3 years of clinical experience in pediatric OT practice • Must be eligible for licensure in New York and be NBCOT certified For further information about the position, contact Vicki Smith, EdD, MBA, OTR/L, at Applications must be submitted at

Visit us at Booth 1424

Occupational Therapist Director
Eckert, Colorado Colorado Licensed
Horizons Rehabilitation Center is currently looking for a dynamic occupational therapist to join our dedicated multidisciplinary team. Qualified candidates must have current licenses, be team players, preferably experienced in adult inpatient and outpatient rehabilitation and long-term care, and have computer skills. • Competitive salary • Excellent benefits • Strong mentoring and support • Opportunities for professional growth Please apply by submitting your resume to: Fax: 970-835-8560 or E-mail:
W-5960 F-5964


Want an Adventure in Alaska? Immediate vacancies for Occupational Therapists in the Fairbanks, Alaska School District • Up to $5000 relocation costs • Competitive salary & benefits • 190 day contract (summers off!) • Safe schools • No state/sales tax • Permanent fund dividend • Doctoral level state university • Unparalleled outdoor recreational activities • Urban setting • International airport Fairbanks North Star Borough School District 520 5th Avenue • Fairbanks, AK 99701 Ph: (907) 452-2000, ext. 380 Fax: (907) 451-6008 E-mail:





April is OT Month
Celebrate it today and order your 2012 OT Month products now!



Where teaching, investigating, and treating are “activities of daily living” and the evidence for occupational therapy practice is generated and disseminated.

Definition T-Shirt OT50

Faculty Positions
PeDiaTriCS, PhySiCaL DiSaBiLiTieS, COMMUniTy PraCTiCe are yOU a leader or emerging leader in education, research, and practice? Consider joining the faculty of one of the nation’s leading public research institutions. We neeD: an occupational therapist, with an earned research doctorate (clinical doctorate considered) from an accredited university, and a minimum of 3 years of clinical experience to: (1) develop and sustain an independent/collaborative research agenda; (2) teach in our entry-level professional, postprofessional, and PhD programs. Rank and salary are dependent on qualifications. We OFFer: Opportunity to work with experienced researchers and doctoral students; an interdisciplinary teaching and research environment, and extensive international opportunities. Pittsburgh is an affordable, progressive and friendly city to live in. TO aPPLy: Applications accepted until positions are filled. For information contact Drs. Elizabeth Skidmore ( or Ketki Raina ( Letter of application, curriculum vitae, and names and addresses of three professional references should be sent to: Christie Jackson, 5012 Forbes Tower, University of Pittsburgh, Pittsburgh PA 15260; (412) 383-6716; The University of Pittsburgh is an Equal Opportunity Employer. F-5965

Clearview Drinkware & Ceramic Coffee Mug OT21& OT20


reseArcH uPdATe

Habits and Routines, Carpal Tunnel Syndrome Interventions, and Research Resources
Susan H. Lin

Habit-Changing Professionals


n a study funded by the U.S. Department of Veterans Affairs, Cohn et al. examined potential reasons for ethnic/ racial disparities in hypertension control among the veteran population.1 Through in-depth analysis of qualitative interviews, the authors sought to understand patients’ experience of managing hypertension. The researchers used two case studies to illustrate (1) how the role of habits and routines is critically important in illness management, and (2) how to address both habits and routines in clinical encounters. Patient education is still important for self-management of chronic conditions, but patients’ habitual modes of participating in the world will influence their daily routines, which may then support or not support disease self-management. For example, patients may know that they should restrict their salt intake, but if they like to socialize by dining at restaurants frequently, this habit may interfere with managing hypertension. Cohn et al. argued that “habit-changing” professionals like occupational therapy practitioners could provide lifestyle modification interventions to clients for effective self-management of hypertension.

Comparative Effectiveness of Splints and Stretches in Carpal Tunnel Syndrome
o compare the effectiveness of an intensive lumbrical splint/stretch intervention with three less intensive lumbrical splint/stretch combinations on the symptoms and function in carpal tunnel syndrome (CTS), Baker et al. examined the effects of a 4-week home program of nocturnal splints (lumbrical or wrist cock-up splints) combined with stretches (lumbrical intensive or general) performed six times daily in 124 volunteers with mild to moderate CTS.2 By week 24, a significantly greater percentage of participants in the general splint/ lumbrical stretch group showed clinically meaningful improvement on the Carpal Tunnel Symptoms Severity and Function Questionnaire. Thus, the combination of a cock-up splint with lumbrical intensive stretches is a more effective long-term intervention for functional gains than splinting or stretches alone, or other splint/stretch combinations for individuals with mild to moderate CTS.

Research News and Resources
he AOTA–AOTF Accelerating Clinical Trials and Outcomes Research (ACTOR) Conference, held December 1 to 2, 2011, in Arlington, Virginia, drew 75 researchers who participated in a variety of informative, thought-provoking presentations and discussions.3 We are grateful to our outstanding speakers and the Agency for Healthcare Research and Quality for its support and funding. The ACTOR presentations and handouts are available for free at Videos of the presentations and discussions are available for free at http://vimeo. com/album/1834514. If you are interested in receiving brief research-related news, sign up for Twitter at and follow Susan Lin (@SusanAOTA). Additionally, if you are interested in conducting research, consider joining the Research News and Resources group in OT Connections (, where I post research resources and opportunities for advocacy and training.
Susan H. Lin, ScD, OTR/L, is AOTA’s director of research.



1. Cohn, E. S., Cortés, D. E., Fix, G., Mueller, N., Solomon, J. L., & Bokhour, B. G. (2011, November 22). Habits and routines in the daily management of hypertension. Journal of Health Psychology. Advance online publication. doi:10.1177/1359105311424471 2. Baker, N. S., Moehling, K. K., Rubinstein, E. N., Wollstein, R., Gustafson, N. P., & Baratz, M. (2012). The comparative effectiveness of combined lumbrical muscle splints and stretches on symptoms and function in carpal tunnel syndrome. Archives of Physical Medicine and Rehabilitation, 93(1), 1–10. 3. Waite, A. (2012). Trial run: ACTOR conference helps build researchers’ skills. OT Practice, 17(1), 19–20.

Follow Susan Lin on @SusanAOTA

NOTE: To view the abstracts of these articles, visit Google Scholar or try PubMed 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 or 301-652-6611, ext. 2091.


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