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OCC U PAT I O N A L
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A S S O C I AT I O N
JULY 2, 2012
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OT Practice external advisory board
Donna Costa: Chairperson, Education Special Interest Section Michael J. Gerg: Chairperson, Work & Industry Special Interest Section Dottie Handley-More: Chairperson, Early Intervention & School Special Interest Section Kim Hartmann: Chairperson, Special Interest Sections Council Gavin Jenkins: Chairperson, Technology Special Interest Section Tracy Lynn Jirikowic: Chairperson, Developmental Disabilities Special Interest Section Teresa A. May-Benson: Chairperson, Sensory Integration Special Interest Section Lauro A. Munoz: Chairperson, Physical Disabilities Special Interest Section Linda M. Olson: Chairperson, Mental Health Special Interest Section Regula Robnett: Chairperson, Gerontology Special Interest Section Tracy Van Oss: Chairperson, Home & Community Health Special Interest Section Jane Richardson Yousey: Chairperson, Administration & Management Special Interest Section
aota president: Florence Clark executive director: Frederick P. Somers Chief public affairs officer: Christina Metzler Chief Financial officer: Chuck Partridge Chief professional affairs officer: Maureen Peterson
© 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 the Copyright Clearance Center to reproduce or photocopy material appearing in this magazine. Direct all requests and inquiries regarding reprinting or photocopying material from OT Practice to www.copyright.com.
COVER ART © JASON REED (BACKGROUND); BUBAONE & BROWNDOG STUDIOS / ISTOCK (ICONS); AND COURTESY OF GAVIN JENKINS (SKETCHES)
Smart Gadget Applications Showing Their Worth in Practice
Taking a Low-Tech Approach to Assistive Technology
Andrew Waite reports on practitioners incorporating apps into their work to help clients be better able to function in all of their many everyday activities.
Gavin Jenkins notes that a trip to the local hardware or home improvement store may offer the most effective solutions to clients’ needs relatively quickly and easily.
news Capital briefing
Sequestration Is a Four-Letter Word
3 6 7
Continuing Education Opportunities
19 27 32
employment opportunities Questions and answers
Wanted: Hands-on Learning Opportunities During Level I Fieldwork
OTA Receives New Limb-Lengthening Procedure
• Discuss OT Practice articles at www.otConnections.org in the OT Practice Magazine Public Forum. • Send e-mail regarding editorial content to firstname.lastname@example.org. • Go to www.otpractice.org/currentissue to read OT Practice online. • Visit our Web site at www.aota.org 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 email@example.com, or make the change at our Web site at www.aota.org. 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.
OT PRACTICE • JULY 2, 2012
NEW EDITION AVAILABLE FROM AOTA PRESS!
Ways of Living
Edited by Charles H. Christiansen, EdD, OTR, OT(C), FAOTA, and Kathleen M. Matuska, PhD, OTR/L, FAOTA Foreword by Gary Kielhofner, DrPH, OTR/L, FAOTA
Intervention Strategies to Enable Participation
People experience and value their health in terms of its impact on their lives or their ability to participate in life. Occupational therapy strives for meaningful occupational performance as an outcome with clients, recognizing that physical, mental, and emotional health can enable that outcome. Occupational therapy services address aspects of care that mean the most to clients. This comprehensive, updated edition reflects the terminology of the Occupational Therapy Practice Framework and content in light of the new realities of health care, including intervention strategies beyond adaptation to ADL and IADL challenges. Strategies, including evaluation and planning, are featured on topics such as • Developmental disabilities • Rheumatic diseases • Spinal cord injury • Stroke • Movement disorders • Upper-extremity amputation • Severe burns • Alzheimer’s disease • Traumatic brain injury • Psychiatric disabilities • Vision loss • Sexuality and disability • Assistive technology • Environmental adaptations • Home-based care.
Ways of Living, 4th Edition includes 20 chapters with nearly 300 tables, figures, and case examples to illustrate key points, as well as highlights boxes. This book will be valuable to students, practitioners, and researchers who need current information on the breadth of occupational therapy’s services. ISBN: 978-1-56900-298-8, 566 pages, 2011 Order #1970B AOTA Members: $79, Nonmembers: $112
Shop Online at HTTP://STORE.AOTA.ORG/VIEW/?SKU=1970B, or Call 877-404-AOTA
Association updates...profession and industry news
registration ends September 4. For more information, contact firstname.lastname@example.org or visit the AOTA Web site at www. aota.org. AOTA’s Web site available at www.aota.org/News/Advocacy News/CMS-Revises-OT-Medic aid.aspx?css=print on a table at the wine lounge where they worked when they met 3 years ago. After thinking, “how on earth did the new issue of OT Practice make its way to this table?” Sarah convinced herself Bobby put it there to celebrate her recent graduation and successful completion of the NBCOT exam. She started flipping through the magazine and when she came across the ad, she was stunned! Bobby got down on one knee, professed his love to her with OT Practice by their side, and asked for her hand in marriage. When she said “Yes, of course I will!” she still assumed Bobby had somehow superimposed the ad into the magazine himself. When he told her he purchased the ad and that it will be in every issue for all of her friends and colleagues to see, the look on her face was priceless! To read what Bobby had to say about the experience, visit www.aota.org/news/consumer/ otp-proposal.
Board Approves 2013 Priorities
he AOTA Board of Directors has approved its 2013 priorities that will help the profession meet the goals of the Centennial Vision. The priorities include continuing to promote leadership opportunities among members; promoting the profession to consumers, physicians, and payers; continuing strong federal and state advocacy to maintain coverage for current and expanding areas of practice, and to influence models of primary care; promoting research by collaborating with the American Occupational Therapy Foundation to create and disseminate occupational therapy outcomes and evidence; and continuing to reduce faculty shortages by developing programs that encourage faculty to pursue doctoral degrees. For more, visit www.aota. org/news/announcements/ priorities-2013 under the News section on AOTA’s Web site.
CMS Revises OT Qualifications Under Medicaid
Virtual Chat on Sensory Integration
articipants in an upcoming pediatric virtual chat will discuss sensory integration on July 17 at 1 p.m. EST. To participate in the chat and view archives of previous talks, visit www.talkshoe.com/tc/73733.
Advanced Practice Specialty Conference
egistration is open for AOTA’s Advanced Practice in Traumatic Injuries & PTSD: Lessons for Military, VA, & Civilian Practitioners conference, to be held from September 7 to 8, 2012, in San Antonio. Topics will include upperextremity orthopedic injuries, pain, burns, vision loss, traumatic brain injuries, warrior transition units, amputations, posttraumatic stress disorder, spinal cord injuries, driving and community mobility, technology, and return to work. Early registration ends August 20. Regular
OT PRACTICE • JULY 2, 2012
n part because of persistent advocacy efforts by AOTA, the Centers for Medicare & Medicaid Services (CMS) have finalized a proposal to update Medicaid language on the personnel qualifications of occupational therapists and physical therapists. Throughout 2010 and 2011, AOTA has been in contact with CMS about the issue, informing the agency that the language is outdated, inaccurate, and incomplete. We urged CMS to make the necessary changes to avoid any confusion in practice and reimbursement that could ultimately lead to widespread problems between occupational therapists/ occupational therapy assistants and the Office of the Inspector General, CMS contractors, and state enforcement agencies. Last year, as a result of AOTA’s prolonged advocacy, CMS proposed to remove the outdated qualifications language for occupational therapists in the Medicaid regulations (42 CFR §440.110) and instead cross reference the updated language for occupational therapists in the Medicare regulations (42 CFR §484.4). In the final rule, CMS agreed to cross reference occupational therapists so that the definition of a “qualified occupational therapist” under Medicare matches the definition of a qualified occupational therapist under Medicaid. For more on this decision, check out the article on the Advocacy News section of
She Said “Yes”!
obby Tyson didn’t just want to propose to his girlfriend Sarah Dressler, an occupational therapist—he wanted it to be memorable. So he did what any attentive boyfriend would do. He took out an ad in OT Practice, Sarah’s favorite professional publication. Bobby arranged to have AOTA send an advance copy of the magazine and had it waiting
PHOTOGRAPH COURTESY OF BOBBY TYSON
June 4, 2012, page 7
A O TA B u L L E T I N B O A R d
OUTSTANDING RESOURCES FROM
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 being accepted until September 15 for the next chairperson of four SISs: Education, Gerontology, Physical Disabilities, and Technology. The term of office is 3 years, beginning July 1, 2013. The chairperson coordinates the projects and 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 publication. The chairperson represents the SIS with all bodies of AOTA and is a member of the SIS Council. Each nominee will submit the information outlined in the SIS Chairperson Nomination Form (Attachment E of the SIS SOPs) to the Nominating Chairperson via e-mail. This form is available on the AOTA Web site in the Nominations and Election Areas area of the SIS section. Nominees may also request this form by contacting the SIS administrative assistant, Barbara Mendoza, at email@example.com or 800-SAY-AOTA, ext. 2042. Self-nominations are welcome.
for the Representative Assembly. This document is posted in the Official Document section of AOTA’s Web site at www. aota.org/practitioners/official.
Occupational Therapy and Home Modification: Promoting Safety and Supporting Participation
M. Christenson & C. Chase his publication, which also contains a CD-ROM of hundreds of photographic and video resources, was written by occupational therapy professionals, as well as policymakers, researchers, designers, and builders, to articulate the meaning of home to clients, define universal design, provide assessments and outcomes measurements, discuss funding options, and offer networking and marketing guidance. $55 for members, $79 for nonmembers. Order #1259. http://store.aota.org/ view/?SKU=1259
Understanding the Assistive Technology Process to Promote School-Based Occupation Outcomes
(onlIne CoUrse) B.Goodrich, L. Gitlow, & J. Schoonover earn 1 aota CeU (12.5 nbCot pdUs/10 ContaCt HoUrs). n this course, you will learn about assistive technology (AT), focusing specifically on the AT service delivery process, the role of occupational therapy in that process, and the availability and implementation of AT devices. $225 for members, $320 for nonmembers. Order #OL31. http://store.aota.org/ view/?SKU=OL31
n Frank gainer, MHS, OTR/L, FAOTA, AOTA’s director of Conferences, and tim nanof, AOTA’s director of Federal Affairs, recently spoke to 22 students from James Madison University’s Occupational Therapy Program, who came to Bethesda, Maryland, to tour AOTA headquarters. AOTA encourages programs to schedule visits. To learn how, contact Gainer at firstname.lastname@example.org.
Practitioners in the News
n Julia guzman, OTD, OTR/L, will present her research “A Retrospective Analysis of Participation and Functional Outcomes of Children with Autism Spectrum Disorders Receiving Occupational Therapy Services in Urban School Settings’’ at the ICare4Autism International Autism Conference in Jerusalem, Israel, in August. n natalie leland, PhD, OTR/L, BCG, of the USC Division of Occupational Science and Occupational Therapy and the USC Davis School of Gerontology, recently published a study in the Journal of the American Geriatrics Society analyzing fall rates among short-stay nursing home patients that found one in five sustain a fall within the first 30 days of admission, and that the increased presence of certified nursing assistant staffing is associated with decreased fall risk. n Janalee reineke lyth, MOT, OTR/L, CCM, CAPS, recently received Essentia Health’s Employee of the Year Award in Duluth, Minnesota. The
JULY 2, 2012 • WWW.AOTA.ORG
Occupational Therapy and Home Modification: Promoting Safety and Supporting Participation
(spCC) M. Christenson & C. Chase earn 2 aota CeUs (25 nbCot pdUs/20 ContaCt HoUrs). his self-paced clinical course, which consists of text, an exam packet, and a CD-ROM of hundreds of photographic and video resources, was created for occupational therapy professionals new to home modification. Those who have been practicing in this area will learn about the latest assessment tools and new assistive technology. Therapists who work with adults and those who work with children will find helpful guidelines and suggestions. $259 for members, $359 for nonmembers. Order #3029. http://store.aota. org/view/?SKU=3029
Ways of Living: Intervention Strategies to Enable Participation, 4th Edition
C. Christiansen & K. Matuska his updated edition reflects the terminology and content of the Occupational Therapy Practice Framework: Domain and Process, 2nd Edition in light of the new realities of health care, including interventions strategies beyond adaptation to activities of daily living (ADLs) and instrumental ADL challenges. Strategies including evaluation and planning are featured in topics such as movement disorders, assistive technology, and environmental adaptations. $79 for members, $112 for nonmembers. Order #1970B. http://store.aota.org/ view/?SKU=1970B
Bulletin Board is written by amanda Fogle, AOTA marketing specialist.
New Position Paper on Fieldwork Available
ready to order? Call 877-404-AOTA or go to http://store.aota.org Enter promo Code bb
Questions? Call 800-SAY-AOTA (members); 301-652-AOTA (nonmembers and local callers); TDD: 800-377-8555
he position paper Fieldwork Level II and Occupational Therapy Students was recently developed by the Commission on Practice and Commission on Education and adopted by the Representative Assembly Coordinating Council
C A P I TA L B R I E f I N G
Sequestration Is a Four-Letter Word
ail. Or to more precisely use the terminology of today’s techno-culture, Epic Fail. These are four-letter words, among a few others, that can be used to describe the work of the so-called “Super Committee” that was created by the Budget Control Act of 2011 (P.L. 112-25) and tasked with identifying $1.2 trillion in budgetary savings to deliver a more balanced budget and reduce the growth of the federal debt. Officially known as the Joint Select Committee on Deficit Reduction, the Super Committee, now defunct, comprised six Republicans and six Democrats from both the House and Senate and was co-chaired by Senator Patty Murray (D-WA) and Representative Jeb Hensarling (R-TX). Although many palatable options were on the table failure is that, with its leadership, cuts could have been targeted to reduce the impact on particularly important and effective programs and services. Instead, it is now expected that all federal defense and NDD programs—with a few exceptions—will be subject to an automatic 8.4% cut in funding for 2013 and beyond. Congress’s failure to lead and target cuts on inefficient or poor performing programs will result in blind cuts that will be imposed without consideration of the impact on programs, services, or individuals. Although this process has serious consequences for all of us in general, there are also specific threats to occupational therapy posed by sequestration. First, consider the exceptions to sequestration. Medicaid will not be Congress has authorized to be spent for support of special education (about $12.9 billion). Most of the funding for education comes from a combination of state taxes and local real estate taxes. This reality places education funding in a precarious position because of the growing pressure on state budgets and the impact of the housing crisis on real estate prices and related tax revenue. Reducing federal funding by 8.4% makes a difficult situation much worse. It is critical that school-based and early intervention practitioners are aware of this impending change and become active advocates to protect education and particularly special education funding. AOTA is taking up the fight by partnering with hundreds of national associations to oppose the arbitrary cuts. We are calling for Congress to take a more measured and considered approach. In this effort we will be rallying AOTA members to contact their elected representatives in the House and Senate and urge their action to stop the cuts scheduled to take place next year. (For more information, visit AOTA’s Legislative Action Center at http://capwiz.com/ aota/home.) Although fiscal responsibility is clearly necessary, a thoughtful, targeted approach is equally necessary. It is unlikely that policymakers or the American public think that reducing educational resources is a positive step that will help lead the country to greater prosperity. It is time for Congress to put aside its political squabbling and actually lead. We all need jobs, education, and health care. Let’s hold Congress accountable to make some decisions based on national priorities rather than political expedience. Education is the foundation for our country’s current and future success: Let’s not fail there. n
tim nanof is AOTA’s director of Federal Affairs.
JULY 2, 2012 • WWW.AOTA.ORG
let’s hold Congress accountable to make some decisions
based on national priorities rather than political expedience.
that Republicans and Democrats could support, both sides during the brief life span of the committee played a game of political brinksmanship that tied the politically viable options with more contentious and partisan provisions. Ultimately, the committee failed to make any recommendations for targeted cuts. That abdication of leadership resulted in the implementation of a sequestration process that mandates across-the-board cuts to federal defense and non-defense discretionary (NDD) spending beginning on January 2, 2013. In the Budget Control Act, Congress included a requirement for sequestration as a fail-safe against the predictable outcome of a bipartisan committee’s inability to agree on $1.2 trillion in spending reductions. What is most pitiable about the Super Committee’s
harmed under the process, and no cuts will come from that program. This is certainly good news for occupational therapy practitioners providing care to Medicaid beneficiaries. Medicare is also protected to some extent, with sequestration limited to 2%—also relatively good news for one of the profession’s largest funding sources. But the real danger for the profession lies with federal funding for education, which faces the full force of funding cuts under sequestration. Federal funding for the Individuals with Disabilities Education Act is a critical aspect of school-based and early intervention practice, which now accounts for about a third of occupational therapy practice. Currently, the federal government funds or appropriates only about 14% of the total amount
smart gadget applications showing their worth in practice
with nearly half of all mobile phone users now owning smartphones, it’s no wonder practitioners increasingly seek and use apps to help their clients in myriad ways.
ILLUSTRATIONS © JASON REED (BACKGROUND), STEPHEN HOBSON, SODAFISH BVBA, BUBAONE, BROWNDOGSTUDIOS / ISTOCKPHOTO.COM
obby’s job is to refill the cutlery in the cafeteria. The 21 year old, who is on the autism spectrum, is in a Cheshire Public Schools transition program housed at Quinnipiac University in Connecticut. Most of the time, especially when he has done the same task for several days in a row, Bobby has no trouble. He knows to take the cutlery from the cabinets, count out 50 or so plastic spoons, place them in the holders, and close the cabinet door. If he runs out of spoons, he knows to ask his manager for more. But sometimes Bobby needs help, especially if he loses track of what step is next in the process. “We had him paired up with another student with a disability who knew the job well and was there to give assistance, and they were a team,” recalls Tony Zaino, a transition specialist at Cheshire Public Schools. “What happened was when he got stuck, the other student tried to help him through that, and then
the other student got a little more frustrated, and then that got [Bobby] more frustrated, and then it just fell apart. Then I needed to intervene and pretty much remove him from the situation and start all over again, because once he gets overwhelmed like that it’s better to remove him, calm him down, and then reengage on a different day.” Now, thanks to a recommendation from Bobby’s occupational therapist, Zaino has a strategy that should prevent him from having to intervene, allowing Bobby to do his work independently. A few months ago, Karen Majeski, OTR/L, a faculty member at Quinnipiac’s Department of Occupational Therapy, introduced Zaino to the Scene and Heard application. The app allows users to shoot and view videos and recordings in a simple, easy-touse format. Zaino uses the app with Bobby to create step-by-step video tutorials of the job so that Bobby has something to review before going into the cafeteria to begin his shift. In the past, Zaino would role play the
OT PRACTICE • JULY 2, 2012
job with Bobby in a classroom setting. But with the app, Bobby is now able to see himself performing the steps of the job in the real world and can therefore visualize what needs to be done to accomplish his task. Studies show that, for people with autism, video modeling can be more effective than in-person modeling.1 “If we didn’t have this app, I would be apprehensive that I needed to be there because he probably would get stuck. Now he’s ready to do his job and able to do it independently without any re-direction,” Zaino says. “This helped him review it in his mind and give him
“It goes back to when I first got a Nintendo DS for my child. I saw him playing a crossword puzzle and five kids gathered around him. Do you think if he had a crossword puzzle book they would have been gathering around him? No. So it was the actual electronic media that was like a social magnet,” Groger says. And a lot of therapists agree. Of the dozen interviewed for this article, almost everyone mentioned the “cool factor” that resonates with their clients. With apps, even a young man on the autism spectrum using Scene and Heard to stay on task with his sweep-
so why are apps so much more useful than computers and
other video game systems that have been around for decades? the answer, therapists agree, is portability.
a mental picture of what step went next, and he was able to remember and review it and move forward.” According to Nielsen, 44% of American mobile subscribers have smartphones,2 so it’s no wonder that occupational therapy practitioners, like many other professions, are finding innovative ways to incorporate apps into their work and are making serious differences in the way clients are able to function in the world.3–4
app-proved In praCtICe
There are about as many reasons explaining why apps are effective in therapy as there are pigs to hit in Angry Birds. When Sandra Groger, OTD, OTR/L, thinks about why apps work with her clients, she thinks no further than her own son.
ing at a local community college can plug in his ear buds to use the app and blend in with the students around him. Groger recalls one child who was working on handwriting and would only trace his name as long as Groger’s hand was over his. But then Groger began using a tracing application, and the child “started tracing the letters with his finger. And then [his parents] bought a stylus pen and he started to hold it like a pencil and then trace over it. Then he was able to apply that to paper. [The app] was the impetus to be able to do that skill,” Groger recalls. Delana Honaker, PhD, OTR, had a similar experience. She was recently evaluating a 4-year-old boy with sensory processing issues. “We were lucky if he could play with any of the toys for more than a minute and a half,” Honaker says. “But then he gets ahold of the iPhone and he was
engaged and actually doing something, whereas before it was like pick up the toy and throw it away. With the iPhone, he was engaged for about 8 minutes.” Honaker is familiar with apps. She builds her own (www.howtodoitapp. com/) and spoke about app creation at AOTA’s 2012 Annual Conference & Expo in Indianapolis. So she gets why apps are so effective. “There is a lot of sensory input with apps. They’ve got lots of visual and auditory information going on,” Honaker says. “And then there is that immediate cause and effect. You can create information with certain apps faster than using building blocks to make a tower, for example. Immediate cause and effect. I think that’s why we were probably able to get [this child] to engage for a longer period of time.” Melissa Olson, MS, SpEd/AT, OTR/L, has also had success engaging clients because of apps’ sensory output. “When we did a lot of pencil-andpaper work they really had no interest at all, and since using the Doodle Buddy, they are more engaged, more attentive, and more willing to participate in the task that I am asking them to do because of the vibrancy of the colors and the animation,” Olson says, referencing the app that allows users to draw on a tablet or smartphone. “In practice, it’s really not that different than what I would do with paper, whether I took two stamps and would have them draw lines to connect the stamps or whether I have them trace stamps [on a screen]. But I think they like the sound and the animation of the electronic stamps, and then they can see something happen.” But bright lights and colors are not new. Even Atari, invented in the 1970s, had some flash and motion. So why are apps so much more useful than computers and other video game systems that have been around for decades? The answer, therapists agree, is portability.
JULY 2, 2012 • WWW.AOTA.ORG
Taking a Low-Tech Approach to Assistive Technology
he Oxford Dictionary defines gadget as “a small mechanical device or tool, especially an ingenious or novel one”1 and a gizmo as a “gadget, especially one whose name the person does not know or cannot recall.”2 Might these terms—the latter in particular—sometimes apply to the technology we consider providing to our clients? Sometimes we may be dazzled by the niftiness of new technology and fail to appreciate that cheaper, more practical solutions lie within our grasp. Whatever occupational therapy practitioners may choose to call the assistive technology (AT) they provide clients, the fast pace of technology development creates a number of challenges, including the cost and complexity of technology, and the everpresent threat of discontinuance, a term proposed by Lauer, Longenecker Rust, and Smith as more accurate than abandonment, which often implies an irresponsibility of AT consumers, the AT industry, and service providers.3 Some consumers do “abandon” equipment, service providers sometimes overprescribe, and the industry sometimes oversells AT, although the reasons for discontinuing the use of technology vary
OT PRACTICE • JULY 2, 2012
BACKGROUND PHOTOGRAPH © CLASSIX/ISTOCKPHOTO
When an individual’s needs for AT cannot be met with a commercial device, practitioners may occasionally need to design a simple product specifically for the task at hand.
widely and exist for many neutral or positive reasons.3 In light of these and other challenges, this article will suggest that, on occasion, occupational therapy practitioners should step back from their collection of catalogs and favorite AT Web sites and take a brief journey through the aisles of local home improvement warehouse and hardware stores, where they may find the most effective solutions to their clients’ needs available relatively quickly and easily. Stores like Lowes and Home Depot are veritable playgrounds of products for home improvement that may inspire practitioners to create solutions that are simple, matched exactly to a client’s needs, and accessible both now and in the future. Additionally, the staff in these stores are great assets—tell them what you are trying to do and you will often find willing and knowledgeable partners in your quest. Many are craftspeople and/or tradespeople, either retired or, as a result of the economic times, finding extra work in these stores, and they have a wealth of know-how to bring to your projects. Every client faces different challenges, so of course no one type of invention will serve everyone. But with a small amount of knowledge and a chunk of creativity, a simple, low- or no-tech solution may be warranted: It can be exactly shaped to address the need and can often be more readily available to your clients today and—if they need to replace it—in the future. Custom devices almost never have an economic advantage over a commercial product, when factoring in time, salary, benefits, costs of machinery, and everything else needed to build the
device from scratch. But sometimes occupational therapy practitioners need to consider the option of making simple AT solutions when mainstream sources are not the best answer and when items need to be tailor made to match individual needs to address the occupational challenges faced.
a Few do-It-YoUrselF Ideas
activities of daily living The dressing stick is something that anyone can make or even just educate someone else to make him- or herself. Designed to help people with upperextremity limitations to dress independently, the dressing stick (see Figure 1) can be fashioned from a 24-inch dowel, a cup hook, and a plastic-coated hat or coat hook (although a rubber fingertip, found in stationery suppliers, can work just as well). Drill starter holes in each end of the dowel, place a spot of glue in the holes, then twist the cup hook in one end and the hat or coat hook into the other (or just stretch the rubber tip onto the end). Dowels purchased in a hardware store rarely cause splinters, but if you need to cut to length, make sure you smooth frayed edges with fine sandpaper. Instrumental activities of daily living This small, bladed opening device (see Figure 2) speaks to a mild irritant for most people and sometimes an impossibility for those who have reduced hand function as a result of arthritis: opening juice cartons. Arthritis in the hands affects one’s dexterity and strength, and reduces one’s ability to grasp, twist, turn, or pull. Between 22% and 59% of people with disabilities have problems manipulating and gripping consumer items such items as jar tops, milk packaging, plastic drink bottle tops, and toothpaste caps.4 Similarly, the cap on many juice cartons is too small to be gripped by the more usual types of openers. The idea for this bladed opening device was developed by Derek McMullan of Remap Northern Ireland, a UK-based charity that works through local groups of skilled volunteers to help people with disabilities achieve independence and a better quality of life, often making and modifying equipment when nothing else is available. The hardwood
JULY 2, 2012 • WWW.AOTA.ORG
Figure 1. the dressing stick
Figure 2. device for opening drink and other packaging
ILLUSTRATIONS COURTESY OF THE AUTHOR
Sometimes we may be dazzled by the niftiness of new technology and fail to appreciate that cheaper, more practical solutions lie within our grasp.
PHOTOGRAPH COURTESY OF KRISTIN KETCH
OTA Receives New Limb-Lengthening Procedure
n high school, Kristin Ketch had a leg up as a softball pitcher. The Edmond, Oklahoma, native was born with legs of unequal length. Doctors first noticed the difference when Ketch was just 6 weeks old. By the time Ketch became a teenager, the discrepancy in her legs spanned nearly 2 inches––it was so dramatic that she had to swing out her hip when moving her longer leg just to achieve a proper heel-to-toe gait. But on the pitcher’s mound, the imbalance worked to Ketch’s advantage. She could push off the rubber with her longer leg, providing more power and increasing the velocity of her throws. When not playing softball, Ketch wore a platform shoe to make up for the disparity, and she lived a completely functional life, with maybe a little extra back pain, but nothing she perceived as serious. In 2007, Ketch graduated from Southern Oklahoma State University with her certified occupational assistant degree. That same year, Ketch was in a car accident, and an MRI revealed the beginnings of scoliosis, an abnormal curving of the spine. So she had surgery to shorten her longer leg. But the surgery left her with insufficient hamstring and quadriceps strength. Doctors later advised putting her in a full body cast to fix the problem. Ketch was 24 at the time. The body cast sounded entirely too drastic. So on a Friday night in 2009, Ketch browsed the Internet and came across Dr. Dror Paley of St. Mary’s Medical Center in West Palm Beach, Florida. Paley is a leader in limb lengthening who has done about 13,000 procedures lengthen it gradually. But Paley had something else in mind for Ketch. In August 2011, just a few months prior to Ketch’s visit, Paley had received U.S. Food and Drug Administration approval for a new device he’d helped develop with Ellipse Technologies called Precice. Inserted inside the hollow of the bone to make the bone grow, Precice is a remote-controlled device that expands like a car antenna. By pushing the bone 1 millimeter apart each day, the device can lengthen a person’s limb, and the bone regenerates as it is gradually pulled apart. Paley asked Ketch if she’d consider being the first-ever North American client to receive the Precice treatment. Ketch was a bit nervous, but she enthusiastically agreed, and on December 1, 2011, the Precice was implanted in her bone marrow. At the time of publication, Precice treatment had been performed 15 times, Paley said. It costs around $85,000, but Ketch said her insurance covered it. The limb lengthening took 6 weeks, and Ketch had to remain in Florida following the procedure for another 6 weeks. During lengthening, a technician would activate the device to stretch her leg. “It’s a good pull. Every time the Precice device was activated I would think of making homemade ice cream because of the electric ‘reee’ hum of it. That’s what it sounded like to me,” Ketch recalls. She says it wasn’t overly painful, although she did experience muscle spasms.
ketch with another patient who went through the limb-lengthening procedure.
over more than 2 decades and has been featured on ABC’s 20/20, in the Washington Post Magazine, and in other media outlets. Ketch e-mailed Paley and immediately received a response that promised a phone call in the morning. “I thought, ‘That is such an auto response, but whatever,’” Ketch recalls. But Paley phoned as promised. He and Ketch talked for a long time. “He was like, ‘Get to me as soon as you can. Whatever you do, don’t go in the body cast,’” Ketch says. She listened and traveled to Florida to meet Paley. In May 2010, Paley performed knee-flexion surgery to correct hypertension. But in a postop visit in April 2011, Paley decided Ketch needed a more involved procedure. She expected he would want to use external fixators to lengthen her limb, which would require implanting a lengthening rod attached to scaffolding on the outside of her leg. The scaffolding has a manual control that is twisted to stretch the bone and
OT PRACTICE • JULY 2, 2012
To advertise your upcoming event, contact the OT Practice advertising department at 800-877-1383, 301-652-6611, or email@example.com. 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. July
velop interventions and document. Topics include: visual inattention and neglect, eye movement disorders, hemianopsia and reduced acuity. Faculty: Mary Warren PhD, OTR/L, SCLV, FAOTA. Also New Orleans, LA, March 9 to 10, 2013. Contact: www.visabilities.com or (888) 752-4364, Fax (205) 823-6657.
Clinician’s View Offers Unlimited CEUs
Two great options: $177 for 7 months or $199 for 1-Full Year of unlimited access to over 640 contact hours and over 90 courses. Take as many
courses as you want. Approved for AOTA and BOC CEUs and NBCOT for PDUs. www.clinicians-view. com 575-526-0012.
Internet & 2-Day On-Site Training
Become an Accessibility and Home Modifications Consultant. Instructor: Shoshana Shamberg,
Kansas City, MO
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 www.aded.net.
Introduction to Driver Rehabilitation. Course
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 firstname.lastname@example.org. Group, COMBO, personal mentoring, and 2 for 1 discounts. Calendar/info at www.AOTSS.com. Seminar sponsorships available nationally.
ACROSS PRACTICE AREAS
Kansas City, MO
Application of Vehicle Modifications. Course
San Diego, CA
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 www.aded.net.
Eval & Intervention for Visual Processing Deﬁcits in Adult Acquired Brain Injury Part II. Continuation of Part I course, this intense practicum provides hands-on experience in administering, interpreting, and using evaluation results to develop intervention for visual processing deﬁcits including eye movement disorders, hemianopsia, reduced visual acuity, and visual neglect. Offered only once a year. Faculty: Mary Warren PhD, OTR/L, SCLV, FAOTA. Also Boston, MA, November 8–10, 2013. Contact visABILITIES Rehab Services: www.visabilities.com or (888) 752-4364, Fax: (205) 823-6657.
Kansas City, MO
sionals 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 www. aded.net.
ADED Annual Conference and Exhibits. Profes-
NEW! OT Manager Topics. Authors: Denise Chisholm, PhD, OTR/L, FAOTA; Penelope Moyers Cleveland, EdD, OTR/L, BCMH, FAOTA; Steven Eyler MS, OTR/L; Jim Hinojosa, PhD, OT, BCP, FAOTA; Kristie Kapusta, MS, OT/L; Shawn Phipps, PhD, OTR/L, FAOTA; Pat Precin, MS, OTR/L, LP. This CE course presents supplementary content from chapters in The Occupational Therapy Manager, 5th Edition, and provides additional applications that are relevant to selected issues on management. The course focuses on six specific topics related to occupationbased practice, evidence-based management, evaluating OT services, continuing competency, conflict resolution, and employee motivation. Partic-
St. Louis, MO
Envision Conference 2012. Learn from leaders in
the field of low vision rehabilitation and research while earning valuable continuing education credits. Attend the multi-disciplinary low vision rehabilitation and research conference dedicated to improving the quality of low vision care through excellence in professional collaboration, advocacy, research, and education. Envision Conference, September 12–15, 2012, Hilton St. Louis at the Ballpark. Learn more at www.envisionconference.org.
for caregivers of people with dementia
Specialized Training and Certification for Occupational Therapists:
in Complete Decongestive Therapy (135 hours), 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 Charlotte, NC, September 15–25. 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 www.acols.com.
Lymphedema Management. Certification courses
Home-based program to reduce stress and help caregiver: – Manage challenging behaviors – Enhance ADL performance – Make environment safer May be reimbursed by Medicare Parts A and B when provided to caregiver as part of the patient plan of care Two-year certification with annual re-certification requirements
Next individual Skills2Care ™ training sessions: August 9 – 10 and November 8 – 9. Group training available for agencies.
Eval & Intervention for Visual Processing Impairment in Adult Acquired Brain Injury Part I. This
intensive updated course has the latest evidence based research. Participants learn to identify visual processing deficits, interpret evaluations, deOT PRACTICE • JULY 2, 2012
Redefining Healthcare Education Thomas Jefferson University
Earn Your CEUS. As Many As You Want. Only $99/year.
A subscription to OccupationalTherapy.com keeps it simple!
Experience online continuing education on your time. Access expert courses in live, recorded, podcast and text-based formats. Earning your CEUs has never been more convenient and a ordable.
Take advantage of this month’s most popular online courses:
All courses approved for AOTA CEUs and NBCOT professional development units.
Assistive Technology Solutions for Independent and Productive Aging
(LIVE #1257 7/18 at 1:30pm EDT)
Presented by Kim Furphy, D.H.Sc., OT, ATP
Using the iPad to Maximize Engagement in Occupation
Presented by Adrienne Lauer, Ed.D., OTR/L
Speech Recognition Options for Computer Users
Presented by Glenn Goodman, Ph.D., OTR/L
Low Vision Assistive Technology & Community Adaptation for People with Neurogenic Vision Impairment
Presented by Al Copolillo, Ph.D., OTR/L, FAOTA
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ipants should read the selected text chapters prior to studying the CE topics. Earn .7 CEU (8.75 NBCOT PDUs/7 contact hours). Order #4880, AOTA Members: $194, Nonmembers: $277. http://store. aota.org/view/?SKU=4880 PDUs/2.5 contact hours). Order #4879, AOTA Members: $68, Nonmembers: $97. http://store.aota.org/ view/?SKU=4879
Continuing Education boston, ma starting august 9 sensory Integration Certification program sponsored by UsC/wps Course 1: Aug. 9–13 Course 2: Oct. 11–15 Course 3: Jan. 31–Feb. 4, 2013 Course 4: Mar. 8–12, 2013 For additional sites and dates, or to register, visit www.wpspublish.com or call 800-648-8857
Everyday Ethics: Core Knowledge for Occupational Therapy Practitioners and Educators, 2nd Edition. Developed by AOTA Ethics Commis-
sion and Presented by Deborah Yarett Slater, MS, OT/L, FAOTA. Provides a foundation in basic ethics information that gives context and assistance with application to daily practice. Learning objectives include what is meant by ethics, key ethical theories and principles, and the rationale for changes in the Occupational Therapy Code of Ethics and Ethics Standards 2010. The course reinforces the value of self reflection on practice for enhanced competency and increased ethical behavior. Earn .3 AOTA CEU (3 NBCOT PDUs/3 contact hours). Order #4846, AOTA Members: $105, Nonmembers: $150. http:// store.aota.org/view/?SKU=4846
Susanne Smith Roley, MS, OTR/L, FAOTA; Janet V. DeLany, DEd, OTR/L, FAOTA. Explore ways in which the document supports occupational therapy practitioners by providing a holistic view of the profession. Earn .3 AOTA CEU (3 NBCOT PDUs/3 contact hours). Order #4829, AOTA Members: $73, Nonmembers: $103.00. http://store.aota.org/ view/?SKU=4829
Exploring the Domain and Process of Occupational Therapy Using the Occupational Therapy Practice Framework, 2nd Edition. Presented by
NEW! Ethics Topic—Duty to Warn: An Ethical Responsibility for All Practitioners. Presented by
Deborah Yarett Slater, MS, OT/L, FAOTA, Staff Liaison to the Ethics Commission. Ethics Topic—Duty to Warn helps you understand your professional, ethical, and legal responsibilities in the identification of safety issues in ADLs and IADLs as they evaluate and provide intervention to clients. The importance of using data from both objective and subjective sources is emphasized as well to determine risk of harm in performing daily activities. Course material includes not only lecture format but also interactive case studies and resources to enhance learning on this topic. Earn .1 AOTA CEU (1.25 NBCOT PDUs/1 contact hour). Order #4882, AOTA Members: $45, Nonmembers: $65. http://store.aota.org/ view/?SKU=4882
Susanne Smith Roley, MS, OTR/L, FAOTA, and Janet DeLany, DEd, OTR/L, FAOTA. This course focuses on understanding occupational therapy and the occupational therapy process as described in the 2008, second edition of the Framework. This new course builds on the original Framework course developed to supplement the first edition of the Framework in 2002. Earn .6 AOTA CEU (6 NBCOT PDUs/6 contact hours). Order #OL32, AOTA Members: $180, Nonmembers: $255. http://store.aota. org/view/?SKU=OL32
Occupational Therapy in Action: Using the Lens of the Occupational Therapy Practice Framework: Domain and Process, 2nd Edition. Presented by
Physical Agent Modalities
Occupation based certification course
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
for 45 contact hours
ASSESSMENT & EvALUATION
Self-Paced Clinical Course
Occupational Therapy and Home Modification: Promoting Safety and Supporting Participation.
Order at www.liveconferences.com Call: 727.341.1674
AOTA APP approved 4.5 CEUs Treatment2go is a registered trademark of EHT
OTR/L, and Member-at-Large, AOTA Ethics Commission. Explores organizational ethics issues that may influence the ethical decision making of occupational therapy practitioners. Participants will be introduced to strategies that will assist in addressing situations in which occupational therapy practitioners may be pressured by an organization’s administration to provide services that are in conflict with their personal or professional code of ethics. Earn .1 AOTA CEU (1 NBCOT PDU/1 contact hour). Order #4841, AOTA Members: $45, Nonmembers: $65. http://store.aota.org/view/?SKU=4841
Ethics Topics—Organizational Ethics: Occupational Therapy Practice In a Complex Health Environment. Lea Cheyney Brandt, OTD, MA,
Edited by Margaret Christenson, MPH, OTR/L, FAOTA, and Carla Chase, EdD, OTR/L, CAPS. This new SPCC consists of text, exam, and a CD-ROM of hundreds of photographic and video resources that provide education on home modification for occupational therapy professionals. Practitioners who work with either adults or children will find an overview of evaluation and intervention, detailed descriptions of assessment tools, and guidelines for client-centered practice and occupation-based outcomes. Earn 2 AOTA CEUs (20 NBCOT PDUs/20 contact hours). Order #3029, AOTA Members: $370, Nonmembers: $470. http://store.aota.org/view/?SKU=3029
The Short Child Occupational Profile (SCOPE).
and Member-at-Large, AOTA Ethics Commission. Explores how the complex nature of today’s health care environment may result in increased moral distress for occupational therapy practitioners. Offers coping strategies for reducing negative outcomes associated with moral distress. Earn .1 AOTA CEU (1 NBCOT PDU/1 contact hour). Order #4840, AOTA Members: $45, Nonmembers: $65. http://store.aota. org/view/?SKU=4840
Ethics Topics—Moral Distress: Surviving Clinical Chaos. Lea Cheyney Brandt, OTD, MA, OTR/L,
Presented by Patricia Bowyer, EdD, MS, OTR, FAOTA; Hany Ngo, MOT, OTR; and Jessica Kramer, PhD, OTR. Introducing The Short Child Occupational Profile (SCOPE) assessment tool, this course provides a systematic way to document a child’s motivation for occupations, habits and roles, skills, and environmental supports and barriers. The SCOPE can be used with children and youth ages birth to 21 in a range of practice contexts. Earn .6 AOTA CEU (7.5 NBCOT PDUs/6 contact hours). Order #4847, AOTA Members: $210, Nonmembers: $299. http:// store.aota.org/view/?SKU=4847
Assessment & Intervention Training 2008 Conference Schedule
San Francisco, CA Feb 29-Mar 1 Two Days of Hands-On Learning (1.6 CEU) Burlington, NC Mar. 14-15 Houston, TX Mar 28-29 Upcoming Locations & Dates: McAllen, TX Apr. 4-5 Chicago, IL Apr 11-12 Harrison, AR August 16–17 San Antonio, TX Apr 19-20 Charleston, SC Apr 25-26 Warrenton, VA August 23–24 Tampa, FL May 2-3 San Antonio, TX October 4–5 Manhattan, NY Jul 17-18 Virginia Beach, VA Sep 20-21 Miami, FL October 13–14 Morganton, NC Sep 25-26 Chicago, IL November Kissimmee, FL Oct 10-11 1–2 Columbia, SC Oct 16-17 Sacramento, CA Oct 24-25 Stafford, TX January 18–19, 2013 Orlando, FL Nov 14-15
2-day hands-on workshop (1.6 CEU)
Assessment and Intervention
Let’s Think Big About Wellness. By Winnie Dunn, PhD, OTR, FAOTA. The focus of occupational therapy on living a satisfying life embraces a global view about wellness. In this course, we will explore the official documents and materials that support our concept of wellness, review examples of interdisciplinary literature on wellness, and explore strengths models from other disciplines as a way to inform our bigger thinking. Earn .25 CEU (3.13 NBCOT
OT PRACTICE • JULY 2, 2012
PhD. Begins with an introduction to the three basic types of interviews most commonly applied in occupational therapy practice: structured interviews, semi-structured interviews, and general clinical interviewing. Through evidence-based examples of frequently used interview-based assessments within the occupational therapy literature, this course will describe a set of norms and communication strategies that are likely to maximize success in gathering accurate, relevant, and detailed information. Earn .2 AOTA CEU (2 NBCOT PDUs/2 contact hours). Order #4844, AOTA Members: $68, Nonmembers: $97. http://store.aota.org/view/?SKU=4844
Strategic Evidence-Based Interviewing in Occupational Therapy. Presented by Renee R. Taylor,
For complete training schedule & information visit Host a Beckman Oral Motor Conference in 2009! www.beckmanoralmotor.com For Hosting info call (407) 590-4852, or email Host a Beckman Oral Motor Seminar! email@example.com Host info (407) 590-4852, or firstname.lastname@example.org
For additional info and to register, visit
EARN YOUR CE CREDITS WITH AOTA CEonCDs !
Welcome to AOTA Learning! Our CEonCDs provide relevant continuing education on a wide variety of topics in an easy-to-use format with electronic exam. Choose any of these CEonCDs or others at http://store.aota.org to advance your professional development and meet your state licensure requirements!
CHILDREN & YOUTH Autism Topics Part I: Relationship Building, Evaluation Strategies, and Sensory Integration and Praxis
Edited by Renee Watling, PhD, OTR/L, FAOTA Earn .6 AOTA CEU (7.5 NBCOT PDUs/6 contact hours) Order #4848 AOTA Members: $210 Nonmembers: $299
PRODUCTIVE AGING An Occupation-Based Approach in Postacute Care to Support Productive Aging
A collaborative project between AOTA and Platinum Partner Genesis Rehabilitation Services Authored by Denise Chisholm, PhD, OTR/L, FAOTA; Cathy Dolhi, OTD, OTR/L, FAOTA; and Jodi L. Schreiber, MS, OTR/L Earn .6 AOTA CEU (7.5 NBCOT PDUs/6 contact hours) Order #4875 AOTA Members: $210 Nonmembers: $299
GENERAL PRACTICE Let’s Think BIG About Wellness
Presented by Winnie Dunn, PhD, OTR, FAOTA Earn .25 AOTA CEU (3.13 NBCOT PDUs/2.5 contact hours) Order #4879 AOTA Members: $68 Nonmembers: $97
Response to Intervention (RtI) for At Risk Learners: Advocating for Occupational Therapy’s Role in General Education
Authored by Gloria Frolek Clark, PhD, OTR/L, BCP, FAOTA, and Jean Polichino, OTR, MS, FAOTA Earn .2 AOTA CEU (2.5 NBCOT PDUs/2 contact hours) Order #4876 AOTA Members: $68 Nonmembers: $97
Using the Occupational Therapy Practice Guidelines for Adults With Stroke to Enhance Your Practice
Presented by Joyce Sabari, PhD, OTR, FAOTA Earn .2 AOTA CEU (2.5 NBCOT PDUs/2 contact hours) Order #4845 AOTA Members: $68 Nonmembers: $97
Everyday Ethics: Core Knowledge for Occupational Therapy Practitioners and Educators, Second Edition
Developed by the AOTA Ethics Commission Earn .3 AOTA CEU (3.75 NBCOT PDUs/3 contact hours) Order #4846 AOTA Members: $105 Nonmembers: $150
The Short Child Occupational Profile (SCOPE)
Presented by Patricia Bowyer, EdD, MS, OTR, FAOTA; Hany Ngo, MOT, OTR; and Jessica Kramer, PhD, OTR Earn .6 AOTA CEU (7.5 NBCOT PDUs/6 contact hours) Order #4847 AOTA Members: $210 Nonmembers: $299
Strategic Evidence-Based Interviewing in Occupational Therapy
Presented by Renée R. Taylor, PhD Earn .2 AOTA CEU (2.5 NBCOT PDUs/2 contact hours) Order #4844 AOTA Members: $68 Nonmembers: $97
Determining Capacity to Drive for Drivers With Dementia Using Research, Ethics, and Professional Reasoning: The Responsibility of All Occupational Therapists
Presented by Linda A. Hunt, PhD, OTR/L, FAOTA Earn .2 AOTA CEU (2.5 NBCOT PDUs/2 contact hours) Order #4842 AOTA Members: $68 Nonmembers: $97
Model of Human Occupation Screening Tool (MOHOST): Theory, Content, and Purpose
Presented by Gary Kielhofner, DrPH, OTR/L, FAOTA; Lisa Castle, MBA, OTR/L; Supriya Sen, OTR/L; and Sarah Skinner, MEd, OTR/L Earn .4 AOTA CEU (5 NBCOT PDUs/4 contact hours) Order # 4838 Member Price: $125 Nonmember Price: $180
Young Adults on the Autism Spectrum: Life After IDEA
Authored by Lisa Crabtree, PhD, OTR/L, and Janet DeLany, DEd, OTR/L, FAOTA Earn .3 AOTA CEU (3.75 NBCOT PDUs/3 contact hours) Order #4878 AOTA Members: $105 Nonmembers: $150
Skilled Nursing Facilities 101: Documentation, Reimbursement, and Ethics in Practice
Presented by Christine Kroll, MS, OTR, and Nancy Richman, OTR/L, FAOTA Earn .3 AOTA CEU (3.75 NBCOT PDUs/3 contact hours) Order #4843 AOTA Members: $108 Nonmembers: $154
USE PROMO CODE: ACE11
ShOp at HTTP://STORE.AOTA.ORG Or Call 877-404-AOTA!
Great Employment Opportunity!!
Accessible Space, Inc., a nonprofit organization, is seeking an occupational therapist for our Nevada Community Enrichment Program (NCEP) located in Las Vegas, NV. NCEP is a unique environment that focuses on clients and empowers them in their own treatment process. We serve individuals with brain injury—common diagnoses we see include traumatic brain injury (TBI), stroke, aneurysm, and brain tumors. Our clients vary in degree of disability, with some clients presenting with mildly higher level deficits and others presenting with more significant challenges. As a member of our team, you will enjoy a fun, clientoriented therapy setting as part of an expert multidisciplinary clinical team. NCEP is a CARF-accredited, postacute outpatient rehab facility. Community reintegration is a focus at NCEP—the OT will have the opportunity to perform therapy in real-world settings such as the supermarket, bank, bowling alley, and local park. At NCEP, occupation-based practice is stressed, and the OT will be supported in therapy that focuses on the person’s occupational needs, whether they be learning to take the bus or cooking. Creativity is fostered at NCEP—the OT will have the opportunity to try out new ideas and therapy activities that are often not possible in the hospital environment. We offer a small team environment that fosters idea sharing, clinical reasoning, and the opportunity to cotreat. You will have the ability to create your own treatment schedule and change groups as client needs change. ASI offers a competitive wage and full benefit package along with a Monday–Friday schedule, with no evening, weekend, on-call, or holiday work, and no traveling, plus a terrific work environment in an outpatient rehab facility. NCEP is centrally located at 6375 W. Charleston Blvd, Suite L200, on the College of Southern Nevada Campus. Requirements: • Master’s degree from an accredited school of occupational therapy • Possession of a current, valid license to practice occupational therapy in the state of Nevada or proof of eligibility for Nevada state license • A minimum of 1 year of experience with TBI, acquired brain injury, and/or neurological impairments If you are interested, please visit www.accessiblespace.org/careers or fax a letter of interest and resume to HR at 651-645-0541. Reference job code 62211 when replying.
Founding Director Doctoral Program in Occupational Therapy
Mary Baldwin College, a private institution in Staunton, VA, is looking for exceptional leaders ready to build our new entry-level OTD program from inception. Through its new Murphy Deming College of Health Sciences, MBC is establishing graduate programs that will emphasize superior education and innovative technologies in a people-centered environment.
Make a Difference. Join us.
For more information: www.mbc.edu/business_and_finance/employment/ or see our listing on OTJobLink.org
Occupational Therapy Faculty Position Department of Occupational Therapy University of Texas Health Science Center at San Antonio
The UTHSCSA Department of Occupational Therapy invites applications for a full-time 12-month, tenure-track faculty appointment. Position is available June 1, 2013. The Occupational Therapy Department is one of five departments in the UTHSCSA School of Health Professions. UTHSCSA includes the Dental School, Graduate School of Biomedical Sciences, School of Medicine, School of Health Professions, and School of Nursing. UTHSCSA is located in beautiful San Antonio, with a moderate climate and a rich cultural environment. Qualifications: • A doctoral degree in occupational therapy or related field. Those near completion of the doctoral degree will be considered. • Eligibility for Texas licensure • A minimum of three years of clinical experience • Experience in research and scholarship • Previous teaching experience in a University setting is highly desirable. Responsibilities: Teaching in the classroom, laboratory, and small groups. Involvement in research and/or clinical practice is a component of the position. Service responsibilities include student advisement, committee service, and professional association participation. The Search Committee will begin reviewing applications immediately. Position will remain open until a suitable candidate is identified. Interested candidates may send curriculum vitae and contact information for three references to: Karin Barnes, PhD, OTR, Chair of Occupational Therapy Search Committee Department of Occupational Therapy—Mail Code 6245 University of Texas Health Science Center at San Antonio 7703 Floyd Curl Drive, San Antonio, Texas 78229-3900 Phone: 210-567-8890; Fax: 210-567-8893; E-mail: email@example.com
The UTHSCSA is an Equal Employment Opportunity/Affirmative Action Employer. All faculty appointments are designated as security sensitive positions.
OT PRACTICE • JULY 2, 2012
NEW EDITION OF BESTSELLER!
Cognition, Occupation, and Participation Across the Life Span: Neuroscience, Neurorehabilitation, and Models of Intervention in Occupational Therapy, 3rd Edition
Edited by Noomi Katz, PhD, 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. GENERAL TOPICS • Cognitive Intervention and Cognitive Functional Evaluation • Higher-Level Cognitive Functions Enabling Participation • Impact of Mild Cognitive Impairments on Participation • Transition to Community Integration for Persons With Acquired Brain Injury • Family Caregivers’ Participation in Recovery • Cognitive Information Processing • Cognitive Aging • Virtual Reality for Cognitive Rehabilitation MODELS FOR INTERvENTION • Dynamic Interactional Model of Cognition in Cognitive Rehabilitation • Dynamic Interactional Model in Schizophrenia • Metacognitive Model for Children With Atypical Brain Development • Cognitive Rehabilitation of Children and Adults With Attention Deficit Hyperactivity Disorder • Retraining Model for Clients With Neurological Disabilities • Cognitive Orientation to Daily Occupational Performance (CO-OP) • Dynamic Cognitive Intervention: Application in Occupational Therapy • A Neurofunctional Approach to Rehabilitation After Brain Injury • The Cognitive Disabilities Model in 2011 • The Cognitive Disabilities Reconsidered Model: Rehabilitation of Adults With Dementia
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!
Each model includes (1) a theoretical base; (2) intervention, including evaluation procedures, assessments, and treatment methods; (3) individual and group treatment case studies that illustrate the intervention process; and (4) research supporting the evidence base of the model or parts of it. Chapters feature learning objectives and review questions.
Order #1173B. AOTA Members: $89, Nonmembers: $126
Shop online at http://store.aota.org/view/?SKU=1173B, or call 877-404-AOTA!
Director, Division of Occupational Therapy College of Health Professions Medical University of South Carolina
The College of Health Professions at the Medical University of South Carolina (MUSC) invites applications for the position of Director, Division of Occupational Therapy. The Division of Occupational Therapy is a well-established, highly ranked master’s degree entry-level program. The College seeks candidates who have the academic leadership experience to provide strategic vision for the advancement of the division within this research intensive setting. The ability to effectively perform administrative, budgetary, scholarly, and instructional duties is required. Excellent leadership skills, experience in mentorship, and the ability to work collaboratively are essential. The director is responsible for ensuring the successful education of occupational therapy students and maintenance of accreditation. The Division of Occupational Therapy is one of five academic units in the Department of Health Professions, and the program is fully accredited by ACOTE. For more information and to apply, visit https://www.jobs.musc.edu/ applicants/Central?quickFind=189505 Candidates should apply by September 1, 2012, to be considered. Questions concerning this position can be addressed to the chair of the Search Committee, Dr. Karen Wager, at firstname.lastname@example.org. MUSC is an equal opportunity, affirmative action employer.
“The best pediatric outpa�ent clinic in the country!”
We provide the highest‐quality OT, PT, ST, & ABA, in a fun and kid‐friendly environment!
All private treatment rooms with therapy swings! Indoor swimming pool and full‐size trampoline! Indoor rock climbing wall and Wii system! The most fun and knowledgeable staﬀ in the country!
Star�ng Salary: $85,000‐$95,000 $1000 Bonus for every yr. of FT peds. exp. up to $10,000! • Group Medical & Dental Re�rement Plan • AFLAC • Holidays • PTO Reimbursed CEUs• No State Income Tax For more info: www.MLFchildrenstherapy.com
If you would like to join our amazing team, email your resume to Therapy@MLFchildrenstherapy.com
Also accep�ng applica�ons for a rehab manager.
Multidisciplinary pediatric practice seeking occupational therapists on a full-time and part-time basis in Los Angeles and San Fernando Valley. Competitive pay based on experience. Generous benefit package for full time employees. Independent contracting available. Job Description: Provide OT services to clients in clinic, home and schools. Participate as a member of the interdisciplinary team of speech pathologists, occupational therapists, BCBA’s, behaviorists, educational therapists, early interventionists and child development specialists. Graduates from an accredited Occupational Therapy program, current certification by AOTA/National Board for Certification of Occupational Therapy. California State Licensure. Strong assessment, treatment planning, communication/organizational skills, knowledge of and interest in working with children and adults. Speech, Language & Educational Associates 16500 Ventura Boulevard, Suite 414 Encino, CA 91436 818-788-1003 FX 818-788-1135 W-6071
OT PRACTICE • JULY 2, 2012
Occupational Therapists • Physical Therapists School-Based Opportunities in Tampa, Florida
• Full-time positions available for providing school-based integrated collaborative therapy • Students with disabilities, age 3 to 21 years • Strong mentoring and support • Continuing education opportunities • Welcome new graduates Send resume to: Hillsborough County Public Schools Occupational and Physical Therapy Programs 4210 Bay Villa Ave. Tampa, FL 33611 Fax 813.837.7844 Sheree.Glass@sdhc.k12.fl.us Apply online at www.sdhc.k12.fl.us
Activity Card Sort, 2nd Edition
By Carolyn M. Baum, PhD, OTR/L, FAOTA, and Dorothy Edwards, PhD Photography by Madelaine Gray, MA, MPA, OT, and Stephanie Cordel
The Activity Card Sort, 2nd Edition (ACS) is a flexible and useful measure of occupation that enables occupational therapy practitioners to help clients describe their instrumental, leisure, and social activities. Eighty-nine photographs of individuals performing activities and 3 versions of the instrument (Institutional, Recovering, and Community Living) are easily understood by clients and administered by clinicians. Using the ACS will give clinicians the occupational therapy history and information they need to help clients build routines of meaningful and healthy activities. The set includes 20 instrumental activities, 35 low-physical-demand leisure activities, 17 highphysical-demand leisure activities, and 17 social activities. ACS Highlights • Test description and methodology • Administration and scoring directions • Test development, validation, and reliability • Examples of test utility • References • Easy-to-use sample forms (available on CD-ROM)
Order #1247 AOTA Members: $99 Nonmembers: $140.50
BK-272 ISBN: 978-1-56900-266-7
To order, call 877-404-AOTA or shop online at http://store.aota.org/view/?SKU=1247
JULY 2, 2012 • WWW.AOTA.ORG
93rd annual conference & expo
San diego cAlifOrniA
april 25–28, 2013
plAn TOdAy fOr 2013!
Bring your family and visit ocean life at Sea World, stroll the beautiful Pacific Coast, and see pandas at the zoo. Shopping and dining are all within walking distance from the convention center and hotels.
Help protect all
that you’ve worked for with the AOTA-sponsored Disability Insurance Plan.
As a healthcare professional, you probably know the importance of having a solid, dependable health insurance plan for yourself and your family should one of you become ill. But what if you become seriously ill or disabled, causing you to be out of work for a lengthy amount of time? The risks are real. It could happen to you. What’s more, what if you were Totally Disabled and didn’t have your full paycheck? Think about it: would you and your family be able to live on less than what you normally earn today? That’s why AOTA makes available the Disability Insurance Plan for its members. This important disability program can pay more and pay longer than many plans, and offers you the quality protection you’ll likely need.
Disability Insurance Plan highlights:
n Monthly benefit options from $200 to $5,000. n Benefits paid up to 60% of your Pre-Disability
Earnings—tax free. Insurance coverage purchased out of your own pocket with after-tax dollars is not taxable under current tax regulations. You may wish to consult a personal tax advisor for further information.
n Coverage you can take with you, even if
you change jobs
n Part-time work benefits available
. . . and more!
You owe it to yourself and your family to make sure you’re helping to protect your income with a dependable disability program. With the AOTAsponsored Disability Insurance Plan, you’ll be helping to protect yourself, your family and all that you’ve worked for.
Call 1-800-503-9230 for a free information kit or visit us at www.aotainsurance.com
Underwritten by: Hartford Life and Accident Insurance Company, Simsbury, CT 06089 The Hartford® is the Hartford Financial Services Group, Inc., and its subsidiaries, including issuing company Hartford Life and Accident Insurance Company. Administered by: Marsh U.S. Consumer, a service of Seabury & Smith, Inc. Plans may vary and may not be available in all states. All benefits are subject to the terms and conditions of the policy. Policies underwritten by Hartford Life and Accident Insurance Company detail exclusions, limitations, limitations, reduction of benefits and terms under which the policies may be continued in force or discontinued. 55513, 55820, 55821, 55822 (6/12) ©Seabury & Smith, Inc. 2012 GBD-1000A (AGP-5841)
d/b/a in CA Seabury & Smith Insurance Program Management AR Ins. Lic. #245544 CA Ins. Lic. #0633005
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