During   my   last   gerontology  class,  I  discussed  occupation  and
occupational  therapy  with  the PT/OT students. For one hour, students
asked  me  questions about occupational therapy. They asked the typical
questions  like  why  I  chose  OT,  and more difficult questions about
combining  the  professions,  the differences between OT and PT and the
differences between OT and social work. So, for one hour I talked about
occupation  and  OT's  primary role. I tried to explain differences and
similarities  between  OT  and  PT using a theoretical and occupational
perspective.

The following day an OT student came to me and said a PT classmate told
her  that  PT  treats  occupation  and said something like: "PT already
writes  goals  about  self-care  and community re-integration. We write
goals  like  "client  will  dress  self independently, etc." I told the
student  to  not  be  overly worried about what someone "says" they do.
Instead, I told the student, look at what they are licensed and trained
to  do.

But my real concern is that somewhere, somehow this PT has learned that
they  teach  clients  dressing  skills,  community  management etc. The
belief  that PT addresses and treats these areas is pervasive. Even web
pages  such as our's state: "The physical therapist may also assess the
functioning  of  the  client  in  the  home, community, workplace & the
athletic environment."

All of this rhetoric paints what I consider a very scary picture that I
believe  we  need  to  take  action  against. Because the day 3rd party
payers believe that PT is better skilled at client's functioning in the
home,  community  and  workplace  will  be  the  day  that they will be
unwilling to pay for OT services.

I  guess  we  can argue that PT is not trained to do the type of things
required   to   facilitate   occupational  independence  in  the  home,
community,  etc  but  their  professional  organization,  educators and
students  seem  to think differently. And while we can say they aren't,
that  won't really stop them from changing the law (i.e. state practice
acts)  that  says  they  can.

Dave  Clark  and  I  have  drafted  an  RA motion that requires AOTA to
monitor  and  report  on  encroachment in OT practice domains. In part,
this motion states:

--------------------- quote ---------------------
4. Persons receiving health care must be assured that the aspects of
occupational therapy will be delivered by competent, well-educated and
well-trained individuals.

5. Many occupational therapists have deviated from the tenants of our
profession and instead have incorporated other professional practices
and techniques into their own practice, thus diluting the practice and
longstanding aspects of occupational therapy. Other health care
professions are embracing the theories of occupation and activities and
are using these aspects to their own betterment.

6. Recent years have seen the shifting of other health care
professions toward the tenants of occupational therapy for economic or
other reasons. They do not have the education nor the skill to perform
what we, as occupational therapists, know and have been taught.
----------------- end quote -----------------------

If  you are interested, you can view and comment on the above motion at
the   following  page:  http://www.aota.org/webboard/wbpx.dll/~ra/login
Once you are on the page, simply click on the box that says "guest"

Ron

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