Hello Redge, i am currently in my second year as an OT.

I think that people may be more interested in a physical setting for several reasons. Some OT's (students) are quite happy with the biomechanical frame of reference and are all to happy to complete paper exercises in a classroom setting (and maybe in reality).

I have observed people within my group who are more than willing to tick boxes, make diaries, accept what the referal says etc etc. Whilst others (including me) have not been able to even start!!! I have noted that the ones who found it a difficult exercise are true 'reflectors'and wont accept things easily without knowing more. Maybe the ones who were happy to undertake the task are theorists?

It also depends on the area of mental health that a person wants to work in. I would not like to be working in a clinical setting, watching someone being medicated on a daily basis or receiving ECT. Whereas working in the community would be far more rewarding.....

I suppose the main thing is that we continue to consider the impact of any issue on a clients mental health, whether the system we are working in acknowledges it or not. My first placement was on an acute ward ticking boxes and bed emptying, something i maintain i never want to do. Every referal i received was a one liner and more often than not incorrect! ie a 90 year old lady who was identified as having problems with her hands. I was with her when she washed herself, the only thing she needed assistance with was washing her feet! and had slight problems elevating her right arm.


Anyway, hope i havent wittered too much. G




From: "Redge Campbell" <[EMAIL PROTECTED]>
Reply-To: [EMAIL PROTECTED]
To: <[EMAIL PROTECTED]>
Subject: Re: Psych vs. Phys Dys
Date: Thu, 05 Dec 2002 09:17:21 -0800

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

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

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

My two cents



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

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

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