Hey Chuck,

Thanks for writing and clarifying!!

I  think  I understand that in situations like the one below, there is a
belief  that  this is a victory against encroachment. This being because
AOTA  and most OT's see 'function', especially relating to ADL's, as the
primary domain of OT. Am I correct?

My  feeling is that while the Illinois PT's did change the language, the
changes  have  no  real impact on how they practice. As I read the below
legislature,  PT's  are  still  well  within the law to treat functional
issues, even ones resulting from *mental* impairments. Also, I thing the
term  "rehabilitative  procedure"  can  be construed to mean "functional
training".

It  sounds  like  many  people  rallied  to make a difference. While not
wanting  to  take  away  from  their  efforts,  I just don't see how the
removal  of  a  vague  and  nebulous term, i.e. "functional training" is
going  to make much impact on how anyone practices. Shoot, even the term
"disability"  can  be  construed  as having to do with "function". Or at
least   according   to   how  the  World  Health  Organizations  defines
disability.

Thanks,

Ron

P.S.  Just  to  clarify, in my opinion, the term 'function' is vague and
has  no  real  meaning.  I've  heard therapists talk about function with
regards  to  everything from how elbows do or don't work to how a person
transfers.  Unless  "function" is further delineated, it's impossible to
know what is being described.



----- Original Message -----
From: Charles Willmarth <[EMAIL PROTECTED]>
Sent: Tuesday, July 05, 2005
To:   [email protected] <[email protected]>
Subj: [OTlist] Illinois Practitioners?

CW> Ron,

CW> I think you need to look at the full context of how "functional
CW> limitations" is used the definition.

CW> (B) Alleviating impairments, functional limitations, or disabilities
CW> by  designing, implementing, and modifying therapeutic interventions
CW> that  may  include,  but  are  not  limited  to,  the  evaluation or
CW> treatment of a person through the use of the effective properties of
CW> physical  measures  and  heat,  cold,  light, water, radiant energy,
CW> electricity,   sound,  and  air  and  use  of  therapeutic  massage,
CW> therapeutic  exercise,  mobilization, and rehabilitative procedures,
CW> with  or  without assistive devices, for the purposes of preventing,
CW> correcting,   or   alleviating  a  physical  or  mental  impairment,
CW> functional limitation, or disability.
 
CW> During  negotiations  we  suggested  that  "functional  training" be
CW> replaced with "functional training related to movement and mobility"
CW> or  a  variation  of that phrase. The PTs offered to pull functional
CW> training from the definition altogether.

CW>  The PT legislation had already passed the House and the Senate (two
CW> bills  crossed  over).  Getting  an  amendment like this at the last
CW> minute  was  an  accomplishment and demonstrated that IOTA has built
CW> strong   relationships  in  the  legislature.  OT  practitioners  in
CW> Illinois  sent  emails  and  called their legislators when asked and
CW> this had a definite impact.

CW> Chuck

>>>> [EMAIL PROTECTED] 7/2/2005 4:10:55 AM >>>
CW> Hello:

CW> Is anyone on the list from Illinois?

CW> The  most  recent AOTA Scope of Practice Update mentions the Illinois
CW> OT
CW> Assoc's  recent  'victory'  at  getting  the  language of the State's
CW> PT
CW> Practice Act changed.

>>From  what  I  can  tell,  the  OT's  got  the  PT's to remove the
CW> words
CW> "functional training" from the the proposed legislation but the
CW> approved
CW> legislation  still  has  words  relating  to  treatment  of 
CW> "functional
CW> limitations".

CW> While  I  don't  necessarily  agree  that  "functional training" is
CW> OT's
CW> personal domain, I don't see how the above change makes much
CW> difference.

CW> Maybe someone will help me.

CW> The PT Practice Act can be read here:

CW> http://www.ilga.gov/legislation/94/SB/PDF/09400SB0930lv.pdf 


CW> Ron


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