Hello  Chuck,  thanks  for  writing.  There are so many things in your
message that it's difficult to respond to them all. So, I guess that I
will just pick a couple topics.

For  one, I don't blame AOTA for everything wrong with our profession.
I  don't  really blame them for anything, I just don't agree with some
of  what  does and doesn't go one. Obviously, I know NOTHING about the
inner  workings of AOTA, all I know is what I read, either as official
documentation  or  through non-official channels. I base my opinion of
AOTA  on  these  sources.  I  have  no doubt that AOTA is full of hard
working people, and I am not knocking anyone for doing their job. But,
I  do  have  a difference of opinion about some things and I certainly
feel that voicing that opinion is appropriate.

Your  below  message  reiterates that OT is ideally suited to meet the
needs  of people of all ages, however, I again take great exception to
this statement. Many factors stand in the way of OT being able to meet
peoples needs. Off the top of my head, here are a couple:

1. Lack of unity within our profession
2. Lack of name recognition among payers and referral sources
3. Lack of consistency in service delivery
4. Lack of consistency between philosophical base and service delivery
environment

Chuck,  I  don't  think that AOTA is to blame for these problems. I do
think,  however,  that  when  AOTA  leaders  continually  focus on the
positive  aspects  of our profession to the exclusion of the negative,
then  they  are painting a false picture and doing a disservice to our
profession.

For  example,  a  while  back,  APTA was pushing hard to gain Medicare
direct access. In the process, AOTA took a stand basically saying that
if PT gets direct access, then so should OT and SLP. APTA took this as
AOTA was not supporting them. The APTA president really came down hard
on  AOTA  saying  that  they were reevaluating their relationship with
AOTA.  Now,  AOTA was great about disseminating information about what
how  they  had  gone  to  bat  for  our profession but they never once
publicly  mentioned the dissension between APTA and AOTA. I think this
is  wrong  and that AOTA should have let us know the entire story, but
they  didn't.  PT's  knew  about  it because it was on their web page.
Thus,  PT's  in the work force knew. I'm sure there were many OT's who
were caught off guard by the situation, whereas had AOTA told us about
it  and posted some information, then OT's could have probably taken a
more informed stand.

Thanks,

Ron

==========================================
Monday, April 17, 2006, 11:13:56 AM, you wrote:

> Ron,

> I hope that you will reconsider renewing your membership in AOTA and your 
> state association.

> For $80/year, I think the Florida Occupational Therapy Association does quite 
> a bit for your dues.
> http://www.flota.org/member.html 
> As you probably know, your dues go to support a lobbyist and an
> association management company in Tallahassee.  
> This year FOTA created a political action committee to strengthen its 
> influence.
> http://www.flota.org/FOCUS/FOCUS%20March-April%202006.pdf
> Three years ago AOTA worked with FOTA to defeat a proposal that
> would have tripled licensure fees.

> Certainly AOTA and the profession faces many challanges.   I think
> it's easy to blame AOTA for everything that isn't going right in the
> profession.  But is AOTA a building in Bethesda, Maryland or is AOTA
> its individual members?  There are 115,000 occupational therapists
> and occupational therapy assistants in the US.   AOTA has about
> 35,000 members (including students).  The more members we have, the
> more that we can do to move the profession forward.   

> I terms of your quote from a leader in the profession, I think you
> are refering to the AJOT article  From the Desk of the Executive
> Director: Charting a Path for the Future which was published in AJOT
> March/April 2005 Volume 59 / Number 2.  I will paste more from that
> article to provide readers with some additional context.  

> http://www.aota.org/ajot/getpdf.asp?doc=5921.pdf   In   viewing  the
> prospects  that  lie ahead for occupational therapy, I am optimistic
> and  enthused  about the opportunities the future holds. There is no
> question  that  we  face  a  difficult  environment.  Changes in the
> organization  and  delivery  of  health care services and reforms in
> reimbursement  systems  driven by federal and state budget pressures
> have  profoundly  affected occupational therapy practice. All health
> care  professionals  are  increasingly being required to demonstrate
> the  effectiveness  and  appropriateness of their services. Resource
> constraints  have  fostered challenges to the traditional domains of
> many  professions.  Nonetheless,  as a profession that offers unique
> services  that are ideally suited to meet the health, participation,
> and  quality  of  life  needs  of  people  of all ages, occupational
> therapy  is  well-positioned  to  succeed  and  flourish in the 21st
> century.  The  philosophy  and  conceptual  models  of  occupational
> therapy  and  the  needs of society are intersecting to create great
> opportunities  for  the future. The full realization of occupational
> therapy's  potential  however  will  depend on vision, strategy, and
> unity of effort within the professional community.

> AOTA's Representative Assembly will consider a Proposed Centennial
> Vision Statement at its 2006 meeting in Charlotte, North Carolina. 
> Detailed background information is available on AOTA's website
> including information about how the proposed statement came about.  
> I will paste an excerpt below.   Elements to a shared vision were
> identified, as were barriers.   Strategic directions emerged from additional 
> discussions.

> http://www.aota.org/members/area6/2006-ra/ce_VP2.pdf 
> http://www.aota.org/members/area6/2006-ra/ce_centennial.pdf 

> Here is the proposed statement:
> "We envision that occupational therapy is a powerful, widely
> recognized, science-driven, and evidence-based
> profession with a globally connected and diverse workforce meeting society's 
> occupational needs."

> Here is the excerpt:

> "During this process the participants considered member and
> nonmember feedback, and generated shared vision
> elements, identified important underlying barriers, and defined
> four strategic directions to support the proposed
> shared centennial vision.

> The eight elements viewed as relevant to a shared vision included:
> 1. Expanded collaboration for success
> 2. Power to influence
> 3. Membership equals professional responsibility
> 4. Well-prepared, diverse workforce
> 5. Clear, compelling public image
> 6. Customers who demand occupational therapy
> 7. Evidence-based decision making
> 8. Science-fostered innovation in occupational therapy practice

> Six barriers were identified:
> 1. Rigid adherence to the status quo
> 2. Misalignment between the current OT priorities and the external environment
> 3. Limited appeal of AOTA membership
> 4. Inconsistent competencies for education and practice
> 5. Overemphasis on a "helping culture" in the OT workforce
> 6. Unclear professional language and terminology

> Four strategic directions emerged after a careful analysis of barriers and 
> opportunities:

> 1. Building the capacity to fulfill the profession's potential and mission.
> This includes:
> * Ensuring an adequate and diverse workforce for multiple roles
> * Preparing OTs and OTAs for the 21st Century.
> * Increasing research capacity and productivity
> * Strengthening our capacity to influence and lead

> 2. Demonstrating and articulating our value to individuals, organizations, and
> communities.
> This includes:
> * Meeting societal needs for health and well-being
> * People understanding who we are and what we do
> 3. Building an inclusive community of members
> 4. Linking education, research, and practice

> Chuck Willmarth
> Director, State Affairs
> AOTA

>>>> [EMAIL PROTECTED] 4/16/2006 4:08 PM >>>
> For  one,  I  have  not considered my State association membership to be
> worth  the  money.  Even  though I recently joined, I am not sure that I
> will renew.

> Regarding  AOTA,  I  am not pleased with the way our leaders present our
> profession.  I  sometimes  feel  that some AOTA leaders have a PollyAnna
> perspective.

> For example, a while back one of our leaders stated:

>         "In the United States, occupational therapy is ideally suited to
>         meet the health needs of people of all ages."

> Personally,  I  think  the  above  quote is far off-base and should read
> something like:

>         "In  the  United States, OT is missing the mark on being able to
>         best meet the needs of patients who most need our services."

> This is just one example of why I am questioning my financial support of
> AOTA. Granted, AOTA has personally helped me but I am unsure of the cost
> benefit of continued support.

> Ron


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