Hello Ann (and hopefully others):

It  seems  like  you are in agreement with what I'm trying to say. Now,
here's where it gets sticky, at least for me.

IF, we are meeting client's where they are (i.e. the medical model) what
are we doing differently that our PT partners?

How  does  meeting  our  clients  in  the medical model mesh with AOTA's
Conceptual Framework model?

Thanks,

Ron

----- Original Message -----
From: [EMAIL PROTECTED] <[EMAIL PROTECTED]>
Sent: Wednesday, April 26, 2006
To:   [email protected] <[email protected]>
Subj: [OTlist] Occupation

 
Dac> If we truly want to be client centered, then I think it is more important  
to
Dac> meet them where THEY are, rather than expecting them to understand where we
Dac> are.  If we are to work with people who have sustained a medical illness or
Dac> injury, they are dealing with it within the medical model - going to their
Dac> doctor, possibly trying to treat it with medicine or alternative 
approaches, but
Dac> whatever they are doing, it is within the medical model.  To them, the
Dac> impairment IS the problem, not the occupation.  We may feel that engaging  
in
Dac> occupation will be the most efficient and effective means of giving them 
back  what
Dac> they can't even articulate that they want, but it is not(in my opinion)
Dac> realistic to expect them to recognize this at the outset.  Any education  
program
Dac> geared at people who are not currently experiencing a problem is not  
going to
Dac> be all that effective, as they won't recognize the need to pay  attention 
to
Dac> something that has no immediate relevance in their life, and once  they 
have a
Dac> problem, it is the problem that they will be focusing on.   Since the 
problem
Dac> is their focus, we need to be able to articulate to them how  we can help
Dac> them with their problem, while we gradually introduce the way in  which 
that
Dac> problem may be impacting their occupation and ways in which we can  
alleviate
Dac> that.  To continue to garner the referrals, or be recognized as  worthy of 
3rd
Dac> party reimbursement, we need to be able to articulate this within  the 
medical
Dac> model to the referral sources and payors as well.  They are  functioning 
within
Dac> the medical model, and that is where we have to meet them,  not try to 
force
Dac> them to meet us outside of that model.
Dac> Ann
>>> Hello All:
>>> 
>>> Simple,  our   clients  are  seeking answers to problems. They want 
>>>  theseproblems  fixed.  But  the problems are not occupation, the  
>>> problems are
>>> things  like weakness, loss of  balance, developmental delay, 
>>> depression,etc. Clients see these  'components' as the problem and 
>>> this is what they
>>>  expect  their  therapist to address. This is the way the entire  
>>> world of
>>> medicine works and for OT to be any different  just doesn't work.
>>> 
>>> What  I  think needs to be  done is for our patients to recognize 
>>> loss of
>>>  occupation  as the primary problem. Then, they recognize the need  
>>> for an
>>> occupational therapist. And as far as I can  tell, the ONLY way 
>>> that this
>>> is  going   to  happen  on  a  large  scale is for AOTA to put  
>>> together a
>>> NATIONAL  ad  campaign directed at  educating people about 
>>> occupation and
>>> thus occupational  therapy.
>>> Ron







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