Good question Carmen.

The  ONLY  way  that  I know is for AOTA to start a national ad campaign
about  occupation.  Advertising  is  about  creating a need for goods or
services where no need previously existed. In my opinion, AOTA must SELL
patients,  doctors and insurance companies on the concept of occupation.
But,  for  this to work, ALL involved entities (including OTs) must 'buy
into'  the  concepts  of  occupation.  I  guess  it's back to the future
because as I understand it, this is exactly how OT started.

To  me,  it would be sooooooooooooooo much better if instead of Backpack
Awareness, AOTA promoted something like Occupation awareness. And yes, I
think   AOTA   needs  to  put  together  advertisement  using  the  word
OCCUPATION!!!  And  then  OT must practice what is being preached. Right
now, our profession is so franchised, it's pathetic!!!

Just today, even though I clearly have "OCCUPATIONAL THERAPY" on my work
shirt,  I was called a PT. And a few hours later, I was actually stopped
on  the  street  by  someone who said that there wife needed OT. Care to
guess what for???

Nope,  it  was  because of an occupational problem. It was because of an
upper  extremity  problem.  When asked, the patient said that she had OT
and  PT  while  in rehab and that she needed more OT because her arm was
still not working correctly.

Unfortunately,  I  could  not see the women because my company is not on
her insurance plan, and there is an apparent shortage of outpatient OT's
in my area, so I referred her to an outpatient PT that I know. He called
me tonight to say 'thanks'.

Ron

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

CA> Ron
CA> How would AOTA, or any other entity for that matter,  educate
CA> people on loss of occupation as a problem that needs to be addressed
CA> by a professional...
CA> Carmen
CA>   ----- Original Message ----- 
CA>   From: Ron Carson<mailto:[EMAIL PROTECTED]> 
CA>   To: [EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]> 
CA>   Sent: Wednesday, April 26, 2006 1:44 PM
CA>   Subject: Re: [OTlist] Occupation


CA>   Hello Ann (and hopefully others):

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

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

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

CA>   Thanks,

CA>   Ron

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

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







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