Hi Morgan,

I work for an ACT Team, Assertive Community Treatment
for clients with major mental health problems.  It may
not be the same kind of setting as you are in but this
is our situation.

I am a single OT on the team, we have 3 nurses, 5
social workers, 1 peer support worker, a psychiatrist
and a manager.  We have approximately 90 clients, and
this number will climb to 100 over the next two years.
They all live in the community and recieve much of
their care in their homes.  

About 70% of our job is generic, all diciplines do the
same thing, delivering meds and care to clients in the
community.  Then of course we provide care using our
dicipline specific skills for the other approx. 30% of
the work. The psychiatrist and manager are on call 24
hours per day, seven days per week.   The rest of us
do one evening shift, noon to 8pm, and are then on
call until 8am the next morning.  We also do one
weekend a month.  It adds up to 7 days in one week,
once per month.  After the seven days we get the
Monday and Tuesday off and then back to work for
Wednesday, Thursday and Friday.  If there is a long
weekend, then we can end up doing 8 or 9 days in a
row, 3 or 4 days off and then only 2 or 1 day(s) on
before the following weekend.

We are paid a small hourly amount extra for the
weekend and on call work.

The advantage of having all diciplines doing the
generic work is that we all get to know the clients
very well.   So when people are away, sick, or off for
other reasons, the work continues pretty smoothly.

What I think makes it work really well for us is that
we are a very cohesive team, and we all like the
different shifts.  We were hired into the situation,
so we all knew what we were getting into.

The research on the ACT team model shows it to be very
successful and cost effective.

I can imagine that having this kind of scheduling
imposed could create a lot of upset.  But in your
situation, is the proposal that you all work 7 days
per week and then get 3 to 7 days off?  Or what are
the specifics of the proposal?

Hope this is of use.

Aine Suttle O.T. Reg.(Ont.)

--- Morgan Steve <[EMAIL PROTECTED]>
wrote:

> 
> Our Service is proposing that all therapy staff work
> 7 days. We within a
> intermediate care setting and we are wondering if
> anybody else works 7 days
> and what shift pattern that works.
> 
> What evidence is there that doing therapy 7 days a
> week works and what
> continuity it brings and if the therapist keeps
> changing?
> 
> 
> Steve       
> 
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