I practice in Texas and am, admittedly an "old" OT. Most places I  
work, OT is definitely part of the dysphagia team. In certain  
settings, OT is much more involved in oral motor and dysphagia than  
speech. Often it seems that is based on who has the higher comfort  
level which often depends on your school program and work experience.  
I have been involved with adults and children in everything from  
evaluation of aspiration risk, oral motor sensitivity and aversion,  
delayed swallow, oral motor apraxia to actually being involved in the  
video swallow studies.

I don't think OT is out of swallowing in any global sense across the  
board.
Mary Alice
On Nov 30, 2006, at 7:47 AM, Joan Riches wrote:

> "I think speech has taken over."
> I wonder why. How long have you been practising, Chris? If not long  
> do you
> know any 'old' OTs that you can ask about this? Was dysphasia  
> addressed in
> your training? Is swallowing a potential issue with any of your  
> clients? Do
> you assess for swallowing problems? Do you have any friends who are  
> speech
> paths? How does swallowing figure in their practice?
> Adult speech pathology is in short supply here. The dysphasia team is
> Dietician, OT and Speech Pathology. Followup is Dietician for diet  
> and OT
> for positioning, staff and family training. All may do family and  
> discharge
> support.
> Joan
>
>
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