Hi Arley- I enjoyed your comments. 

I do wish to respond to one of your statements. You said "We bring something
to the table that no one else delivers, comprehensive functional assessment
and treatment in the context of that person's life." While, that is true in
most cases, I work at an adult DD facility where the Comprehensive
Functional Assessment (CFA) is the responsibility of the whole team. And
while I think OT is best equipped to do these CFAs, I do not have enough
staff to complete these annual assessments on all 330 of our residents. So,
OT staff are requested to complete specific portions of the form, such as
mealtime/eating. (We are very visible in our dining rooms). But other parts
of the assessment are completed by nontrained direct care staff and other
professional diciplines. And there are often discrepencies in what we
observe and what others assess. There is a LOT of crossover in training and
blurring of the professional lines because our folks are so multiply
handicapped.


Joanne 



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