To Ron and the OTList>
I was glad to see the COPM mentioned more than once in rhe recent discussion as
I was born raised and edcuated in Canada and have been taught by some of the
designers of the COPM. I need to go back and get a copy of that material and
start using it in practice. The OT profession in Canada is strong and dynamic,
at least it was when I left 15 years ago. I wonder if some of the problems in
practice related to occupation-based treatments are related to the
different healthcare system(?) being a single payer system vs our US system
which has a lot of big business influences. I have written earlier about what
the Medicare PPS system and RUGS classification and Rehab companies have done
to OT practice in SNFs..productivity, staffing, etc.. have made it hard to
practice in a more ideal OT way. And it has created bad habits for the
profession in terms of good occupation-based interentions.
Good to hear about some EBP going on our there too...but I know that a great
majority of therapist don't really use it at this time including me. But
objective validation of practices through science would clarifiy a body of
knowledge and level of expertise.
If OT is a powerful idea it will be shown through the evidence.
\Good Discussion
Brent Cheyne OTR/L
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