None of Ron's points preclude either treatment approach stated by Chris but occupation is always the 'end' and because of our activity analysis abilities may well be the most effective means.
Joan Riches B.Sc.O.T., OT(C) Specialist in Cognitive Disability High River, Alberta, Canada -----Original Message----- From: otlist-boun...@otnow.com [mailto:otlist-boun...@otnow.com] On Behalf Of Ron Carson Sent: June 18, 2009 5:05 AM To: cmnahrw...@aol.com Subject: Re: [OTlist] Dental Hygienst Knows About OT... Chris, in my opinion, the debate is not about top-down ~vs~ bottom-up approaches. Instead, it's about occupation as the PRIMARY outcome measure versus occupation as a secondary measure. Occupation as a PRIMARY outcome measure implies that occupation is: a. The reason for a referral b. The determinant for identifying if OT is indicated C. The STATED goal(s) c. The measure of success/failure Thanks, Ron ~~~ Ron Carson MHS, OT www.OTnow.com ----- Original Message ----- From: cmnahrw...@aol.com <cmnahrw...@aol.com> Sent: Saturday, June 13, 2009 To: OTlist@OTnow.com <OTlist@OTnow.com> Subj: [OTlist] Dental Hygienst Knows About OT... cac> I see the horse is not dead yet!!!! cac> This age old debate revolves around the top down approach and the cac> bottom up approach to treatment, or the occupation as a means or an cac> end. ... -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com No virus found in this incoming message. Checked by AVG - www.avg.com Version: 8.5.372 / Virus Database: 270.12.76/2183 - Release Date: 06/18/09 05:53:00 No virus found in this outgoing message. Checked by AVG - www.avg.com Version: 8.5.372 / Virus Database: 270.12.76/2183 - Release Date: 06/18/09 05:53:00 -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com