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: [email protected] [mailto:[email protected]] On
Behalf Of Ron Carson
Sent: June 18, 2009 5:05 AM
To: [email protected]
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: [email protected] <[email protected]>
Sent: Saturday, June 13, 2009
To:   [email protected] <[email protected]>
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. ...


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