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February 18, 2021

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Jeff is a licensed occupational therapist and lead content creator for OT Dude. He covers all things occupational therapy as well as other topics including healthcare, wellness, mental health, technology, science, sociology, and philosophy. Buy me a Coffee on Venmo.

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Content on this channel is intended for general guidance only and must never be considered a substitute for the advice provided by a doctor, qualified healthcare professional, legal, tax, or accounting professional. Under no circumstances will OT Dude (OTDUDE LLC) be responsible or liable in any way for any direct, incidental, consequential, indirect, or punitive damages arising out of access to or use of any content available on this channel, regardless of the accuracy or completeness of any such content.

Please see the link for our Disclaimer Policy for all of our videos on the OT Dude YouTube Channel - https://www.otdude.com/disclaimer

Some of the links in this video or its description may be affiliate links, which means if you make a purchase through them, I might receive a small commission. This doesn't cost you anything and helps support the channel.

OT Dude is not affiliated with or endorsed by NBCOT® or AOTA.

As occupational therapy practitioners, we all know the importance of promoting health, wellness, participation and a good quality of life. It's in our scope of practice. It's in our practice framework. It's everywhere and part of our role as healthcare practitioners is to be on the same team when it comes to speaking the same language.

Outcome measures are one way of seeing if we are doing what we are saying we are doing as OTs. So how do we measure if we are promoting health and wellness? One way is through the subjective experience of our clients such as through interview and the COPM. But there are many other beneficial outcome measures in the wild outside of OT.

Patient-reported outcome measures (PROMS). This video introduces PROMS that are widely used in healthcare in the US (and probably globally as well). These are mostly free, easily accessible, easy to administer, and relatively easy to score. By becoming familiar with these PROMs, you will be a valuable member of the team to contribute, interpret, and promote the client's health and wellness as well as their quality of life.

00:00 Intro
01:19 Important Terms
01:42 Health
02:38 Well-being
03:43 Participation
04:28 Biopsychosocial & Occupation-Based Approach
05:35 Outcomes & Measures
06:18 Beyond COPM
07:11 PROMs
07:54 PHQ-9
09:26 GAD-7
09:54 SF-36
10:19 Why Use SF vs PHQ/GAD?
10:56 SF-12
11:21 RAND-36
11:30 PROMIS
12:42 EQ-5D
13:25 Barthel Index
14:07 WHOQOL
15:55 Summary!

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⚠️ Disclaimer
Content on this channel is intended for general guidance only and must never be considered a substitute for the advice provided by a doctor, qualified healthcare professional, legal, tax, or accounting professional. Under no circumstances will OT Dude (OTDUDE LLC) be responsible or liable in any way for any direct, incidental, consequential, indirect, or punitive damages arising out of access to or use of any content available on this channel, regardless of the accuracy or completeness of any such content.

Please see the link for our Disclaimer Policy for all of our videos on the OT Dude YouTube Channel - https://www.otdude.com/disclaimer

Some of the links in this video or its description may be affiliate links, which means if you make a purchase through them, I might receive a small commission. This doesn't cost you anything and helps support the channel.

OT Dude is not affiliated with or endorsed by NBCOT® or AOTA.

What models influenced OTs history? How did the profession of occupational therapy come to be associated with the medical model? What was the involvement of the AMA and Flexnor Report? Why did it move away and towards a biopsychosocial and occupation-based model? In terms of medical model settings, how are occupational therapy practitioners doing what they hoped to do? What are the challenges they face? Despite the large amount of money that the US spends in healthcare, e.g., in the hospital, are we getting the best outcomes? The data says no. So were OT practitioners right along in their approach to practice through the spirit of promoting engagement in function, activity, and occupation? Found out in this evidence-based video essay with some insights into current practice and to stir up some critical thinking.

Based on the original blog post about the Flexner Report's effects on OT: https://www.otdude.com/students-and-new-grads/history-lesson-how-the-flexner-report-shaped-occupational-therapy-reimbursement-in-the-united-states/

Kielhofner G. Conceptual foundations of occupational therapy practice. Philadelphia (PA): FA Davis; 2009.

Lohman, H., & Peyton, C. (1997). The influence of conceptual models on work in occupational therapy history. Work, 9(3), 209-219.

Murray, A., Di Tommaso, A., Molineux, M., Young, A., & Power, P. (2021). Contemporary occupational therapy philosophy and practice in hospital settings. Scandinavian journal of occupational therapy, 28(3), 213-224.

Prislin, M., Saultz, J., & Geyman, J. (2010). The generalist disciplines in American medicine one hundred years following the Flexner Report: A case study of unintended consequences and some proposals for post-Flexnerian reform. Academic Medicine, 85, 228–235.

Yerxa EJ. Some implications of occupational therapy’s history for its epistemology, values, and relation to medicine. Am J Occup Ther. 1992;46:79–83.

00:00 Intro
01:07 Medical Model Influences
01:24 Two ways of thinking
02:32 Flexner Report
03:51 Flexner's Influences
04:34 Biopsychosocial
05:03 Medical vs Biomedical
06:00 Occupation-Based
07:11 Away from the Medical
07:59 Current Practice
10:04 Big Takeaway
10:49 Solutions???

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Please see the link for our Disclaimer Policy for all of our videos on the OT Dude YouTube Channel - https://www.otdude.com/disclaimer

Some of the links in this video or its description may be affiliate links, which means if you make a purchase through them, I might receive a small commission. This doesn't cost you anything and helps support the channel.

OT Dude is not affiliated with or endorsed by NBCOT® or AOTA.

In this episode, Kelsey shares her story about how she balanced life and overcame her obstacles with Crohn’s Disease, finances, and early motherhood to be successful in a rigorous occupational therapy program. Kelsey is an inspiration of how things don’t always work out and to take baby steps towards your goals!

Listen to the full episode: https://www.otdude.com/podcast/motherhood-autoimmune-disease-and-balancing-life-as-a-student-with-kelsey-cathcart-ot-dude-podcast/

00:00 Intro
02:26 Health Mangement is Ongoing
04:19 Balancing Motherhood and School
07:14 Too Old for OT School?

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Content on this channel is intended for general guidance only and must never be considered a substitute for the advice provided by a doctor, qualified healthcare professional, legal, tax, or accounting professional. Under no circumstances will OT Dude (OTDUDE LLC) be responsible or liable in any way for any direct, incidental, consequential, indirect, or punitive damages arising out of access to or use of any content available on this channel, regardless of the accuracy or completeness of any such content.

Please see the link for our Disclaimer Policy for all of our videos on the OT Dude YouTube Channel - https://www.otdude.com/disclaimer

Some of the links in this video or its description may be affiliate links, which means if you make a purchase through them, I might receive a small commission. This doesn't cost you anything and helps support the channel.

OT Dude is not affiliated with or endorsed by NBCOT® or AOTA.

Considered to be an essential concept and practice for occupational therapy, the therapeutic use of self is also misunderstood by OTs according to research. Learn the origins and theory of the therapeutic use of self, how it is based in intentional relationship model (IRM), the IRM principles and how to use changing modes to improve your practice, common definitions, how to put it into practice, challenging situations and scenarios where it may be more difficult to reflect on, critical thinking questions, and how maximize the clients potential through your interactions as an OT practitioner based on the research.

00:00 Intro
00:41 The relationship
01:06 Table of Contents
01:22 Science & Art
02:40 Concepts
04:11 OTPF Definition
05:11 Theory
06:51 Including Reasoning
07:10 Engaging the Client
07:27 Occupation
08:16 Conscious and Intentional
09:11 IRM
11:52 Communication breakdown
12:36 Impulse control
13:49 How SCIENCE plays a part
14:19 Open, Reliable, Trusting
14:44 Be careful with Change
15:42 Change always good?
17:35 Challenges
18:20 Dynamic interactions
18:55 Modes
19:47 Putting it to the test
20:00 Conflict examples
21:26 Pro Tip
22:14 Client Client Client
22:31 Systemic Issues
23:59 Patience, Kindness, Practice, Reflect
24:19 Measuring success
24:41 Gap in research
25:09 Conclusion

American Occupational Therapy Association. (2020). Occupational therapy practice framework: Domain and process (4th ed.). American Journal of Occupational Therapy, 74(Suppl. 2), 7412410010. https://doi.org/10.5014/ajot.2020.74S2001

Knight, C. (2012). Therapeutic use of self: Theoretical and evidence-based considerations for clinical practice and supervision. The Clinical Supervisor, 31(1), 1-24.

Popova, E. S., Januszewki, C., & Hahn, B. (2020). Building resilience and preventing burnout: Applying the intentional relationship model to promote self-care. OT Practice.

Solman, B., & Clouston, T. (2016). Occupational therapy and the therapeutic use of self. British Journal of Occupational Therapy, 79(8), 514-516.

Taylor, R. R., & Melton, J. (2022). Therapeutic use of self: a model of the intentional relationship. Skills for Practice in Occupational Therapy E-Book, 79.

Taylor, R. R. (2020). The intentional relationship: Occupational therapy and use of self. FA Davis.

Taylor, R. R., Lee, S. W., Kielhofner, G., & Ketkar, M. (2009). Therapeutic use of self: A nationwide survey of practitioners’ attitudes and experiences. American Journal of Occupational Therapy, 63, 198–207.

Wong, S. R. (2016). Therapeutic use of self in occupational therapy: Applying the intentional relationship model (Doctoral dissertation, University of Illinois at Chicago).

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