Month: May 2012

#OTalk- The Kawa Model 01/05/12 by @Gilliancrossley

The Kawa Model, 1st May 2012.

Hosted and blog written by Gillian Crossley

This chat generated lots of enthusiastic discussion about the Kawa Model. There were many examples of its use in Occupational Therapy practice and beyond OT. There were many descriptions of the metaphor and how people understood it in practice and how the metaphor could be reinterpreted to be more meaningful to the client.  There was discussion about whether it is a model or a tool? And whether it really needs to be defined as either? Tweeters shared some examples of difficulty in using in certain settings and whether it was always appropriate to use? There was also talk about whether having somewhere official to share anecdotal evidence would help to encourage further research or use in practice.

Thanks to all those who contributed to the discussion. @Helen_otuk, @Bradpnixon, @Kirstyes, @Jfaias, @claireOT, @adiemusfree, @allisulli, @emilyhack, @OT_for_Kids, @rebelraising, @gillypatrick, @OTSalfordUni, @LeonoraOT, @AuntyHel, @mommagilly, @Living_as_if

Knowledge of the Kawa Model

There was some discussion about theoretical knowledge, cultural and practical application of the Kawa Model.

@Helen_otuk @gilliancrossley yes had a look… but I must admit my knowledge is mostly theoretical, not actually ‘used’ 1/2 #OTalk
(Tue, 01 May 2012 19:12:24 +0000)
@Helen_otuk But as usual open to learning and really like the theoretical aspects i am aware of. Would love to hear about how people ‘use’ it #OTalk
(Tue, 01 May 2012 19:14:51 +0000)
@bradpnixon @gilliancrossley #otalk the km challenges us to depart from traditional thinking – it is a way of constructing a narrative 1/2
(Tue, 01 May 2012 19:15:40 +0000)
@Helen_otuk am i right in thinking that the banks are seen and supports? #OTalk
(Tue, 01 May 2012 19:17:31 +0000)
@kirstyes @Helen_otuk I think they can be supports or can build up to block flow, e.g social stigma etc. #OTalk
(Tue, 01 May 2012 19:20:54 +0000)
@jfaias ” @OTalk_Occhat : @jfaias welcome to #OTalk , lovely to have you with us” Thanks. Not able to stay, unfortunely. Very curious about Kawa Model.
(Tue, 01 May 2012 19:21:55 +0000)
@jfaias @kirstyes @gilliancrossley #OTalk I’ve read the book and some texts about Kawa Model. It deserves some cultural adaptation
(Tue, 01 May 2012 19:24:13 +0000)
@claireOT Celebrating our cultural competence could be premature if we don’t have culturally appropriate concepts to hand during treatment #OTalk
(Tue, 01 May 2012 19:56:54 +0000)
@claireOT Not just linguistic barriers, but also we Westerners have a very individualistic focus, quite alien to many cultures #OTalk (Tue, 01 May 2012 19:57:39 +0000)
@kirstyes @adiemusfree @emilyhack centred that way obviously. You would determine impact and size of boulders etc but don’t we do that #OTalk (Tue, 01 May 2012 19:57:44 +0000)
@adiemusfree @kirstyes @emilyhack not sure of this – don’t always need language of Kawa to be client-centred #OTalk (Tue, 01 May 2012 19:58:39 +0000).
@adiemusfree @claireOT is Kawa treatment or assessment or both? is it always culturally appropriate? #OTalk
(Tue, 01 May 2012 19:59:31 +0000)
@OTalk_Occhat @adiemusfree I think all OT assessments are the start of the therapeutic relationship, ergo are part of therapy 😉 #OTalk
(Tue, 01 May 2012 20:00:41 +0000)

Discussion about whether the Kawa Model is a model or tool? And how it has been used in practice.

Some key points were that The Kawa Model, didn’t seek to be defined as either a model or a tool and that it was a way to illicit discussion of the clients own narrative.  Discussion included thoughts that it was both a model and a tool, dependant on its application and context. For example maybe a tool to when intended to illicit a narrative and a model when used by an occupational therapist to identify occupational needs. Can also be used to view multiple river options and help the client decide which way to flow.

Does it need to be defined as either? If we leave them with occupation.. @kirstyes

@gilliancrossley Do people consider the Kawa a model or a tool? can it be compare with moho cmop #OTalk
(Tue, 01 May 2012 19:14:09 +0000)
@kirstyes @gilliancrossley A model and a tool all in one. #OTalk Yes there are some similarities but possibly Kawa all guided by client to define
(Tue, 01 May 2012 19:16:07 +0000)
@bradpnixon @bradpnixon @gilliancrossley #otalk but does not seek to define it. It is not a model or a meta narrative.
(Tue, 01 May 2012 19:16:33 +0000)
@allisulli @kirstyes @helen_otuk results r very positive, re context for therapeutic group process and for constructing occupational narrative #OTalk
(Tue, 01 May 2012 19:22:52 +0000)
@claireOT I like to have Kawa in my toolkit- many cultures don’t share language we use e.g.””recovery”” so it’s good to have another model #OTalk
(Tue, 01 May 2012 19:25:43 +0000)
@bradpnixon @OTalk_Occhat @allisulli @kirstyes @helen_otuk #otalk “”narrative”” is the key. a river tells the story of a journey – it is perfect tool
(Tue, 01 May 2012 19:26:08 +0000)
@gilliancrossley @jfaias @kirstyes #otalk , its great for understanding cultural boundaries, and not fitting into boxes
(Tue, 01 May 2012 19:27:31 +0000)
@Helen_otuk Yes it is the ‘narrative’ aspect that i like… have always preferred to work with a clients ‘narrative’ than other methods. #OTalk
(Tue, 01 May 2012 19:27:54 +0000)
@bradpnixon @gilliancrossley @jfaias @kirstyes #otalk this is also causing problems – is it a model? is it a tool? Why won’t it conform?
(Tue, 01 May 2012 19:28:51 +0000)
@kirstyes @gilliancrossley Possibly. This is where the model aspect comes in though. I thought it was designed to help identify where OT needed #OTalk
(Tue, 01 May 2012 19:28:53 +0000)
@jfaias @bradpnixon @gilliancrossley @kirstyes or a framework? We need Hagedorn here to help us. I see it more as model. But i don’t use it #OTalk
(Tue, 01 May 2012 19:34:45 +0000)
@allisulli Imperative, really. #clientcentered #occupation based. #Kawa affords an occupational narrative for tx needs of those with #trauma hx #OTalk
(Tue, 01 May 2012 19:34:55 +0000)
@adiemusfree Depends on ontology/epistemology but tool is an enabler for therapy like whiteboard, pen, model allows testing/theoretical expansion #OTalk
(Tue, 01 May 2012 19:35:44 +0000)
@kirstyes @gilliancrossley @adiemusfree A tool when uses to simply harness narrative. But a model when used by a qualified OT to guide OT int? #OTalk
(Tue, 01 May 2012 19:38:12 +0000)
@adiemusfree As tool w/in OT provides opp. for effective communication about occupation: is model for each individual, allows hypothesis testing #OTalk
(Tue, 01 May 2012 19:40:31 +0000)
@kirstyes @adiemusfree And do you not see Kawa as allowing testing/theoretical expansion? #OTalk
(Tue, 01 May 2012 19:41:00 +0000)
@adiemusfree Can test out potential solutions systematically using Kawa metaphor #OTalk
(Tue, 01 May 2012 19:41:40 +0000)
@kirstyes @gilliancrossley @otsalforduni I don’t think so if introduced to clients as a tool. Aft all we leave them with occupation too! #OTalk
(Tue, 01 May 2012 19:41:53 +0000)
@allisulli RT @kirstyes : @adiemusfree @gilliancrossley True. What def would you use? I think Kawa could be used similarly to CMOP-E/MOHO/PEO #OTalk
(Tue, 01 May 2012 19:53:23 +0000)
@adiemusfree @kirstyes @gilliancrossley Agree Kawa similar to CMOP etc – all of which are metaphoric rather than verifiable in empiric way #OTalk
(Tue, 01 May 2012 19:55:19 +0000)

Description of the Kawa metaphor and some difficulty using in certain settings.

Understanding the metaphor and how this could be interpreted in practice. Rocks could represent, loss or trauma, flow could be affected by sediment in the river bed; such as unhappy experience or unhelpful habits. Some people gave examples of it being difficult to use, within particular settings due to the client not being able to relate.  Discussion about considering which clients would be appropriate when using the Kawa and about always choosing client appropriate tools, within the individuals’ context.

Models /metaphors provide a framework for clinical reasoning, not a straight Jacket @adiesmufree

@gilliancrossley Brief recap of the Kawa, Rocks are challenges, driftwood resources/ attributes.. how does your river flow..#OTalk
(Tue, 01 May 2012 19:16:40 +0000)
@OT_for_Kids RT @kirstyes : I have the Kawa book and have had a little look. As a writer I like the metaphor idea. And the storytelling aspects #OTalk
(Tue, 01 May 2012 19:19:26 +0000)
@bradpnixon @Helen_otuk @kirstyes #otalk it is important to see the components of the river and in constant flux. Change is constant in the river
(Tue, 01 May 2012 19:24:53 +0000)
@kirstyes @Helen_otuk I think though we give the metaphor over to the client and listen to their narrative. #OTalkthey define if bank or stone barrier
(Tue, 01 May 2012 19:25:42 +0000)
@Helen_otuk I especially like the visual aspect as I think this can translate to all levels of education or intellect? #OTalk
(Tue, 01 May 2012 19:29:50 +0000)
@emilyhack I like the model in theory, but in practice I felt I spent more time explaining the model than listening to the client’s story #OTalk
(Tue, 01 May 2012 19:32:49 +0000)
@claireOT @DownsSideUp our flow can be affected by sediment at the riverbed, that can be unhelpful habits or unhappy experiences #OTalk
(Tue, 01 May 2012 19:38:57 +0000)
@claireOT @DownsSideUp or blocked by boulders such as loss, or trauma. We work around any blockages, or remove them #OTalk
(Tue, 01 May 2012 19:39:38 +0000)
@emilyhack @kirstyes Liaison psychiatry. I think the client couldn’t relate to it, and was questioning why we were talking about rocks etc… #OTalk
(Tue, 01 May 2012 19:39:39 +0000)
@claireOT @DownsSideUp to re-create the river’s flow. There are also life stage analogies of the river flowing into the ocean at death #OTalk
(Tue, 01 May 2012 19:40:30 +0000)
@Helen_otuk @emilyhack if client can not relate… then possibly not the right approach with that individual? #OTalk
(Tue, 01 May 2012 19:40:39 +0000)
@adiemusfree @emilyhack same prob with concrete thinkers in pain mgmt – have to select patient carefully #OTalk
(Tue, 01 May 2012 19:42:34 +0000)
@emilyhack @Helen_otuk I agree, but kind of client or client need would suit the model? #OTalk
(Tue, 01 May 2012 19:42:34 +0000)
@gilliancrossley @adiemusfree #otalk I like the idea of viewing multiple river options, let the client choose which direction to flow
(Tue, 01 May 2012 19:43:53 +0000)
@bradpnixon @gilliancrossley #otalk Do not forget the poetics of the river, this is where your understanding of the model will come from.
(Tue, 01 May 2012 19:49:01 +0000) 
@adiemusfree @emilyhack @kirstyes River metaphor used in chronic pain group setting to help participants consider life direction #OTalk
(Tue, 01 May 2012 19:49:27 +0000)
@bradpnixon @gilliancrossley #otalk Kawa breaks from traditional western OT thinking, if you feel that you resist its approach, this might be a rock.
(Tue, 01 May 2012 19:49:31 +0000)
@gilliancrossley @emilyhack @kirstyes #otalk I don’t know.. I have only used in mental health and No diagnosis, also used in groups as review of team working
(Tue, 01 May 2012 19:53:57 +0000)
@emilyhack @kirstyes At a Michael Iwama lecture in 2010 OT’s discussed using it post stroke to support reconstructing a new life story #OTalk
(Tue, 01 May 2012 19:55:31 +0000)
@gilliancrossley @kirstyes @emilyhack I think we need to choose the appropriate model for the person in context of setting.. #otalk
(Tue, 01 May 2012 19:55:31 +0000)
@adiemusfree @gilliancrossley @kirstyes @emilyhack Well said – models/metaphors provide framework for clinical reasoning, not straitjacket! #OTalk
(Tue, 01 May 2012 19:57:07 +0000)

 Beyond OT

Discussion about the model being taken beyond the realms of Occupational Therapy.

Some discussion about why it should be taken beyond OT, when it is still fairly new to Occupational Therapy. Some examples of how it has been used well in non-traditional OT settings and discussion that the metaphor of a river is not exclusive to Occupational Therapy.

@bradpnixon @gilliancrossley #otalk my feeling is that the KM needs to find a route for development which might extend beyond the profession of OT.
(Tue, 01 May 2012 19:18:14 +0000)
@kirstyes @bradpnixon @gilliancrossley Interesting. What makes you say that when we have barely begun to explore within OT? #OTalk
(Tue, 01 May 2012 19:22:11 +0000)
@gilliancrossley @kirstyes @allisulli @helen_otuk Interesting use, I can see how Kawa works well in non-trad OT #OTALK
(Tue, 01 May 2012 19:22:42 +0000)
@kirstyes @gilliancrossley @bradpnixon What happens after the narrative when used by non-OTs. How is it taken forward? #OTalk
(Tue, 01 May 2012 19:27:43 +0000)
@OTalk_Occhat ” @kirstyes : @gilliancrossley @bradpnixon What happens after the narrative when used by non-OTs.#OTalk ” <interesting question!
(Tue, 01 May 2012 19:30:26 +0000)
@adiemusfree @kirstyes @emilyhack I think river metaphor is used by others, & for years, not exclusive to OT tho not used exactly the same way #OTalk
(Tue, 01 May 2012 20:01:38 +0000)

Evidence based

There was discussion about the evidence base and appropriateness for some settings. Would having an official place to share anecdotal evidence of use in practice be a benefit and possibly encourage more research/ use? Some discussion about whether people would be willing to share their experience of using the Kawa Model.

@Rebelraising has been working on an outcome measurement tool for the Kawa as part of her University work.

@gilliancrossley Do you feel it is evidence based enough to use in all settings? if not what can be done about this? #OTALK
(Tue, 01 May 2012 19:18:51 +0000)
@kirstyes @gilliancrossley Not yet but then are the more established models even? I do wonder how it would ‘go down’ in some settings. #OTalk
(Tue, 01 May 2012 19:23:45 +0000)
@gilliancrossley @kirstyes #OTalk if OTs were willing to share their exper of KAWA do you think this would help the evidence base encourage research #otalk
(Tue, 01 May 2012 19:26:02 +0000)
@claireOT I love metaphor and narrative, so I would be happy to use Kawa with someone. But do services pre-define a model to be used? #OTalk
(Tue, 01 May 2012 19:32:28 +0000)
@kirstyes @claireOT Some services definitely Pre-define model though I think it should be on a client by client basis. Related to cost #OTalk 1/2
(Tue, 01 May 2012 19:35:20 +0000)
@kirstyes @adiemusfree @emilyhack You have given me food for thought. Would you see Kawa as being a tool to be freely used by non OTs then? #OTalk
(Tue, 01 May 2012 19:58:57 +0000)
@rebelraising I came up with a Kawa-based outcome measure using area of water flow for a viva last year – never had chance to use in practice! #otalk
(Tue, 01 May 2012 20:00:17 +0000)
@gilliancrossley Would people be willing share their experiences, in formal way? build the anecdotal evidence base?#OTalk
(Tue, 01 May 2012 20:00:55 +0000)
@allisulli RT @kirstyes : @rebelraising Ooh. You should take that forward. @adiemusfree Would this be considered empiric? #OTalk
(Tue, 01 May 2012 20:03:24 +0000)
@Helen_otuk Outcome ‘measure’ feels like GAS/COPM/ etc to me! Will have the same issues. Not that is always bad of course. #OTalk
(Tue, 01 May 2012 20:05:49 +0000)

Self directed and alternative uses/ interpretations of the model

As occupational therapists, can we teach clients to use the Kawa Model in a self directed way?  Some concerns about whether the clients could misunderstand the Kawa Model; however as it is the clients own river to interpret, is this a problem? Some examples of use were; As a reflective tool for both clients and occupational therapists, a tool for CPD, as a way to review within groups and identify immediate challenges.

Also examples of how the metaphor could be adapted to be more meaningful to the client; Astrology, Motorway etc..

@claireOT Just thinking that we often use the analogy of a river to talk about Tweetstreams… How could we think about it using Kawa?! #OTalk
(Tue, 01 May 2012 19:29:17 +0000)
@gilliancrossley @kirstyes @bradpnixon #otalk , can be used to plan next steps, identify challenges and what resources can help you achieve goals,
(Tue, 01 May 2012 19:29:27 +0000)
@gilliancrossley Do you think we could teach are clients to use in a self directed way? how would Kawa team feel about that? #OTALK
(Tue, 01 May 2012 19:30:58 +0000)
@adiemusfree @gilliancrossley Kawa is a tool, although model for each individual’s situation – metaphor & communication aid many times #OTalk
(Tue, 01 May 2012 19:32:10 +0000)
@adiemusfree @gilliancrossley Kawa is a tool, although model for each individual’s situation – metaphor & communication aid many times #OTalk
(Tue, 01 May 2012 19:32:10 +0000)
@Helen_otuk @gilliancrossley I think it is an excellent tool for individuals to use to evaluate personally… #OTalk
(Tue, 01 May 2012 19:32:31 +0000)
@gilliancrossley @Helen_otuk #OTalk can we use it as a way to teach clients reflective skills? help them identify their own way to move forward?
(Tue, 01 May 2012 19:34:06 +0000)
@bradpnixon @OTSalfordUni #otalk self directed could be extremely effective for empowerment, therapeutic self, transformation and managing change.
(Tue, 01 May 2012 19:34:52 +0000)
@allisulli RT @mommagilly : @gilliancrossley #otalk could that not lead to some misinterpretation than someone who is skilled in the application and interpretation ?
(Tue, 01 May 2012 19:35:37 +0000)
@kirstyes @claireOT which is benefit of Kawa as I believe everyone can use freely. #OTalk
(Tue, 01 May 2012 19:35:51 +0000) 
@gilliancrossley @OTSalfordUni No, we couldn’t stop them but how does that affect the Kawa identity? would it become non OT or occupation specific #OTALK
(Tue, 01 May 2012 19:36:34 +0000)
@Helen_otuk @gilliancrossley Does it matter? If our clients can benefit from taking it forward! That is all good no?#OTalk
(Tue, 01 May 2012 19:37:31 +0000)
@adiemusfree River metaphor not exclusive to Kawa, has been around a long time, can’t prevent its use by others, but as tool w/in OT provides 1/2 #OTalk
(Tue, 01 May 2012 19:38:36 +0000)
@gilliancrossley @mommagilly #otalk possibly, but isn’t it the clients river to interpret?
(Tue, 01 May 2012 19:39:00 +0000)
@allisulli RT @kirstyes : @claireOT which is benefit of Kawa as I believe everyone can use freely. #OTalk
(Tue, 01 May 2012 19:39:08 +0000)
@allisulli @emilyhack @kirstyes #Kawa may be useful for #occupationaltherapists themselves in re: to constructing meaningful career narrative #OTalk
(Tue, 01 May 2012 19:42:36 +0000)
@kirstyes @emilyhack I saw an example in OT News where a student had reinterpreted it to astrology related metaphor to engage a client. #OTalk
(Tue, 01 May 2012 19:44:24 +0000)
@kirstyes @mommagilly @gilliancrossley I agree I still think we need to promote our role as OTs in helping at least initially with process #OTalk
(Tue, 01 May 2012 19:47:30 +0000)
@gilliancrossley @bradpnixon #otalk If the Kawa is being used with the KM in mind, then we would like to be referenced. But it is hard to apply IP to a river
(Tue, 01 May 2012 19:47:33 +0000)
@bradpnixon @gilliancrossley @adiemusfree #otalk Kawa can also be used to construct taxonomies, with ontological value.
(Tue, 01 May 2012 19:48:19 +0000)
@gillydpatrick Have used Kawa Model as a reflective tool for CPD #otalk
(Tue, 01 May 2012 19:56:20 +0000)
@gilliancrossley @gillydpatrick #OTalk so have I,also as way of reflecting on working in a multidisciplinary way. I am part of a collective, others resources
(Tue, 01 May 2012 19:58:54 +0000)
@gilliancrossley @adiemusfree @kirstyes @emilyhack yes, I have seen a moutain metaphor used often which is similar#otalk
(Tue, 01 May 2012 20:04:25 +0000)
@gillydpatrick It doesn’t have to be a river. Can be anything meaningful to client who can construct their own version. E.g a motorway #otalk
(Tue, 01 May 2012 20:05:14 +0000)
@emilyhack @kirstyes @adiemusfree I have seen a similar bus metaphor used to, with very literal depictions of life pathways and choices #OTalk
(Tue, 01 May 2012 20:07:25 +0000)
@adiemusfree @gillydpatrick Great! I’ve used motorvehicle with men #OTalk
(Tue, 01 May 2012 20:07:30 +0000)
  • Some tweeters wanted more information from @bradpnixon regards to this Tweet-  #otalk Kawa can also be used to construct taxonomies, with ontological value.

David Nixon has offered to write a blog post about this, so that he can explain in detail. We will post the link, once it has been written.

http://www.facebook.com/pages/Kawa-Creative/287312541316670
http://www.facebook.com/events/380771861944384/
http://kawacreative.wordpress.com/
http://www.slideshare.net/KawaModel/introduction-to-the-kawa-model-beki-dellow
http://claireot.wordpress.com/2011/10/31/the-kawa-model-and-kawa-creative-uk/
https://www.facebook.com/OTalk.Occhat/posts/303422086403152
http://www.letmelearn.co.uk/shop/b-d-reversals-worksheets-games-ks1-2/
http://www.kawamodel.com/

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#OTalk 8/5/12 Health and Social Care Act (1)

The Health and Social Care Act is a huge and far-reaching document that is likely to affect all of our OT practices. As a result, we aim to host several chats about it, this is the Grabchat of the first week’s chat.

Please see other resources about this topic, a video, our Facebook resource, and more to follow- I will add links as they develop.

The Grabchat

Involved

Top resources

https://www.facebook.com/OTalk.Occhat/posts/411175858914815
http://www.rightcare.nhs.uk/index.php/2012/03/nhs-could-save-money-and-provide-better-care-by-involving-allied-health-professionals/
http://www.dh.gov.uk/health/tag/clinical-commissioning-groups/
https://www.facebook.com/OTalk.Occhat/posts/109610439176437
http://www.rcn.org.uk/__data/assets/pdf_file/0003/420492/Commissioning_short_briefing_Dec2011.pdf
http://claireot.wordpress.com/2012/03/29/ahpnorth-conference-just-do-it/
http://www.legislation.gov.uk/ukpga/2012/7/contents/enacted
http://healthandcare.dh.gov.uk/factsheets/

Related tags

#otalk #occupationaltherapy #paymentbyresults #qipp #healthcare

See Twitter for more tweets, people, videos and photos for #OTalk

@OTalk_Occhat Tonights #OTalk http://t.co/8YJXgcGC (Tue, 08 May 2012 17:53:41 +0100)
@gilliancrossley RT @OTalk_Occhat : Tonights #OTalk http://t.co/8YJXgcGC (Tue, 08 May 2012 17:54:13 +0100)
@gilliancrossley @allisulli @kirstyes @BAOTCOT The health and social care act (DH2012) and what it mean for us #OTalk (Tue, 08 May 2012 17:55:33 +0100)
@OTalk_Occhat #OTalk hosted by Bill Wong on Sat 26th May (GC) http://t.co/AbHcO1oi (Tue, 08 May 2012 19:36:29 +0100)
@SusieLUFC RT @OTalk_Occhat : #OTalk hosted by Bill Wong on Sat 26th May (GC) http://t.co/AbHcO1oi (Tue, 08 May 2012 19:59:58 +0100)
@kirstyes @gilliancrossley oh no. Hope you feel better soon. Not sure my knowledge is good enough to contribute much either.Hope @claireOT here #OTalk (Tue, 08 May 2012 20:01:27 +0100)
@gilliancrossley @kirstyes @claireOT I’m sure the #otalk community will manage it well! I look forward to reading the tweets! : )(Tue, 08 May 2012 20:02:59 +0100)
@kirstyes What we are talking about tonight. https://t.co/lbMtFcCW #OTalk (Tue, 08 May 2012 20:03:01 +0100)
@lottie01 I’m here for #OTalk but not sure how much will contribute to tonights chat…(Tue, 08 May 2012 20:03:43 +0100)
@kirstyes @lottie01 Hi . I’m hoping someone more knowledgeable than me comes along. To start off what are our/ your main concerns? #OTalk (Tue, 08 May 2012 20:07:47 +0100)
@fullyOccupied #OTalk hi all -an important subject but not sure I can summon the will to talk about it here (too much like the day job!)Is that wrong??? ;p(Tue, 08 May 2012 20:07:58 +0100)
@Lisa_D_OT @lottie01 Same here – my knowledge of the Bill isn’t great . . . #otalk (Tue, 08 May 2012 20:08:34 +0100)
@lottie01 i know this isnt to topic but whats with the other ‘random’ #otalk i.e. saturdays(Tue, 08 May 2012 20:08:38 +0100)
@fullyOccupied #OTalk and must emphasise all views my own only!!! (tricky subject this…)(Tue, 08 May 2012 20:09:20 +0100)
@kirstyes @fullyOccupied Not wrong. How can we make it less worky for you? Do you want to summarise in rhyme? #OTalk (Tue, 08 May 2012 20:09:28 +0100)
@lottie01 @kirstyes i don’t really know much about the H&SC act and its potential implications – i was hoping to learn a bit about it during #OTalk (Tue, 08 May 2012 20:09:49 +0100)
@lottie01 is it just me, @gilliancrossley and @kirstyes tonight for #otalk .(Tue, 08 May 2012 20:10:31 +0100)
@fullyOccupied @Lisa_D_OT @lottie01 you can be forgiven….there have been one or two amendments!!!! #OTalk (Tue, 08 May 2012 20:10:44 +0100)
@Helen_otuk evening all #otalk (Tue, 08 May 2012 20:12:09 +0100)
@KMOT2012 #OTALK hi all(Tue, 08 May 2012 20:13:03 +0100)
@fullyOccupied @kirstyes #OTalk lol!!! Wish the whole thing had been done in rhyme and perhaps a requirement that amendments had to be in sonnet form?? ;)(Tue, 08 May 2012 20:13:16 +0100)
@Lisa_D_OT @kirstyes Main concerns for me would be lack of OT input into commissioning groups & vulnerable client groups not being catered for #otalk (Tue, 08 May 2012 20:13:23 +0100)
@lottie01 @lisa_D_OT its been quite tough to follow, i find legislation half to decipher at the best of times #otalk (Tue, 08 May 2012 20:13:52 +0100)
@kirstyes @lottie01 @BillWongOT wanted to facilitate a discussion on the AOTA Slagle lecture (he kindly videoed it) so we said why not. #OTalk (Tue, 08 May 2012 20:14:04 +0100)
@kirstyes @Lisa_D_OT Evening. It seems like many of us in the same situation. #OTalk @claireOT are you out there?(Tue, 08 May 2012 20:14:08 +0100)
@Helen_otuk RT @fullyOccupied : Wish the whole thing had been done in rhyme and perhaps a requirement that amendments had to be in sonnet form? 😉 #otalk (Tue, 08 May 2012 20:14:24 +0100)
@claireOT Hi all at #OTalk , I’m here, but slow connection tethered to my mobile… who’s out there tonight? @OTalk_Occhat (Tue, 08 May 2012 20:15:47 +0100)
@fullyOccupied #OTalk I was v proud to have been on the External Reference Group for the 1st NSF -mental health, ‘cos challenged health inequality ….(Tue, 08 May 2012 20:16:11 +0100)
@Helen_otuk I think this is an important topic for OT’s to ‘get into’ we need to start positioning ourselves ready for the changes SHOUT ABOUT OT #otalk (Tue, 08 May 2012 20:16:55 +0100)
@claireOT RT @OTalk_Occhat : Tonights #OTalk http://t.co/8YJXgcGC (Tue, 08 May 2012 20:16:58 +0100)
@kirstyes @fullyOccupied Maybe a little more thought might have been put in then (also my own thoughts!!) #OTalk sorry connection issues.(Tue, 08 May 2012 20:17:45 +0100)
@CharOReilly #OTalk im here http://t.co/qhTJ28Z3 this may be helpful(Tue, 08 May 2012 20:17:59 +0100)
@fullyOccupied #OTalk .. major concern is that the bill will lead 2very variable health care dependent onthe varying interests,skills & purses of GP groups(Tue, 08 May 2012 20:18:34 +0100)
@claireOT So, we’re talking about what the Health and Social Care Act means for us- hands up, who’s got a question? #OTalk (Tue, 08 May 2012 20:18:44 +0100)
@kirstyes @Lisa_D_OT Agree. Also lack of recognition that non-urgent issues need addressing too in order to maintain H&WB. #OTalk (Tue, 08 May 2012 20:18:48 +0100)
@lottie01 i suppose like @Lisa_D_OT said, my main concern originally was the lack of MDT input on the comissioning panels especially that of OT #otalk (Tue, 08 May 2012 20:19:31 +0100)
@claireOT I don’t necessarily have any answers, but I have done a bit of research on this, as I am potentially one of the “new providers” #OTalk (Tue, 08 May 2012 20:19:31 +0100)
@lottie01 @Lisa_D_OT especially considering that OT is a profession in its infancy #otalk (Tue, 08 May 2012 20:20:05 +0100)
@kirstyes @Helen_otuk So links to the promote OT idea. (did you all know there is a promote OT uk Facebook page?) #OTalk (Tue, 08 May 2012 20:20:09 +0100)
@fullyOccupied @claireOT #OTalk there certainly could be some new opportunities & emergent roles eh?(Tue, 08 May 2012 20:20:49 +0100)
@claireOT Has anyone got any input to their local Health and Wellbeing Boards? #OTalk (Tue, 08 May 2012 20:20:56 +0100)
@CharOReilly #OTalk as students at #CardiffUni we have the chance to sit on welsh assembly meetings(Tue, 08 May 2012 20:21:05 +0100)
@Helen_otuk @kirstyes found the promote OT page last night, could be a good way for us to share our ideas and actions? #otalk (Tue, 08 May 2012 20:21:19 +0100)
@kirstyes @claireOT Yay you’re here. There are a few more knowledgeable than me now. I hang my head in shame for not fully understanding. #OTalk (Tue, 08 May 2012 20:21:38 +0100)
@CharOReilly @kirstyes @Helen_otuk I was not aware of this #OTalk (Tue, 08 May 2012 20:21:52 +0100)
@claireOT @fullyOccupied yes, I think so. It is often small nimble organisations that can benefit from disruptive technologies #OTalk (Tue, 08 May 2012 20:22:03 +0100)
@kirstyes RT @Helen_otuk : @kirstyes found the promote OT page last night, could be a good way for us to share our ideas and actions? #otalk (Tue, 08 May 2012 20:22:15 +0100)
@Helen_otuk @kirstyes No shame there… do not think anyone fully understands it yet??? Hence good to have these chats! #otalk (Tue, 08 May 2012 20:22:43 +0100)
@kirstyes ? @claireOT : Has anyone got any input to their local Health and Wellbeing Boards? #OTalk ? ignorant question. When/where would they be held?(Tue, 08 May 2012 20:22:45 +0100)
@CharOReilly @claireOT possible question #OTalk Do you refer to H&SC at all during practice?(Tue, 08 May 2012 20:23:09 +0100)
@claireOT @CharOReilly Wow! what a fantastic experience! Is the situation with the new Act the same in Wales are are there differences? #OTalk (Tue, 08 May 2012 20:23:15 +0100)
@kirstyes @CharOReilly @helen_otuk It literally was started at the weekend along with a whole host of new 4OT groups. We got our #OTgeek on #OTalk (Tue, 08 May 2012 20:24:32 +0100)
@fullyOccupied #OTalk there’s new breed of business managers in some Trusts & negotiations re contracting tend 2occur there- occ therapists need2b friends(Tue, 08 May 2012 20:25:05 +0100)
@Helen_otuk Possible new opportunities for OT in public health arena? #otalk (Tue, 08 May 2012 20:25:06 +0100)
@fullyOccupied RT @Helen_otuk : Possible new opportunities for OT in public health arena? #otalk (Tue, 08 May 2012 20:25:46 +0100)
@claireOT The topic tonight is massive (that’s why we’ll be coming back to it in a fortnight), so shall we choose what to focus on tonight? #OTalk (Tue, 08 May 2012 20:26:45 +0100)
@lottie01 sorry on the phone #otalk (Tue, 08 May 2012 20:27:00 +0100)
@kirstyes @Helen_otuk Thanks. #OTalk talking about it makes me realise what I have picked up but I guess don’t trust it until read it for self #OTalk (Tue, 08 May 2012 20:27:12 +0100)
@fullyOccupied #OTalk evidence re outcomes of occ therapy have never been more crucial – if we want to be in the contract, have to demonstrate value.(Tue, 08 May 2012 20:28:21 +0100)
@claireOT @fullyOccupied there is an imperative this year for CCGs to “consult” with clinical groups including OT- miss this, miss out! #OTalk (Tue, 08 May 2012 20:28:40 +0100)
@fullyOccupied @claireOT #OTalk that might help Claire(Tue, 08 May 2012 20:29:06 +0100)
@Helen_otuk How well connected / positioned are we? What can we do to ‘promote’ our skills? #otalk (Tue, 08 May 2012 20:29:39 +0100)
@kirstyes @claireOT what steps can we take now to make sure our voices get heard (in terms of advocating for our clients as well as prof #OTalk (Tue, 08 May 2012 20:30:05 +0100)
@fullyOccupied @claireOT absolutely! #OTalk (Tue, 08 May 2012 20:30:19 +0100)
@claireOT RT @fullyOccupied : #OTalk evidence re outcomes of occ therapy have never been more crucial – if we want to be in the contract, have to demonstrate value.(Tue, 08 May 2012 20:30:32 +0100)
@allisulli @Lisa_D_OT @kirstyes US right now, too. A bill is on the House floor to inc. #occupationaltherapy as #aualifiedmentalhealthprovider . #OTalk (Tue, 08 May 2012 20:30:34 +0100)
@allisulli RT @lottie01 : @Lisa_D_OT especially considering that OT is a profession in its infancy #otalk (Tue, 08 May 2012 20:30:47 +0100)
@Helen_otuk Do we feel that ‘established’ services within the NHS / Social Care will be consulted / linked? Integration? Private sector? #otalk (Tue, 08 May 2012 20:31:51 +0100)
@Lisa_D_OT @claireOT how would we know when CCG consultations were happening? & how do we become part of/form clinical groups? #otalk (Tue, 08 May 2012 20:34:07 +0100)
@kirstyes @KMOT2012 sorry to miss you earlier. Anything you’d like to add? #OTalk (Tue, 08 May 2012 20:35:11 +0100)
@claireOT I suggest we try to focus tonight on the new structures outlined in the Act, and work out how to influence them #OTalk (Tue, 08 May 2012 20:35:15 +0100)
@CharOReilly @Helen_otuk to help promote our skills, could #OTalk set a trend on twitter? Let people hear #OccupationalTherapy #vocaularyiskey (Tue, 08 May 2012 20:35:22 +0100)
@allisulli @claireOT #OTalk are there a limit on the number of visits to which patients are entitled in any one calendar year? This is true in the US(Tue, 08 May 2012 20:37:59 +0100)
@kirstyes Sorry #OTalk really struggling with intermittent internet connection. Will keep trying.(Tue, 08 May 2012 20:38:25 +0100)
@kirstyes RT @claireOT : I suggest we try to focus tonight on the new structures outlined in the Act, and work out how to influence them #OTalk (Tue, 08 May 2012 20:39:04 +0100)
@claireOT @allisulli well, that would be for local CCGs to decide- there would be outcries, though, the #NHS is needs-led service! #OTalk (Tue, 08 May 2012 20:39:18 +0100)
@lottie01 think i may have missed a fair bit as lost tract of the conversation due to phonecall #otalk (Tue, 08 May 2012 20:39:47 +0100)
@kirstyes @lottie01 see @claireOT last couple of tweets. She’s focussing us. #OTalk (Tue, 08 May 2012 20:40:44 +0100)
@claireOT @Lisa_D_OT CCGs are made up of primary care doctors (GPs) and they will be already meeting. I think they are made of Doctors only? #OTalk (Tue, 08 May 2012 20:40:47 +0100)
@Lisa_D_OT @claireOT am I right in thinking Health & Wellbeing Boards will be run by local authorities? Still quite confused re structure #otalk (Tue, 08 May 2012 20:40:48 +0100)
@claireOT Okay, first, let’s look at CCGs, who are they made of? what are their powers? #OTalk (Tue, 08 May 2012 20:41:43 +0100)
@allisulli @claireOT There is plenty of outcry here- much movement to #stopthecap ! #Mentalhealth services are the worst. #Otalk #medicare #medicaid (Tue, 08 May 2012 20:42:57 +0100)
@claireOT Here’s the link to the DH site, and tag CCG http://t.co/YRCo4OoZ #OTalk (Tue, 08 May 2012 20:43:35 +0100)
@allisulli RT @claireOT : Okay, first, let’s look at CCGs, who are they made of? what are their powers? #OTalk (Tue, 08 May 2012 20:43:35 +0100)
@lottie01 @claireOT i think this was the case – only GPs but I think I heard rumours they were considering nursing staff #otalk (Tue, 08 May 2012 20:44:14 +0100)
@claireOT @lottie01 Yes, I think I just found a link to show that nurses are on the CCGs too #OTalk http://t.co/r1hlsSdv (Tue, 08 May 2012 20:46:31 +0100)
@allisulli @claireOT #occupationaltherapy isnt deemed “qualified mental health provider” in US, thus OT services not billed in #mh competitively #OTalk (Tue, 08 May 2012 20:47:02 +0100)
@claireOT @lottie01 that guidance I just Tweeted recommends at least one Nurse, and one secondary care doctor on each CCG #OTalk (Tue, 08 May 2012 20:47:55 +0100)
@kirstyes @allisulli @claireot It is hard to say that an issue will be sorted in a set amount of sessions. It’s so individual. #OTalk (Tue, 08 May 2012 20:48:04 +0100)
@allisulli RT @claireOT : @lottie01 Yes, I think I just found a link to show that nurses are on the CCGs too #OTalk http://t.co/r1hlsSdv (Tue, 08 May 2012 20:48:40 +0100)
@allisulli RT @claireOT : Here’s the link to the DH site, and tag CCG http://t.co/YRCo4OoZ #OTalk (Tue, 08 May 2012 20:48:49 +0100)
@claireOT So, since AHPs have no roles on the CCGs, we must either influence them at their public meetings, or through consultation #OTalk (Tue, 08 May 2012 20:48:55 +0100)
@allisulli RT @claireOT : @lottie01 that guidance I just Tweeted recommends at least one Nurse, and one secondary care doctor on each CCG #OTalk (Tue, 08 May 2012 20:48:56 +0100)
@lottie01 @claireOT but still these CCGs appear to have a lack of MDT about them and are purely medical #otalk (Tue, 08 May 2012 20:49:23 +0100)
@fullyOccupied @allisulli @claireot #OTalk I guess a strength here in uk is occ therapy included in agreed pathways, in MH as part of #paymentbyresults (Tue, 08 May 2012 20:49:55 +0100)
@kirstyes @allisulli Wow really? Who/what is deemed qualified MH Provider? #OTalk and on what basis is the deeming done(Tue, 08 May 2012 20:49:58 +0100)
@claireOT RT @lottie01 : @claireOT but still these CCGs appear to have a lack of MDT about them and are purely medical #otalk (Tue, 08 May 2012 20:50:22 +0100)
@allisulli @kirstyes @claireot #OTalk ppl here often #stop therapy until the calendar year is over, or they only get therapy for one body part/time!(Tue, 08 May 2012 20:50:35 +0100)
@kirstyes @lottie01 @claireot Where does social care come in to all of this? #OTalk (Tue, 08 May 2012 20:50:40 +0100)
@claireOT @lottie01 Yes, that’s a big worry, although, don’t you think GPs are less “medical model” than secondary care doctors? #OTalk (Tue, 08 May 2012 20:51:17 +0100)
@kirstyes @Princess_Azure_ there was someone on the LinkedIn forums asking about co-ops. Same person? #OTalk (Tue, 08 May 2012 20:51:40 +0100)
@claireOT RT @fullyOccupied : @allisulli @claireot #OTalk I guess a strength here in uk is occ therapy included in agreed pathways, in MH as part of #paymentbyresults (Tue, 08 May 2012 20:52:41 +0100)
@allisulli RT @kirstyes : @lottie01 @claireot Where does social care come in to all of this? #OTalk (Tue, 08 May 2012 20:53:14 +0100)
@claireOT @fullyOccupied great point- if we look at pathways, we can argue to CCGs that OT input is essential component #OTalk @allisulli (Tue, 08 May 2012 20:53:31 +0100)
@lottie01 @claireOT depends on the GP #otalk (Tue, 08 May 2012 20:53:36 +0100)
@fullyOccupied @allisulli @claireot but is risk of ‘capped’ levels of provision:typical input defined in the pathways; exceptions poss but queried #OTalk (Tue, 08 May 2012 20:53:36 +0100)
@Lisa_D_OT @lottie01 Should be a range of healthcare professionals on NHS Commissioning Board which oversees CCGs – wonder if there’s any OTs? #otalk (Tue, 08 May 2012 20:54:16 +0100)
@kirstyes @allisulli @claireot Yes because that is how people work! I hope integrated holistic services are identified as needed. Like OT ;0) #OTalk (Tue, 08 May 2012 20:54:20 +0100)
@allisulli RT @lottie01 : @claireOT depends on the GP #otalk (Tue, 08 May 2012 20:54:25 +0100)
@allisulli RT @claireOT : @fullyOccupied great point- if we look at pathways, we can argue to CCGs that OT input is essential component #OTalk @allisulli (Tue, 08 May 2012 20:54:39 +0100)
@kirstyes @allisulli ministers??? #OTalk (Tue, 08 May 2012 20:54:45 +0100)
@claireOT We can use evidence like this to show the added value that OT brings to care pathways http://t.co/5aXgOLXJ #OTalk #QIPP (Tue, 08 May 2012 20:55:06 +0100)
@lottie01 @kirstyes valid point – if u look at a prof such as OT we work across the two spheres – maybe health and social sould integrate more #otalk (Tue, 08 May 2012 20:55:12 +0100)
@fullyOccupied @claireOT &maybe by building chance of service users demanding our input when they seek help..? Big challenge there but powerful .. #OTalk (Tue, 08 May 2012 20:55:20 +0100)
@allisulli RT @claireOT : We can use evidence like this to show the added value that OT brings to care pathways http://t.co/5aXgOLXJ #OTalk #QIPP (Tue, 08 May 2012 20:55:41 +0100)
@kirstyes @Princess_Azure_ Thos was a chap so obv not. An idea worth considering. Maybe something we can
Consider for future #OTalk invite them?(Tue, 08 May 2012 20:55:53 +0100)
@lottie01 @Lisa_D_OT i really feel we need a MDT representation to advocate for our professional role and importance to patients and our impact #otalk (Tue, 08 May 2012 20:56:37 +0100)
@fullyOccupied @claireOT @lottie01 #OTalk I dont think id like to generalise -think it is so very variable….as many variations as there are GP practices?(Tue, 08 May 2012 20:57:14 +0100)
@CharOReilly @kirstyes @Princess_Azure_ co-ops was also mentioned @NAIDEXNATIONAL last week for #OTs #OTalk (Tue, 08 May 2012 20:57:18 +0100)
@claireOT Lots of great resources about CCGs, QIPP, HWB etc shared at the AHPNorth Conf http://t.co/KPyFqsN1 #Otalk (Tue, 08 May 2012 20:57:41 +0100)
@allisulli @kirstyes If you follow #HR3762 in the US this bill will include #occupationaltherapy as qualified mental health provider. @AOTArkohl #OTalk (Tue, 08 May 2012 20:57:52 +0100)
@kirstyes #otalk I think my app is on the fritz think I’m missing lots of tweets.(Tue, 08 May 2012 20:57:54 +0100)
@claireOT Does anyone want to share anything else about CCGs, HWBs etc.? #OTalk (Tue, 08 May 2012 20:58:32 +0100)
@Lisa_D_OT @lottie01 Definitely agree. CCGs seem too medically orientated #otalk (Tue, 08 May 2012 20:58:52 +0100)
@allisulli RT @claireOT : Lots of great resources about CCGs, QIPP, HWB etc shared at the AHPNorth Conf http://t.co/KPyFqsN1 #Otalk (Tue, 08 May 2012 20:59:15 +0100)
@lottie01 @kirstyes tweetdeck?? mine is too – i’m physically having to click refresh #otalk (Tue, 08 May 2012 20:59:25 +0100)
@claireOT I feel like we’ve only just scratched the surface of this issue tonight! #OTalk (Tue, 08 May 2012 20:59:41 +0100)
@allisulli @claireOT Thank you for all the great #healthcare #resources ! Always good to think about how we get paid! #Otalk (Tue, 08 May 2012 21:00:11 +0100)
@fullyOccupied RT @claireOT : I feel like we’ve only just scratched the surface of this issue tonight! #OTalk (Tue, 08 May 2012 21:00:49 +0100)
@lottie01 @claireOT i think sometimes we have these talks and only ‘scratch the surface’ of most #otalk (Tue, 08 May 2012 21:00:50 +0100)
@allisulli RT @claireOT : I feel like we’ve only just scratched the surface of this issue tonight! #OTalk (Tue, 08 May 2012 21:00:50 +0100)
@kirstyes RT @claireOT : @fullyOccupied great point- if we look at pathways, we can argue to CCGs that OT input is essential component #OTalk @allisulli (Tue, 08 May 2012 21:00:52 +0100)
@Helen_otuk Good job we have a couple more planned… RT @claireOT : I feel like weve only just scratched the surface of this issue tonight! #otalk (Tue, 08 May 2012 21:01:04 +0100)
@claireOT @Lisa_D_OT @lottie01 I can’t help but feel OT is ideal to help focus on rehab, co-production of health etc #OTalk (Tue, 08 May 2012 21:01:25 +0100)
@lottie01 MT Re: Health and Social Care Bill –> if we look at pathways, we can argue to CCGs that OT input is essential component #OTalk (Tue, 08 May 2012 21:01:57 +0100)
@allisulli RT @claireOT : @Lisa_D_OT @lottie01 I can’t help but feel OT is ideal to help focus on rehab, co-production of health etc #OTalk (Tue, 08 May 2012 21:02:21 +0100)
@Helen_otuk Yes but it gets the grey matter on track! RT @lottie01 : i think sometimes we have these talks and only scratch the surface of most #otalk (Tue, 08 May 2012 21:02:31 +0100)
@Lisa_D_OT RT @claireOT : @Lisa_D_OT @lottie01 I cant help but feel OT is ideal to help focus on rehab, co-production of health etc #otalk (Tue, 08 May 2012 21:02:56 +0100)
@claireOT I don’t see how we can rise to the Nicholson Challenge without doing things differently- including commissioning #OTalk (Tue, 08 May 2012 21:03:13 +0100)
@kirstyes @claireOT Agree – can we (by we I mean the fab knowledgeable you maybe put up some questions to guide the next event)? #OTalk .(Tue, 08 May 2012 21:03:26 +0100)
@fullyOccupied ? @lottie01 : MT if we look at pathways, we can argue to CCGs that OT input is essential component #OTalk especially if we can show outcomes!(Tue, 08 May 2012 21:03:38 +0100)
@Helen_otuk Also look at role in public health RT @claireOT : I cant help but feel OT is ideal to help focus on rehab, co-production of health etc #otalk (Tue, 08 May 2012 21:04:13 +0100)
@allisulli RT @fullyOccupied : ? @lottie01 : MT if we look at pathways, we can argue to CCGs that OT input is essential component #OTalk especially if we can show outcomes!(Tue, 08 May 2012 21:04:16 +0100)
@lottie01 RT @claireOT : We can use evidence like this to show the added value that OT brings to care pathways http://t.co/5aXgOLXJ #OTalk #QIPP (Tue, 08 May 2012 21:04:23 +0100)
@kirstyes @lottie01 @claireOT Very true – hopefully it gets us thinking and talking to others. Think we are happy to return to re-cover #Otalk (Tue, 08 May 2012 21:04:30 +0100)
@lottie01 RT @fullyOccupied : ? @lottie01 : MT if we look at pathways, we can argue to CCGs that OT input is essential component #OTalk especially if we can show outcomes!(Tue, 08 May 2012 21:04:45 +0100)
@claireOT RT @fullyOccupied : ? @lottie01 : MT if we look at pathways, we can argue to CCGs that OT input is essential component #OTalk especially if we can show outcomes!(Tue, 08 May 2012 21:05:20 +0100)
@claireOT So, it’s 5 past 9 already, and my brain hurts after thinking about the Act, shall we wrap up, Tweeps? #OTalk (Tue, 08 May 2012 21:05:28 +0100)
@Helen_otuk RT @claireOT : So, its 5 past 9 already, and my brain hurts after thinking about the Act, shall we wrap up, Tweeps? #otalk (Tue, 08 May 2012 21:06:13 +0100)
@Lisa_D_OT Tonight has made me realise I need to have a good look at H&SC bill before next #OTalk ! Thanks all, ‘see’ you next week 🙂 #otalk (Tue, 08 May 2012 21:06:34 +0100)
@Helen_otuk @claireOT Yes have to approach in small sections! Spinning head…. #otalk (Tue, 08 May 2012 21:06:46 +0100)
@claireOT So, next week’s #OTalk is about domestic violence and OT, moderated by the delightful @gilliancrossley @OTalk_Occhat (Tue, 08 May 2012 21:07:28 +0100)
@CharOReilly @Helen_otuk @claireOT #OTalk thanks for the helpful resources(Tue, 08 May 2012 21:07:31 +0100)
@allisulli @claireOT Good luck with your #healthcare #legislation . Ty for another good #OTalk . Great to get a break from grading all these final exams(Tue, 08 May 2012 21:07:32 +0100)
@fullyOccupied #OTalk @kirstyes
Unlike a pill
This complex bill
Is huge & hard2swallow
Still, never mind
We’ll try next time,
&make it
Easier 2follow(Tue, 08 May 2012 21:08:14 +0100)
@allisulli RT @claireOT : So, next week’s #OTalk is about domestic violence and OT, moderated by the delightful @gilliancrossley @OTalk_Occhat (Tue, 08 May 2012 21:08:20 +0100)
@claireOT We’ll return to the Act in 2 week’s time, on 22nd May (time for us all to do a bit of reading and thinking?) #OTalk (Tue, 08 May 2012 21:09:25 +0100)
@lottie01 RT @Lisa_D_OT : Tonight has made me realise I need to have a good look at H&SC bill before next #OTalk ! Thanks all, ‘see’ you next week 🙂 #otalk (Tue, 08 May 2012 21:09:29 +0100)
@allisulli @claireOT @gilliancrossley @OTalk_Occhat Our recent #Kawa mtg here in #Wmass was about #domesticviolence . I’ll have to share next #Otalk (Tue, 08 May 2012 21:09:49 +0100)
@claireOT RT @fullyOccupied : #OTalk @kirstyes
Unlike a pill
This complex bill
Is huge & hard2swallow
Still, never mind
We’ll try next time,
&make it
Easier 2follow(Tue, 08 May 2012 21:09:52 +0100)
@claireOT I’ll put some stuff up on the blog and Facebook page in the next couple of weeks, to help guide the next #OTalk about the Act(Tue, 08 May 2012 21:10:49 +0100)
@fullyOccupied #OTalk @kirstyes sorry, that didn’t quite scan, & was far from a sonnet, but doggerel is all my mind can produce now! Thnx all- CUnext time(Tue, 08 May 2012 21:11:05 +0100)
@kirstyes RT @fullyOccupied : #OTalk @kirstyes
Unlike a pill
This complex bill
Is huge & hard2swallow
Still, never mind
We’ll try next time,
&make it
Easier 2follow(Tue, 08 May 2012 21:11:56 +0100)
@living_as_if RT @claireOT : I’ll put some stuff up on the blog and Facebook page in the next couple of weeks, to help guide the next #OTalk about the Act(Tue, 08 May 2012 21:11:56 +0100)
@fullyOccupied @claireOT #OTalk good plan – thanks Claire :)(Tue, 08 May 2012 21:12:05 +0100)
@kirstyes @fullyOccupied Very good – you been working on that all #otalk ? Love it.(Tue, 08 May 2012 21:12:18 +0100)
@Helen_otuk @claireOT I have a hot of tabs open her, should I load some over on FB? Some from you and some I had too? #otalk (Tue, 08 May 2012 21:13:02 +0100)
@claireOT Cool. I’ll look forward to Tweeting with you all again soon, #OTalk folks! ’til then, goodnight, over and out!!(Tue, 08 May 2012 21:13:30 +0100)
@kirstyes @claireOT Thanks Claire. Thanks all for the chat #otalk see you next week.(Tue, 08 May 2012 21:13:36 +0100)
@Helen_otuk Some useful fact sheets, breaks things down a bit more. http://t.co/ZvFdgdnF #otalk (Tue, 08 May 2012 21:17:26 +0100)
@allisulli RT @fullyOccupied : @allisulli @claireot #OTalk I guess a strength here in uk is occ therapy included in agreed pathways, in MH as part of #paymentbyresults (Tue, 08 May 2012 21:25:35 +0100)
@allisulli @fullyOccupied @claireot We need in the US #healthcare #mentalhealth #Occupationaltherapy is a highly “qualified” service provider! #Otalk (Tue, 08 May 2012 21:27:23 +0100)
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