#OTalk Transcript – 12 November 2013 – Occupational Therapy as a Degree

Here is a link to the transcript for the ‘OT as a Degree’ #OTalk, hosted by @OTAshleyP.

Thank you to Ashley for hosting, and to all the chat participants (we had 53) for their contributions.

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#OTalk Transcript – 26th November 2013 – Games in Rehabilitation

Thank you to Rachel Proffitt (@Games4RehabOT) for hosting an interesting chat about the use of video games in clinical practice.  Thank you also to our 28 chat participants for contributing to the discussion and sharing your experiences!

Here is the link to the transcript. I will upload the PDF when I’m at a computer (or sooner, if someone can explain to me how to do it via mobile phone 🙂 )

#OTalk Nov 26th 2013 – Games in Rehabilitation

Tues 26th Nov will see Rachel Proffitt (@Games4RehabOT) supported by Clarissa (@clissa89).

Here is Rachel’s introduction to the topic. The link to the trsnscript will be added below a minimum of 24 hours after the chat to allow people who can’t be there ‘live’ to contribute.

I have found myself recently talking about and thinking about the use of off-the-shelf video games in rehabilitation. I presented at the Occupational Therapy Association of California’s Annual Conference in October on clinical uses of the Nintendo Wii and Xbox Kinect. I was surprised at how few clinicians had heard of the Xbox Kinect or even seen the camera. What is it about the Nintendo that made it so popular when it was first released? I suppose Nintendo did a good job of appealing to a large market- spanning  from young children to older adults. The  term “Wii-habilitation” started cropping up only a few months after the commercial release of the system. Having a chance to see the original Primsense camera and experience the Kinect at E3 prior to the release in November 2010 meant that I was primed and ready for using the Xbox Kinect in research and in clinical practice. Microsoft has a much smaller audience and tends to appeal more to hard-core gamers with the Xbox system as a whole. The Kinect allows for access by a much broader population with the inclusion of Harry Potter and Disney games but the high price of the console limits many families from incorporating it into their homes. From a rehabilitation perspective, I see the merits of using both systems in therapy. Some patients are appropriate for one system more than the other. One of the major drawbacks to the Wii is that patients have to hold the remote and push buttons while using large arm or leg movements. The balance board somewhat eliminates the need for the remote but the off-the-shelf board does not allow for the clinician to set thresholds for activation of in-game functions. The hands-free controller that is the Kinect eliminates this problem. However the Kinect has limitations as well. Most of the games require the player to be standing and/or stepping/jumping. For patients in a wheelchair, this severely limits their opportunities to use the Kinect in a rehabilitation setting. It is up to a clever clinician to make the game work for their patient with limited standing/mobility.

How do you use the Nintendo Wii and/or the Xbox Kinect in clinical practice? What games do you use? Do you incorporate traditional therapy equipment into game play? If you don’t use games, why not? What are the barriers to use (cost, time, fear of technology, reimbursement)?

Customized video games using low-cost off-the-shelf devices is one way to overcome some of the barriers to using the full off-the-shelf system in practice. For a peak at some of my work, head over to http://medvr.ict.usc.edu/projects/rehabilitation-engineering-research-center-rerc/. During the chat, I can answer questions about our research process, our customized games and the trials we are currently conducting. I look forward to hearing your questions and thoughts about our game‼

 

 

#OTalk – Nov 19th 2013 – Dementia – What’s the Evidence?

Here at #OTalk we are very happy this week to welcome Elaine Hunter back this time to talk about Dementia.

Elaine has written a blog post – #OTalk Meets #OTDementia – to introduce the topic. Please do read it and we will see you on Tuesday between 8-9.

Transcript

With quite a few tweets from the chat – I thought I’d perhaps not copy and paste them in here.

Instead you can link to the Healthcare hashtags archive here  – it runs to two of their pages – PDF of Page 1 and PDF of Page 2.

Do add any further comments or reflections you had on the talk below.

Thanks to Elaine for another successful chat.

#OTalk Journal (Media) Club – 3rd December 2013.

For December Rebecca Haigh @becci_haigh_ot has enthusiastically volunteered to host this months Journal Club discussion and has written the following introduction:

As a newly qualified OT with a strong interest in mental health I am looking to further my understanding of the impact of mental health conditions on the lives of my clients. While identifying an article for the journal club I wanted to maintain a focus on Occupational Science. Having read numerous theoretical articles which discuss concepts of Occupational Science I decided to stick to a more practical, qualitative research article which highlights the effects of barriers and facilitators of living with a specific condition on a client’s sense of recovery and discusses the concept of occupational integrity. I am hoping to include discussions of Occupational Science concepts during the journal club as well as focusing on the idea of integrating service users to shape and develop research as described in this article. I hope that the article and ensuing discussions will provide a learning opportunity also for those not necessarily interested in mental health topics.

Makdisi, L., Blank, A., Bryant, W., Andrews, C., Franco, L. and Parsonage, J. (2013) “Facilitators and barriers to living with psychosis: an exploratory collaborative study of the perspectives of mental health service users”, The British Journal of Occupational Therapy,76:9, pp. 418-426.

Abstract:

Introduction: The purpose of this research was to deepen understanding of what is helpful to those who have experienced psychosis, in order to facilitate best practice within mental health services. Psychosis presents challenges for people on an everyday basis, yet strategies can be developed to facilitate living with psychosis. Investigating the service user’s perspective is crucial for informing recovery oriented occupational therapy practice.

Method: Initiated and designed by a service user research group, this research was exploratory and, primarily, participatory. Data were gathered from two focus groups, involving 13 people with experience of psychosis, facilitated by service user researchers and an MSc student. Data analysis was systematic and based on grounded theory principles

Findings: Participants shared experiences and thoughts about their everyday lives. Data analysis revealed six elements of the self: the social self; the occupational self; the integrated self; the unsupported self; the stigmatised self and the isolated self. The importance of balancing these six facets of the self is theorised as being essential to successfully managing the experience of living with psychosis.

Conclusion: This emergent theory could underpin occupation-focused approaches to living with psychosis, with interventions aimed at enabling service users to balance the experience of psychosis with satisfying and contributing lives or recovery.

Discussion points:

  • Is it clear how the authors have drawn out conclusions and themes from data? Is there adequate discussion of credibility of their findings? Enough data to show findings i.e. regarding balance of different facets? #quality-of-research
  • How can OTs use information from qualitative research highlighting the need of a balanced sense of self in a practical and occupation-focused manner? What needs to be considered when planning interventions to address the different elements of the self as identified in this study? #putting-it-to-practice
  • What about occupational integrity? What do occupational science concepts bring to your clinical reasoning and OT practice?  #theory-geek
  • Is it feasible to involve service users not only to gain valuable insight into the experiences of health conditions but to include them to shape research, making sure we are asking the right questions in the first place? #service-user-involvement

These are a few topics I am interested in discussing. Please leave comments below if you have further suggestions for questions we might discuss in relation to this article.

Please note that the article chosen is not open source. Please be aware of copyright law.

Details and download of the Reading Record can be found on the Journal (Media) Club Resources page.

UPDATE BY Rebecca Haigh @becci_haigh_ot

Reading Record

Review an article, book chapter, novel or blog post read; film or television programme watched, radio programme etc.

(This form is influenced by the Learning through Discussion Method*).

Name: Rebecca HaighDate Record Completed: 03/12/13

Full Harvard Reference:

Makdisi, L., Blank, A., Bryant, W., Andrews, C., Franco, L. and Parsonage, J. (2013) “Facilitators and barriers to living with psychosis: an exploratory collaborative study of the perspectives of mental health service users”, The British Journal of Occupational Therapy,76:9, pp. 418-426.

Identification of the author’s main message:

The experience of living with psychosis can have strong repercussions on the sense of self.  Six elements of the self emerged from the data, three relating to facilitators and three to barriers to living with psychosis. These are seen to be in constant interaction with each other. As a consequence, individuals living with psychosis have to consistently pay attention to and maintain a balance between the different experiences which either threaten or support a balanced sense of self.

Identification of major themes:

–       Identification of 6 elements of the self-       Balancing all elements of the self is an ongoing and dynamic process

Discussion of major themes:

The 6 elements of the self:Common themes emerged from the data gathered that were based around facilitators as well as barriers to living with psychosis. Using grounded theory the authors identified that social support, occupations and integrity were beneficial to managing psychosis. A positive social support allowed for a sense of belonging, security and acceptance, giving individuals the experience of the social self. Engaging in occupations provided a sense of order, confidence and achievement identified as the occupational self. Integrity was followed on from an internal acceptance and understanding of the condition and provided a sense of stability, balance and assurance. This was described as the integrated self. On the other hand barriers emerged through a lack of social support, stigma and isolation. A lack of social support led to feeling misunderstood and disrespected and influenced the unsupported self. Stigma concluded in feelings of exclusion, devaluation and diminished self-esteem. This resulted in a stigmatised self. Isolation from friends and family led to feeling stuck and lonely and resulted in an isolated self.

Dynamic interactions to achieve balance:

Previous research has proposed the need for reconstruction or transformation of the self to achieve recovery from psychosis. The authors discuss that the data from this study suggests that rather than aiming for transformation, a dynamic balance of the different elements of the self should be envisioned. It is important to support individuals in identifying when challenging elements of the self are on the rise and to support clients to strengthen positive elements of the self. This balance is discussed in context of occupational integrity, an occupational science concept introduced by Pentland and McColl (2008). Occupational integrity is theorised to put a stronger emphasis on the underlying values which may act as a foundation for decisions and choices rather than focussing on the temporal aspect which usually stands at the centre of discussions about occupational balance. Focusing on maintaining personal values and engaging in occupations in a mindful and purposeful manner could result in a more satisfying engagement and a greater life balance.

Integration of material with other work:

This article introduced me to the concept of occupational integrity as theorised by Pentland and McColl (2008). The authors discuss that the “notion underlying life balance is the extent to which a person designs and lives in integrity with his or her own personal values, strengths and what has meaning for them”- i.e. occupational integrity. Does this stand in contrast/competition with the more commonly known concept of occupational balance? Or might it simply be an additional perspective to occupational balance; adding to the three perspectives proposed in a concept analysis by Wagman (2012) which are 1) in relation to occupational areas, 2) in relation to occupations with different characteristics, and 3) in relation to time use.Different aspects of the self have been discussed previously in the field of psychology. For example McConnell (2011) discusses the Multiple Self-Aspects Framework. The article gives an introduction to previous work in this field as well as describing 5 principles of the self. The article can be accessed here: http://allenmcconnell.net/pdfs/msf-PSPR-2011.pdf

The current study further discusses the concept of recovery for which a large body of work has been developed (I.e. Jacobson and Greenley (2001); Making Recovery a Reality

Shepherd, Boardman and Slade (2008)). In this article the authors’ focus is: what is recovery for the service user? It is proposed that most importantly, professionals should listen to their client’s experience of recovery whether a specific terminology is used or not and to be cautious of “doing recovery” to the client.

Application of material to own experience:Reflecting on one of my case studies, I can easily identify similar elements of the self which were barriers and facilitators to clients’ improvement. As an example for the unsupported self I recall a particular moment clearly. I was working with a client who at the time was on an acute ward. The long term goal was reintegration into the community and we were working on developing basic cooking skills. It had taken a number of sessions to work towards identifying a simple recipe and preparing a shopping list. The client had decided to make a curry using a ready-made sauce he remembered from his childhood. On the way to the shop he called his sister. Meaning no harm she simply commented that those sauces did not taste good. This single comment threw my client off his tracks. He questioned his choice and once in the shop was so overwhelmed by the task of having to re-evaluate his meal plan and find a suitable replacement within his budget. This highlights the impact a small comment can have even when it comes from someone who means well and wants to support their relative. This clearly demonstrates the element of the unsupported self and is one example of how my own experience matches what has been described in this article. Readers are encouraged to identify examples for the six elements of the self  from their own experiences.

Evaluation of author’s presentation:

This study was very well presented. The research design is appropriate and the authors show good reasoning for the use of focus groups. It is reported that a this study included a broad spectrum of participants, reflecting the profile of local service users. Authors use grounded theory to analyse the data and the presentation of this data is outstanding. The diagrams are clear and informative in showing how the authors arrived from the raw data to the six elements of the self.In my opinion this article could have benefitted from a slightly more detailed description of how the Researching Psychosis Together Group was involved in shaping the research and how questions for the focus group were devised. This could be of interest to OTs in the field of mental health as similar groups may well benefit services and service users dealing with a variety of conditions. Furthermore a slightly stronger link between raw data and the emerging concept of balance could have made a stronger argument. As it stands I find myself questioning why there needs to be a balance between barriers and facilitators and why efforts can not be made to diminish barriers as much as possible? How was this balance perceived by research participants and how was it achieved?

Reflecting on my case studies I find myself wondering whether there could even be more elements of the self.  A brief discussion of data saturation could have enriched this article further. I found myself often dealing with motivation and the lack thereof. I have in reflecting on this article considered the potential element of the future self for example.

Application of learning to practice:

In my own experience of working with individuals with psychosis as an OT it can be easy to put a strong focus on client’s occupational needs and goals. Working with MOHO framework I was holistic and inclusive of client’s wider experiences and values and as a side-effect of treatment we increased social skills and improved opportunities for social inclusion for example.  However, with the conclusions of this research in mind, in future I could do more to address the different aspects of the self when forming goals and working with client to facilitate strategies and occupations to maintain and support a good balance between the different aspects. Being mindful of the different elements of the self may further help the client’s reflection and insight and thus help to facilitate a balanced life despite the impact of the condition.

Relationship to Practice/KSF Competencies:

Core 2 Personal and people development: Supported me to better understand the needs and experiences of those living with psychosis.Core 4 Service improvement: Inspired to work with Service Users to develop research questions that are relevant and can be used to guide service improvement.

Core 5 Quality: Can use information to facilitate best practice in mental health services.

* For further information on this method see. Insight Assessment and the California Academic Press. 2002. Using the Learning Through Discussion (LTD) Approachto Teaching for Thinking. Available from: http://www.insightassessment.com/content/download/1162/7493/file/LTD.pdf‎ [Last Accessed Sept 2013]

Link to Transcript: HealthCare Hashtags.

DoBeDoBeDo14
Ready with cuppa for #otalk !

OTalk_Occhat
Good evening @Helen_OTUK here on the account this evening. Thank you to @becci_haigh_ot for volunteering to host this eveings #OTalk say hi

clissa89
RT @OTalk_Occhat: This evenings #OTalk Journal Club with @becci_haigh_ot Blog Post now updated to include Becci’s reading record . http://t…

becci_haigh_ot
To start I’d like to invite you to share views on the content of the paper. I’ll be posting questions as we go along. #Otalk

Helen_otuk
@becci_haigh_ot just #OTalk no need for the @ 😉 incase peeps wish to catch up while we say hello’s Blog UPDATED: http://t.co/7IFGIHMwa8

sarahlstedman
RT @OTalk_Occhat: Getting ready for #OTalk at 8pm…. coffee filtering away, nearly there!

BillWongOT
hi everyone! #otalk

becci_haigh_ot
What did you think of findings? Have you come across similar ‘elements of the self’ in your work? #Otalk

BillWongOT
@becci_haigh_ot As an OT who’s also a SU (autistic adult), I see similar things w/ my lived exp. vs. some other autistic adults’. #otalk

BillWongOT
@becci_haigh_ot I also think some SU’s have value not only as participants in research, but also members in research teams. #otalk

BillWongOT
@OTalk_Occhat it was good… I procrastinated for our journal club this morning… lol! #otalk

becci_haigh_ot
@BillWongOT Are there some elements that stand out more regularly? Do you agree with Fig3 – dynamic interactions to achieve balance? #Otalk

BoothRach
On train internet a bit slow but going to give this a good with @otemma and #ashelyTwitterlees #otalk

becci_haigh_ot
@BillWongOT yes I agree. It was part of what drew my interest to the article. Hoping to discuss it more a little later on. #Otalk

BillWongOT
@becci_haigh_ot actually all 3 figures. #otalk

BillWongOT
@becci_haigh_ot I am in a way advocating for myself to be on such teams, too… in OT autism research. #otalk

OTalk_Occhat
@BoothRach @otemma great to have you join us whilst travelling #OTalk

becci_haigh_ot
Interesting question from @AnnabelFenn re: aspect of the self vs. social aspect and potential occupational injustice? #Otalk 1/2

becci_haigh_ot
See comment below blog: http://t.co/to0JRfV7D1 @AnnabelFenn #Otalk 2/2

becci_haigh_ot
@BillWongOT I agree it would be fantastic to make SUs central to developing research in a vast range of conditions #Otalk

Helen_otuk
@becci_haigh_ot @AnnabelFenn yes got me pondering the inflence of environment on self? #OTalk

BAOTNYRegion
RT @Helen_otuk: @becci_haigh_ot @AnnabelFenn yes got me pondering the inflence of environment on self? #OTalk

Helen_otuk
Especially around social environment and the supports that this environmental aspect can offer? #OTalk

becci_haigh_ot
The 6 aspects of self resonated with what I have seen inpractice.But I ask about Data Saturation? What other aspects could there be? #Otalk

BAOTNYRegion
@Helen_otuk @becci_haigh_ot @AnnabelFenn #OTalk I am thinking on that one too and can see how environment and others perceptions influence

BillWongOT
@becci_haigh_ot Key is to find SU’s who r capable to b great members of research teams, though it’ll b popularity contest in a sense. #otalk

BillWongOT
RT @BAOTNYRegion: @Helen_otuk @becci_haigh_ot @AnnabelFenn #OTalk I am thinking on that one too and can see how environment and others perc…

DoBeDoBeDo14
@Helen_otuk @becci_haigh_ot @AnnabelFenn V interesting that barriers in particular were social- social inclusion imp to recovery #otalk

Helen_otuk
IN contrast to the effects of lack of social environments? Such polarising impacts of an environment? #OTalk

BillWongOT
@BAOTNYRegion @Helen_otuk @becci_haigh_ot @AnnabelFenn Yes, I see some diff. between US & HK in disability acceptance. #otalk

BillWongOT
RT @DoBeDoBeDo14: @Helen_otuk @becci_haigh_ot @AnnabelFenn V interesting that barriers in particular were social- social inclusion imp to r…

Helen_otuk
Agree RT @DoBeDoBeDo14: V interesting that barriers in particular were social- social inclusion imp to recovery #otalk

becci_haigh_ot
@BillWongOT Interesting! Can you explain the popularity contest a little further? Not sure I understand. #Otalk

BillWongOT
@Helen_otuk I don’t think there’s such thing as lack of social environments. I think it’s more like inadequate social environments. #otalk

OTEmma
RT @BAOTNYRegion: @Helen_otuk @becci_haigh_ot @AnnabelFenn #OTalk I am thinking on that one too and can see how environment and others perc…

BillWongOT
@Helen_otuk what I mean is social environments that are not providing what people need. #otalk

becci_haigh_ot
@BillWongOT @Helen_otuk How then can we as OTs adapt and work with the social environment to make it adequate and more supportive? #Otalk

becci_haigh_ot
How can OTs facilitate living well with psychosis & other conditions; keeping the ‘elements of the self’ in mind? #Otalk

BAOTNYRegion
@becci_haigh_ot @BillWongOT @Helen_otuk Is it about changing culture bad peoples perceptions? Rather than pigeon holing? #otalk

Helen_otuk
The interaction between occupational balance v occupational integrity was great thought provoker for me. Not sure I had thought B4 #OTalk

BillWongOT
@becci_haigh_ot http://t.co/lJ3n5AQaQP Here’s a good example. Jesse is an SU who wrote some books on #autism. #otalk

AnnabelFenn
@DoBeDoBeDo14 @Helen_otuk @becci_haigh_ot sorry I’m late #otalk

BillWongOT
@becci_haigh_ot @Helen_otuk One way is to help SU’s develop self-advocacy skills. #otalk

becci_haigh_ot
Is it about making education more mainstream? Like #Bedlam for example? Good way to at lease raise awareness? #Otalk

BillWongOT
@becci_haigh_ot @Helen_otuk another way is work with other possible allies in that social environment to make it better. #otalk

OTalk_Occhat
@AnnabelFenn great you could join us… no need to be sorry we do not clock watch here #OTalk

BillWongOT
@becci_haigh_ot I think being good listeners (e.g. using MI) is key. That way they can collaborate with SU’s in this goal. #otalk

Helen_otuk
@AnnabelFenn we have been discussing your comments…. #OTalk

BillWongOT
@becci_haigh_ot I also think we have to do a better job in educating public about our roles in different settings! #otalk 1/2

Helen_otuk
@BillWongOT social allies I like this concept! #OTalk

BillWongOT
@becci_haigh_ot we don’t want self-advocates (of diff disabilities) to provide misnomers of what we do or don’t do. #otalk 2/2

becci_haigh_ot
@BillWongOT Really good point. Yes have applied elements of MI before and agree this is very important #Otalk

OTEmma
@becci_haigh_ot is it about influencing cultural change in organisations? #otalk

BillWongOT
@becci_haigh_ot http://t.co/3LWehTFrZY This is an example of what I am talking about. #otalk

BillWongOT
@OTEmma @becci_haigh_ot and also disability communities! #otalk

OTalk_Occhat
RT @OTEmma: @becci_haigh_ot is it about influencing cultural change in organisations? #otalk

becci_haigh_ot
@OTEmma Could be great! have you come across organisation that are on the right path? and what are they doing better than others? #Otalk

bobcollinsOT
@becci_haigh_ot #otalk Groups can be a useful way of providing structure, social support, and sharing and learning from experiences

BillWongOT
RT @bobcollinsOT: @becci_haigh_ot #otalk Groups can be a useful way of providing structure, social support, and sharing and learning from e…

OTalk_Occhat
RT @becci_haigh_ot: @OTEmma Could be great! have you come across organisation that are on the right path? and what are they doing better th…

BillWongOT
@bobcollinsOT @becci_haigh_ot as long as it is not too big. I find anywhere between 5 to 15 is a good number. #otalk

Helen_otuk
can be RT @bobcollinsOT: #otalk Groups can be a useful way of providing structure, social support, and sharing and learning from experiences

OTEmma
RT @becci_haigh_ot: @OTEmma Could be great! have you come across organisation that are on the right path? and what are they doing better th…

AnnabelFenn
@becci_haigh_ot as in the ‘social self’, encouraging peer support networks and ‘communities’ based on interest perhaps #otalk

becci_haigh_ot
So we agree there is much 4 OTs to do to lessen the effect of barriers/social environment on living with psychosis/other conditions. #Otalk

OTalk_Occhat
#OTalk RT @BoothRach: @becci_haigh_ot @OTEmma have seen recovery begin to be imbedded in to NHS trust like @cnwlrc

GillyGorry
sorry #otalk I’m running late! will try catch up

AnnabelFenn
@becci_haigh_ot I find the concept of ‘community’ may no longer be tied to physical space as traditionally thought but other aspects #otalk

bobcollinsOT
@BillWongOT I agree, there needs to be a critical mass to make a group work. 5-15 is about right. #otalk

CroftVictoria
RT @becci_haigh_ot: So we agree there is much 4 OTs to do to lessen the effect of barriers/social environment on living with psychosis/othe…

BillWongOT
RT @becci_haigh_ot: So we agree there is much 4 OTs to do to lessen the effect of barriers/social environment on living with psychosis/othe…

OTEmma
@becci_haigh_ot #otalk education is key and not just for mainstream but also for healthcare professionals #bedlam is a start

DoBeDoBeDo14
@AnnabelFenn @becci_haigh_ot Virtual communities now play a massive part #otalk

OTEmma
RT @becci_haigh_ot: So we agree there is much 4 OTs to do to lessen the effect of barriers/social environment on living with psychosis/othe…

BoothRach
@OTalk_Occhat @becci_haigh_ot @OTEmma @cnwlrc thanks forgetting #otalk tonight, #tried

BillWongOT
@becci_haigh_ot and for some SU’s changing their perceptions of social environments is already A LOT of work! #otalk 1/2

Helen_otuk
Agree MT @AnnabelFenn: concept of ‘community’ may no longer be tied to physical space as traditionally thought but other aspects #otalk

BillWongOT
@becci_haigh_ot I read that over and over on groups and pages where autistic adults discussed about their issues on FB. #otalk 2/2

AmzOT
RT @OTEmma: @becci_haigh_ot #otalk education is key and not just for mainstream but also for healthcare professionals #bedlam is a start

BillWongOT
RT @OTEmma: @becci_haigh_ot #otalk education is key and not just for mainstream but also for healthcare professionals #bedlam is a start

becci_haigh_ot
Supporting SU to educate their families (if they present as a barrier) themselves rather than doing it as the ‘expert practitioner’ #Otalk

Helen_otuk
Agree very important – flexible – dip in RT @DoBeDoBeDo14: @AnnabelFenn @becci_haigh_ot Virtual communities now play a massive part #otalk

BillWongOT
@OTEmma @becci_haigh_ot that’s why I think it’s great to have SU’s come to uni’s as guest lecturers. #otalk

BillWongOT
RT @becci_haigh_ot: Supporting SU to educate their families (if they present as a barrier) themselves rather than doing it as the ‘expert p…

BillWongOT
@becci_haigh_ot I have been hearing that over and over on autism support groups- SU’s & caregivers alike. #otalk

Helen_otuk
RT @becci_haigh_ot: Supporting SU to educate their families (if they present as a barrier) themselves rather than doing it as the ‘expert p…

AnnabelFenn
@OTEmma @becci_haigh_ot how OTs actually address issues pertaining to occupational justice is an exciting thing to consider #otalk

becci_haigh_ot
@BillWongOT @OTEmma I remember those sessions the best and got a much much better understanding from SU themselves! #Otalk

GillyGorry
RT @DoBeDoBeDo14: @AnnabelFenn @becci_haigh_ot Virtual communities now play a massive part #otalk

CroftVictoria
La Leche League peer support, social communities and establishing mothering skills is a successful model in breastfeeding #otalk

Helen_otuk
RT @AnnabelFenn: @OTEmma @becci_haigh_ot how OTs actually address issues pertaining to occupational justice is an exciting thing to conside…

OTEmma
@becci_haigh_ot: @BillWongOT @OTEmma I remember those sessions the best and got a much much better understanding from SU themselves! #Otalk

becci_haigh_ot
Going to move along. What do you think of the concept of Occupational Integrity? #Otalk

AnnabelFenn
@OTEmma @becci_haigh_ot I also wonder whether there would have been differences in the findings if young people had participated? #otalk

BillWongOT
@becci_haigh_ot @OTEmma I delivered a few since last year- love that OTS’s are able to understand what ppl like me r going through. #otalk

Helen_otuk
#OTalk MT @bobcollinsOT: Absolutely! Peer groups always a stepping stone to mainstream activity. #socialinclusion

BillWongOT
@becci_haigh_ot I agree- I have been doing that since I was dx’ed w/ AS 3+ years ago. #otalk

BillWongOT
RT @Helen_otuk: #OTalk MT @bobcollinsOT: Absolutely! Peer groups always a stepping stone to mainstream activity. #socialinclusion

becci_haigh_ot
@AnnabelFenn @OTEmma Sadly I don’t think we know the ages of participants do we? Good point. #Otalk

BillWongOT
@Helen_otuk @bobcollinsOT but they’ve 2 b w/ just right amount of supervision, community integration should b 1 of the overall goals. #otalk

Helen_otuk
I think it gives depth to our understanding RT @becci_haigh_ot: What do you think of the concept of Occupational Integrity? #Otalk

BillWongOT
@becci_haigh_ot @AnnabelFenn @OTEmma there might be some differences between age groups, but I don’t think there is too much. #otalk

becci_haigh_ot
Want to talk a little about Occ Science. What did people think of occ integrity as a concept? #Otalk

BillWongOT
RT @becci_haigh_ot: @BillWongOT Really good point. Yes have applied elements of MI before and agree this is very important #Otalk

BillWongOT
RT @becci_haigh_ot: Want to talk a little about Occ Science. What did people think of occ integrity as a concept? #Otalk

becci_haigh_ot
Don’t think I had previously consciously considered the quality and integrity with which occupations are performed. #otalk

AnnabelFenn
@becci_haigh_ot 18-70 years I think – I wonder whether young people with psychosis also experience the barriers to the same degree #otalk

BillWongOT
RT @becci_haigh_ot: Don’t think I had previously consciously considered the quality and integrity with which occupations are performed. #o

Helen_otuk
gives a wider view but more specific as a concept? RT @becci_haigh_ot: What did people think of occ integrity as a concept? #Otalk

BillWongOT
@becci_haigh_ot I sort of knew through my lived experiences. But, now I know the terminologies and theories tying it all together. #otalk

becci_haigh_ot
Do you think it contradicts or adds to the concept of occupational balance? #Otalk

BillWongOT
@becci_haigh_ot I sort of knew through my lived experiences. But, now I know the terminologies and theories tying them all together. #otalk

AnnabelFenn
@becci_haigh_ot would young people be more inclined to seek support online? #otalk

OTalk_Occhat
@bobcollinsOT Bob don’t forget the #OTalk people may miss your gems!

BillWongOT
@AnnabelFenn @becci_haigh_ot Maybe this is good justification for a bigger research? #otalk

bobcollinsOT
@AnnabelFenn @becci_haigh_ot I work in EI service 14-35 yo’s and yes i believe young people do experience barriers to the same degree #otalk

BillWongOT
@AnnabelFenn @becci_haigh_ot from the adults in AS community is concerned, I see more people under 50 than over 50. #otalk

BoothRach
@AnnabelFenn @becci_haigh_ot is it more about insight / awareness than age? #otalk

OTalk_Occhat
#otalk RT @DoBeDoBeDo14: I would think so but just a hunch! I know that online mentoring from organisations like Mindfull v popular.

BillWongOT
RT @bobcollinsOT: @AnnabelFenn @becci_haigh_ot I work in EI service 14-35 yo’s and yes i believe young people do experience barriers to the…

BillWongOT
@OTalk_Occhat @DoBeDoBeDo14 informal communities like Facebook, though, seems like some communities are using the Internet to vent. #otalk

OTalk_Occhat
yay great to have yu join us #OTalk RT @louisetaylor147: @OTalk_Occhat hi everyone, this is my first time chatting live #cautiontothewind

becci_haigh_ot
@BillWongOT Nice =) Am a big fan of mindfulness etc. and think it is great to give these phenomenon attention and terminology. #otalk

BillWongOT
RT @becci_haigh_ot: @BillWongOT Nice =) Am a big fan of mindfulness etc. and think it is great to give these phenomenon attention and termi…

bobcollinsOT
@OTalk_Occhat oops. can you RT my last ‘gem’ including the #otalk please? Thanks.

OTalk_Occhat
@louisetaylor147 just add #OTalk so everyone will see your tweets

AnnabelFenn
@Helen_otuk @becci_haigh_ot occ integrity not a concept I had come across before, so I found it v interesting, especially when… #otalk

BillWongOT
@becci_haigh_ot yes… and this gives me the knowledge to understand where the SU’s are coming from perspectives wise. #otalk

Helen_otuk
#OTalk MT @bobcollinsOT: occupational integrity as a concept similar to personal identity. How you see yourself and how others see you.

becci_haigh_ot
Do you think you get the same form online communications that you would from face to face contact? #otalk

AnnabelFenn
@Helen_otuk @becci_haigh_ot .. considering the perspective of ‘recovery’ being meaningless and hijacked by professionals #otalk

BillWongOT
RT @Helen_otuk: #OTalk MT @bobcollinsOT: occupational integrity as a concept similar to personal identity. How you see yourself and how oth…

BillWongOT
@becci_haigh_ot good ?. I use online comm. 4 rapport building. Then I’ll try to solidify via face-to-face- My approach w/ #ot peers. #otalk

OTEmma
@becci_haigh_ot you may think you do, but others don’t always interpret what you say how you mean it when communicating online #otalk

Helen_otuk
@becci_haigh_I think they are different, but can be equally helpful / unhelpful / useful / useless etc #OTalk

OTalk_Occhat
#OTalk 10th December 2013 – Perceptions of Social Media in Higher Education http://t.co/DKzuUnuusR http://t.co/l7aoQxNsOl

OTalk_Occhat
#OTalk 10th December 2013 – Perceptions of Social Media in Higher Education http://t.co/DKzuUnuusR

BillWongOT
@becci_haigh_ot 4 me- online comm. allow me to do some HW about some1 before the actual face to face contact. #otalk

DoBeDoBeDo14
@becci_haigh_ot They are probably useful- easy access, young people support & community- a lot will depend on how SU feels about it. #otalk

becci_haigh_ot
@AnnabelFenn @Helen_otuk .. real meaning. which is obv part of what we do. but can happen that OT ‘suggest’ meaningful activities? #otalk

BillWongOT
@becci_haigh_ot if used correctly, I think the two can go hand-in-hand. Otherwise, online comm. can ruin real life relationships. #otalk

BillWongOT
RT @DoBeDoBeDo14: @becci_haigh_ot They are probably useful- easy access, young people support & community- a lot will depend on how SU feel…

Helen_otuk
or F2F? RT @OTEmma: you may think you do, but others don’t always interpret what you say how you mean it when communicating online #otalk

DoBeDoBeDo14
@OTEmma @becci_haigh_ot Definitely need to be careful about tone etc- lose the non-verbal comm online #otalk

OTalk_Occhat
Oh my goodness where as that hour gone! 2 minute warning folks #OTalk

BillWongOT
@DoBeDoBeDo14 @becci_haigh_ot Yes! Though on places like FB, that can do more hurt too if there’s little/no monitoring in some cases. #otalk

AnnabelFenn
@becci_haigh_ot @Helen_otuk but also, choice is limited by stigma, lack of understanding and other sociopolitical barriers… #otalk

BillWongOT
RT @DoBeDoBeDo14: @OTEmma @becci_haigh_ot Definitely need to be careful about tone etc- lose the non-verbal comm online #otalk

AnnabelFenn
@becci_haigh_ot @Helen_otuk the question of integrity also lies in the environment for me #otalk

OTalk_Occhat
Please feel free to continue the discussion! #OTalk will not post transcript for at least 24hrs!

BillWongOT
@DoBeDoBeDo14 @OTEmma @becci_haigh_ot Yes, I was guilty of these mistakes as I was rebuilding my social comm. skills. #otalk

becci_haigh_ot
@BillWongOT personally often find myself more stressed by constant connectedness but that may well be me not having a good balance #otalk

Helen_otuk
Agree! RT @AnnabelFenn: @becci_haigh_ot @Helen_otuk the question of integrity also lies in the environment for me #otalk

BillWongOT
@AnnabelFenn @becci_haigh_ot @Helen_otuk absolutely! #otalk

Dai2584
Totally forgot about #OTalk tonight, sorry. I do have 3 week old baby though. But honestly sorry though : (

DoBeDoBeDo14
@BillWongOT @becci_haigh_ot Would definitely agree that moderators are needed for forums of support and mentoring #otalk

BillWongOT
@becci_haigh_ot But I also think each person’s balance is different. Being connected w/ u all helped me being a better OT. #otalk

OTalk_Occhat
Thank you to @becci_haigh_ot for hosting this evenings #OTalk. So much to consider. Thanks for keeping the #Occhat focus too!

DoBeDoBeDo14
Thanks @becci_haigh_ot for great #otalk !

BillWongOT
@DoBeDoBeDo14 @becci_haigh_ot or in some cases, parents, teachers, or professionals should check in from time to time. #otalk

BillWongOT
@DoBeDoBeDo14 @becci_haigh_ot look no further than say some of the tragedies caused by cyber bullying. #otalk

BoothRach
Night all train convention was a bit pants at times but enjoyed! #otalk

becci_haigh_ot
@BillWongOT haha yes I agree. this way of linking-in, networking and sharing knowledge really is great! #otalk

BillWongOT
@sophiewearing I thought this week’s #otalk article is a good one.

AnnabelFenn
@OTalk_Occhat @becci_haigh_ot yes becci, thank you for a fab first journal club! #otalk

bobcollinsOT
RT @becci_haigh_ot: So we agree there is much 4 OTs to do to lessen the effect of barriers/social environment on living with psychosis/othe…

becci_haigh_ot
@OTalk_Occhat Thank you everyone for joining in and sharing your thoughts. Lots to continue thinking about! #otalk

DoBeDoBeDo14
@BillWongOT @becci_haigh_ot Absolutely. Done safely & securely though, think there’s definitely aneed for online support communities #otalk

BillWongOT
@becci_haigh_ot yes… although I know this type of connectedness made me a different type of #autism self-advocate. #otalk

OTalk_Occhat
@becci_haigh_ot great article choice and great discussion… thank you #OTalk

BillWongOT
@becci_haigh_ot cuz I know what I stand for maybe is a bit different than some other individuals w/ #AS. #otalk

DoBeDoBeDo14
RT @OTalk_Occhat: #OTalk 10th December 2013 – Perceptions of Social Media in Higher Education http://t.co/DKzuUnuusR http://t.co/l7aoQxNsOl

BillWongOT
@DoBeDoBeDo14 @becci_haigh_ot Yes… have read too many people just venting about their experiences online 1/2 #otalk

BillWongOT
@DoBeDoBeDo14 @becci_haigh_ot in a sense, letting out feeling is good. But, that’s a sign that they need to see the + light. #otalk

BillWongOT
@OTalk_Occhat @becci_haigh_ot much appreciated! well done! #otalk

bobcollinsOT
@becci_haigh_ot @OTalk_Occhat #otalk Thanks for that! Indeed lots to consider and reflect on.Great choice of article & very well presented=)

BillWongOT
RT @bobcollinsOT: @becci_haigh_ot @OTalk_Occhat #otalk Thanks for that! Indeed lots to consider and reflect on.Great choice of article & ve…

BillWongOT
RT @DoBeDoBeDo14: @AnnabelFenn @becci_haigh_ot Virtual communities now play a massive part #otalk

pd2ot
@OTalk_Occhat: #OTalk 10/12- Perceptions of Social Media in Higher Education http://t.co/5fGeDf04Wb http://t.co/DERqmxGsYq@Maria_genhome

OTalk_Occhat
Please feel free to keep tweeting with the #OTalk or comment on the blog. I will post the transcript after 24hrs. http://t.co/WqXqSGGS0V

BillWongOT
@AnnabelFenn @becci_haigh_ot agreed… but how we as OT’s can find a way to know about the cyber environments that they are in. #otalk

DoBeDoBeDo14
@BillWongOT @becci_haigh_ot Yes. Lots of different formats of online support- I’m thinking of structured mentoring online with peers #otalk

BillWongOT
RT @pd2ot: “@OTalk_Occhat: #OTalk 10/12- Perceptions of Social Media in Higher Education http://t.co/5fGeDf04Wb http://t.co/DERqmxGsYq@Ma

BillWongOT
@DoBeDoBeDo14 @becci_haigh_ot if it’s FB, it’s very unstructured. Moderators are SU’s and/or caregivers. #otalk

DoBeDoBeDo14
@BillWongOT @becci_haigh_ot It probably depends on what the SU is wanting from support which site they use eg informal/formal #otalk

GillyGorry
@sophiewearing I have organised a #reablement #otalk in january. will keep u posted. i will be doing 2 reablement posters at cot2014 also 🙂

clearsci
Next week the occupational therapists #OTalk is social media in higher ed. Something important to many. Check it out http://t.co/bHSqRbM1rw

OTSM2011
RT @clearsci: Next week the occupational therapists #OTalk is social media in higher ed. Something important to many. Check it out http://t…

m_egjoy
@becci_haigh_ot Having a placement currently in Inpatient Forensic Mental Health, I found that Spirituality is a huge factor (1/2) #otalk

m_egjoy
@OTalk_Occhat I’m still trying to figure out this #OTalk thing! Was too late today with time change! #newbie

cnwlrc
RT @OTalk_Occhat: #OTalk RT @BoothRach: @becci_haigh_ot @OTEmma have seen recovery begin to be imbedded in to NHS trust like @cnwlrc

Symbolic_Life
#otalk did I miss journal club again!? :(. It will be easier when I’m in Oz for time I think. Sorry!

Symbolic_Life
RT @clearsci: Next week the occupational therapists #OTalk is social media in higher ed. Something important to many. Check it out http://t…

Symbolic_Life
RT @becci_haigh_ot: So we agree there is much 4 OTs to do to lessen the effect of barriers/social environment on living with psychosis/othe…

Symbolic_Life
RT @BAOTNYRegion: @becci_haigh_ot @BillWongOT @Helen_otuk Is it about changing culture bad peoples perceptions? Rather than pigeon holing? …

emerging2OT
RT @clearsci: Next week the occupational therapists #OTalk is social media in higher ed. Something important to many. Check it out http://t…

clissa89
Sorry I missed journal club @becci_haigh_ot @Helen_otuk. Really interesting topic, I look forward to the transcript #otalk

DrWMB
RT @becci_haigh_ot: @BillWongOT @OTEmma I remember those sessions the best and got a much much better understanding from SU themselves! #Ot

dianecox61
RT @clearsci: Next week the occupational therapists #OTalk is social media in higher ed. Something important to many. Check it out http://t…

LeonoraOT
@OTmoniSC Have a look at @OTalk_Occhat & @OTalk2US & the #otalk – I’ll have a peep also, haven’t got to many lately

LeonoraOT
@clissa89: …I missed journal club …Really interesting topic, I look forward to the transcript #otalk” introducing @OTmoniSC …heaps for OTs

LeonoraOT
Great stuff @becci_haigh_ot Very sorry I missed @OTalk_Occhat #OTalk Journal Club Blog Post http://t.co/0yh0qNIgVp”

beaxvillegas
rocketeer by @ariaclemente astiggg =))) #otalk

elaineahpmh
MT #OTalk 10th December, Perceptions of Social Media in Higher Education http://t.co/SXwjzFku5j http://t.co/e6nNDYXIIR @lesleyahpd @dtbarron

BillWongOT
RT @elaineahpmh: MT #OTalk 10th December, Perceptions of Social Media in Higher Education http://t.co/SXwjzFku5j http://t.co/e6nNDYXIIR @le

gbruce1
#OTalk 10th December 2013 – Perceptions of Social Media in Higher Education | @scoopit via @BillWongOT http://t.co/I7ZDZfw4ci

BillWongOT
RT @gbruce1: #OTalk 10th December 2013 – Perceptions of Social Media in Higher Education | @scoopit via @BillWongOT http://t.co/I7ZDZfw4ci

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