#OTalk – 8th July Appreciating the experience of using health and care services for some older* gay** people

Twitter OTalk – 8th July 2014, 8pm Appreciating the experience of using health and care services for some older* gay** people: What are your experiences and opinions?

*people age 65 and over

**term used to refer to anyone who has intimate same-sex relationships or feelings


Everyone has the right to social and occupational justice, regardless of various personal and contextual factors such as older age and sexual orientation. With the public concerns about our ageing society, current healthcare environments are entering an era where they will see the highest number of older people needing to use services. Some of these older people will identify as gay, and could place an additional challenge on the inclusivity of health and social care services if the promotion of social and occupational justice is to be achieved. Many of today’s baby-boomers that identify as gay are a generation of activists; that is they grew up resisting and, often, fighting against a backdrop of overt homophobia and discrimination. In doing so, many have struggled to identify and/or use their rights as a citizen of the community and society in which they live.



Aim of the Twitter chat

Twinley and Price have received confirmation that their proposal has been accepted to write a chapter in the upcoming 2016 edition of Occupational Therapy Without Borders (Edited by Nick Pollard and Dikaios Sakellariou). Within this chapter, Twinley and Price propose to discuss the themes they will identify from a review of the literature that specifically documents older gay people’s experiences of health and care services. Some of the issues today’s occupational therapists might need to consider in their occupation-focussed practice will be explored and supported alongside the direct practice examples provided by student (and qualified) occupational therapists during the Twitter discussion. Other people’s (and profession’s) experiences and opinions would also be highly valued, and would make for an interesting discussion. Where your responses need to extend beyond Twitter’s 140 character limit, following the chat, we invite people to continue the conversation in the comments area on this blog post.



Suggested themes for discussion

• The lived experience of providing occupational therapy (or other health and care services) to older gay people

• Working with older gay people to meet their occupational needs

• The lived experience of accessing and using health and care services as an older gay person

• The occupational identities of older gay people

• Considerations for practice unique to the older gay population

• Occupational justice and injustice

• Social justice and injustice

• Opportunities and challenges for contemporary practice when working with older gay people (in an ageing society)



Ethics and consent

Ethical approval has been identified as not required by the Chair of Twinley’s Faculty Research Ethics committee at Plymouth University. This is because Twitter is a public forum and any data in the public domain does not require ethical approval. Hence, any users with protected accounts will not have their tweets/contributions quoted. In the event that Twinley and Price choose to use a direct quotation that derived from your contribution during the chat (or that you entered on the blog), you will be contacted to confirm that you consent to its use in the write-up of their chapter.

Thank you

Bex and Lee



Click here to view the chat transcript or download the PDF.


The Numbers:

386,740 Impressions
314 Tweets
33 Participants

#OTalk Participants


#OTalk – 17th June 2014 – Exploring the River.

Earlier in the day in Japan (1am-7am UK time) will have seen the inaugural Kawa Symposium. #Kawa14. Being held prior to the World Federation of Occupational Therapist Conference #WFOT14

Following the live and broadcast #Kawa14 event, here is a brief Storify of the resources and tweets to get the conversation started for #OTalk. I hope that they provide a flavour of the event for you and starts the discussion flowing.

988857_10152139129956799_6110250576451647816_nAs it will not be possible for everyone to stay awake all night to be part of the event, we thought it would be a good idea to dedicate this weeks #OTalk to exploring the resources shared during the event.

So please do join us to share what has come from this great event.

Anyone who may have been up all night to take part please feel free to come along and share your thoughts.

I am sure that those fortunate enough to be in Japan will have shared their experiences across social media so please do come along and discuss your highlights from #Kawa14.

Healthcare Hashtags Transcript. – #OTALK

#OTalk – Kawa Transcript 17 June 2014 – PDF

Healthcare Hashtags Transcript – #KAWA14

#Kawa14 – Transcript – PDF

Below are the off-site presentations:

‘Climbing up a mountain or flowing down a river: a different way of viewing the Kawa Model’ (Carina Andreasson and Evelina Stridh, Sweden)

‘Kawa Model and its relationship with elderly in Hong Kong’ (David Lau, Hong Kong)

 ‘Using Kawa for CPD workshop’ (Gill Smith, UK)

‘Flow: an OT student’s CPD journey with the Kawa Model’ (Gill Smith, UK)

‘Flowing through the Indian land: Kawa in India’ (Kavitha Murthi, India)

‘Coaching with Kawa’ (Jen Gash, UK)

 ‘Painting my river: a personal Kawa journey’ (Jen Gash, UK)

 ‘The Kawa Model in research’ (Clarissa Sorlie, UK)

‘Flood’ (David Nixon, UK) A short film of a flood in Hebden and a reflection on the meaning of the Kawa Model.


For those who are able to join the event live-online here are the details:

For online participants, please check times using Time and Date Link #Kawa14 as all times in this schedule are according to Japan times!

Event Schedule and links for online viewing:

Introductions and keynote: http://tinyurl.com/ntomudl

9.00 – 9.07 Opening & Welcome Beki Dellow)
9:07 – 9.10 Introduction to Keynote Speaker (Nicole Thomson)
9.10 – 9.40 Keynote by Michael Iwama
9:40 – 9.45 Introduction to day’s event and format.

Session 1: http://tinyurl.com/pv3z696

9:45 – 10.00 Understanding mental health recovery through the Kawa Model ( Kee Hean Lim – UK)
10:00 – 10: 15 Influence of play in women: Rediscovering their lives through the Kawa Model Daniela Castro and Daniela Olivares Aising – Chile)
10:15 – 10: 30 Using the Kawa Model for Team Building and Managing Staff Stress and Burnout Jennifer Lape – USA)
10.30 – 10.45 Ina Stavril Australia
10:45 – 11:00 The Role of the Kawa Model in the Emerging2OT Conference (Michelle Perryman UK)

Session 2: http://tinyurl.com/pas3g79

11.00 – 11.15 Learning about Kawa: A Tale of Three Cities Anita Hamilton Australia, Susan Burwash USA/Canada, Marianne Bonassi Australia)
11.15-11.30 Comprehending Domestic Violence using the Kawa Model (Tamera Humbert USA)
11.30 – 11.45 Social Determinants of Health in Chile Roberto Nieto Velásquez)
11.45 – 12.00 Using the Kawa Model in a lifestyle medicine approach (Donna Mann)

Session 3: http://tinyurl.com/ovfk5q9

1.00 – 1.15 Poetics – Symbolic Language of the River David Nixon UK)
1.15-1.30 The life of Takeo Arishima and changes of his thoughts – seen from the perspective of the Kawa Model Akiyo Harigae, Japan)
1.30 – 1.45 The Kawa Model as a framework to Guide International OT Fieldwork ( Pam Kearney Bethany Johnson USA)
1.45 – 2.00 Applying the Kawa Model in an Australian Mental Health Setting ( Brock Cook)

Session 4: http://tinyurl.com/nv7b22m

2.00 – 2.15 Advancing the OT river through the system “Will we flow quietly?” – KAWA as a lobbying strategy Saša Radić, Croatia)
2:15 – 2:30 The Kawa Model’s journey through Japan over the past 10 years Mayumi Okuda
2:30 – 2:45 Launch of the Kawa Model app
2:45 – 3:00 Close


#OTalk Journal (Media) Club – 1st July 2014

Last week, OTalk went On Tour to the College of Occupational Therapists conference in Brighton (#COT2014). One of our presentations was about this journal club. We were keen to have an experiential component, but realised that, with only 18 minutes to play with, we didn’t have enough time for newcomers to sign up to twitter and engage in a tweetchat.  So we put our problem solving hats on, and decided to go back to basics: pen and paper.

We chose an article that people may have read recently (due to the time constraints of the slot, we knew that people wouldn’t have time to read the article prior to ‘OTalking’) and displayed the abstract on the screen. We had seven questions floating around the room on sheets of paper, and one rule: no ‘out loud’ talking!

We thought it might be interesting to repeat this simulated #OTalk journal club during our July journal club slot. So, we will be discussing:

Upton, D., Stephens, D., Williams, B. and Scurlock-Evans, L. (2014) ‘Occupational Therapists’ Attitudes, Knowledge and Implementation of Evidence-Based Practice: a Systematic Review of Published Research’, British Journal of Occupational Therapy, 77(1), pp. 24-38

You might be interested in seeing what some of the paper-discussions looked like. Hopefully, it might spark some questions or comments from you, and we can develop the discussion further in July.

Question 1: Findings: OTs less likely than other disciplines to report changes to practice from research evidence. Why might this be?

Question 2: In several studies, OTs raised concerns re relevance/applicability of research. What might influence this research-practice gap?Page 2

Question 3: Consistent finding: OTs reporting low EBP knowledge/skills/confidence. How can you develop yours?

Question 4: Salls &al (2009) 12% of OTs reported frequent utilisation of EBP. Are you surprised? Why might number be so low?

Question 5: Barriers: workload/time/resource pressures, lack of training/skills/support, quality of research, motivation. What do you think?

Question 6: Implications: identify ways of making EBP personally relevant to practitioners. Ideas of how to do this?

Additional discussion

As usual, the journal club will be held on the first Tuesday of the month at 8pm (BST).

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.

Post Chat Updates:


Healthcare Hashtags Transcript.

PDF of Transcript. #OTalk – 1st July 2014

#OTalk Participants

Additional resources from Clare Taylor (@ClareTaylorBU), Clare has kindly sent us her poster from COT2014 conference to add to the resources from this chat.

CT Poster

PDF of Clare’s Poster. COT poster – 2014 – EB or EI

#OTalkOnTour: OT Curry Night at #COT2014, Brighton

Thank you to Karen Ivey (@KarenIvey) for writing her account of our OT Curry Night in Brighton.


#OTalk #OTCurryNightBrighton #COT2014

Could we identify the fellow #OTalk tweeters as we hung around outside the Chilli Pickle in Brighton? Luckily OTs seem to have that innate sense of spotting an OT so we gradually gathered until the #OTalk crew arrived, led us inside and sorted out where everyone was sitting, we had so many extra people we had to have another table! Unusual and delicious food arrived at the table, personally delivered according to your menu choice! So much chat was going on, the wine and beer was flowing but definitely no tweeting. It was very interesting to meet people you had only chatted to before on Twitter. There were young and old, men and women, students, academics and even a Fellow! The OTs were from Mental Health, Social Care, Independent Practice, Education, Health, Forensic and Charitable Organisations – wow – could we be more diverse? I had a lovely time talking to my neighbour about our families 🙂 We also had some Lurkers and some Skeptics amongst us who will now perhaps be converted to join in a future #OTalk. Great evening! Thanks for organising Kirsty.

OTalk – 10th June 2014 – Carers Week.

The OTalk on the 10th June 2014, will focus on the topic of carers.
Picking up on one of the themes suggested here http://www.carersweek.org/get-involved we would like everyone to share examples of what is happening in your local area.


Some themes to consider for the chat are:
What is happening in your area?
What examples are considered good practice?
How do you engage with carers?
How is this information shared across services?
What could be done? How would this be achieved?

Please add any other questions you feel worth exploring in the comments…

Looking forward to chatting with you all.

Healthcare Hashtag Transcript.

PDF #OTalk – Transcript 10 June 2014