19th March 2019 #OTalk Gaming a meaningful occupation or a Damaging occupation?

This week our very own Rachel Booth @otrach will be hosting a chat looking at gaming a meaningful occupation or a Damaging occupation?

In 2018 the World Health Organisation added gaming disorder to its list of mental health conditions.

It stated

‘Gaming disorder is characterised by a pattern of persistent or recurrent gaming behaviour (‘digital gaming’ or ‘video-gaming’), which may be online (i.e., over the internet) or offline.

Manifested by: 

  1. impaired control over gaming (e.g., onset, frequency, intensity, duration, termination, context); 
  2. 2) increasing priority given to gaming to the extent that gaming takes precedence over other life interests and daily activities; 
  3. Continuation or escalation of gaming despite the occurrence of negative consequences. 

The behaviour pattern is of sufficient severity to result in significant impairment in personal, family, social, educational, occupational or other important areas of functioning. 

The pattern of gaming behaviour may be continuous or episodic and recurrent. 

The gaming behaviour and other features are normally evident over a period of at least 12 months in order for a diagnosis to be assigned, although the required duration may be shortened if all diagnostic requirements are met and symptoms are severe.’

What I thought was interesting about this definition was the use of occupation functioning.

So for this week’s #OTalk I through it might be interesting to explore the use of this occupation, as a treatment tool and how as an occupational therapist we might work with someone who is given this diagnosis.

Question 1 

Do you game? If so what type and why?

Question 2

How much time do you spend gaming in an average week? 

Question 3 

What are you thoughts on the world health organisation adding addiction to gaming as category of mental disorder?  

Question 4

Do you used gaming, as an intervention/treatment? If so how and why?

Question 5

How might an occupational therapist work with someone who’s gaming behaviour pattern is of sufficient severity to result in significant impairment occupational functioning?

Question 6 

On the whole do you feel Gaming is a meaningful or damaging occupation?




#OTalk 26th February 2019 – My Journey thus far towards Advanced Clinical Practice

This weeks chat will be hosted by Carol Rideout @carspring27 and Dr Stephanie Tempest @SetG75 

My Journey thus far towards Advanced Clinical Practice

I am at the top of Band 6 working in an NHS community neuro rehab team, qualified since 1998 and based in the UK.  My career journey thus far has been varied between acute and community settings, in Social Care and NHS.   Despite working part-time and being a parent, I still have an innate drive towards my own personal and professional development.  I have more recently started to question where can I go career wise and what career paths are open to me? 

I became more aware of Advanced Clinical Practitioners (ACPs) last year and began asking colleagues and Managers if this may be a route which I could pursue.  I was baffled to hear that this route was for Nurses and Physiotherapists mainly and not applicable to me working as an Occupational Therapist in community neuro. 

This stimulated me to research and read and I have since discovered that in the UK there is a clear framework and definition for the ACP role and it turns out that this is well within the scope of our profession.  I have since seen there are increasing ACP roles being advertised particularly in the NHS and have learnt that the ACP framework in the UK describes the level of practice required, to be able to prove clinicians are working at this level.

I am now in pursuit of an MSc in Advanced Clinical Practice in the hope that this will enable me to progress in all four areas as described in the Career Development Framework. I appreciate this may not lead me directly into an ACP job role, however, it may equip me to be able to demonstrate in due course, to Health Education England, that I am able to work at an ACP level.  This may lead to me being able to justify to my line managers why I can legitimately be called and recognised as an ACP.  I do not expect that this will be an easy journey and would like to gain support from the OT community to generate ideas how we can push forward this ACP agenda, how we can encourage each other to progress and climb our profession into new heights.


  1. Please can you say hello and describe what setting you work in and your location.
  2. Can you describe / detail your interest in the ACP role thus far and your current level of practice?
  3. Can you describe how you have or how you might negotiate your way into an ACP role at work?
  4. Can you give any advice to someone who may want to progress into being an ACP?
  5. Let’s discuss what Occupational Therapists can bring to the ACP role?

Post Chat

Host: Dr Stephanie Tempest @SetG75 

Support on OTalk account: Rachel Booth @otrach

Online Transcript

#OTalk Healthcare Social Media Transcript February 26th 2019

862.184K Impressions
250 Tweets
23 Participants
81 Avg Tweets/Hour
11 Avg Tweets/Participant

#OTalk Participants



#OTalk 18th December 2018 – OT and Self Disclosure

This weeks #OTalk is on the topic of “self disclosure” and will be hosted by Solei Naisbett Jones @soleinj_.

Here is what Solei had to say…

Hi I’m Solei! I am a newly qualified occupational therapist currently working in neurology. After qualifying in 2017, I pursued postgraduate studies and completed my master’s degree in Advanced Professional Practice at the University of Plymouth. My research dissertation for my MSc explored therapist self-disclosure by occupational therapists. I am excited to host an #OTalk surrounding this topic area to share the findings of my research and hear about your experiences of self-disclosing to clients in the therapeutic relationship.

Therapist self-disclosure by occupational therapists has not yet been explored in depth within the profession. It can be defined as “non-immediate exposure of personal information regarding the therapist’s life outside the therapeutic encounter, such as emotional struggles, health status, past experiences, personal beliefs, values, or life circumstances” (Audet and Everall, 2010). It has been debated that therapist self-disclosure can impede therapy, creating role confusion, client uncertainty and therapist fear of client judgment (Moore and Jenkins, 2012). Despite this, it is also suggested that self-disclosure can bring therapeutic benefits by facilitating rapport through showing trust, genuineness and honesty on the therapist’s part (Audet and Everall, 2010).

As a person-centred profession which honours the importance of emotional sharing, rapport building, collaboration and partnership (Taylor, 2008), therapists’ interaction and communication with their clients is highly valued within occupational therapy (Boyt-Schell, Scaffa and Cohn, 2014). As occupational therapists, one of our core skills is our therapeutic use of self, a valuable tool in which we make a conscious effort to control our responses to enable client comfort and reassurance (Taylor, 2008). Arguably, therapist self-disclosure is a key component of the therapeutic use of self. As occupational therapists, we have a responsibility to maintain professional boundaries of the therapeutic relationship (Royal College of Occupational Therapists (RCOT, 2015). However, the Health and Care Professions Council (HCPC, 2017) also indicate that as occupational therapists, we are required to work in partnership with clients, adopting an approach which motivates, involves and centres on the client. Ultimately, this #OTalk will explore and discuss the potential enhancing or damaging effect of self-disclosure by occupational therapists on the therapeutic relationship.


  1. What do you consider to be “self-disclosure with a patient/client”?
  2. What leads you to share personal experiences with patients/clients? Do you disclose to patients/clients often?
  3. What do you consider the main benefits and potential issues to be when disclosing information to patients/clients?
  4. What conversations/discussions have you had with colleagues about self-disclosing to a patient/client in practice?
  5. Do you think guidance surrounding therapist disclosure of personal information to patients/clients would be helpful for occupational therapists? What should the guidance address/include?


Audet, C, D. and Everall, R, D. (2010). ‘Therapist self-disclosure and the therapeutic relationship: a phenomenological study from the client perspective’. British Journal of Guidance and Counselling.38(3), pp. 327-342.

Boyt-Schell, B, A., Scaffa, M, E., Gillen, G., and Cohn,, E, S. (2014). ‘Contemporary Occupational Therapy Practice’ in Boyt-Schell, B, A., Scaffa, M, E., Gillen, G., and Cohn, E, S. Willard and Spackman’s Occupational Therapy Twelfth Edition. Philadelphia: Lippincott Williams and Wilkins, pp. 47-58.

Health and Care Professions Council (2017). Standards of conduct, performance and Ethics. London: HCPC.

Moore, J. and Jenkins, P. (2012). ”Coming out’ in therapy? Perceived risks and benefits of self-disclosure of sexual orientation by gay and lesbian therapists to straight clients’. Counselling and Psychotherapy Research. 12(4), pp. 308-315.

Royal College of Occupational Therapists. (2015). Code of Ethics and Professional Conduct.London: RCOT.

Post Chat

Host: @soleinj_

Support on the Otalk account: @otrach

Online Transcript #OTalk Healthcare Social Media Transcript December 18th 2018

#OTalk Healthcare Social Media Transcript December 18th 2018

The Numbers

1.469M Impressions
609 Tweets
51 Participants
487 Avg Tweets/Hour
12 Avg Tweets/Participant

#OTalk Participants

Data for #OTalk can be up to 15 minutes delayed

#OTalk 18th September 2018 – Recognition of OT

This weeks #OTalk is on the topic of “Recognition of OT” and will be hosted by Jen Gash (@OTcoachUK).This chat is one in a series of chats being hosted in collaboration with the OT Show (@TheOTshow).

Here is what Jen has to say…

Ever since I became an occupational therapist around 25 years ago, there has been a constant narrative regarding the lack of recognition of the profession as a whole. Generally, I agree. Forgetting for now the poorly understood name of our profession, we are a small profession compared to other health care professions, rarely mentioned in the press (although this has definitely improved in the last couple of years) but there continues to be poor public awareness about what we do, a lack of acknowledgement regarding the importance of people’s occupational needs and a lack of occupational therapists in positions of leadership and influence.

People kinda just know what a nurse, physio, social worker or doctor is, don’t they and it’s so frustrating.

However, I believe that at this time more than ever before, occupational therapy needs to be recognised in numerous ways:

  • Recognition of what human occupation truly is, how central it is to human wellbeing and also to that of wider communities/societies – health is not merely achieved through a medical approach
  • Recognition that many of societies current difficulties could be alleviated through a grounded occupational approach
  • Recognition of the staggering work that occupational therapists continue to do to support health, social and education systems and that our impact as a profession could be magnified through more consultation opportunities and funding support.
  • Recognition of the trail blazers in our profession and the new frontiers they are exploring

This OTalk will explore the following questions in relation to “recognition” in occupational therapy:

  • What makes us (occupational therapists) feel we lack recognition at work and in broader society?
  • What sort of recognition would society value and make a real difference to our profession?
  • What examples do you all have, that demonstrate that OT is being recognised?
  • What other ways outside of the usual, might give occupational therapy the recognition it needs?

If you want to get some recognition for you, your staff or service, don’t forget to nominate people for this years OT Show Awards! Details here : https://www.theotshow.com/awards


Chat Host; Jen Gash (@OTcoachUK).This chat is one in a series of chats being hosted in collaboration with the OT Show (@TheOTshow).

Chat Support; @otrach

Online Transcript

#OTalk Healthcare Social Media Transcript September 18th 2018

The Numbers

1.376M Impressions
453 Tweets
50 Participants
362 Avg Tweets/Hour
Avg Tweets/Participant

#OTalk Participants