OTalk

#OTalk – 18 March 2014 – Interpersonal Skills: Intangible or Teachable?

Thank you to @bobcollins for volunteering to host this week’s #OTalk at 8pm GMT (click this link to check your local time), inspired by a conversation during a previous #OTalk:

Interpersonal skills: Intangible or Teachable?

In November 2013, OTalk was hosted by Ashley Peter who stimulated discussion around the differences she experienced between OT as a degree in the UK and in the US. In the UK you can practice as an OT with a Bachelor’s degree, in the US you need a Masters degree. The talk sparked debate about what specific skills you need to become an OT and whether higher academic achievement is a prerequisite of being a good OT? After all, many people working as OT support workers, technicians, or with diploma qualifications are successful members of the workforce without degree level training.

It was recognised that research skills and Evidence Based Practice (often more prevalent in higher degree programmes) are essential in order to utilise and contribute to the evidence base. Also, transferable skills such as critical thinking, reflection and problem solving are required for clinical reasoning in practice, in order to select and provide the best possible interventions. The consensus was that both sets of theory and practice skills are required to become a competent and professional OT.

A thread of tweets developed debating whether all these skills are redundant if the OT does not possess the interpersonal skills needed to apply them; with Bill (@BillWongOT) noting that ‘our intangibles are underrated’.  It was felt that these ‘people’ skills and the therapeutic use of self are crucial for engagement and developing successful therapeutic relationships; but what are these skills, can they be defined and can they be taught?

Otalk on Tuesday 18th March 2014 will explore this a little further and it is hoped that clinician’s, academics, students and lecturers are all able to contribute to the discussion.

Bill’s pre-tweets on the night will include his own experiences of developiong professionalism and establishing therapeutic relationships.

My brief reflection

Interpersonal skills are perhaps the essence of the occupational therapy  profession which are consonant with the core values and beliefs that shape our practice (person centred, holistic, occupational beings in context). These skills are essential to the therapeutic processes of rapport building, understanding socio-cultural & spiritual contexts, effective communication, (including empathy, compassion and mindfulness), and teaching. You don’t have to look far in occupational therapy practice to find places where these skills are defined, not least when undertaking assessments with people in clinical practice, think Assessment of Communication and Interaction Skills  (MOHO) or OT Practice Framework (AMPS Performance Skills: Communication/Interation (AJOT). There are resources which identify and break down these skills for healthcare professsionals; a few are listed here…

Berglund C & Saltman D (2002) (Ed’s) Communication for Health Care. Melbourne: Oxford University Press

Finlay F (2004)The Practice of Psychosocial Occupational therapy. Third Edition. Cheltenham: Nelson Thornes

Hargie O (2006) The Handbook of Communication Skills. Third Edition. Hove: Routledge

Moss B (2008) Communication Skills for Health and Social Care. London: Sage Publications

There is also a rich source of material on the internet (albeit not very not academic research!)…

http://www.skillsyouneed.com/interpersonal-skills.html#ixzz2keBq6d00

http://www.talkdesk.com/blog/5-social-skills-that-increase-entrepreneurial-success/

So there are resources that identify interpersonal skills but the question remains whether there is something more intangible than that? Is there something else that evades definition and teaching which which may set apart one practitioner from another?

OTalk Questions

Q1 What are interpersonal skills and can we define them? If so, how?

Q2 Are interpersonal skills are recognised in OT programmes of study?

Q3 In your opinion can interpersonal skills be learnt? Can they be taught?

Q4 Do some remain intangible? If so, what?

Q5 Do intangible skills occur naturally or are they developed through life experience?

 

 

This chat has now passed. For a transcript of the discussion, check out this link at Healthcare Hashtags, or download the PDF

Remember to check out our guide to #OTalk and Continuing Professional Development for a template you can use to document your participation.

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OTalk

Transcript – #OTalk 10th September 2013 – Focus on the ICF Model

Please find the transcript for the ICF talk from the 10th September below – or at Healthcare Hashtags

You can find Simon’s introduction to the chat here – thanks to him for hosting the chat. I’ve just been informed #anzotalk are going to run a talk on the topic too.

OTalk_Occhat
#OTalk 10th September 2013 – Focus on the ICF Model http://t.co/0u2LHhOAJI

Symbolic_Life
RT @OTalk_Occhat: #OTalk 10th September 2013 – Focus on the ICF Model http://t.co/0u2LHhOAJI

kirstyes
Discussion echoing our What Is Evidence #OTalk from a few weeks ago #SWAHPRN Hierarchy – one example http://t.co/7aXk8lJ2Wu

JulieHughes2013
RT @kirstyes: Discussion echoing our What Is Evidence #OTalk from a few weeks ago #SWAHPRN Hierarchy – one example http://t.co/7aXk8lJ2Wu

Helen_otuk
RT @kirstyes: Discussion echoing our What Is Evidence #OTalk from a few weeks ago #SWAHPRN Hierarchy – one example http://t.co/7aXk8lJ2Wu

Helen_otuk
RT @OTalk_Occhat: #OTalk 10th September 2013 – Focus on the ICF Model http://t.co/0u2LHhOAJI

YappGuru
Like us on Facebook for occupational and physical therapy app news! http://t.co/Esce6kTEt5 #OTPeeps #OTalk #DPTStudent #PhysicalTherapy

BillWongOT
In my hand therapy placement, the ICD-9 is used as references for billing purposes. #otalk

BillWongOT
I think there’s a benefit in using ICF in our practice. However, it’s important to gauge where every1 else is at at ur work setting. #otalk

BillWongOT
If we want to go beyond our workplace, we should do conference presentations on such topics! #otalk

BillWongOT
#OTalk #OTalk2US” is the team name for one of my #OT fantasy football league teams.

TherapistOT
RT @OTalk_Occhat: #OTalk 10th September 2013 – Focus on the ICF Model http://t.co/0u2LHhOAJI

otstudent2
RT @OTalk_Occhat: #OTalk 10th September 2013 – Focus on the ICF Model http://t.co/0u2LHhOAJI

Sibellgul
RT @OTalk_Occhat: #OTalk 10th September 2013 – Focus on the ICF Model http://t.co/0u2LHhOAJI

BAOTCOT
Tonight’s #OTalk focusses on the ICF Model – be there from 8pm! http://t.co/pGSKsWE3Da

KellyOT
RT @BAOTCOT: Tonight’s #OTalk focusses on the ICF Model – be there from 8pm! http://t.co/pGSKsWE3Da

Bird20116
RT @BAOTCOT: Tonight’s #OTalk focusses on the ICF Model – be there from 8pm! http://t.co/pGSKsWE3Da

RigHealthcare
RT @BAOTCOT: Tonight’s #OTalk focusses on the ICF Model – be there from 8pm! http://t.co/pGSKsWE3Da

amycupcakeface
RT @BAOTCOT: Tonight’s #OTalk focusses on the ICF Model – be there from 8pm! http://t.co/pGSKsWE3Da

TRAMMCPD
RT @BAOTCOT: Tonight’s #OTalk focusses on the ICF Model – be there from 8pm! http://t.co/pGSKsWE3Da

TherapistOT
Bloomin eck it’s chilly! Warm yourselves up this evening with a heated debate about ICF #otalk

kirstyes
@Bethanhc ICF model #otalk tonight if you were still interested.

COTSSTO
#OTalk 10th September 2013 – Focus on the ICF Model http://t.co/yszJFJLmAD via @OTalk_Occhat

BAOTNYRegion
Tonight’s #OTalk – Focus on the ICF Model http://t.co/D76v91G25G via @OTalk_Occhat

emerging2OT
RT @BAOTNYRegion: Tonight’s #OTalk – Focus on the ICF Model http://t.co/D76v91G25G via @OTalk_Occhat

Symbolic_Life
RT @BAOTNYRegion: Tonight’s #OTalk – Focus on the ICF Model http://t.co/D76v91G25G via @OTalk_Occhat

Manar426
RT @BAOTNYRegion: Tonight’s #OTalk – Focus on the ICF Model http://t.co/D76v91G25G via @OTalk_Occhat

elaineahpmh
RT @BAOTCOT: Tonight’s #OTalk focusses on the ICF Model – be there from 8pm! http://t.co/pGSKsWE3Da

pbarrosoto
RT @BAOTNYRegion: Tonight’s #OTalk – Focus on the ICF Model http://t.co/D76v91G25G via @OTalk_Occhat

morrisKOT
RT @BAOTNYRegion: Tonight’s #OTalk – Focus on the ICF Model http://t.co/D76v91G25G via @OTalk_Occhat

OTalk_Occhat
40 minutes until we #otalk about the ICF.

GillyGorry
sorry to miss #otalk tonight. early night nursing a migraine for me. hope it goes well 🙂

kirstyes
#OTalk people, it clashes with us at 8-9 but @MHNurseChat is on suicide prevention if anyone wants to try multitasking with our ICF chat

OTalk_Occhat
RT @kirstyes: #OTalk people, it clashes with us at 8-9 but @MHNurseChat is on suicide prevention if anyone wants to try multitasking with o…

BoothRach
RT @kirstyes: #OTalk people, it clashes with us at 8-9 but @MHNurseChat is on suicide prevention if anyone wants to try multitasking with o…

BoothRach
RT @BAOTCOT: Tonight’s #OTalk focusses on the ICF Model – be there from 8pm! http://t.co/pGSKsWE3Da

MHNurseChat
RT @kirstyes: #OTalk people, it clashes with us at 8-9 but @MHNurseChat is on suicide prevention if anyone wants to try multitasking with o…

TherapistOT
Just finishing the washing up then will be following @kirstyes sensible advice in preparation for #otalk

_beckyOT
RT @BAOTCOT: Tonight’s #OTalk focusses on the ICF Model – be there from 8pm! http://t.co/pGSKsWE3Da

TherapistOT
RT @kirstyes: #OTalk people, it clashes with us at 8-9 but @MHNurseChat is on suicide prevention if anyone wants to try multitasking with o…

elaineahpmh
RT @kirstyes: #OTalk people, it clashes with us at 8-9 but @MHNurseChat is on suicide prevention if anyone wants to try multitasking with o…

elaineahpmh
@jeanahpm hope u enjoy #OTalk I need to miss it tonight but will follow later tomorrow, great group of folk get involved @OTalk_Occhat

kirstyes
Hi all at #OTalk I need to dash at 9 for a date with an Iron Man 3! Sadly not a man like @Dai2584 that irons though!!

kirstyes
I will be supporting @TherapistOT who is hosting tonight’s #OTalk on ICF until then though

TherapistOT
#OTalk looking forward to hearing your views on ICF , it’s one of my key reasoning tools

Symbolic_Life
Does anyone know what site or app you can use for easier visuals of hash tag talks such as #OTalk please?

TherapistOT
#OTalk & I think it was a revolutionary move for the WHO & let them catch up with our theory 🙂

Symbolic_Life
RT @Helen_otuk: My personal #OTalk Journal (media) Club Week 1 target: Read article 3 times! http://t.co/0d6TgxFfay

kirstyes
RT @TherapistOT: #OTalk looking forward to hearing your views on ICF , it’s one of my key reasoning tools

BillWongOT
Sure missed interacting live with everyone. Going pseudo live again for this #otalk

Maria_Markland
I’ve never looked into ICF, or (as an OT student) used it. But I’ve had a read of the info provided and look forward to #OTalk views on it!

kirstyes
@TherapistOT It wasnt something I was familiar with before going back into the academic setting. #otalk

kirstyes
RT @Symbolic_Life: Does anyone know what site or app you can use for easier visuals of hash tag talks such as #OTalk please?

TherapistOT
@BillWongOT good to have you Bill ! I get the feeling that US uses ICF differently to the UK #otalk

TherapistOT
@Maria_Markland yeah I don’t think many departments have got into it , which is a shame #otalk

clissa89
RT @BAOTCOT: Tonight’s #OTalk focusses on the ICF Model – be there from 8pm! http://t.co/pGSKsWE3Da

BillWongOT
I was exposed to the ICF when I started as an OT student in 2009. 1/2 #otalk

Symbolic_Life
I know alittle of ICF but I’ve alot to learn #OTalk

clissa89
@Symbolic_Life do you mean eg Tweetchat? that’s what I use #OTalk

kirstyes
Really interested in the reflection about an initial skepticism. Do you think ICF has a tendency to be a marmite (love/hate) model? #otalk

BillWongOT
I personally thought it was introduced too early in my OT education- barely knew what OT was at the time. 2/2 #otalk

Bethanhc
@TherapistOT ICF was revolutionary: classified more than impairment, changed word “handicap” and included environment. #OTalk

TherapistOT
@kirstyes same I 1st engaged with it in Sweden & Holland & it’s used in US , but looks more reductionist there #otalk

OTalk_Occhat
@Bethanhc great we are on #otalk

Bethanhc
@OTalk_Occhat for those interested #otalk The ICF Training manual is freely available here http://t.co/0FKr1EuyQR

Maria_Markland
@TherapistOT The concept of moving away from disability as a specific condition and seeing it along a spectrum of health seems good. #otalk

Symbolic_Life
@clissa89 is that what it is? Is it a app or a website please? #OTalk

TherapistOT
@Bethanhc was the complex and expansive definition of environment that hooked me I just love that it includes domesticated animals! #otalk

Bethanhc
@TherapistOT some of us would have liked more revolution though #OTalk

kirstyes
.@TherapistOT can you give an example of a reductionist use? #otalk

Symbolic_Life
RT @Bethanhc: @OTalk_Occhat for those interested #otalk The ICF Training manual is freely available here http://t.co/0FKr1EuyQR

kilner100
RT @BAOTCOT: Tonight’s #OTalk focusses on the ICF Model – be there from 8pm! http://t.co/pGSKsWE3Da

Bethanhc
ICF is “classification of HEALTH and HEALTH -related domains”– not necessarily relevant to the lived experience of disability. #otalk

BillWongOT
I think how the ICF is introduced at school can play a role in whether we love or hate it. #otalk

BillWongOT
I personally think ICF has a place. However, at least from what I experienced in the US, it is not as popular. #otalk

Bethanhc
It has major shortcoming in subjective experience of meaning and autonomy (Henningsson & Jonsson 2005) #otalk

Maria_Markland
RT @TherapistOT: @Bethanhc was the complex and expansive definition of environment that hooked me I just love that it includes domesticate…

TherapistOT
@BillWongOT took me a lot of pondering & anxiety to feel I understood how it could help me I see it as a constantly changing dynamic #otalk

KarenIvey
#OTalk aggh on a train tweets won’t send

kirstyes
RT @BillWongOT: I personally thought it was introduced too early in my OT education- barely knew what OT was at the time. 2/2 #otalk

kirstyes
RT @Bethanhc: @TherapistOT ICF was revolutionary: classified more than impairment, changed word “handicap” and included environment. #OTalk

kirstyes
RT @Bethanhc: @OTalk_Occhat for those interested #otalk The ICF Training manual is freely available here http://t.co/0FKr1EuyQR

Bethanhc
@kirstyes Don’t think it’s a love-hate thing. I think it has been misapplied and over generalised. #OTalk

Symbolic_Life
My depiction-it maybe allows the consideration of some factors of disability supporting acknowledgement in other professions #OTalk

Bethanhc
I am not anti-ICF. It has a place. It should be used in its right place, not for everything. #otalk

kirstyes
@Bethanhc A case of people using ‘out of the box’ without integrating with other aspects of reasoning maybe? #otalk

jm78uk
Using PEOP & ICF is a wonderful combination for teaching and learning for foundational knowledge about the impact of health/illness. #otalk

Maria_Markland
@Bethanhc What do you think its right place is? #otalk

jeanahpm
@Bethanhc #otalk maybe useful if added sense of coherence?

kilner100
RT @Symbolic_Life: ICF allows the consideration of some factors of disability supporting acknowledgement in other professions #OTalk

KarenIvey
The best thing about the ICF is it enables you to speak across professional boundaries and be understood #OTalk

Bethanhc
@kirstyes Yes and misunderstanding its HEALTH focus. #OTalk

kirstyes
RT @Bethanhc: It has major shortcoming in subjective experience of meaning and autonomy (Henningsson & Jonsson 2005) #otalk

kirstyes
@KarenIvey Please send tweets when you can – we won’t be collating for 24 hours #OTalk

kirstyes
RT @jm78uk: Using PEOP & ICF is a wonderful combination for teaching and learning for foundational knowledge about the impact of health/ill…

kilner100
Hi guys, just catching up with #otalk. We’ve had teaching on ICF but not in practice. Love to hear about applications and any tools

Bethanhc
@jm78uk Agree, it is useful re impact of illness. Not the same as disability and is understandably less popular in disability world. #OTalk

kirstyes
.@jm78uk I’d like to hear more about integrating these two aspects. #OTalk

Symbolic_Life
Im wondering does this support the OT role in health care? Eg advocating the dynamic relationship of components and disability? #OTalk

TherapistOT
@Bethanhc agree its the central dynamic transaction tha I really like but its symmetry can beguile me into thinking balance is a goal #otalk

Sibellgul
How and where would you apply it? @Bethanhc @kirstyes #OTalk

Bethanhc
@KarenIvey Agree. Also helps hugely with research and outcome measurement of health interventions. #OTalk

kilner100
@Symbolic_Life plus taking emphasis off impairment and onto aspects of the environment etc #SocialModel #OTalk

BillWongOT
@jeanahpm couldn’t really say because it is not quite obviously mentioned a lot at my place of work now. #otalk

Bethanhc
@Symbolic_Life When it first came out OTs were embracing it due to participation element. Now there is more critique. #OTalk

jm78uk
@Bethanhc agree but it is a classification system. Depends whether you feel a classification system has a place at all! #OTalk

Dai2584
Hi everyone. I have no really experience of this or how its used in practice to be honest #OTalk

BillWongOT
I do think ICF is integrated in US OT practice… Some are more obvious than others. #otalk

jm78uk
@Bethanhc as well as your philosophical perspective! #OTalk

jeanahpm
@KarenIvey #otalk yes fully agree break down prof barriers

BillWongOT
In my hand therapy placement, it is used as a criteria to justify a client to be eligible for services for billing purposes. #otalk

kirstyes
What strategies have people used to integrate ICF into their services? #otalk (If you have of course)

BillWongOT
RT @Bethanhc: @OTalk_Occhat for those interested #otalk The ICF Training manual is freely available here http://t.co/0FKr1EuyQR

BillWongOT
@Maria_Markland @TherapistOT I like that too. #otalk

Bethanhc
@Sibellgul @kirstyes research using as outcome measure; means of assessing impact of health on individual in cross-professional lang #OTalk

TherapistOT
RT @KarenIvey: The best thing about the ICF is it enables you to speak across professional boundaries and be understood #OTalk

kirstyes
RT @Bethanhc: @Sibellgul @kirstyes research using as outcome measure; means of assessing impact of health on individual in cross-profession…

BillWongOT
@Maria_Markland @TherapistOT I know autism is seen as a spectrum in terms of functioning levels. #otalk

Bethanhc
@jm78uk Couldn’t agree more! Health statisticians may need it… OTS? #otalk

TherapistOT
@Sibellgul @Bethanhc @kirstyes I use in my initial assessment to build a formulation of what happening to the individual #otalk

kilner100
@KarenIvey @Bethanhc how much are other professions using it in UK services? #otalk can we learn from them?

BillWongOT
@KarenIvey agreed! #otalk it is like universal language that health professionals can understand. Easy for billing too. #otalk

BillWongOT
I think there’s a benefit in using ICF in our practice. However, it’s important to gauge where every1 else is at at ur work setting. #otalk

Bethanhc
ICF measures disability. I don’t want to be measured, thanks. I want to have equal rights, equal access and meaningful occupations. #otalk

BillWongOT
If it’s strategies, I would say discussing with you all on #otalk will help me do this more confidently in my practice at my peds clinic.

BillWongOT
@TherapistOT I am sorta live, but not really… Eating lunch at my work… Before getting ready for my kiddo in 30 something minutes. #otalk

kirstyes
RT @jm78uk: @Bethanhc agree but it is a classification system. Depends whether you feel a classification system has a place at all! #OTalk

Bethanhc
@TherapistOT @Sibellgul @kirstyes Lots of evidence highlighting its use as an outcome measure is helpful. #OTalk

BillWongOT
RT @Bethanhc: @Symbolic_Life When it first came out OTs were embracing it due to participation element. Now there is more critique. #OTalk

kilner100
RT @Bethanhc: ICF measures disability. I don’t want to be measured, thanks. I want to have equal rights, equal access and meaningful occupa…

TherapistOT
@jeanahpm @BillWongOT I think most course cover it 🙂 but because its not really adopted in practice it is often seen as irrelevant #otalk

Symbolic_Life
@Bethanhc I think I’m in need to search the critique to create a sound opinion for my learning 🙂 #otalk

jm78uk
@Bethanhc now we are talking about OT! #OTalk

Maria_Markland
@TherapistOT I can see how it would be useful for this, as you said in your artilce, as an initial template for considering all areas #otalk

kirstyes
@Bethanhc @TherapistOT @Sibellgul Is it sensitive enough to capture changes made by OT intervention in all settings? #OTalk

TherapistOT
@Dai2584 I don’t think its widely used at all …like a lot theory!! #otalk

kirstyes
RT @Bethanhc: ICF measures disability. I don’t want to be measured, thanks. I want to have equal rights, equal access and meaningful occupa…

Maria_Markland
@Symbolic_Life @Bethanhc Me too Michelle! But this chat is a good start! 🙂 #OTalk

kilner100
@Maria_Markland @TherapistOT yes I thought that sounded useful, but then a proper OT model wld do that and include #occupation #otalk

Bethanhc
@jm78uk Yet OTs (who think they know about disability) are obsessed with it! Nothing to do with real-life disability. #OTalk

Symbolic_Life
Does our models incorporate principles of ICF? I know the AUSTOMS assessments do #OTalk

Symbolic_Life
RT @kilner100: @Maria_Markland @TherapistOT yes I thought that sounded useful, but then a proper OT model wld do that and include #occupati

Symbolic_Life
@Maria_Markland @Bethanhc I agree 🙂 #otalk

TherapistOT
@jm78uk @Bethanhc I utilise it from a social constructionist perspective & also like to draw on a Deleuzian perspective! #otalk

kilner100
@Maria_Markland @TherapistOT is the main benefit in practice, given the critiques, that it uses language others understand? #otalk

Bethanhc
@Maria_Markland @Symbolic_Life Around 2001 – 2005 there were a whole rake of articles in AJOT, beginning with positive ones. #OTalk

BillWongOT
RT @Maria_Markland: @Symbolic_Life @Bethanhc Me too Michelle! But this chat is a good start! 🙂 #OTalk

BillWongOT
When I discuss the term occupation in other languages, I use a round about way to do it so that people can understand. #otalk

kirstyes
RT @Symbolic_Life: Does our models incorporate principles of ICF? I know the AUSTOMS assessments do #OTalk

BillWongOT
In my setting, I have to think of using the term occupation in Cantonese and Mandarin, too. #welcomechallenge #otalk

BillWongOT
A challenge for me to use ICF for my practice is my own knowledge in it. It’s not as second nature as MOHO or PEO. #otalk

BillWongOT
RT @Bethanhc: @Maria_Markland @Symbolic_Life Around 2001 – 2005 there were a whole rake of articles in AJOT, beginning with positive ones. …

kirstyes
@TherapistOT @jm78uk @Bethanhc and a Deleuzian perspective is?? #otalk

TherapistOT
@BillWongOT that is what I seemed to gather from reports of US utilisation #otalk

jm78uk
Useful to view the structure &function domains as knowledge. Then client narratives should be about activity, participation & enviro #OTalk

BillWongOT
RT @Symbolic_Life: Does our models incorporate principles of ICF? I know the AUSTOMS assessments do #OTalk

Bethanhc
@Symbolic_Life OT models focus on occupation: ICF measures impact of health in terms of “activity” and “participation. Different #OTalk

BillWongOT
@kirstyes I think PEO and Moho do. #otalk

Bethanhc
@BillWongOT Nor should it be! You are an OT not a health researcher!! #OTalk

kirstyes
@BillWongOT sorry Bill, not sure which tweet this is referring to #otalk

Bethanhc
@jm78uk Trouble is that ICF forgets about narratives and lived experience… #OTalk

Symbolic_Life
@Bethanhc are the definitions of activity and participation specified? Do you not feel the models have a relation to its principles? #OTalk

kirstyes
RT @jm78uk: Useful to view the structure &function domains as knowledge. Then client narratives should be about activity, participation & …

Bethanhc
ICF doesn’t reflect diversity of experience in participation for one individual (Henningsson & Jonsson 2005) #otalk

TherapistOT
@kirstyes @jm78uk @Bethanhc read Capitalism & Schizophrenia pt1 & especially pt2 :1000 Plateaus it will blow your mind 🙂 #otalk

BillWongOT
What I mean by that is- I will present what occupation means first in these languages. Then, I will introduce the term. #otalk

BillWongOT
In my example, I think being aware of the context of how we may introduce the term occupation is key. #otalk

BillWongOT
@Bethanhc I personally didn’t like how the ICF was introduced as an FYI item, though, in my OT education. #otalk

Symbolic_Life
@BillWongOT to advocation and role yes! #otalk

kirstyes
.@Bethanhc @jm78uk Surely this is where clinical application comes in and where we as therapists should fill the substantial gaps #OTalk

BillWongOT
@kirstyes the question you posted a few minutes ago. #otalk

Bethanhc
Participation “linked to individual circumstances rather than grounded in social and political inclusion” (Barnes & Mercer 2004) #OTalk

BillWongOT
RT @Bethanhc: ICF doesn’t reflect diversity of experience in participation for one individual (Henningsson & Jonsson 2005) #otalk

kirstyes
.@TherapistOT @jm78uk @Bethanhc Not sure my mind can cope with being more blown at the moment. I will bookmark the tweet for later #otalk

Symbolic_Life
RT @Bethanhc: Participation “linked to individual circumstances rather than grounded in social and political inclusion” (Barnes & Mercer 2…

TherapistOT
@kirstyes @Bethanhc @jm78uk yes I see it as a flawed tool but aren’t they all #otalk

kirstyes
@Bethanhc By diversity of experience here do you mean variations in participation, different meanings and levels based on context? #OTalk

BillWongOT
Hard to be at lunch and be on the lookout for time to resume work and participate at #otalk at the same time. Thank goodness to pre-tweets!

BillWongOT
RT @Bethanhc: Participation “linked to individual circumstances rather than grounded in social and political inclusion” (Barnes & Mercer 2…

Bethanhc
@Symbolic_Life very clearly defined. All about impact of illness on a list of “activities” and domains of “participation” #OTalk

kirstyes
@BillWongOT I’ve posted a few Bill sorry this isn’t linking back to them in my app. Not to worry. #otalk

BillWongOT
The reason we have to set good examples to placement students is because we have power to influence students as they are learning. #otalk

BillWongOT
Not only we have to demonstrate to our clients/families, but also to placement students! #otalk 2/2

BillWongOT
I think as professionals, we have to set examples to be smart consumers of information (ESP. Regarding changes/new dev.) 1/2 #otalk

kirstyes
@TherapistOT @Bethanhc @jm78uk The more look at them the more I think yes. Why it’s so important to develop critical analysis skills #otalk

BillWongOT
RT @Bethanhc: @Symbolic_Life very clearly defined. All about impact of illness on a list of “activities” and domains of “participation” #O

TherapistOT
@Bethanhc @jm78uk like the acknowledgement of constant dynamism & flux inlife,a tool that can help to extract me from my assumptions #otalk

Symbolic_Life
@Bethanhc ok so if im on the right line.. It’s not informing occupation in accordance with performance. #otalk

Bethanhc
@kirstyes & subjective meaning and interpretation. Assumes that participation is stable for an individual Paper is very good – AJOT #OTalk

Symbolic_Life
RT @Bethanhc: @kirstyes & subjective meaning and interpretation. Assumes that participation is stable for an individual Paper is very good …

Sibellgul
Would have been interesting to see the if the outcome would be different with using ICF for Ini.Ax and other Ax @TherapistOT @Bethanhc#OTalk

PatriciaRegan
Learned ICF doing a multidisciplinary MSc in Disability Studies, useful in academic discussion but OT models used at work#OTalk

TherapistOT
@Bethanhc @Symbolic_Life different but with similarities 🙂 #otalk

BillWongOT
RT @Bethanhc: @kirstyes & subjective meaning and interpretation. Assumes that participation is stable for an individual Paper is very good …

Bethanhc
ICF still assumes that disability is primarily a product of health/impairment (Waddell & Burton 2004) – that is an issue I think #otalk

TherapistOT
RT @kirstyes: @TherapistOT @Bethanhc @jm78uk The more look at them the more I think yes. Why it’s so important to develop critical analysis…

Symbolic_Life
RT @Bethanhc: ICF still assumes that disability is primarily a product of health/impairment (Waddell & Burton 2004) – that is an issue I th…

Bethanhc
Some disability activists (eg Pfeiffer) called for its abolition as it “does not conform to the minority group paradigm” #otalk

danbrunetti
Forgotten about #otalk watching #greatbritishbakeoff …it’s an occupation!

kilner100
@Bethanhc @Symbolic_Life oops! #otalk is icf focus on impact of illness on participation rather than of part’n on health. #ot #interesting

Sibellgul
Would’ve been interesting to see the if the outcome would be different with using ICF for Ini.Ax and other Ax @TherapistOT @Bethanhc #OTalk

BillWongOT
RT @Bethanhc: ICF still assumes that disability is primarily a product of health/impairment (Waddell & Burton 2004) – that is an issue I th…

BillWongOT
RT @Bethanhc: Some disability activists (eg Pfeiffer) called for its abolition as it “does not conform to the minority group paradigm” #ot

BillWongOT
In services/journal clubs are helpful because it will be good to hear everyone’s opinions about impending changes. #otalk

BillWongOT
Another thing that will be helpful- schedule in-services and/or journal clubs at our workplace. #otalk

kirstyes
@Bethanhc Do you have rough title – I’m trying to find it to provide link #otalk – thanks

Sibellgul
RT @Bethanhc: ICF still assumes that disability is primarily a product of health/impairment (Waddell & Burton 2004) – that is an issue I th…

Bethanhc
@Symbolic_Life It’s not about occupation. Participation is pc word for “handicap”, which was in the ICIDH, upon which ICF is based #OTalk

kirstyes
RT @Sibellgul: Would’ve been interesting to see the if the outcome would be different with using ICF for Ini.Ax and other Ax @TherapistOT @…

TherapistOT
@kirstyes @Bethanhc @jm78uk emptiness of the ICF transaction can be inhabited by the unique detail of the person:support analysis #otalk

BillWongOT
RT @Sibellgul: Would’ve been interesting to see the if the outcome would be different with using ICF for Ini.Ax and other Ax @TherapistOT @…

Bethanhc
@kilner100 @Symbolic_Life Yes! about how illness and the environment can restrict “participation” #OTalk

kirstyes
Ten minute warning for #otalk@TherapistOT Any final questions you’d like to get people discussing?

TherapistOT
@Bethanhc @Symbolic_Life that’s not how the WHO define it #otalk

Symbolic_Life
@Bethanhc I think we got our wires crossed but I now understand, thank you #otalk

Bethanhc
@kirstyes Critical reflection of impact of the environment in ICF or something like that – can look it up and DM. #OTalk

kilner100
@Bethanhc @Symbolic_Life ouch! That puts a different spin on it. Need to read the detail not assume the words mean the same #otalk

BillWongOT
If we want to go beyond our workplace, we should do conference presentations on such topics! #otalk

jm78uk
Thanks for the chat! I need to dash. #otalk

TherapistOT
@Bethanhc @Symbolic_Life you can use the mechanism without diagnosis, all the components are in a transaction equally weighted #otalk

kilner100
@Bethanhc @Symbolic_Life is there a danger then that professions use the same words in icf but mean different things? #otalk

Symbolic_Life
Thanks for the chat was great I’ve lots to think about / learn. #OTalk

PatriciaRegan
@BillWongOT I agree, but I find ICF in academic discussion, OT models in use in all workplaces I’ve been in #OTalk

kilner100
RT @danbrunetti: Forgotten about #otalk watching #greatbritishbakeoff …it’s an occupation! Trying to do both. #occupationalBalance

Symbolic_Life
@kilner100 @Bethanhc impacting advocating OT meaning and work roles! #otalk

PatriciaRegan
@kilner100 @Bethanhc @Symbolic_Life Definitely, I learned ICF in multidisciplinary setting, was open to interpretation #OTalk

BillWongOT
Another take home point is- for those of us who are placement educators, setting good examples is vital, ESP. Regarding changes #otalk

BillWongOT
My take home point is- ICF has its place in OT. I think educators play very important role in introducing it to students. #otalk

kirstyes
RT @kilner100: @Bethanhc @Symbolic_Life ouch! That puts a different spin on it. Need to read the detail not assume the words mean the same …

Symbolic_Life
RT @Bethanhc: Some disability activists (eg Pfeiffer) called for its abolition as it “does not conform to the minority group paradigm” #ot

kirstyes
@kilner100 @Bethanhc @Symbolic_Life Yes very important to make sure we are all speaking the same language-glossary first thing to see #otalk

kilner100
@Bethanhc @kirstyes wld welcome the ref. Sounds useful #otalk. Lots to think about, thanks for the chat!

kirstyes
@jm78uk Thanks so much for your ‘participation’ #OTalk

kirstyes
RT @TherapistOT: @Bethanhc @Symbolic_Life you can use the mechanism without diagnosis, all the components are in a transaction equally wei…

Sibellgul
Well said. But in our day to day practice our vision might get blurred and narrow our practice stale @jm78uk @TherapistOT @kirstyes #OTalk

kirstyes
@kilner100 @Bethanhc I’ve tweeted it #OTalk

PatriciaRegan
@Sibellgul I agree #OTalk

kirstyes
Ok folks – we are out of #otalk time and I need to head off too. Thanks @TherapistOT for hosting and to everyone for a good variety of views

Sibellgul
RT @TherapistOT: #OTalk & I think it was a revolutionary move for the WHO & let them catch up with our theory 🙂

kirstyes
So next week I believe is @pd2ot and looking at When OT Goes Wrong!! #otalk – Could be good fun. Welcome service user views for this one.

PatriciaRegan
@TherapistOT ICF could do with updating alright, but was on the right track:) #OTalk thanks for hosting

pd2ot
@kirstyes I am indeed! I’ll create a bit of a blog post tomorrow to prompt thinking on the subject #OTalk

Maria_Markland
@kirstyes @TherapistOT Thanks all! Enjoyed hearing your different views on the use/possible manner of use of ICF & its r/ship to OT #OTalk

kirstyes
@Ononjamcon Hi I’ve not used it clinically. Can be used as outcome measure. Take a look at #otalk tweets for last hour for more info

Bird20116
RT @jm78uk: Useful to view the structure &function domains as knowledge. Then client narratives should be about activity, participation & …

Sibellgul
It doesn’t claim that. it enables me to see the ‘environment’ as for being dynamic and adaptable @TherapistO @Bethanhc @jm78uk #OTalk

kirstyes
@pd2ot great. Will @IamCarrieeeeee be joining us? #otalk

kirstyes
@Maria_Markland @TherapistOT thanks Maria. It’s something that I need to read about more too. #otalk

Maria_Markland
@kirstyes @pd2ot Great topic! Sad to miss it! I’m busy assisting with an anxiety management group for placement. Will join in after #OTalk

pd2ot
@Maria_Markland we’d love to have your views on the blog (when it’s done!) #Otalk @kirstyes

kirstyes
@Ononjamcon bless you. I’ll post the transcript on the blog in the next couple of days. #otalk

Maria_Markland
@pd2ot @kirstyes Will do! It’s going to be great from a student perspective to hear about OT going wrong and learning from it! #otalk

Maria_Markland
RT @pd2ot: @Maria_Markland we’d love to have your views on the blog (when it’s done!) #Otalk @kirstyes

morrisKOT
@Bethanhc @TherapistOT sorry i missed it! #Otalk

Symbolic_Life
@itsmefrarah if can be confusing I’m still learning. Last night chat was rather insightful though. #otalk

BillWongOT
@Maria_Markland or do what I have been doing- I pre-tweet the night before. You can have them show up at #otalk time.

Dalton44x62
@Mr_SoFar_Gone http://t.co/LmOxvxoTz8

KarenIvey
@DrWMB wrote a competency document 10 years ago using the ICF it’s still relevant today so it stands the test of time as well #OTalk

DrWMB
“@KarenIvey: @DrWMB wrote a competency document 10 years ago using the ICF – still relevant today #OTalk” thanks Karen

 

OTalk

Transcript: #OTalk “When Occupational Therapy Goes Wrong” (17 September 2013)

This week’s #OTalk, hosted by @pd2ot, provided a space to reflect on and learn from experiences of occupational therapy “going wrong”. I (@clissa89) found this conversation valuable and thought-provoking. Below are a selection of tweets from the chat. The full transcript can be read here: (link/PDF).

Resources:

http://pd2ot.wordpress.com/2013/09/11/when-occupational-therapy-goes-wrong/

http://pd2ot.wordpress.com/2012/05/21/ot-is-for-thick-people/

http://shamelessotgeek.wordpress.com/2013/09/17/when-occupational-therapy-goes-right/

http://shamelessotgeek.wordpress.com/2013/08/11/dearmentalhealthprofessionals/

 

We discussed the lasting impact that poor practice can have:

Examples of “Occupational Therapy Gone Wrong”:

Getting it “Right”:

 

Thank you to everyone who contributed to the discussion:

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