Occupational OT Now TherapyNow Contents - …2 C A N A D A P O S T A G R E E M E N T # 4 0 0 3 4 4 1...

1OT Now bull JULYAUGUST 2005 copy CAOT PUBLICATIONS ACE

OccupationalTherapyNow

is published six times a year(bimonthly beginning withJanuary) by the Canadian

Association of OccupationalTherapists (CAOT)

MANAGING EDITORMary Clark Green BScOT MDE

Tel (604) 536-4575 (BC)e-mail otnowcaotca

COLUMN EDITORSCritically Appraised Papers

Lori Letts PhDDeveloping Expert Practice

Mary Egan PhDInternational Connections

Anne Carswell PhDIn Touch with

Assistive TechnologyElizabeth Steggles Dip OT

MomentsHadassah Rais BA BScOT

Sense of DoingHelene J Polatajko PhD amp

Jane A Davis MScTele-occupational therapy

Lili Liu PhD andMasako Miyasaki PhD

Watch Your PracticeMuriel Westmorland MSc

Ways We WorkLorian Kennedy MScOT

TRANSLATIONDe Shakespeare agrave Moliegravere

Services de traduction

COPY EDITORDavid Dolsen

ON-LINE KEY WORD EDITORKathleen Raum

CAOT EDITORIAL BOARDChairperson Catherine Valleacutee

Members Pam Andrews EmilyEtcheverry Gail Langton Anita

Unruh amp Brenda VrkljanEx-officio Mary Clark Green

Fern Swedlove

CAOT PRESIDENTDiane Meacutethot

CAOT EXECUTIVE DIRECTORClaudia von Zweck

RETURN UNDELIVERABLECANADIAN ADDRESSES TO

CAOT ndash CTTC Building3400 ndash 1125 Colonel By Drive

Ottawa OntarioKIS 5R1 CANADA

E-mail publicationscaotcaTel (613) 523-2268

Tel (800) 434-CAOT (2268)Fax (613) 523-2552

wwwcaotca bull wwwotworksca

Aussi disponible en franccedilaisIS

SN

1481

-553

2C

AN

AD

APO

STA

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400

3441

8OT Now on-line

wwwcaotca

I N T O U C H W I T H A S S I S T I V E T E C H N O L O G Y

3 Mouse alternatives Software and hardware options

Nadia Browning describes alternative ways of accessing computersfrom numeric keypads to sip and puff pneumatic switches

S E N S E O F D O I N G

6 A sense of place

To guide meaningful occupation Kathy Hatchard calls for carefulattention to an individualrsquos roots and values and hisher place inthe world Travel with Kathy through her experience at a FirstNationsrsquo creative gathering place

W A T C H Y O U R P R A C T I C E

9 The challenge of acting ethically in our legal environment

Muriel Westmorland Jasmine Ghosn and Ron Dick examine thedifferences between ethics morals values and the law

D E V E L O P I N G E X P E R T P R A C T I C E

11 From knowledge transfer to knowledge translationApplying research to practice

KT is the buzz word but what does it mean Leslie Stratton Johnsonsorts out the differences between transfer and translation andstresses the importance of consultation and partnerships

15 Celebrating Diversity in Occupation Highlights from theCAOT 2005 Conference

Vancouver let the sun shine on occupational therapy Read abouthow delegates learned and experienced cultural diversity

18 Announcing the 2004-2005CAOT Award Recipients

ContentsVOLUME SEVEN bull ISSUE FOUR bull JULYAUGUST bull 2005

Occupational Therapy Now is indexed by CINAHL OTBIBSYS and OTDBASE

COMCOOR

copy CAOT PUBLICATIONS ACE2 OT Now bull JULYAUGUST 2005

Statements made in contributions toOccupational Therapy Now are madesolely on the responsibility of theauthor and unless so stated do notreflect the official position of CAOTand CAOT assumes no responsibilityfor such statements OccupationalTherapy Now encourages dialogue onissues affecting occupational thera-pists and welcomes your participation

EDITORIAL RIGHTS RESERVEDAcceptance of advertisements doesnot imply endorsement by OT Nownor by the Canadian Association ofOccupational Therapists

COPYRIGHTCopyright of Occupational TherapyNow is held by the CanadianAssociation of OccupationalTherapists Permission must be

obtained in writing from CAOT tophotocopy reproduce or reprint anymaterial published in the magazineunless otherwise noted There is a perpage per table or figure charge forcommercial use Individual membersof CAOT or ACOTUP have permis-sion to photocopy up to 100 copiesof an article if such copies are distrib-uted without charge for educationalor consumer information purposes

Copyright requests may be sent to Lisa SheehanCanadian Association ofOccupational Therapists (CAOT)CTTC Bldg Suite 34001125 Colonel By DriveOttawa ONCanada K1S 5R1Tel (613) 523-2268 ext 232Fax (613) 523-2552e-mail copyrightcaotca

27 News from the Canadian Occupational TherapyFoundation

28 National Occupational Therapy Month Yes I Can

Lauren Klump CAOT Communications Coordinator out-lines ten steps to a successful OT Month and suggests westart now

30 CAOT Learning Services mdash Endorsed courses

31 Consider submitting an abstract to the 2006 CAOTConference

Writing an abstract takes time Jacquie Ripat Chair of theScientific Program Committee offers some suggestions thatmay increase the chance of your abstract being accepted

32 Join us in Montreal for the 2006 CAOT Conference

This unique city is a one-of-a-kind multicultural city thatblends its French accent with those of over 80 other ethniccommunities and charms visitors with its Euro-Canadianambiance

ADVERTISINGLisa Sheehan

(613) 523-2268 ext 232e-mail advertisingcaotca

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(613) 523-2268 ext 242e-mail subscriptionscaotca

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1 Update your membership pro-file information ie youraddress areas of practicee-mail address etc

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5 Buy books and products

6 Network with colleagues

Visit our web site at wwwcaotcafor authorsrsquo guidelines and addi-tional news and information

23 May 2005 BoardMeeting Highlights

On your behalf

24 National coalitions andalliances

25 Health and social policyupdates

COVER PHOTO Chinese lion dance

was part of the opening ceremonies at

Conference Wendy D offers profes-

sional fine art photography specializing

in people Editorial photojournalism

portraiture ndash corporate and private

6042531451

wwwwendydphotographycom

COMCOOR

Computers are commonly used for educa-

tion productivity andor leisure activities

including surfing the web playing games

and using e-mail Use of a mouse has

become an integral part of accessing comput-

ers If using a standard mouse is difficult due

to limited movement decreased strength or

fatigue then adapted access methods may

enhance performance of computer-based

activities

There are several considerations when choosing anaccess method First it is important to identify whatthe individual needs or wants to do with the comput-

er Second a task analysis of the chosen activity is required toidentify what is needed to perform the desired activity Forexample to play Solitaire on the computer the user needs tobe able to control mouse movements click and drag Keep inmind all of the mouse functions single click double clickclick and hold drag and release The third consideration is tounderstand the individualrsquos specific abilities For example aperson who has active but decreased range of motion in theirhands may find a trackball easier to use than a regular mouseInformation such as hardware and software requirements andthe compatibility between the device and the computer sys-tem are also important considerations

This article presents current software and hardware alter-natives to the standard mouse Options are categorizedaccording to the individualrsquos ability As technology is con-stantly developing Internet sites are included to providedetailed and updated information on the product or programmentioned Incidentally many software programs are avail-able for free in demonstration or trial versions

Performance concernIndividuals who can access a keyboard but whohave difficulty using a regular mouse (eg individuals with arthritis mild ataxia or tremors)

Options1 Numeric keypad available on a regular or alterna-tive keyboardMouse Keys is an accessibility option included in theWindows operating system When activated Mouse Keys usesthe keys on the numeric keypad to accomplish mouse func-tions Easy Access provides this option within the Macintoshoperating system Expanded keyboards such as the Intelli-keys include a mouse overlay and an optional matching key-guard A small keyboard such as the Magic Wand also allowsthe numeric keypad to be used as a mouse View more infor-mation atbull wwwgeocitiescompolitalkwin95mousekeyhtmbull supportmicrosoftcomdefaultaspxscid=kben-us139517 bull wwwmicrosoftcomwindowsxpusingaccessibility

defaultmspxFor Easy Access within Macintosh operating system viewbull wwwdisabilityuiuceduinfotechaccesstraining

macintoshgeteasyaccesshtml

2 Hand-controlled alternative pointing devicesa) Alternative mouse that replaces the standard com-puter mouseSome mice have extra buttons or functions that may be cus-tomized through software Others simply connect to the com-puter without software such as the GlidePoint (wwwglide-pointcom) and Touchpad (wwwabilityhubcommousetouchpadhtm) AutoClick is a software feature that allowsusers to select locations on the screen without having to phys-ically click the mouse View more information and downloadfree demo versions of AutoClick software atbull wwwmadenteccomactiontryhtmlbull wwwpolitalcompncbull orincomaccessdraggerindexhtmbull wwwsensorysoftwarecomsoftwareinfohtml


Mouse alternatives Software and hardware optionsNadia Browning

I N T O U C H W I T H A S S I S T I V E T E C H O L O G Y

C O L U M N E D I T O R E L I Z A B E T H S T E G G L E S

b) Touch screensThis is a good option for children with a short attention spanwho may benefit from a more direct response to pointingTouch screens are hardware that can be added to a monitorSome are also built into special monitors and respond tomouse functions with the touch of a fingertip (wwwability-hubcommousetouchscreenhtm)

c) Trackballs or joysticksTrackballs uses a stationary ball that rotates around its ownaxis to move the cursor such as the Kensington ExpertTrackball (wwwkensingtoncomhtml1121html) Thesedevices vary in size of the ball and functions offered TheJoystick uses a stick to control the cursor movements and thebuttons responds to mouse clicks Handles come in variousshapes for easier grips eg ldquoTrdquo ldquoOrdquo or ldquoIrdquo View resources andlinks to products atbull wwwarogacomcom_accessmouse_alternativesaspbull wwwinfogripcombull wwwrjcoopercomsam-joystickindexhtmlbull wwwtechconnectionsorgresourcesguidesMousecfm

Performance concernIndividuals who can use their hands to control apointing device but have difficulty with physicalaccess to a regular expanded or mini keyboard(eg individuals with muscular dystrophy)

OptionOn-screen keyboard accessed using a regular or alter-native mouse or a pointing deviceOn-screen keyboard programs provide an image of a key-board on the computer screen allowing keyboard access to theuser who cannot physically access external keyboards Theon-screen keyboard is used with programs such as Clicker4(wwwcricksoftcomusproductsclickerdefaultasp) andWivik3 (wwwarogacomcom_accessonscreen_keyboardsasp)to control the computer and to write Keys are generallyselected by mouse (or an alternative pointing device) or scan-ning access with switches (discussed later in this article)Many of the on-screen keyboards offer a grid with mousefunctions View additional products and information atScreen Doors 2000 and Discover Screen

wwwmadenteccomactiontryhtmlClick-N-Type

wwwlakefolksorgcnt

Performance concernIndividuals who can use part of their body tocontrol an alternate pointing device but haveno hand function(eg individuals with spinal cord injuries artificial upper extremity

limbs or mild cerebral palsy)

OptionMouse emulationSome individuals may not have enough strength range ofmotion or endurance for a hand-controlled alternate mousebut may be able to use head eyes andor feet movementsinstead Mouse emulation technology is used with on-screenkeyboards to allow the user to perform mouse functionsExamples include

a) Head controlHead Tracking uses head movements to emulate mouse con-trol Try Tracker 2000 (wwwmadenteccom) or OriginInstrumentrsquos HeadMouse (wwworincomindexhtm)

b) Speech recognitionSpeech recognition software uses dictation to input text andcontrol the computer and software applications This inputmethod requires training and users need to have consistentspeech and cognitive abilities to remember the commandsand be able to cope with noise interference in the environ-ment View some software options atNaturally Speaking

wwwdragonsyscomnaturallyspeaking FreeSpeech

wwwspeechphilipscomfreespeech2000ViaVoice

wwwsoftwareibmcomspeech

c) Mouth-activated mouseA mouth-controlled mouse is often used for individuals withparalysis or progressive illnesses such as muscular dystrophyor multiple sclerosis The USB Integra Mouse uses lip pres-sure for mouse movement and air pressure for button clicks(wwwtashinccomcatalogca_usb_integra_mousehtml)There are several mouth-operated joystick mice with sip andpuff type clicking such as Jouse 2 (wwwjousecom)Electricjoy (wwwgenesisonenetelecricjoyhtm) Integra-Mouse (wwwlifetoolatshow_contentphpsid=70) andQuadJoy (wwwquadjoycom)

4 OT Now bull JULYAUGUST 2005copy CAOT PUBLICATIONS ACE




d) Eye movementsAn eyegaze system includes a device for monitoring andrecording eye motion and related eye data to control a com-puter or device It allows the individual to use their eye move-ments to control the cursor An example of an Eyegaze sys-tem is the Quick Glance (wwwabilityhubcommouseeye-gazehtm) For more options on manufactures of eyegaze sys-tems view wwwlctinccom

e) Foot controlIndividuals have complete control of the mouse and cursorusing both feet The No-hands Mouse (wwwfootmousecom)works with two-foot pedals One controls clicking while theother controls the directional pointing

Performance concernIndividudals who can use part of their body tocontrol a switch not a pointing device(eg individuals with with muscular dystrophy or a severemotor disability as a result of cerebral palsy)

OptionSwitchesThese can be used to click andor direct mouse movementThe number of switches used (usually one to six) will dependon the number of intentional and reliable movements thatthe individual can perform The more switches used themore direct control the individual has over the mouse Inaddition to the variety of switch sizes shapes and requiredpressures switches can be selected and positioned to matchthe individualrsquos specific movement abilities There are sever-al types of switchesa) Sensitive Switches (Leaf and Tip)

wwwtashinccomcatalogs_sensitivehtml b) Gesture-controlled infrared switch (SCATIR)

wwwtashinccomcatalogs_scatirhtmlc) Dual switch (sip and puff pneumatic dual switch)

wwwtashinccomcatalogs_dual_switcheshtml

Mouse Mover is an interface which allows up to 6 switches(or motor acts) to control mouse functions (wwwtashinccomcatalogca_mouse_moverhtml) One can also use thefour switches on a power-wheelchair joystick to direct mousemovement on a computer if combined with the appropriatemouse emulation technology and chair interface

When scanning a switch interface is required This

device does the communication between the switch and thecomputer With compatible software switches can beassigned specific functions Some devices used to connectswitches to a computer are at

wwwdonjohnstoncomcatalogswithprofrmhtmwwwcricksoftcomusproductsaccessusbasp

A Switch Adapted Mouse can be used to perform the click ofthe mouse Examples can be viewed at

wwworccacomswitcheshtmwwwrjcoopercomsam-cordlessindexhtmlwwwtechableorgOtherpagsswitch-mousehtm

The switch is connected to the corresponding button to per-form the function of left click andor right click There otherdevices to which a switch can be connected to activate amouse click such as the USB Switch Click (wwwtashinccomcatalogca_switch_clickhtml) and the Mini-SwitchPort

SummaryMouse alternatives allow individuals with specific needs andabilities to access mouse functions for specific tasks No onemethod works for everyone and more than one method maybe necessary for one person

About the authorNadia Browning MSc is an occupational therapist with theAugmentative Communication Service Thames ValleyChildrensrsquo Centre in London Ontario She may be reached atnadiatvcconca

Special thanks to Lou Anne Carlson for her contribution to thisarticle



COMCOOR

Striving for a culturally sensitive practice is an inherentvalue shared by occupational therapists around theworld Yet while its importance is unquestioned meas-

urement of its attainment is unclear Dillard and colleagues1

define culturally competent practice as ldquoan awareness of sen-sitivity to and knowledge of the meaning of culturerdquo Thedevelopment of this competency key in the education ofoccupational therapists has received international attentionin the profession in recent years2 3 4 The influences of rapidsocietal changes mobilization and cross-cultural interplaypresent complex and potentially daunting challenges tounderstanding resultant occupational performance Guidingmeaningful doing requires careful attention to an individualrsquosroots and values and hisher sense of place in the world Theless emphasized importance of also integrating onersquos ownviews about culture has been stressed as key to progressingfrom cultural sensitivity to the integration of culturally effec-tive intervention5 I recently learned that being open to thelearning required on all these levels is not only about growthbut also about validation Let me recount my experiencehellip

My gaze travels vertically taking in the four tall supportbeams etched with ornate native carvings They stretchupward from the sunken floor to support the skylight abovethe nightscape of evening stars beyond I am an invited guestat a literary reading at the Enrsquoowkin Centre an indigenousschool of creative arts culture ecology and governance On

entering the centre for the first time this evening despite liv-ing only two kilometres to the north I am struck by the dif-ference in the sense of place due to its aura of tradition andcommunity As an occupational therapist I have visited theaboriginal schools and many homes but not this place of cre-ativity and gatherings I have a sense here of being theobserver of the heart of an inward journey without havingshared the pathway I feel a tone of respectful welcome I feelthe symbolic distance travelled from my former Ontariohome to the Okanagan and onward yet to this heartland ofindigenous culture I quell my sense of feeling out of place bysurveying a display of writings by aboriginal authors I amfurther impressed to learn that the school also houses thecountryrsquos first aboriginal publishing centre I inquire as to theorigin of this unique name ldquoEnrsquoowkinrdquo I am given a whitesheet of paper with simple print

The gathering is small mostly native I find a seat andcasually peruse the white paper very aware of my visitor sta-tus I learn that Enrsquoowkin is a metaphor It is created by thethree syllables of the word ldquolsquonawqnrdquo lsquonrsquo means lsquoinside orintorsquo lsquoawrsquo means lsquoseep or driprsquo and lsquoqnrsquo means lsquofrom the heador apexrsquo6 Collectively the image is of something drippinginto the head or seeping single drop by single drop into thehead and in this way understanding an issue through apiece-by-piece process The paper then describes this applica-tion to the way in which the Okanagan people used this termwhen there was a problem to solve in the community All ofthe people would be asked to contribute their perspective nomatter how small or seemingly insignificant or contrary thatmight have been All were called on not only to express theirthinking but also to take responsibility in seeing the views ofothers and in creating a solution that considered the needs ofall of the community Finding onersquos sense of place in piecingtogether complex puzzles it sounded very familiar I peer outa window into the darkness overlooking the winding road



C O L U M N E D I T O R S H E L E N E J P O L A T A J K O amp J A N E A D A V I S

Edited by Dr Helene J Polatajko PhD FCAOT andJane A Davis MSc OT(C) for CAOT and CSOS Visit CSOS at wwwdalca~csosindexhtm

A sense of placeKathy Hatchard

that forks left to the destination ski resort and right to theheart of the First Nationrsquos reserve

It is late fall yet the sun is high overhead The governmentvehicle winds its way upward through the rolling hillside asthe town blurs in the distance below The intermediate caremental health residence seems many kilometres back Wedraw attention from approaching drivers My passenger anative woman in her early twenties seems buoyed by theunderstated nods and waves She has begun to speak indetail about our destination the adult education school asmall white clapboard building on the reserversquos periphery Ihave not seen this animation before We pass grazing live-stock and the neighbourhood of modern homes amidst thenatural grasses and Ponderosa pine The dampening effectsof the illness and an uncertain prognosis have made thetiming for resuming education difficult to discern My sug-gestion of an educational assessment at a mainstreamlearning centre had been abruptly rejected Still there hadbeen encouraging progress since the early days of admission

At first all attempts at rapport building had been politelyrebuffed the days whiled away in sleepy refuge Surveyingher stark room the limited personal effects strewn on thefloor the message was clear that the time here was tempo-rary a medical necessity and a fleeting opportunity for con-nection As the weeks passed a brief window of interactionemerged the late afternoon game of pool A camaraderiehad emerged Yet the signs of elicited emotion wouldrepeatedly dim at the end of the game as a distant wistful-ness took their place

This outing is to provide much needed insight for both of usAs we are led into the schoolrsquos office it soon becomes evidentthat a workable way of engaging here is not only feasiblebut expected The coordinator speaks in forthright termsand outlines basic starting points The woman brightens atthe mention of a class about Okanagan language and cul-ture and the means to provide a gradual re-entry I senseher breathing deepen despite the frankness of the expecta-tions I consciously step back from the dialogue This is notthe gesture of an outsider acknowledging a cultural bondRather these are actions based on knowledge of occupationon the observed match between need and resources and thesense of place evolving before me not unlike the pool ballfinding the pocket

I am drawn from my reflection as the eveningrsquos specialguest is introduced Joy Harjo a renowned Aboriginal writerand musician with roots in the Muskogee tribe in Oklahomaand now a university professor of native culture begins whatwill be over an hour of readings casual narrative and inter-spersed expression of her themes by solo saxophone I amintrigued by the richness of the verse the depiction of adver-sity overcome and of the returning to this grounded place toreflect and share I am mesmerized by the way her fingers turnthe pages of the large volume of writing (mostly publishedsome not) which seem to hold no difference in their person-al significance The fingers wander and the pages turn Thesearch is without intensity for there is a natural connectnessamidst the myriad of tales The voice never falters in tellingthe background anecdotes Her work is drawn from her rela-tionship to the earth The content is rich with native culturebut I am mostly intrigued by this oneness with occupationthis subtle reflection on reaching potential and place

During a short break I continue my reading I learn thatthe Enrsquoowkin process seeks to move the community forwardin its problem solving based on its collective responsibility toldquothe land the people the family and the individualrdquo78 Theorder of the words seems significant For a group challengedto maintain these principles amidst a myriad of influencesthe Enrsquoowkin centre must seem a harbour of sorts

As the evening closes I tell my host that I have beentouched by the traditions observed including the practice ofinitially introducing oneself based on ones family and placeof origin She explains her full introduction would actually bemuch more detailed if done formally and speaks theOkanagan words describing place and ancestry in a way thatreminds me of the sounds a bird makes when contentedlysurveying the world from a favourite perch

The evening has stirred the pangs of loss that come withtravelling far from roots and familiarity It has simultaneous-ly brought comfort through the universal bonds of familyhistory and connectedness I reflect on my observations andrealize how easily one can lose this sense of place I am con-scious of the similar challenges facing occupational thera-pists While guiding our clients we must respond sensitivelyto the many interacting factors that affect occupational per-formance Culture in all its complexity is but a part9 Noamount of cultural education will ensure optimal practice Itis in partnering with our clients consistently colouring eachunique picture of lsquooccupationrsquo that we will continue to defineour sense of place To do so effectively we must emulate the




modifications for confidentiality

I have been touched by the traditions observed including the practice ofinitially introducing oneself based on ones family and place of origin

noble Aboriginal approach to seeing the full picture gainingperspective respectfully like raindrops on onersquos forehead

About the authorKathy Hatchard BSc OT(C) is a registered occupational ther-apist in the Department of Psychiatry at Penticton RegionalHospital in British Columbia Canada She may be reached bye-mail at hatchardspectelusnet

The author would like to thank Tracey Jack Enowkin CentreFaculty for her assistance with integrating aspects of indiginousOkanagan culture in this project

References1Dillard M Andonian L Flores O Lai L MacRae A amp

Shakir M (1992) Culturally competent occupationaltherapy in a diversely populated mental health settingAmerican Journal of Occupational Therapy 46 721-726 p 721

2Dyck I amp Forwell S (1997) Occupational therapy studentsrsquo

first year fieldwork experiences Discovering the com-plexity of culture Canadian Journal of OccupationalTherapy 64 185-196

3Kinebanian A amp Stomph M (1992) Cross-cultural occu-pational therapy A critical reflection AmericanJournal of Occupational Therapy 46 751-757

4Yuen H K amp Yau M K (1999) Cross-cultural awarenessand occupational therapy education OccupationalTherapy International 6 24-34

5Chiang M amp Carlson G (2003) Occupational therapy inmulticultural contexts Issues and strategies BritishJournal of Occupational Therapy 66 559-667

67Armstrong J (1997) Enrsquoowkin The process Red FishMoon

8Armstrong J (2000) Let us begin with courage In Barlow Z(Ed) Ecoliteracy Mapping the terrain Berkeley CACenter for Ecoliteracy

9Canadian Association of Occupational Therapists (1997)Enabling occupation An occupational therapy perspec-tive Ottawa ON CAOT Publications ACE




9OT Now bull JULYAUGUST 2005


C O L U M N E D I T O R M U R I E L W E S T M O R L A N D

copy CAOT PUBLICATIONS ACE

As occupational therapists we are all familiar with theword ethics Ethical codes guide our practice andremind us that we have a moral duty to our clients

and colleagues when it comes to practising our professionThe word ethics is derived from the word ethos (character)and moral from the latin word mores or customs While lawoften embodies ethical principles ethics and law are far fromco-extensive Lying or betraying a confidence of a friendwould be condemned by many as unethical but these actionsare not prohibited in law Perhaps more importantly ethics isconcerned with behaviours that affect others1 The term moraland its derivative morality along with ethics and ethical aresomewhat ambiguous in meaning Many people use theseterms interchangeably and likely mean correct or right accor-ding to current social norms Simply put morality beginswith the self in that each of us has internalized values beliefsand ideals about how to act in the world Many of thesebeliefs and values are learned from the communities in whichwe live work and interact (families educational systemscommunity cultural and societal systems)

As occupational therapists we may ldquowake uprdquo to theseissues when faced with difficult client decisions that requireus to stop and consider ldquoWhat do we do in this situationrdquoWe have our ethical principles to guide us and we also havelaws The relationship between ethics and the law is complexand not all ethical behavior can be enforced or guided by lawThe assumption ldquoIf itrsquos legal it must be ethicalrdquo does notacknowledge potential complexities of relationships situa-tions and circumstances Laws are created when a group ofpeople decide to create rules that are for the common goodwith consequences for those who do not obey Laws oftenlimit or restrict behaviours telling us what things we cannotdo and in the process set minimally acceptable standardsThe laws of the land usually reflect the morality of the com-munity or country for example do not steal or do not hurtothers Koniak2 however states that ldquoethics is about obliga-tions above and beyond the requirements of lawrdquo (p11)When we reflect ethically we are considering how to act orbehave we are weighing our obligations (legal and profes-

sional) as well as our personal values and the potential effectour actions may have on others

Problems arise if the law or our professional collegesrequire us to behave in ways that are apparently outside ofour own personal morality given a certain set of circum-stances

Some examples1 You are aware that in order to share patientsrsquo personal

health information you must do so with implied orinformed consent unless there is a legal exception in thecircumstances What is the actual practice of health pro-fessionals in your work setting Would you encouragethe breach of privacy laws if it is in the best interest ofyour patient

2 An adult client tells you she doesnrsquot like visiting her fam-ily home because she doesnrsquot like hearing her parentsfighting and yelling She mentions that her father some-times smacks her siblings (ages 12 and 14) at the dinnertable You are aware that if there are reasonable groundsto believe that child abuse is occurring there is a legalduty to report it to the appropriate authorities But ifyoursquove never observed the alleged abuse and the childrenand family in question are not even your clients andyour client asks you not to do anything about it willthese factors influence what you do What if the report-ed abuse is more blatant but the clientrsquos family lives inanother country

3 A client tells you about how he is working under the tableto earn extra money and also stealing groceries from thesupermarket because social assistance isnrsquot payingenough On the one hand you donrsquot want to encouragethis behaviour but by doing nothing are you giving themessage that the behaviour is condoned How do youhandle the situation without being judgmental Wouldyou be obligated to report more serious or violentcrimes

4 You have recommended a power wheelchair for a clientto use indoors but you are certain that this client will

The challenge of acting ethicallyin our legal environment

Muriel Westmorland Jasmine Ghosn and Ron Dick

likely use it outdoors The client is cognitively able tounderstand his limitations and has told you he intends touse the chair outside You are about to prepare a dis-charge summary outlining the safety considerations andthe coordinator for the home tells you that if there areany safety concerns with the wheelchair the client will bedenied placement The client begs you not to say any-thing about his intention to use the chair outside Whatwould you do

5 You have been retained by an insurance company to pre-pare a report about the claimant that would strengthenthe case of the insurer You are aware that the person youexamined has limitations for which the insurer shouldprovide compensation What would you do

6 You are aware that your client an elderly woman living inthe community is becoming very frail and weak and youare concerned about her safety She is showing signs ofdementia and admits she is having trouble with hermemory You know that a neighbour has been helpingthe woman with her finances but you donrsquot think theneighbour is handling the money in the womanrsquos bestinterests Part of you wants to report the matter to thePublic Guardian and Trustee but if you do itrsquos possiblethe woman will be admitted to hospital and taken out ofher home and this will make her very unhappy Whatwould you do

7 One of your colleagues is having an addiction problemand you believe that if she doesnrsquot get help soon it couldaffect her work Your colleague tells you she is gettinghelp and you have confidence she will overcome theaddiction She asks that you not tell anyone at work andnot report her to the College What would you do

What should you do bull Be aware of what the law says stakes are highbull Be aware of what your professional regulatory body or

college requires again stakes are highbull Consider your own morality and ask yourself ldquoWhen

might I choose to act in defiance of the first twordquobull Be aware of your own internal values beliefs and ideals

and how these might influence how you actbull You might ask ldquoWhat is it that the parties involved want

and what are the best interests of the clientrdquobull Apply traditional ethical principles to help clarify things

encourage autonomy of the individual and while doingno harm ensure justice for all involved

bull Be aware of your own internal values beliefs and idealsand how these might influence how you act

bull Consider whether you are being honest compassionateand loyal to the person who is counting on you

bull Remember your ethical code of practice and weigh upthe ought as it is called in the ethics literature ndash ldquoWhatought I to do under these circumstances given that theclientrsquos best interests need to be respectedrdquo

bull Remember you have an obligation to do the right thingbull Talk to others peers colleagues supervisors ethics

resource teams associations and collegesbull If you realize you donrsquot have good supportshellip create them

Form a peer support group acquire a mentor and negoti-ate more supervision resources from your employer

bull Determine whether a law or rule needs to be changedand communicate your views to your provincial andnational professional associations since part of their roleis to lobby governments on behalf of the profession

About the authorsMuriel Westmorland MSc OT(C) is a registered occupationaltherapist and an associate professor in the School ofRehabilitation Science at McMaster University in HamiltonShe is a part of a faculty group of occupational therapy andphysiotherapy ethics researchers Muriel has also had extensiveexperience in litigation and human rights consulting and wasthe first chair of the disciplinary committee for the College ofOccupational Therapists of Ontario

Jasmine Ghosn BSc (OT) LLB was an occupational therapistfor five years before studying law She now practises healthlaw in Toronto and can be reached at Tel (416) 985-0362 ore-mail at jghosnhealthlawyerca

Ron Dick BA BHSc(OT) is a registered occupational therapistin the Psychiatric Rehabilitation Programme at St JosephrsquosHealthcare in Hamilton Ontario He is also a professional asso-ciate in the School of Rehabilitation Science at McMasterUniversity Together with Margaret Brockett he is developingthe ethics curriculum for the occupational therapy students

References1Seedhouse D (1998) Ethics The heart of health care (2nd

edition) Rexdale ON John Wiley amp Sons2Koniak S P (1996) Law and ethics in a world of rights and

unsuitable wrongs Canadian Journal of Law andJurisprudence 9 1 11-32




The assumption ldquoIf itrsquos legal it must be ethicalrdquo does not acknowledge potentialcomplexities of relationships situations and circumstances

There is a new buzz word that is frequently mentionedrelated to integrating research and practice KT Whilethis term is getting lots of air-time it is not clear that

everyone is talking about the same thing KT has been used todescribe two closely related ideas knowledge transfer andknowledge translation

As the need for accountability increases occupationaltherapists are challenged to deliver evidence-based practiceThis involves clinicians using research evidence along withclinical knowledge and reasoning to inform practice1 Forresearch uptake to occur the researcher provides knowledgeto the user who implements the knowledge The knowledgeprovision step is integral the terms knowledge transfer andknowledge translation both acknowledge the complexitiesand challenges of this transmission between the researcherand the user

What is knowledge transferBetween the 1950s and the 1990s the literature related to theflow of research findings from researcher to user generallydiscussed knowledge transfer2 This term describes the one-way flow of knowledge from researchers to potential usersincluding policy makers clinicians and clients it is also con-sidered the responsibility of researchers3 The methods ofknowledge transfer can be active or passive depending on thetransfer goals4 It has been well established that the more par-ticipatory and targeted the transfer activity the more likely itis to result in application56

Lomas7 categorized three types of transfer activitieswhich researchers may use These range from passive to activeand include

Diffusion is designed to promote awareness Knowledgeis made available via journals newsletters web sites and massmedia but is not directed toward a specific target The goal issimply to ldquoget the information out thererdquo

Dissemination involves using intentional activities toshare research findings strategically with particular stake-holders such as by mailing results to intended audiences and

holding workshops and conferences to share findings Thegoal is both to create awareness and change attitudes

Implementation involves the most active transfer activi-ties with the goal of creating a behaviour change Thesestrategies include efforts to overcome barriers to implement-ing the research information through activities such as face-to-face contacts with experts and establishing audit andreminder systems to encourage users to change their behav-iour or practice in light of research findings

Knowledge transfer methods and actions are dependentupon who is initiating the research activities8 Lavis et al9 iden-tified the following three models of knowledge transfer basedon the degree to which the transfer is researcher-directed

Research-push This describes research which is initiatedby conducted by and transferred by the researcher This sat-isfies the researcherrsquos curiosity it is then the responsibility ofthe researcher to get the information to others who share thisinterest

User-pull This occurs when the decision maker or groupcommissions research with a predetermined use in mind

Exchange This is the most complex model in whichresearchers and decision-makers work together to buildresearch questions relevant to their mutual needs and skills

Effectiveness of knowledge transfer There are concerns regarding limited knowledge uptake Thisis often attributed to the reality that researchers policy mak-ers and clinicians inhabit ldquodifferent worldsrdquo1011 This conceptis known as the ldquotwo-communitiesrdquo theory12 In other wordssimply receiving knowledge does not necessarily lead to usingit especially if the parties do not share the same focus lan-guage culture or research agenda1314

Reading printed educational materials and attendingdidactic educational meetings have generally not proven to beeffective in changing behaviour or professional practice15More specifically Craik and Rappolt16 noted that the processof knowledge transfer from evidence to practice within therehabilitation professions is not well understood Based on


From knowledge transfer to knowledge translationApplying research to practice

Leslie Stratton Johnson


C O L U M N E D I T O R M A R Y E G A N

their qualitative study suggestions to improve application ofresearch evidence in occupational therapy practice includedusing structured reflection and case application17 Law andBaum18 have noted that clinicians can encounter barriers toknowledge uptake at both the system and individual level Atthe system level significant barriers may include a lack ofadministrative support and no time to read and integrateresearch information into practice1920 At an individual levelclinicians may have limited skills in interpretation and appli-cation of research findings2122 These barriers can create a gapbetween researchers and clinicians Even when clinicians havethe time to read and the skills to analyze research whetherthey can change their practice depend on economic adminis-trative and cultural barriers within the organization or com-munity23

Bringing researchers and clinicians togetherAttention has turned to bridging the cultural gap and movingtoward more effective knowledge transfer Suggestions toresearchers have been put forward to promote knowledgeuptake Maclean et al24 building on the work of Lavis et al25outlined the following components and strategies whichshould be considered by researchers to promote the uptake oftheir findings

1 The messageRather than data suggestions regarding application ofresearch are most helpful For clinicians this may include evi-dence-based guidelines

2 The target audienceThe messagersquos target audiences must be clearly identified andthe specifics of the knowledge transfer strategy should reflecttheir needs The same message regarding best practice will notwork for clients therapists and policymakers alike Insteaddesign specific messages for each audiencersquos needs

3 The messengerThe credibility of the messenger can be as important as themessage itself Rappolt and Tassone26 indicated that occupa-tional therapists rely heavily on peers as educationalresources

4 The knowledge transfer process and infrastructureWhile printed materials such as journal articles are used mostoften the most effective means of knowledge transfer is per-sonal interaction These interactions may include writing via

email listservs blogs discussion rooms interest group meet-ings and round table discussions

5 EvaluationKnowledge transfer performance measures should be appro-priate to the target audience and the objectives For cliniciansthe objective may be to change practice to match the evidenceand improve client outcomes for policymakers the objectivemay be informed debate

At the end of the day no matter how well-packaged theinformation is knowledge transfer will always be limited inthat the delivery is top-down and researcher-centric27 If theinformation does not address the questions that interest theuser it is not useful

Knowledge translationThe term knowledge translation has emerged more recently todescribe a broader concept which includes all the stepsbetween the creation of knowledge and its application Ratherthan beginning at the point at which a message is to be deliv-ered (as knowledge transfer often does) knowledge transla-tion describes an active multi-directional flow of informa-tion which begins at project inception Partnerships whichare integral in knowledge translation are encouraged amongresearchers (within and across disciplines) policy makers andmanagers health care providers and health care users28Interactions and exchanges occur before during and after theproject with the goal of developing research questions settinga research agenda and then determining actions29 Knowledgetranslation while set in the practice of health care draws onmany disciplines to help close the gap between evidence andpractice This may include infomatics social and educationalpsychology organizational theory and patient and publiceducation30

The Canadian Institutes of Health Research (CIHR) hasput forward the following definition of knowledge translation

Knowledge translation is the exchange synthesis and ethi-cally-sound application of knowledge ndash within a complexsystem of interactions among researchers and users ndash toaccelerate the capture of the benefits of research forCanadians through improved health more effective servic-es and products and a strengthened health care system31

The focus of the CIHR knowledge translation model is theknowledge cycle symbolizing the process of formulatingresearch questions conducting research strategically publish-ing and disseminating research and then generating newcontext-specific knowledge by applying research findings in




different settings This new knowledge in turn feeds futureresearch questions ndash and the cycle continues32

Knowledge translation draws on some key models andmethods of knowledge transfer but it describes a broader andmore integrated approach When describing an exchange it isuseful to determine whether you are discussing a one-waytransfer of information (knowledge transfer) or a multi-directional transfer of information (knowledge translation)

There is increasingly more interest in enhancing oppor-tunities for knowledge translation representing a major shiftin Canadian funding agenciesrsquo health priorities Formerlyresearch was often funded with only minimal attention to theprocess of disseminating information current fundingemphasizes developing dynamic mechanisms that engageplayers whose decision-making will be informed by theresearch33 Research agencies and educational facilities arealso taking the lead by offering and sponsoring seminars andcourses on the theories guidelines and tools of knowledgetranslation

Although knowledge translation is the term used withinthe health disciplines others use a different vocabulary tomeet their own needs For example organizational literaturerefers to knowledge management when describing the wayknowledge develops as it flows through different contexts34 35Knowledge mobilization is the term that social sciences andhumanities use to describe this process36 Words are powerfuland these terms reflect the nuances of activity and thinkingwithin the specific disciplines

Implications for occupational therapyClinicians researchers academic and fieldwork educatorsclinical practice leaders and policy makers all need to beaware of the concepts of knowledge transfer and translationOccupational therapists have integral skills and practiceinsights to help set research agendas Using knowledge trans-fer principles is integral to our educational endeavours ndash withour clients students colleagues and the public Beinggrounded both in knowledge transfer concepts and theknowledge translation process will lead to more satisfyingand effective exchanges and ultimately enhance therapistsrsquotranslation of evidence into practice Attention to this processwill also promote lively discussion among occupational ther-apists and their stakeholders

Itrsquos not easy though Putting new knowledge into prac-tice is a complex process It depends on both the occupation-al therapistsrsquo knowledge and ability as well as supportiveorganizational factors to put it into practice Embracing the

two-way knowledge translation process requires extensiveconsultation and partnerships While these strategies are inkeeping with client-centred practice they may require occu-pational therapists to move out of familiar contexts

Lots of people are talking about KT mdash knowledge trans-fer and knowledge translation mdash and for good reasons theseneed to become integral concepts in occupational therapypractice and important strategies in our goal of providingclient-centred evidence-based practice Letrsquos keep talking

About the authorLeslie Stratton Johnson BHSc(OT) resides in WinnipegManitoba where she wears several hats as a registered occu-pational therapist community clinician part-time facultymember in the Occupational Therapy Department School ofMedical Rehabilitation and graduate student She is interest-ed in the process of linking research and day-to-day occupa-tional therapy practice and can be reached at johnsonlccumanitobaca

References118Law M amp Baum C (1998) Evidence based occupational

therapy Canadian Journal of Occupational Therapy 65131-135

234824273335Maclean H Gray R Narod S amp Rosenbluth A(2004) Effective Knowledge Translation Strategies forBreast Cancer Information Canadian Institute for HealthResearch Retrieved September 17 2004 fromhttpwwwcrwhorgduporductsncddrapproachhtml

5Grimshaw J M Shirran L Thomas R E Mowatt GFraser C amp Bero L (2001) Changing provider behav-iour An overview of systematic reviews of interven-tions Medical Care 39 112-145

691025Lavis J N Robertson D Woodside J M McLeod CB amp Abelson J (2003) How can research organiza-tions more effectively transfer research knowledge todecision makers The Milbank Quarterly 81 221-248

711Lomas J (1993) Diffusion dissemination and implemen-tation Who should do what Annals of the New YorkAcademy of Sciences 703 226-235

12Caplan N (1979) The two-communities theory and knowl-edge utilization American Behavioral Scientist 22459-470

13 29Jacobson N Butterhill D amp Goering P (2003)Developing a framework for knowledge translationJournal of Health Sciences Research and Policy 8 94-99

14King L Hawe P amp Wise M (1998) Making dissemination




a two way process Health Promotion International 13237-244

15Grimshaw JM (1998) What have new efforts to changeprofessional practice achieved Journal of the RoyalSociety of Medicine 9 20-25

16 17Craik J amp Rappolt S (2003) Theory of research utiliza-tion enhancement A model for occupational therapyCanadian Journal of Occupational Therapy 70 226-275

19Barta KM (1995) Information seeking research utiliza-tion and barriers to utilization of pediatric nurse edu-cators Journal of Professional Nursing 11 49-57

20 22Haynes RB (1993) Some problems in applying evidencein clinical practice Annals of the New York Academy ofSciences 703 210-224

21Nolan MT Larson E McGuire D Hill MN amp HallorK (1994) A review of approaches to integratingresearch and practice Nursing Research 7 199-207

2326Rappolt S amp Tassone M (2002) How rehabilitation pro-fessionals learn evaluate and implement new knowl-edge Journal of Continuing Education in the HealthProfessionals 22 170-180

28Crosswaite C amp Curtice L (1994) Disseminating researchresults ndash the challenge of bridging the gap between

health research and health action Health PromotionInternational 9 289-296

30Davis D Evans M Jadad A Perrier L Rath D Ryan DSibbald G Straus S Rappolt S Wowk M ampZwarenstein M (2003) The case for knowledge trans-lation Shortening the journey from evidence to effectBritish Medical Journal 327 33-35

3132Canadian Institutes of Health Research (2004) KnowledgeTranslation Overview Retrieved January 29 2004 fromhttpwwwcihr-irscgccae8505html

34Backer TE (1991) Knowledge utilization - the third waveKnowledge Creation Diffusion Utilization 12 225-240

36Wingens P (1990) Toward a generalization theoryKnowledge Creation Diffusion Utilization 12 27-42

Suggestions for further readingInstitute for Work and Health Knowledge Translation and

Exchange available athttpwwwiwhoncaktektephp

Cochrane Musculoskeletal Group Knowledge Translationavaialable athttpwwwcochranemskorgprofessionalknowl-edgedefaultasps=1





Most Vancouverites participate in a conspiracy thatpropagates the rumour that itrsquos always raining onthe West Coast Unfortunately with full sun and

temperatures reaching as high as 28 degrees Celsius the secretis out Out-of-town delegates who attended the 2005 CAOTConference hosted with the British Columbia Society ofOccupational Therapists (BCSOT) are challenging theirassumptions and exploring possibilities

If they are researchers it might be something likeHow does weather influence engagement in occupations Or ifyou took 650 delegates and randomly assigned 50 to attendconference and 50 to read on the beach which would demon-strate a greater understanding of occupational balance

If they are practitioners it might be something likeWhere are the occupational performance challenges in theVancouver area People look really healthy they seem to maketime for leisure and they must have sufficient productivity toafford the housing The communities appear inclusive anddiverse How can I make a livinghere

If they are students it could beone of threeDarn why didnrsquot I consider UBCHow do I get a fieldwork place-ment out here I am definitelycoming back here to work

Despite appearances there aremany occupational challenges toovercome so that we may contin-ue to celebrate diversity in occu-pation and build inclusive com-munities not just in Vancouver

and BC but across the country These two themes were illus-trated both colourfully and sensitively in the opening cere-monies held Thursday morning The ceremonies began withour National anthem sung beautifully by Jerrica Santos agrade 11 student from Fraser Heights who was also a finalistin Canadian Idol Season Two Delegates were then greetedwith a Chinese lion dance performed by the Shung Ying KungFu Club This was followed by a welcome song by Tsorsquokam atraditional Lillooet singing group from Mount Currie whoare part of the Coast Salish people It was truly a culturallydiverse welcome

Following the vivid performances keynote speaker SamSullivan took us through his personal journey of regainingindependence after he became paralysed due to a skiing acci-dent when he was 19 He recognized the work of occupation-al therapists and cautioned us to value the social net that isessential for inclusiveness and to be careful not to lose it Samhad first hand experience with this having had to work hisway out of the welfare trap ldquoWhen I ended up on welfare Iwas pleased that I would be getting $400 a month and I

thought I would be able to moveforward on this stable founda-tionrdquo Sam soon found out thathe might be penalized if heearned extra income while onwelfare He also learned that thebenefits of a wheelchair andattendant care were also in dan-ger Sam felt the system kept himfrom moving ahead because itprovided no incentive to do so

Quality of life is importantto Sam and seven years after hisaccident he began the first of sev-eral initiatives that would helpCanadians with disabilities to

Mary Clark Green


Eugene Tse from Edmonton Albertaand Sametta Cole from Oshawa Ontario

HOSTED BY CAOT AND THE BRITISH COLUMBIA SOCIETY OF OCCUPATIONAL THERAPISTS

better enjoy life After starting the Disability SailingAssociation he moved on to create The Vancouver AdaptiveMusic Society His own band was called ldquoSpinal Chordrdquo Nothaving reached fame and fortune as a rock musician Samadmitted that he supressed these urges and decided to go intopolitics in 1993

He and fellow Vancouver City councilor Tim Louis areboth disabled but Sam was careful to say ldquoWe are on councilbecause itrsquos accessible Itrsquos not accessible because of usrdquo Samexplained that people who believed in inclusiveness had builta city where it was possible to be disabled and an active politi-cian Sam himself has continued to create organizations thatbuild enabling environments such as TETRA the BCMobility Opportunities Society and Access Challenge

Sam concluded that our next challenge is to put the dis-ability model into other areas where people are marginalizedsuch as those with drug addictions He contends that it is nota morality issue but a short-term medical issue and long-termdisability issue ldquoI am not sickrdquo announced Sam ldquoI am dis-abledrdquo Sam described it as a long-term issue that we manageversus a short-time issue that we fix if possible Itrsquos importantthat we all grasp this and ensure that others do as well ldquoPleasekeep doing what you are doingrdquo were Samrsquos parting words tothe occupational therapists present

We were honoured again with international guests whohaving enjoyed Prince Edward Islandrsquos conference returnedto see the West Coast Our occupational therapy friendsincluded Jenny Butler chair of the Council of the College ofOccupational Therapists at the British Association ofOccupational Therapists (BAOT) and Beryl Steeden also ofBAOT Carolyn Baum president of the American Occupa-tional Therapy Association (AOTA) and Maureen Petersonalso of AOTA The World Federation of OccupationalTherapists (WFOT) was represented by Canadian occupa-tional therapist Sharon Brintnell who is their honorary treas-urer Presenting at conference were distinguished internation-al leaders Gail Whiteford of Australia and CharlesChristiansen of the United States We were also pleased to seeother delegates from the US Australia and Sweden

Following the opening ceremonies delegates enjoyed

coffee with many prestigious authors of CAOT publicationsPractitioners educators and students could meet with MaryLaw and Anne Carswell two of the six authors signing the 4thedition of the COPM Mary also joined Lori Letts to sign theProgramme Evaluation Workbook Carolyn Baum was therefor the Paediatric Activity Card Sort (PACS) Mary Egan wasclose by for Discovering Occupation and the SpiritualityWorkbook Anne Kinsella was on hand for Reflective Practiceand Liz Townsend joined Mary Egan and was also availablefor Enabling Occupation and the accompanying workbook

Once the Trade Show opened the conference was in fullswing The exhibitor booths spilled into the hallways andtogether with the poster presentations forced delegates to makedifficult choices regarding what sessions to attend Decisionmaking was complicated further by two excellent professionalissue forums on clinical practice guidelines and building anethical framework There was truly something for everyonefrom networking with private practitioners to tips on writingin the Canadian Journal of Occupational Therapy (CJOT)

Conference is seldom a 9-5 phenomenon various meet-ings were set up for early morning and the evening beforeduring and after the formal three days of conference In theinterest of balance however all delegates were encouraged toforget business for at least two evenings Thursday eveningthe Vancouver Aquarium Marine Science Centre took dele-gates on an underwater adventure with the beluga whales


Below Elisabeth Dutil andLouise Demers at the CAOT

Publications book signingRight Gail Whiteford from

Australia and Mary Law fromHamilton Ontario

Poster presentations allow forpresentation of complex dataand more presenter-delegatediscussion

Dinner followed with a silent auction that raised over $3500for the Canadian Occupational Therapy Foundation (COTF)and the BC Society of Occupational Therapistsrsquo ResearchFund On Friday UBC students hosted delegates at a down-town Irish pub and then poured them downstairs to experi-ence one of the cityrsquos hottest dance clubs

The highlight of each and every conference is the MurielDriver Memorial Lecture This year Dr Johanne Desrosiersdisappointed no one She provided a lecture that will not onlymark a significant era in our profession but one that will giverise to many discussions over the coming years as we engagein discussions with our health care colleagues to define par-ticipation and demonstrate its relationship to occupationWatch for her full lecture in the October 2005 issue of CJOT

The list of recipients of awards provided by CAOT andCOTF during the annual awards ceremony continues to growOver 150 certificates of appreciation were awarded alongwith impressive provincialterritorial citation awards anaward of merit and the prestigious awards of CAOTFellowship the Helen P Levesconte award and the MurielDriver Memorial Lectureship See pages 18-22 for details

COTF held its third annual Lunch with a Scholar featur-ing Dr Elizabeth Townsend director of the occupationaltherapy program at Dalhousie University This event raisedfunds for COTF and also raised consciousness regardingoccupational justice and our roles in it Dr Townsend pro-posed an audit strategy for enabling occupational justice con-

sisting of 1) critical occupational analysis 2) human resourcesanalysis 3) power analysis and 4) accountability analysis Thisstrategy merits a detailed look by individual occupationaltherapists and the organizations which represent them

At the closing ceremonies CAOT President DianeMeacutethot congratulated past members of the CAOT Board ofDirectors who made the brave decision to move theAssociation office to Ottawa Having been in Ottawa for tenyears the Association is now able to position itself moreclosely with the federal government consumer and otherhealth professional groups on health and social issues affect-ing the occupational well-being of the people of CanadaDianersquos full address will be available on the CAOT web site atwwwcaotca

The BC Host Committee co-chaired by Lori Cyr andBrendan Tompkins had the support of a small but dynamiccommittee who fanned out to bring in many local therapistsas volunteers Congratulations to all of the BC therapistswho helped make the conference a success Conference coor-dinator Gina Meacoe and other members of the CAOTNational Office staff along with the Conference SteeringCommittee also worked tirelessly to support the vision ofCelebrating diversity in occupation

Plans for next yearrsquos conference have already begunThanks to this yearrsquos host committee the Montreal team isequipped with a suitcase of aids and ldquohome-made medicinesrdquoto help them to cope with the occupational challenges overthe year The Scientific Conference Planning Committee has

revised the abstract writingguidelines and review processMore information is availableon page 31

Visit wwwcaotca andclick on the MontrealConference logo formore information Seeyou next year Agrave bientocirct


Below Delegates discuss an ethical framework during one of the pro-fessional issue forums Right Art Jonker an established artist providedthe illustration for the back of the conference host committee t-shirts

Over 200 delegates attended the galadinner at the Vancouver Aquarium

Marine Science Centre

Fellowship AwardsThis award has been established to recognize and honour theoutstanding contributions and exceptional service of occupa-tional therapists Fellows of CAOT are eligible to use the creden-tial FCAOT

Johanne DesrosiersMuriel Driver Memorial Lecturers are recognized leaders inthe Canadian occupational therapy community and receivea Fellowship as part of their Award This yearrsquos lecturer andnew fellow is Johanne Desrosiers

Sue ForwellSue is a visionary enthusiastic focused dedicated personwho puts 100 of her energy into everything she does andinspires others with her vision and energy She is a highlyrespected leader educator researcher and volunteer bothwithin the profession of occupational therapy and in thefield of multiple sclerosis

Dr Helen P LeVesconte Award for VolunteerismPaulette GuitardThis award is given to an individual or life member of CAOTwho has made a significant contribution to the profession ofoccupational therapy through volunteering with theAssociation It celebrates the achievements of Dr LeVescontewho had a great influence on the development of occupationaltherapy in Canada and was very involved with CAOT

Paulette Guitard has a significant history ofvolunteering for CAOT for more than adecade She has consistently reviewed CAOTdocuments and articles for the CanadianJournal of Occupational Therapy She wasinvolved with the Membership Committee

from 1994 to 2002 Her bilingualism has provided an expert-ise to CAOT not easily found either regionally or nationallyMost recently Paulette was the Chair of the AcademicCredentialing Council a role she took on after seven years asa committee member In her role as a member of the CouncilPaulette contributed and continues to contribute to the main-tenance and revision of high standards of practice in educat-

ing future occupationaltherapists As part of thecommittee her workimpacts significantly on theprofession as graduatesfrom occupational therapyeducational programs arewell prepared to providequality occupational thera-py services Paulette con-ducted multiple universityprogram accreditation vis-its six nationally accreditedprograms have been evalu-ated by Paulette

Paulette spoke a fewwords after receiving theaward She acknowledgedthe influence of her highschool teacher on choosingoccupational therapy and expressed regret that the professionis still not known enough Paulette looks forward to her newposition on the CAOT board to help promote occupationaltherapy

CAOT Student AwardsEach year CAOT provides a student award to a graduating stu-dent in each Canadian university occupational therapy educa-tion program who demonstrates consistent and exemplaryknowledge of occupational therapy Last yearrsquos winners wereSylvia Arruda Queenrsquos University

Marie Beaumont Universiteacute drsquoOttawa

Marie-Heacutelegravene Biron McGill University

Julie Charbonneau Universiteacute de Montreacuteal

Heidi Haldemann Dalhousie University

Debra Johnston University of Western Ontario

Alison Leduc McMaster University

Jana Phung University of Alberta

Valeacuterie Poulin Universiteacute Laval

Heidi Reznick University of Toronto

Tracie Jo Sparks University of British Columbia

Katrina Wernikowski University of Manitoba


A N N O U N C I N G T H E 2 0 0 4 5 C A O T A W A R D R E C I P I E N T S

CAOT awards celebrate the contributions of volunteers to our Association Volunteers fulfil many important

roles They are members of the Board of Directors they chair and sit as members of committees and represent

the Association on national coalitions and task forces As well our volunteers contribute to the development

of CAOT products and services such as our journal practice magazine and web site

Johanne Desrosiers 2005 Muriel

Driver Memorial Lecturer and new

CAOT fellow with Reacutejean Heacutebert

who is the Quebec recipient of the

the CAOTProvincial Citation

Award (see page 20)

Muriel Driver Memorial Lectureship AwardJan (Miller) Polgar PhD OT(C)

Dr Polgarrsquos research has firmly established the profession innew areas of practice Her creative yet pragmatic approachhas reached into the board rooms of Canadarsquos leading finan-cial and industrial institutions helping to connect the con-cepts of health and occupation and raising the profile ofoccupational therapy at important decision-making tablesDr Polgarrsquos dedication also reaches close to home where sheis a committed educator and mentor She values the impor-tant work of professional associations and regulatory organi-zations and has volunteered on many boards and committeesthroughout her career The following is a detailed account ofher many accomplishments in all these areas of professionalservice

Dr Polgar received her BScOT from the University ofToronto in 1978 her MAOT from the University of SouthernCalifornia in 1983 and her PhD from the University ofToronto in 1992 She received several honors during her aca-demic preparation including a Ministry of Health Fellowshipan Ontario Graduate Scholarship and the University ofToronto Physical and Occupational Therapy AlumnaeScholarship

Dr Polgarrsquos early clinical work focused on rehabilitationand pediatrics at both the GF Strong Rehabilitation Centrein Vancouver and the Childrenrsquos Rehabilitation Centre ofEssex County in Windsor Ontario She has been on faculty atthe University of Western Ontario since 1982 and anAssociate Professor at the same university since 2000 She wasalso the acting director of the department at Western as wellas a tutor and instructor at both Mohawk College and theUniversity of Toronto

Dr Polgarrsquos professional contributions lie in the areas ofseating and mobility safe transportation and professionalissues She is currently a member of the Board of theCanadian Seating and Mobility Conference and she carriedthe research portfolio on the Canadian Adaptive Seating andMobility Association Board Dr Polgar has supervisednumerous graduate research projects on topics such as theeffect of sitting positions on infantrsquos upper extremity func-tion and the reliability and clinical utility of selected outcomemeasures with adult clients participating in seating clinics

Her own research focuses on this area and she has been boththe principal investigator and the co-investigator on grantsrelated to a toileting system for children and high school stu-dents with severe positioning problems a client-specific out-come measure of wheelchair and seating intervention and theeffects of two methods of pelvic stabilization on occupation-al performance of children and adolescents with cerebralpalsy Dr Polgarrsquos work in this area has been published inPhysical and Occupational Therapy in Pediatrics and present-ed at numerous local national and international conferences

Her most recent area of academic involvement relates tothe investigation of safe transportation for seniors throughThe Automobile of the 21st Century (AUTO21) Dr Polgar iswithout a doubt a champion for improving the health andsafety of vulnerable persons through her continued leader-ship role as a distinguished researcher with AUTO21AUTO21 is a national research initiative supported by theGovernment of Canada through the Networks of Centres ofExcellence Directorate and more than 120 industry govern-ment and institutional partners The Network currently sup-ports over 230 top researchers working at more than 35 aca-demic institutions government research facilities and privatesector research labs across Canada and around the world

Within this network Dr Polgar was elected and served asa member of the Board of Directors of AUTO21 Her role inthis network is to demonstrate the importance of consideringthe person and their occupational needs in the developmentof vehicles and safety devices Dr Polgarrsquos research projects inthis network focus on how to keep vehicle occupants safeWhile todayrsquos cars are safer than ever many of the safety fea-tures have been designed to protect the body type of the aver-age adult male The efficiency of these safety features maydecrease for passengers that are smaller in stature younger orolder

The first component focuses on increasing protection foryoung children and the older adult in vehicles For youngchildren and babies safety seats are an effective way toincrease vehicle safety when installed and used correctlyUnfortunately 80 of child safety seats are installed incor-rectly thus decreasing their effectiveness in reducing the

Since Dr Polgarrsquos undergraduate days she has demonstrated similar

qualities to those shown in Muriel Driverrsquos significant contributions

to the profession and she has used these unselfishly to advance occu-

pational therapy both nationally and internationally



Awards of MeritThese are given to acknowledge significant contributions to theprofession of occupational therapy

James ZamprelliJim is a Senior Researcher of the Policy and ResearchDivision with the Canada Mortgage and HousingCorporation

CAOTProvincial Association Citation AwardsThese awards acknowledge the contributions and accom-plishments to the health and well being of Canadians of anagency program andor individual within each province orterritory who is not an occupational therapist The awardsare usually presented to recipients during National Occupa-tional Therapy Month Reacutejean Heacutebert attended this yearrsquosconference and was presented with the award by the Quebec

associationrsquos president Franccediloise Rollin Details regardingthese awards are published on the CAOT web siteOrdre des ergotheacuterapeutes du Queacutebec

Reacutejean HeacutebertOntario Society of Occupational Therapists

Heart and Stroke Foundation of OntarioPrince Edward Island Occupational Therapy Society

Nora JenkinsNewfoundland and Labrador Association ofOccupational Therapists

Independent Living Resource CentreFamily and Child Care Connections

COTF Grants and Scholarships 2004Masters Scholarships

Mari Basiletti amp Susan Nelson

continued hellip

threat of injury during an accident This project evaluated theefficiency of intervention programs that teach parents how tocorrectly restrain children in vehicles

The second component of the project gathers ideas andopinions from seniors about their concerns for their own safe-ty when traveling in a vehicle as well as for those of other vehi-cle occupants Issues include use of vehicle safety featuresability to get in and out of the vehicle and concerns with othervehicle design features In all of these areas Dr Polgar hasmade a significant contribution to developing graduate stu-dentsrsquo interest in health and safety research and she has pre-sented extensively disseminating information on how best todesign and make person-centred improvements to enhancevehicle safety for the users The grant monies Dr Polgar hasreceived for these various initiatives exceeds $600000

Dr Polgarrsquos scholarly excellence has been recognizedthrough the acceptance of her publications in numerousother journals including Qualitative Health Research theCanadian Journal of Occupational Therapy and ExceptionalityEducation Canada She has been invited to submit chapters inbooks such as both the ninth and tenth editions of Willardand Spackmanrsquos Occupational Therapy and the Introductionto Occupation edited by Christiansen and Townsend She is aco-author with Dr A Cook on the 3rd edition of Cook andHusseyrsquos Assistive Technology Her work has also beenacknowledged by her peers through acceptance of conferencepresentations across Canada at several locations in theUnited States and in Australia

Dr Polgarrsquos commitment to her professional associationsis very impressive and is shown through her ongoing involve-ment at both the provincial and national level She has beenchair elect chair and past chair of CAOTrsquos CertificationExamination Committee and continues to organize local ses-sions for item generation At the national level she has alsoserved as the vice-president of the Association of CanadianOccupational Therapy University Programs She has under-taken many areas of responsibility for the College ofOccupational Therapists of Ontario including academic rep-resentative on the council chair of the Quality AssuranceCommittee and member of the registration committee aca-demic review sub committee and the practice review sub-committee The knowledge Dr Polgar brings to these com-mittees is irreplaceable and her willingness to maintain ahigh level of involvement serves as evidence of the value sheplaces on the advancement of her profession

Dr Polgar is a committed educator who gives freely ofher time and expertise to ensure that her students reachtheir maximum potential She receives excellent teachingevaluations and does not hesitate to go the extra mile toensure the quality of the educational experience received bystudents at all levels in the Faculty of Health Sciences at theUniversity of Western Ontario The students faculty andstaff in the School all joined enthusiastically to nominateDr Polgar in recognition of her many significant contribu-tions to the profession


Doctoral Scholarships

Jane Davis amp Sonia Gulati

Thelma Cardwell Scholarship

Alison Douglas

Goldwin W Howland Award

Melanie Levasseur

2004 Research Grant bull Carolina Bottari

2004 Marita Dyrbye Mental Health Award bull Cathy White

2004 Publication Grant bull Janine Theben and Susan Doble

RoulstonCOTF Innovation Award

University of Ottawa McGill University

University of Alberta University of Manitoba

University of Toronto University of Western Ontario

Certificates of AppreciationThese are given to CAOT Chairs committee members andBoard Directors who have completed their terms

Jocelyn CampbellNew Brunswick Board Director

Sandy DelaneyNewfoundland and Labrador Board Director Risk ManagementCommittee member CAOT Logo Advisory Committee member

Wendy LintottCertification Examination Committee member

Mary ManojlovichPast President Newfoundland and Labrador Board Director partici-pant in the Enhancing Interdisciplinary Collaboration in Primary HealthCare Group Consultation

Huguette PicardWFOT Alternate Chair Nominations Committee Member of FederalElection Action Team

Susan NovoChair Archives Committee

Kimberley SmolenaarsNova Scotia Board Director

Marnya SokulCertification Examination Committee member

Louise DemersEditorial Board member

Laurie SniderEditorial Board member Academic Credentialing Council IndicatorProject Working Group member

Kristine RothMembership Committee member

Heather Beaton Rebecca Bonnell Sabrina Chagani Sylvia CoatesShallen Hollingshead Jean-Phillippe Matton Karen More FarahNamazi Janice Perrault Stefanie Reznick Rochelle Stokes and SusanVarugheseStudent Committee members

Claire-Jehanne DuboulozCanadian Journal of Occupational Therapy Review Board memberAcademic Credentialing Council Indicator Project Working Group

Emily EtcheverryCanadian Journal of Occupational Therapy Review Board memberChair Conference 2003 and 2004 Scientific Program CommitteeAcademic Credentialing Council Indicator Project Working Groupmember

Francine FerlandMembre du comiteacute de redaction de la revue canadien drsquoergotheacuterapie

Marilyn ConibearCAOT Logo Advisory Committee member

Susan VarugheseCAOT Logo Advisory Committee member

James WatzkeCAOT Logo Advisory Committee member

Andrea CoombsConference 2003 and 2004 Scientific Program Committees member

Lisa MendezConference 2003 and 2004 Scientific Program Committees member

Jane McSwigganConference 2003 Scientific Program Committee member

Carol ZimmermanConference 2003 Scientific Program Committee member

Heather CutcliffeConference 2004 Host Committee Co-Convenor

Mari BasilettiConference 2004 Scientific Program Committee member

Charyle CrawleyConference 2004 Scientific Program Committee member StudentRepresentative

Tina Pranger ndash facilitator panelists Debra Coleman Carol Tooton Phil UpshallMarie Basiletti2004 Occupation and Mental Health Professional Issue Forum

Lili Liu mdash facilitator panellists Sharon Baxter Sharon Carstairs DavidMorrison2004 Occupation and End-of-Life Care Professional Issue Forum

Elizabeth Taylor mdash Chair Members Catherine Backman PauletteGuitard Vivien Hollis Terry Krupa Micheline Marazzani Mary Ann

McColl Helene Polatajko Micheline Saint-Jean Elizabeth TownsendAcademic Credentialing Council Indicator Project Working Group

Mary-Andreacutee Forhan Darla King2004 Federal Election Action Team members and participants in theEnhancing Interdisciplinary Collaboration in Primary Health CareGroup Consultation

Joyce Braun Anne Marie Brosseau Victoria Cloud Sandy DaughenMary Beth Fleming Lise Frenette Christina Goudy Sheila HeinickeBeverly Lamb Suzanne Lendvoy Jane McCarney Jacqueline McGarryTracy Milner Lorraine Mischuk Connie Mitchell Sandra MollSusanne Murphy Linda Petty Luigina Potter Tipa Prangrat BarbaraRackow Susan Rappolt Cindi Resnick Fiona Robertson BrendaRyder Barry Trentham Hilda-Marie Van Zyl June Walker WilsonDiane Zeligman2004 Federal Election Action Team members

Ron Berard Linda Bradley Patricia Byrne Jody Edamura KaraGorman Mary Harris Linda Hirsekorn Carolyn Kelly SallyMacCallum Laurie Misshula Erin Mitchell Marie Morrow LouiseNichol Susan Reil Jill Robbins Jennifer Shin Stephanie Wihlidal BarbWorth Bonnie ZimmermanParticipants in the Enhancing Interdisciplinary Collaboration in PrimaryHealth Care Group Consultation

Kathy CorbettParticipant in the Enhancing Interdisciplinary Collaboration in PrimaryHealth Care Group Consultation and the consultation workshop forthe CAOT ethics framework

Marion HuttonParticipant in the Enhancing Interdisciplinary Collaboration in PrimaryHealth Care Group Consultation and Certification ExaminationCommittee ndash Item Generation Workshops

Jean-Pascal Beaudoin Ron Dick Lara Haddad Joseacutee Leacutevesque MaryOrsquoCallaghan Margo Paterson Susan SwansonParticipants in a consultation workshop for the CAOT ethics frame-work

Deb Cartwright Natalie MacLeod Schroeder Angela Mandich LeannMerla Susan Mulholland Toni Potvin Vikas Sethi Lynn ShawCertification Examination Committee Item Generation Workshop par-ticipants

Aman Bains Jason Hawley Alexandra Lecours Gabrielle Pharand-Rancourt Carrie StavnessCAOT Student Representatives

Brenda FraserCAOT Representative to the Coalition for Enhancing PreventivePractices of Health Professionals

Debra CameronCAOT Representative to the National Childrenrsquos Health IndicatorWorking Group Conference

Niki KiepekCAOT Representative to the National Childrenrsquos Alliance on AboriginalYouth Conference



A D V A N C I N G E X C E L L E N C E I N O C C U P A T I O N A L T H E R A P Y

The CAOT Board met on May 29 and 30 in conjunction withthe CAOT conference in Vancouver British ColumbiaMeeting outcomes are listed below

bull Approval of a new 3-5 year strategic plan as followsMission - Advance excellence in occupational therapyVision - All people in Canada will value and have access tooccupational therapyValues -

IntegrityAccountabilityRespectEquity

Strategic priorities -Advance leadership in occupational therapyFoster evidence-based occupational therapyAdvocate for occupational therapy as an essential serviceDevelop workforce capacity in occupational therapyAdvance CAOT as the national occupational therapyprofessional association in Canada

The new strategic plan will be implemented beginningOctober 2005

bull Approval of the 2005-2007 Canadian Occupational TherapyFoundation (COTF) partnership agreement and the 2005-2006 COTF donation agreement under which CAOT pro-vides a $100000 donation to the Foundation

bull CAOT awards policies are currently under revision and willbe completed for the Fall 2005 call for nominations A com-munications plan to promote the awards program as well asa web site awards section will be developed and productionof a descriptive booklet will be consideredApproval of the following 2005 CAOT Citation Awards to begiven during OT Month 2005

William (Bill) PoluhaManitoba Society of Occupational Therapists

Cathy ShoesmithManitoba Society of Occupational Therapists

Dwight AllabyNew Brunswick Association of OccupationalTherapists

bull Approval of the revised CAOT Continuing ProfessionalEducation Position Statement This will be translated andposted on the CAOT web site this summer

bull Committee Chair Appointments- Heather White Chair-Elect of the Certification

Examination Committee beginning October 1 2005- Jane Cox Complaints Committee Chair beginning

October 1 2005

bull A Willis Canada presentation on CAOT directorsrsquo and offi-cersrsquo liability insurance

bull Award of a five-year accreditation from 2004-2009 to theQueenrsquos University occupational therapy program with theoption to extend this for another two years until 2011 uponreceipt of a report to the Academic Credentialing Councilduring the second year of operation of the masterrsquos entry pro-gram

bull Receipt of the Health Canada funded CAOT Report TowardBest Practices for Caseload Assignment and Manage-ment forOccupational Therapy in Canada which will be translatedand posted on the CAOT web site

bull Approval of a new Board communications policy

bull Endorsement of the World Federation of OccupationalTherapistsrsquo definition of occupational therapy which will beposted on the CAOT and OTworksca web sites

bull Approval of the Position Statement on Health HumanResources In Occupational Therapy which will be publishedon the CAOT web site and in the October 2005 issue of theCanadian Journal of Occupational Therapy

bull Receipt of the update report on occupational therapy sup-port personnel with the following directives

- The CAOT Membership Committee will review eligi-bility of provincial support personnel associations foraffiliate CAOT membership and students of occupa-tional therapy support personnel education programsfor student membership in CAOT

- The Academic Credentialing Council will review theissue of accrediting occupational therapy support per-sonnel education programs

- CAOT will review and revise the 2002 version of theProfile of Occupational Therapy Practice in Canada toensure it reflects the continuum of skills and knowl-edge currently needed by the occupational therapyworkforce to meet the health needs of Canadians


May 2005 Board Meeting Highlights

The next Board meeting will be held November 25-26 2005 in Calgary

24 OT Now bull JULYAUGUST 2005



NATIONAL COALITIONS AND ALLIANCES

Active Living Coalition for Older Adults(ALCOA) mdash wwwalcoacaeindexhtmCAOT is a roundtable member of ALCOADarene Toal-Sullivan who represents CAOTon ALCOA will follow up on future possibili-ties for CAOT to continue its involvement inthe areas of falls prevention for older adultsand seniorsrsquo mental health The diabetes proj-ect was extended into 2005 Approximately20000 copies of the Be Active Eat Wellguides were distributed and ALCOA will con-tinue to disseminate the guides and otherresources produced by the project LouiseBeaton is the CAOT representative on theproject CAOT is also a member of the newOlder Old Adultrsquos Health Committee(OOAH) which was created in July 2004 Theobjectives of the OOAH is to improve thehealth and well being of adults 80+ years ofage through the development of trainingmaterial and resources to promote the bene-fits of healthy living

Chronic Disease Prevention Alliance ofCanada (CDPAC) mdash wwwcdpaccaCDPAC is a networked community of organ-izations and individuals who share a commonvision for an integrated system of chronic dis-ease prevention in Canada The focus of thealliance is on the three leading chronic dis-eases in Canada cancer cardiovascular dis-ease and diabetes In the March 2005 federalgovernment budget $300M was made avail-able through the Public Health Agency ofCanada for healthy living and the preventionof chronic disease There will be consultationsin each province and territory to develop pub-lic health goals for Canada hosted by FederalMinister of State for Public Health CarolynBennett and Manitoba Minister of HealthyLiving Theresa Oswald The first roundtableswere held in Winnipeg Toronto ReginaEdmonton and Prince George in March andApril 2005 Summaries of these meetings willbe posted on a public health goals web site athttpwwwhealthycanadiansca Additionalinformation and opportunities for consulta-tion will also be available on the web site

Canadian Coalition on Seniors MentalHealth (CCSMH) mdashwwwccsmhcaCCSMHrsquos mission is to promote the mentalhealth of older personsseniors by connectingpeople ideas and resources CAOT was amember of the education sub-committeewhich developed an inventory of educational

materials for front-line workers This invento-ry is available on the CCSMH web siteDarene Toal-Sullivan is the CAOT representa-tive on the Coalition

Canadian Working Group on HIV andRehabilitation (CWGHR)httpwwwhivandrehabcaThe CWGHR is a national non-profit organi-zation which promotes innovation and excel-lence in rehabilitation in the context of HIVthrough research and education In February 2005 funding through HealthCanadarsquos Capacity Building Fund wasapproved for the project InterprofessionalLearning in Rehabilitation in the Context ofHIV Stakeholder Capacity Building throughDevelopment of New Knowledge Curricu-lum Resources and Partnerships Dr DebraCameron from the University of Toronto willrepresent CAOT on the advisory committeefor this project The objectives of this projectare to increase awareness of CWGHR andrehabilitation stakeholders of existing curricu-lum resources educational initiatives pro-grams and tools in rehabilitation in the con-text of HIV and multi-disciplinary educationand identify and build upon effective multi-disciplinary strategies for exchanging knowl-edge skills and tools

Todd Tran CAOT representative toCWGHR continues to also represent CAOTon the Canadian Rainbow Health CoalitionThe objective of the Rainbow Coalition is toaddress the various health and wellness issuesthat people experience in their sexual andemotional relationships with people of thesame gender or as a result of a gender iden-tity that does not conform to that assigned tothem at birth httpwwwrainbowhealthcaenglishindexhtml

Quality End-of-Life Care Coalition (QELCC)The QELCC believes that all Canadians havethe right to quality end-of-life care that allowsthem to die with dignity free of pain sur-rounded by their loved ones in a setting oftheir choice The Coalition believes that toachieve quality end-of-life care for allCanadians there must be a well-funded sus-tainable national strategy for palliative andend-of-life care It is the mission of theQuality End-of-Life Care Coalition to worktogether in partnership to achieve this goalCynthia Stilwell from Nova Scotia hasrecently been appointed as CAOTrsquos first rep-resentative to the QELCC

The Coalition for Public Health in the 21stCentury (PHC21)The PHC21 is a partnership of national non-government professional health andresearch organizations committed to makingCanadians the healthiest people in the worldby advocating for an effective nationally ledpublic health system The purpose of PHC21is to improve and sustain the health ofCanadians by advocating for policies thatstrengthen the public health system GayleRestall from Manitoba has been recentlyappointed as CAOTrsquos first representative tothe PHC21

Canadian Alliance on Mental Illness andMental Health (CAMIMH)wwwmiaw-ssmmcaCAMIMH promotes the establishment andimplementation of a Canadian action plan onmental illness and for mental health thatreflects a shared national vision for meet-ing the needs of persons with mental ill-nesses and enhancing the potential for thepositive mental health of Canadians CAOTjoined CAMIMH in April 2004 as a coremember Diane Meacutethot is the CAOT repre-sentative on CAMIMH

For the first time CAMIMH coordinatedMental Illness Awareness Week in Canadawhich was held October 4-10 2004CAMIMH has also recommended the devel-opment of a substantial project to bettermeasure mental health literacy in Canada andan accompanying social marketing campaign

Also in October 2004 CAMIMHrsquos Man-agement Committee met with MinisterDosanjh and senior Health Canada officials todiscuss a number of mental health and men-tal illness issues CAMIMH submitted sugges-tions for the Ministerrsquos consideration and hesubsequently announced the following aninter-departmental network of senior govern-ment officials whose responsibilities includemental illness or mental health issues and theHonourable Michael Wilson as the MinisterrsquosSpecial Advisor on mental health issues in thefederal work force The Minister also called onCAMIMH to develop support among theprovincial Ministers of Health for a meeting ofHealth Ministers in early 2006 with the soleagenda item of mental illness mental healthand addiction issues in Canada This couldlead to a subsequent meeting of FirstMinisters that would endorse a national men-tal illness mental health and addiction accord

A Call for Action developed by CAMIMHincludes a plea for more data collection and

On your behalf




surveillance of mental illness in Canada InMarch 2005 CAMIMH in partnership withthe Public Health Agency of Canada hosteda workshop that will result in the develop-ment and funding of demonstration projectsto inform a national surveillance initiative formental illnesses in Canada

Mental Health Support Network of Canada(MHSNC) mdash wwwmdmcacmhsnThe MHSNC a network of 12 health organi-zations was launched October 10 2001 inresponse to the events of September 112001 to provide trusted advice educationand support to the public and the profession-al community during times of disasters ter-rorism and emergencies

A meeting of the MHSNC was heldDecember 15 2004 prior to the tsunami dis-aster At that time the focus of the meetingwas on the development of a documentTalking About Disaster Guide for StandardMessages by the US National DisasterEducation Coalition The document provideskey messages that are common for manyorganizations in times of disastersemergen-cies The Canadian Red Cross was given per-mission to revise the US publication forCanadian use (the content of the guide hasnot been changed) Members were in agree-ment that there is a leadership opportunity forMHSNC to develop a health emergenciescomponent to the Guide that would incorpo-rate psycho-social aspects MHSNC membersagreed to delegate action items to a smallworking group comprised of the CanadianRed Cross Canadian Medical AssociationCanadian Psychological Association and theEmergency Social Services Division of Centrefor Emergency Preparedness and Response

After the tsunami disaster a core group ofMHSNC members met to revise the fourbrochures in the Coping with Stress seriesdeveloped post 911 The brochures nowaddress reactions to stressful events in a moregeneric fashion without reference to a specif-ic event The Public Health Agency of Canadais reformatting the brochures for an electron-ic and print version It is expected that theywill be ready mid-April 2005 CAOT request-ed copies for Board members as well as pdfsin English and French to post on our web siteThese resources will also be shared withWFOT

Getting a Grip on ArthritiswwwarthritiscagettingagripThe Arthritis Society and several partnersreceived over $38 million through thePrimary Health Care Transition Fund for theimplementation of the Getting a Grip onArthritis project The goal of this project is to

increase the ability of primary health careproviders and people with arthritis to worktogether in managing arthritis The projectsupports primary health care providers in theirdelivery of arthritis care by emphasizing pre-vention early arthritis detection comprehen-sive care appropriate and timely referral tospecialty care and education in the self man-agement of arthritis The deliverables include30 accredited workshops on arthritis bestpractices for primary health care providersacross Canada over the next two years This issupported through the provision of a newlydeveloped Arthritis Best Practices Toolkit to beused by providers and patients

Mary Manojlovich represented CAOT atthe Newfoundland and Labrador Stakeholdersession December 9 2004 for the Getting aGrip on Arthritis project The objectives of thissession were to assist in the identification ofworkshop sites faculty and the timing of theworkshops and to identify arthritis special-ists in the communities participating in theworkshops as well as arthritis communityresources

Occupational therapists from across thecountry have been involved in the develop-ment and delivery of the workshops specifi-cally the occupational therapy joint protectionand assistive devices component By the endof June 2005 thirty workshops will have beenheld across Canada in rural and urban set-tings Sydney Lineker Director of the Gettinga Grip on Arthritis project wrote an article forOccupational Therapy Now which appearedin the May 2005 issue

For more information contact the Gettinga Grip on Arthritis Regional CoordinatorsWendy McCrea Alberta and BritishColumbia wmccreaarthritisca Iris BusseyAtlantic Provinces ibusseyarthritisca SheilaRenton Ontario srentonarthritisca SylviaJones the Prairies sjonesarthritiscaJocelyne Gadbois Quebec jgadboisarthri-tisca

Human Resources Development CanadaOffice for Disability Issues (ODI)The ODI will develop an information pack-age for health care professionals that willprovide them with detailed informationabout federal programs and services thatrequire a medical (health professional)assessment The five federal programs thatrequire a medical certificate includeCanada Pension Plan Disability PensionDisability Tax Credit Canada Study Grantsfor Students with a Permanent DisabilityResidential Rehabilitation Program forPersons with Disabilities and the VeteransAffairs Disability Pension Program

The Standing Committee on Human Rights

and the Status of Persons with DisabilitiesJune 2003 report entitled Listening toCanadians A First View of the Future of theCanada Pension Plan Disability Programmade the following recommendations perti-nent to health professionals

ldquo that a comprehensive informationpackage be developed to provide adescription of each federal disabilityprogram which requires medicalhealthassessments its eligibility criteria thefull range of benefits available copiesof sample forms and any other rele-vant materialrdquo mdash recommendation32ldquo that Human Resources DevelopmentCanada (Department of SocialDevelopment) provide the compre-hensive information package to allhealth care professionals and put inplace an outreach program to providethem with the information and educa-tionldquo mdash recommendation 36

Sharon Brintnell represented CAOT in January2005 at an ODI consultation regarding thepackage

National Childrenrsquos AllianceThe Alliance seeks to develop Canadian poli-cy that sustains families builds healthy chil-dren families and communities and remainsaccountable to Canada and the world DebraCameron and Debra Stewart both membersfrom Ontario are the CAOT representativesto this coalition

Since 2004 NCA has been working on anational youth agenda The discussion paperWhy Canada Needs a National Youth PolicyAgenda can be found at wwwnationalchild-rensalliancecomncapubs2004youthpoli-cypaperhtm The paper clearly identifies theissues and reasons for the NCA to catalyzesystemic transformational change and pro-vide momentum towards concrete civic andpolicy engagement A National Youth Forumwas held in Kingston in March with represen-tation from youth throughout Canada Thereport is expected to set out the issues thatyouth perceive to be the most important insetting policy This report was to be releasedin June 2005

HEALTH AND SOCIAL POLICY2005 Federal Budget AnalysisThe 2005 budget is not a health budgetNevertheless the Finance Minister pledgedan additional $805 million in direct federalhealth investments spread evenly over thenext five fiscal years The Conference Boardof Canada identified some of the investmentsindicated in the 2005 Budget These are sum-marized below




bull $200 million over 5 years to support initia-tives in the areas of health humanresources wait times initiatives and per-formance reporting

bull $75 million over 5 years to accelerate andexpand the assessment and integration ofinternationally educated health care profes-sionals

bull $15 million over four years for wait timesinitiatives (in addition to the $55 billion inwait times reduction funding from theSeptember 2004 agreement) that will buildon and complement jurisdiction-specific ini-tiatives (eg research on wait times andthe development of benchmarks and indi-cators)

bull $110 million over 5 years to be used by theCanadian Institute for Health Information(CIHI) to improve the data collection andreporting of health performance informa-tion

bull $300 million over 5 years to the PublicHealth Agency of Canada for an integratedstrategy on healthy living and chronic dis-ease

bull The Aboriginal Diabetes Initiative willreceive increased funding growing from$25 million in the first year to $55 millionat maturity (as part of the $700 millionAboriginal health package)

bull Funding in this Budget complements theMay 2004 announcement of doubling thefunding for the Canadian Strategy onHIVAIDS over the next 5 years from $422million to $844 million annually

bull Building on a February 4 2005 announce-ment of purchasing 96 million doses ofantivirals at a cost of $24 million to create anational stockpile the budget provides anadditional investment of $34 million over 5years to assist in the development and test-ing of a prototype vaccine for an influenzapandemic

Social investments includebull $5 billion over five years for the develop-

ment of a new early learning and child careinitiative - a key commitment in last yearrsquosspeech from the throne

bull Enhancing tax assistance for persons withdisabilities and caregivers through expand-ed eligibility for the disability tax credit andother measures

In summary there is no additional financialsupport for primary health care renewal or foran integrated health human resource strategyHowever as part of the political agenda thebudget will address wait times add moreinternationally educated health care profes-sionals and equipment to the system andfocus on better public health and wellness

CAOT Analysisbull CAOT is well positioned within the current

public policy context to advance its strate-gic objectives While the Association isworking towards an integrated healthhuman resources (HHR) strategy with theHealth Action Lobby (HEAL) CAOT is alsoable to address occupational therapy HHRissues very adequately with the publicfunding it has secured to date The gov-ernmentrsquos wait time strategy opens thedoor to new research that could look at theimpact of an effective HHR workforce onwait times The conference Taming of theQueue which took place on March 312005 addressed the current developmentin wait times research provincially andinternationally It is clear that researchersand decision-makers recognize the impor-tance of HHR based on population healthneeds as an essential factor in finding solu-tions for wait times for health services

bull There are numerous pressures on the gov-ernment to invest in a pan-Canadian HHRstrategy These are coming from the PublicHealth Coalition for the 21st CenturyHEAL the Quality of End-of-Life Coalitionand the Health Council of Canada

bull The Public Health Coalition for the 21stcentury (PHC21) will be working to consultwith the Public Health Agency of Canadaon its Integrated Strategy on Healthy Livingand Chronic Disease According to PHC21the government still needs to invest in apan-Canadian health human resourcestrategy and a coordinated plan to rebuildthe public health system Gayle Restall isthe CAOT representative to the Coalition

bull Further funding to implement PrimaryHealth Care Reform is an area of strategicconcern for CAOT (see below)

Pan-Canadian Awareness Strategy forOccupational Therapy in Primary HealthCareThe Pan-Canadian Awareness Strategy is anoutgrowth of three other initiatives CAOTrsquosFederal Election Action Campaign (2004) theEnhancing Interdisciplinary Collaboration inPrimary Health Care (EICP) initiative and theCanadian Collaborative Mental Health Initia-tive (CCMHI) The two latter initiatives fund-ed through Health Canadarsquos Primary HealthTransition Fund aim to have a significantimpact on reforming the primary health caresystem in Canada by exploring conditionsnecessary for health providers to work togeth-er effectively to provide best possible out-comes for clients Yet as the 2005 budgetanalysis reveals there has been no mention ofany funds earmarked for interdisciplinary col-

laborative primary health care servicesMoreover unless the health services providedare medically necessary as defined in theCanada Health Act the provinces and territo-ries have the decision-making power to deter-mine how the health transfer dollars arespent

Recognizing that the prospect for publicfunding of occupational therapy services inprimary health care is very remote CAOT willbe proactive in influencing the developmentof municipal provincialterritorial and nation-al policy on issues such as the importance ofoccupation for the health and well-being ofthe population and recognition of occupa-tional therapy as an essential service in keyareas such as home community and end-of-life care within the context of interdisciplinarycollaborative primary health care teams

This two-year initiative will establish adynamic network of CAOT members andstakeholders interested in political advocacyThey will be trained and well informed inorder to respond to issues on behalf of CAOTThe Pan-Canadian Awareness Strategy will belaunched in October 2005 in conjunction withOT MonthThe objectives of the strategy are tobull Increase CAOTrsquos capacity for political ad-

vocacybull Promote awareness and increase access to

occupational therapy services through thepolitical process at all levels of government

bull Establish relationships with targeted politi-cians at all levels of government to influ-ence the development of municipalprovincialterritorial and national policy onthe importance of occupation for thehealth and well-being of the populationand recognition of occupational therapy asan essential service in primary health care

Participants will promote the following mes-sagesbull The Canadian Association of Occupational

Therapists (CAOT) recognizesbull That all people of Canada should have

access to the right health professional atthe right time in their community through-out their lifetime

bull That an interdisciplinary collaborative pri-mary (ICP) care health care team is aneffective way to respond to the healthneeds of the Canadian population

bull That occupational therapy is an essentialservice and resource to promote health andsupport well-being and should be fundedas a key primary health care provider

Questions regarding this strategy shouldbe addressed to Donna Klaiman atdklaimancaotca

News from the FoundationUpcoming competitionsAugust 31

OSOT Research Education AwardSeptember 30

Goldwin HowlandThelma CardwellDoctoral ScholarshipsMasterrsquos ScholarshipsJanice Hines Memorial Award

For details and application forms see the Grants section atwwwcotfcanadaorg

Upcoming fundraising eventsAugust 8

Invacare Golf Tournament in the Greater Toronto AreaOctober

Art Ability in Toronto (we encourage artists to donateitems) For more information please contact Sangita Kambleacuteby e-mail at skamblecotfcanadaorg

CongratulationsThe purpose of the RoulstonCOTF Innovation Award is torecognize innovation in one of the following areasbull best design projectbull most innovative idea developed during course workbull most innovative research projectbull best fieldwork placement in private practicebull most innovative program developmentThe following six universities received $100 to be awarded toa student of their choice based on the award criteria

University of AlbertaMcGill UniversityUniversity of ManitobaUniversity of OttawaUniversity of TorontoUniversity of Western Ontario


Your support countsCOTF sincerely thanks the following individuals companies and organizations for theirgenerous financial support during the period of March 1 to April 30 2005 COTF willacknowledge donations received after May 1 2005 in a future issue

Marte Bachynski

Sue Baptiste

Gillian Barr

Denyse Blanco

Giovanna Boniface

Jane Bowman

CAOT

Deb Cameron

Donna Campbell

Patricia Card

Anne Carswell

Mary Clark Green

Melissa Coiffe

Juliette Cooper

Sandy Daughen

Elizabeth Demetriou

Johanne Desrosiers

Mary Edwards

Mary Egan

Tamra Ellis

Patricia Erlendson

Emily Etcheverry

Jennifer Fisher

Francis amp Associates

Margaret Friesen

Julie Gabriele

Shahnaz Garousi

Karen Goldenberg

Susan Harvey

Invacare Canada

Susan James

Alan Judd

Donna Klaiman

Andrew Ksenych

Sonia Magnuson

Mary Manojlovich

Katherine McKay

Diane Meacutethot

Jan Miller Polgar

Denise Reid

Gayle Restall

Jacquie Ripat

Annette Rivard

Patricia Rodgers

Bradley Roulston

Saskatachewan Society of

Occupational Therapists

Kimberley Smolenaars

Marlene Stern

Debra Stewart

Thelma Sumsion

Linda Theessen

Barry Trentham

United Way of the Lower

Mainland

Lise Vincent

Irvine Weekes

Muriel Westmorland

Seanne Wilkins

Willis Canada Inc

Frances Williams

Natividad Ibay Yasay

Karen Yip

1 anonymous donor

Remember to update your contact informationCOTF would greatly appreciate it if you would inform Sandra Wittenberg of any changes toyour contact information Sandra can be reached by e-mail at swittenbergcotfcanadaorg or1 (800) 434-2268 ext 226


This year marks the second time that wersquore

holding our national awareness campaign

over the full month of October giving you a

greater window of opportunity to promote

our profession We encourage you to do

whatever you can to spread the word about

occupational therapy during National OT

Month Any activity no matter how small

can make a difference

This yearrsquos National Occupational Therapy Month theme isldquoYes I Canrdquo and will communicate an empowering messagethat all people can and should participate in their desiredactivities regardless of age or ability This theme was chosenfor its universal appeal and its relevance to a wide spectrum ofpractice settings and client ages We hope yoursquoll find it easy toincorporate the ldquoYes I Canrdquo theme into your OT Month activ-ities

CAOT will be developing a ldquoYes I Canrdquo logo that willcomplement the existing ldquoSkills for the Job of Livingrdquo art-work We are also developing a series of vignettes that willshowcase how occupational therapists work with people indifferent settings (in the home at work in the communityetc) to enable people to do what they want to do and improvetheir quality of life These vignettes along with supporting

information will be placed on the CAOT web site Weencourage you to download and use them in your OT Monthpromotional efforts which could include distributing theinformation via local newspapers community centres or out-reach events Watch the CAOT web site for more tips samplenews releases public service announcements graphics and apromotional item order form The OT Works web site(wwwotworksca) also contains consumer information youmay find helpful

The special edition of OT Now released in earlySeptember will complement the ldquoYes I Can themerdquo by show-casing occupational therapyrsquos role in independence andautonomy for all people and in supporting and advocatingfor an inclusive society A colourful poster will be mailed withthis issue in the form of a wall calendar with images of clientswho have experienced success through occupational therapy

A National OT Month Committee has been formed and ismeeting each month to share plans that are underway in theprovinces the territories at the Canadian OccupationalTherapy Foundation and at CAOT Each organization is devel-oping strategies to promote the OT Month theme and how tobest convey the ldquoYes I Canrdquo message For information regard-ing your province or territoryrsquos specific initiatives please con-tact the individual committee member for your area

Further informationThe National OT Month Committee will continue to keep youinformed as more plans solidify across the country Watch forupdates on the CAOT web site and in your provincialterritori-al communications In the meantime take a look at these 10steps to a successful month and start planning now

Steps to a successful National OT Month1 Know where you are headedThe goal of Occupational Therapy Month is to promoteawareness of occupational therapy in the community andbecause this yearrsquos theme is so broad you really canrsquot gowrong Your target audience could include parents schoolsor senior citizens as well as third-party payers who mayinclude insurers workersrsquo compensation boards employersetc Is there a particular threat or opportunity in your areathat could be addressed through an OT Month strategyContact your provincialterritorial association for assistanceor consider using information from wwwotworksca whichhas occupational therapy tips and information for people ofall ages

National Occupational Therapy Month Yes I CanLauren Klump CAOT Communications Coordinator

2005 OT MONTH COMMITTEE MEMBERSLauren Klump CAOT lklumpcaotca

Sangita Kambleacute COTF skamblecotfcanadaorg

Suzanne Bruton-Toombs BCSOT suzybtshawca

Carrie-Lee Watters SAOT wwwsaotca

Renee Knutson SSOT reneeknutson01yahooca

Denyse Blanco MSOT DBlancoexchangehscmbca

Anne Marie Woodford NLAOT anne_marie_woodfordhotmailcom

Tanya Goodwin NLAOT goodwintanyayahoocom

Christie Hamel OSOT christiehamelyahoocom

Lilli Ju NBAOT lhjuhealthnbca

Gina Hanley NSSOT nssotnssympaticoca

Melissa Croskery AYOT MelissaCroskerygovykca


2 Organize your OT Month committeeThe combined efforts of your committee members can makeplanning successful and interesting Ask people to volunteerIt may be challenging to recruit people because everyone hassuch busy schedules so you may need to approach them witha message of ldquomore hands make less work for allrdquo Donrsquot for-get to invite students too At your first meeting schedulefuture meetings so that everyone can plan around these datesand times and make a commitment to attending Thenhellipbrainstorm and plan away

3 Who do you hope will learn something aboutoccupational therapyChoose an area or a group of people in your community thathas a need for OT services or that you think knows little aboutthe profession or has a limited viewpoint of it OT Month isyour chance to augment or change their perspective

4 What do you want people to learn about occupa-tional therapy

This will depend on who yoursquore targeting Here are a fewexamplesIn the workplace hellipbull How occupational therapists help people to return to

work via functional capacity evaluations work-siteanalysis employee education ergonomic analyses etc

bull How occupational therapists can help employers toreduce stress on the job

In schools hellipbull How occupational therapists can help students perform

better in specific tasks like handwriting or improvingtheir motor coordination

bull How occupational therapists can work with teachers toaccommodate students with disabilities

In the home hellipbull How occupational therapists can offer strategies to assist

with specific activities eg if someone has difficultybathing the occupational therapist can recommendequipment such as a bath bench or a powered bath lift

bull How occupational therapists can provide advice on uni-versal design so people can build or modify their homesto suit their current and future needs

5 Plan the howYoursquove determined what you want to say and to whom Nowconsider how you can best accomplish this Through activitiesor events A media contact program A direct mail campaign

6 Plan the when and whereWhat is the best time of dayevening for your chosen activi-tiesevents What are the best days of National OT Month forthese Where should you hold your events At your work-place Outside the workplace

7 Your OT Month committee is keyOnce yoursquove decided what you want to say who you want tohear it how yoursquore going to do it when and where you areready to put your plan into action Make a list of what has tobe done and when and assign specific responsibilities to eachOT Month committee member Have regular committeemeetings to make sure you are on schedule

8 Who else can assist youIs there a public relations or communications officer in yourworkplace If yes ask your own experts how they might helpmake OT Month successful both in your workplace and out-sideCan you afford it Sometimes the ideas are brilliant butrequire more money than you have to make them happenPerhaps you can get companies or organizations to sponsoryour ideas Develop a list of ways to publicly acknowledgeyour sponsors For example you could thank them on yourpamphlets or display signs at your events

9 During National OT MonthUse your poster and the September OT Now Display them inyour facility or outside to reach a new group of people Usethe OT fact sheets available on the CAOT web site Includethem in news releases to the media for background informa-tion submit them to your facilityrsquos newsletter or give theseout during presentations You may wish to place the fact sheetinformation on your own letterhead Make sure you includeyour own contact information name address phone and faxnumbers

Take photos of activities people displays etc You canuse them in your facilityrsquos newsletter or the local media mightbe interested in receiving one or two with a news releaseabout your event Be sure to get signed permission from anystaff or clients appearing in the photographs

10 After National OT Monthbull Have a wrap-up meeting with your OT Month commit-

tee as soon after the month as possible Yoursquove workedhard and congratulations are in order

bull Remember to thank everyone who helped make themonth such a success A thank-you note is always appre-ciated and increases the chance these people will helpagain next year

bull Do make notes about what worked what didnrsquot whatshould stay the same or what could be changed for nextyear These notes will be very helpful for next yearrsquos com-mittee If you write things down while theyrsquore still freshin your mind planning National OT Month next yearwill be much easier

bull Of course keep a file of any media coverage Save clip-pings from newspapers and ask radio and TV stations forcopies of the recordings


CO-HOSTED WITH CAOTJune 1-3CAOT 2006 Conference Evidence andoccupation Building the future Call ofpapers deadline August 1 MontrealQuebec Tel (800) 434-2268 ext 228e-mail conferencecaotca

ENDORSED BY CAOTSeptember 16-212005 International Occupational TherapyConference Conception and Developmentof the Occupational Therapy Profession inMainland China Qingdao Chinawwwhkiotorgot2005whole_ehtm

September 17-18The Multicontext Approach to CognitiveRehabilitation Awareness Memory andExecutive Dysfunction Vancouver BCSpeaker Joan Toglia PhD OTR ProviderDianna Mah-Jones Occupational TherapyConsultant1243 W 64th Ave Vancouver BC V6P2M7 Tel (604) 263-8730 Fax (604)263-8730

September 21-23Canadian Seating and MobilityConference Toronto ON Contact Tel(519) 662-3542 Fax (519) 662-4730wwwcsmcca

September-April1 Modern Management 2 ContinuousQuality Improvement for Health Servicesand 3 Risk Management and Safety inHealth Services (All distance learning)Contact Cheryl Teeter CanadianHealthcare Association 17 York StOttawa ON K1N 9J6 Tel (613) 241-8005 ext 228 wwwchaca

November 3-4From Research into Practice TorontoProvider A collaboration by the CanadianLanguage amp Literacy Research NetworkIntegra Learning Disabilities Association ofOntario and Toronto District OISEUniversity of Toronto The Hospital for SickChildren Contact Person Mary-GayleGoebel Tel (416) 226-9756 Fax (416)221-9926 e-mail mggoebelinterlogcom

ONGOINGMyofascial Release SeminarsMyofascial Release I Myofascial Release IIFascial-Pelvis Myofascial Release Cervical-Thoracic Myofascial Release MyofascialUnwinding Myofascial MobilizationPaediatric Myofascial Release VariousCanadian and US dates Instructor JohnF Barnes PT Contact Sandra CLevengood Myofascial Release Seminars222 West Lancaster Avenue Paoli PA19301 Tel (800) FASCIAL (327-2425)Fax (610) 644-1662 e-mailpaolimyofascialreleasecomwwwmyofascialreleasecom

WEB-BASEDDISTANCE EDUCATIONAcquire an Expertise in DrivingEvaluation Adaptation amp RetrainingBilingual Program Dates September-December January-April May-AugustProvider School of Physical andOccupational Therapy at McGill UniversityContact Isabelle Geacutelinas PhD 3654Promenade Sir-William-Osler MontrealQC H3G 1Y5 Tel (514) 398-4514 Fax(514) 398-6205e-mail isabellegelinasmcgillcawwwautoeducca

DALHOUSIE SERIESSeptember-DecemberAdvanced Studies in Enabling Occupation(OCCU5010) Instructor Robin StadnykIdentity and Transitions (OCCU5040)Instructor Dr Raewyn BassettJanuary-April 2006Advanced Research Theory and Methodsfor Occupational Therapists (OCCU5030) Instructor Dr Brenda BeaganCommunity Development forOccupational Therapists (OCCU 5042)Instructor Dr Loretta de RozarioProgram Evaluation for OccupationalTherapists (OCCU 5043)Instructor Debra BoudreauContact Pauline Fitzgerald School ofOccupational Therapy DalhousieUniversity Forrest Bldg Room 215Halifax NS B3H 3J5 Tel (902) 494-6351e-mail pfitzgeralddalca

NIDMAR COURSES 2005-2006Effective Disability ManagementPrograms (Module A) Dates on-line Sept12-18 amp Oct 3-9Legislation and Disability Management(Module I) Dates on-line Nov 21-Dec 4May 8-14Workersrsquo Compensation and Return toWork (Workshop Module J)Dates on-line Nov 28-Dec 4Insurance and other benefits (Module L)Dates on-line Sept2-18Disability Management in UnionizedOrganizations (Module N) Dates on-lineOct 3-9 Feb 27-March 5Disability Management from a HumanResources Perspective (Module P) Dateson-line Nov 7-13 Feb 27-March 5Marketing and Education in DisabilityManagement and Return to Work (ModuleU) Dates on-line Oct 31-Nov 6Information Management (Module V)Dates on-line Nov 14-20 Feb 20-26Job Analysis (Module E) Dates Oct 24-30Provider National Institute of Disability Management and Research (NIDMAR)Contact Heather Persons NIDMAR 830Shamrock Street Suite 202 Victoria BCV8X 2V1 Tel (604) 736-2578 Fax (604)733-2519 e-mail HeatherPersonsnid-marca wwwnidmarca

Graduate Certificate Program inRehabilitation Sciences (University ofBritish Columbia and McMasterUniversity) Five required courses offeredJan-April amp Sept-Dec each year andinclude Evaluating Sources of EvidenceReasoning and Clinical Decision MakingMeasurement in Practice DevelopingEffective Rehabilitation Programs andFacilitating Learning in RehabilitationContexts Some courses eligible for onlinemasters programsInformation wwwrehabubcca orwwwfhsmcmastercarehab

Graduate Program in Post-SecondaryStudies (Health Professional Education)Memorial University of NewfoundlandCentre for Collaborative HealthProfessional Education and Faculty ofEducation Tel (709) 737-3402 Fax (709)737-4379 e-mail edugradmuncawwwmuncasgs

CAOT Learning ServicesContinuing Professional Education

The whole purpose of education is to turn mirrors into windows mdash Sydney J Harris


The CAOT national conference is anannual event greatly anticipated byoccupational therapists in Canada The conference

provides a venue for members to hear and share the latest inresearch practice and professional issues Through this arti-cle I will provide some insight into the abstract selectionprocess and some practical suggestions for your next submis-sion

Process of submission and selectionThe process of submitting to the annual conference is out-lined on the web site Students of entry-level programs havean extended deadline to accommodate their academic sched-ule This category has been expanded to include those pre-senting work done in the previous year as an entry-level stu-dent The process of selection is also outlined on the web siteA new Abstract Review Board has been struck this year toreduce variability between reviews

Writing an abstractAbstracts are judged according to the published criteria Thecriteria may change from year-to-year so be sure that youread them carefully each year you submit Reviewers willjudge your abstract against the criteria subtracting marks fornon-conformance

The requirement to include headings with abstracts isnew Headings ensure consistency and ease the work ofreviewers Abstracts should be written in an informative styleincluding all of the necessary information about the presen-tation topic

Note and make use of the word limit to fully describethe presentation content Shorter abstracts may not provideenough information to judge the quality of presentationwhile lengthy abstracts will be returned for truncation Un-informative sentences or generic statements that do notspecifically relate to your work waste valuable word space andshould be deleted

Abstract writing is an iterative process Write it Leave itRead it Revise it Start well in advance of the deadline andrequest feedback from a colleague Double-check your

spelling and grammar prior to submissionYou want to ensure that reviewers perceive

you as an expert in your area errors may send reviewers anegative message

Choice of formatCarefully weigh the choice of poster paper or extended ses-sion Although it is often personal preference some work ismore suitable for one format than another Poster presenta-tions can present a large amount of data and promote infor-mal discussions with delegates Recently there has been lesscompetition for poster slots because fewer individuals selectthis format Extended session abstracts must include facilita-tion of a group discussion or learning experience There areoften a high number of submissions and a low number ofslots available creating competition for the extended sessions

A submission category must be chosen Some abstractsdo not easily lend themselves to categorization The categoriescover both the scope of practice and client ages If yourabstract could fall under more than one category consider thecompetition and choose strategically The Scientific ProgramCommittee sets acceptance rate targets for each categorybased on the premise that more submissions indicate moreinterest and work being done in the area With 400 submis-sions and 200 presentation slots we would establish anapproximate category acceptance rate of 50 If 30 peoplesubmit to one category we set an approximate target ofaccepting 50 or 15 Thus the chance of getting accepted isthe same

Presenting at a national conference is a professional high-light for many occupational therapists The opportunity todiscuss your professional passion and to network with otherswho share your enthusiasm is exhilarating I look forward toseeing you at the next conference

Deadline for submitting abstractsAugust 1 2005

See wwwcaotca for more information

Consider submitting an abstractto the 2006 CAOT Conference

Jacquie Ripat Chair Scientific Program Committee


CAOT is pleased to announce that its 2006 ConferenceEvidence and Occupation Building the future will be held inMontreal Quebec We hope yoursquoll join us in this uniquevibrant metropolis to share evidence for occupational therapy

What to do and see in MontrealMontreal the metropolis has everything a big city can offerIt is also a one-of-a-kind multicultural city that blends itsFrench accent with those of over 80 other ethnic communi-ties and charms visitors with its Euro-Canadian ambianceMontreal is also innovative and invigorating offering a whirl-wind of modern and traditional cultural creations Montrealrsquosdowntown bustles with life at the foot of its mountain whilehistory is rooted in the old quarters near the river With itsyear-round party atmosphere Montreal beats to the rhythmof its festivals jazz comedy cinema fireworks and more Thecity beckons you to discover its fashionable boutiques andfamed cuisine over 30 km of indoor pedestrian walkwaysand its lively casino Stroll through its colourful streets andtypical neighbourhoods representative of a mosaic of nationstake a ride along one of its many bicycle paths party in itsinviting bars Montreal Oui srsquoil vous plaicirct

Explore the old cityRiding in a horse-drawn carriage around the eighteenth- andnineteenth-century residences of Old Montreal you will dis-cover the imposing neo-gothic Notre-Dame Basilica as wellas museums that recount the past such as the Pointe-agrave-Calliegravere museum and the Centre drsquohistoire de Montreacuteal Atthe Old Port you will find the Montreal Science Centre a vastcomplex dedicated to science that also includes an IMAX the-atre The Old Port is also the starting point for trips along theturbulent Lachine Rapids

Pulsate to the rhythm of the cityDowntown abounds with department stores boutiques andcinemas not to mention major museums such as theMontreal Museum of Fine Arts the Museacutee drsquoart contempo-rain the McCord Museum of Canadian History and theCanadian Centre for Architecture

Objective RecreationIcircle Notre-Dame and Icircle Sainte-Heacutelegravene are synonymous withvacationing fun At Parc Jean-Drapeau yoursquoll have a ball atQueacutebecrsquos largest amusement park La Ronde and at thebeach At the Biosphegravere in the former US pavilion fromExpo 67 yoursquoll discover the secrets of water while at StewardMuseum located inside an authentic fort yoursquoll learn aboutthe history of the New World In the east end of the city in theHochelaga-Maisonneuve neighbourhood you will find irre-sistible attractions such as the Olympic Park host to the 1976Olympic Games which boasts the tallest inclined tower in theworld On the same site you can also visit the Biodocircme amagical place that is home to four ecosystems Nearby theMontreacuteal Botanical Garden one of the worldrsquos largest gar-dens introduces you to a host of horticultural universesincluding a Chinese garden and a Japanese garden and at theInsectarium you can observe insects from around the world

Culinary pleasures From award-winning restaurants to ethnic food stores tolocally grown products Montreal is a city oozing with a thou-sand flavours Discover everyone and everything behind thecuisine thatrsquos melted the hearts of food lovers far and wide

Double-decker cityWhen in Montreal look down and yoursquoll see double Thatrsquosbecause it is really two cities in one Above ground is thelargest concentration of stores in the country underneath liesmiles of commercial space every nook and cranny filled withmore shops and boutiques

Life is a festival All year and every year Montreal hosts over 40 festivals rang-ing from the traditional to the wildly avant-garde Jazz laugh-ter food and snow are just four of the many reasonsMontrealers take to the streets theatres and clubs and partyfor weeks on end

mdash Bonjour Queacutebec le site touristique du Queacutebecet Tourisme Montreacuteal

Join us in Montreal for the 2006 CAOT Conference

Montreacuteal is truly an experience old world charm French joie de vivre and a modern style all its ownCome feel Montreal mdash a dynamic modern and warm city

rjcoopercom

Assistive Technology - Mini-SwitchPort Switch Interface

http

tashinccom

Tash - Switch Click

copy CAOT PUBLICATIONS ACE2 OT Now bull JULYAUGUST 2005

Statements made in contributions toOccupational Therapy Now are madesolely on the responsibility of theauthor and unless so stated do notreflect the official position of CAOTand CAOT assumes no responsibilityfor such statements OccupationalTherapy Now encourages dialogue onissues affecting occupational thera-pists and welcomes your participation

EDITORIAL RIGHTS RESERVEDAcceptance of advertisements doesnot imply endorsement by OT Nownor by the Canadian Association ofOccupational Therapists

COPYRIGHTCopyright of Occupational TherapyNow is held by the CanadianAssociation of OccupationalTherapists Permission must be

obtained in writing from CAOT tophotocopy reproduce or reprint anymaterial published in the magazineunless otherwise noted There is a perpage per table or figure charge forcommercial use Individual membersof CAOT or ACOTUP have permis-sion to photocopy up to 100 copiesof an article if such copies are distrib-uted without charge for educationalor consumer information purposes

Copyright requests may be sent to Lisa SheehanCanadian Association ofOccupational Therapists (CAOT)CTTC Bldg Suite 34001125 Colonel By DriveOttawa ONCanada K1S 5R1Tel (613) 523-2268 ext 232Fax (613) 523-2552e-mail copyrightcaotca

27 News from the Canadian Occupational TherapyFoundation

28 National Occupational Therapy Month Yes I Can

Lauren Klump CAOT Communications Coordinator out-lines ten steps to a successful OT Month and suggests westart now

30 CAOT Learning Services mdash Endorsed courses

31 Consider submitting an abstract to the 2006 CAOTConference

Writing an abstract takes time Jacquie Ripat Chair of theScientific Program Committee offers some suggestions thatmay increase the chance of your abstract being accepted

32 Join us in Montreal for the 2006 CAOT Conference

This unique city is a one-of-a-kind multicultural city thatblends its French accent with those of over 80 other ethniccommunities and charms visitors with its Euro-Canadianambiance

ADVERTISINGLisa Sheehan

(613) 523-2268 ext 232e-mail advertisingcaotca

SUBSCRIPTIONSCynthia Roy

(613) 523-2268 ext 242e-mail subscriptionscaotca

VISITWWWCAOTCA TO

1 Update your membership pro-file information ie youraddress areas of practicee-mail address etc

2 Read OT Now and CJOT on-line including back issues

3 Start your literature searchthrough Information Gateway

4 Read position statements thatadd weight to your fundingproposals

5 Buy books and products

6 Network with colleagues

Visit our web site at wwwcaotcafor authorsrsquo guidelines and addi-tional news and information

23 May 2005 BoardMeeting Highlights

On your behalf

24 National coalitions andalliances

25 Health and social policyupdates

COVER PHOTO Chinese lion dance

was part of the opening ceremonies at

Conference Wendy D offers profes-

sional fine art photography specializing

in people Editorial photojournalism

portraiture ndash corporate and private

6042531451

wwwwendydphotographycom

COMCOOR










activities


















wwwlakefolksorgcnt

































COMCOOR











































































































































































Mary Clark Green






























































Award (see page 20)


























continued hellip










Alison Douglas


Melanie Levasseur

































































October 1 2005






























On your behalf

































































Marte Bachynski

Sue Baptiste

Gillian Barr

Denyse Blanco

Giovanna Boniface

Jane Bowman

CAOT

Deb Cameron

Donna Campbell

Patricia Card

Anne Carswell

Mary Clark Green

Melissa Coiffe

Juliette Cooper

Sandy Daughen

Elizabeth Demetriou

Johanne Desrosiers

Mary Edwards

Mary Egan

Tamra Ellis

Patricia Erlendson

Emily Etcheverry

Jennifer Fisher


Margaret Friesen

Julie Gabriele

Shahnaz Garousi

Karen Goldenberg

Susan Harvey

Invacare Canada

Susan James

Alan Judd

Donna Klaiman

Andrew Ksenych

Sonia Magnuson

Mary Manojlovich

Katherine McKay

Diane Meacutethot

Jan Miller Polgar

Denise Reid

Gayle Restall

Jacquie Ripat

Annette Rivard

Patricia Rodgers

Bradley Roulston




Marlene Stern

Debra Stewart

Thelma Sumsion

Linda Theessen

Barry Trentham


Mainland

Lise Vincent

Irvine Weekes

Muriel Westmorland

Seanne Wilkins

Willis Canada Inc

Frances Williams


Karen Yip

1 anonymous donor




































































































rjcoopercom


http

tashinccom

Tash - Switch Click










activities


















wwwlakefolksorgcnt

































COMCOOR











































































































































































Mary Clark Green






























































Award (see page 20)


























continued hellip










Alison Douglas


Melanie Levasseur

































































October 1 2005






























On your behalf

































































Marte Bachynski

Sue Baptiste

Gillian Barr

Denyse Blanco

Giovanna Boniface

Jane Bowman

CAOT

Deb Cameron

Donna Campbell

Patricia Card

Anne Carswell

Mary Clark Green

Melissa Coiffe

Juliette Cooper

Sandy Daughen

Elizabeth Demetriou

Johanne Desrosiers

Mary Edwards

Mary Egan

Tamra Ellis

Patricia Erlendson

Emily Etcheverry

Jennifer Fisher


Margaret Friesen

Julie Gabriele

Shahnaz Garousi

Karen Goldenberg

Susan Harvey

Invacare Canada

Susan James

Alan Judd

Donna Klaiman

Andrew Ksenych

Sonia Magnuson

Mary Manojlovich

Katherine McKay

Diane Meacutethot

Jan Miller Polgar

Denise Reid

Gayle Restall

Jacquie Ripat

Annette Rivard

Patricia Rodgers

Bradley Roulston




Marlene Stern

Debra Stewart

Thelma Sumsion

Linda Theessen

Barry Trentham


Mainland

Lise Vincent

Irvine Weekes

Muriel Westmorland

Seanne Wilkins

Willis Canada Inc

Frances Williams


Karen Yip

1 anonymous donor




































































































rjcoopercom


http

tashinccom

Tash - Switch Click






wwwlakefolksorgcnt

































COMCOOR











































































































































































Mary Clark Green






























































Award (see page 20)


























continued hellip










Alison Douglas


Melanie Levasseur

































































October 1 2005






























On your behalf

































































Marte Bachynski

Sue Baptiste

Gillian Barr

Denyse Blanco

Giovanna Boniface

Jane Bowman

CAOT

Deb Cameron

Donna Campbell

Patricia Card

Anne Carswell

Mary Clark Green

Melissa Coiffe

Juliette Cooper

Sandy Daughen

Elizabeth Demetriou

Johanne Desrosiers

Mary Edwards

Mary Egan

Tamra Ellis

Patricia Erlendson

Emily Etcheverry

Jennifer Fisher


Margaret Friesen

Julie Gabriele

Shahnaz Garousi

Karen Goldenberg

Susan Harvey

Invacare Canada

Susan James

Alan Judd

Donna Klaiman

Andrew Ksenych

Sonia Magnuson

Mary Manojlovich

Katherine McKay

Diane Meacutethot

Jan Miller Polgar

Denise Reid

Gayle Restall

Jacquie Ripat

Annette Rivard

Patricia Rodgers

Bradley Roulston




Marlene Stern

Debra Stewart

Thelma Sumsion

Linda Theessen

Barry Trentham


Mainland

Lise Vincent

Irvine Weekes

Muriel Westmorland

Seanne Wilkins

Willis Canada Inc

Frances Williams


Karen Yip

1 anonymous donor




































































































rjcoopercom


http

tashinccom

Tash - Switch Click





















COMCOOR











































































































































































Mary Clark Green






























































Award (see page 20)


























continued hellip










Alison Douglas


Melanie Levasseur

































































October 1 2005






























On your behalf

































































Marte Bachynski

Sue Baptiste

Gillian Barr

Denyse Blanco

Giovanna Boniface

Jane Bowman

CAOT

Deb Cameron

Donna Campbell

Patricia Card

Anne Carswell

Mary Clark Green

Melissa Coiffe

Juliette Cooper

Sandy Daughen

Elizabeth Demetriou

Johanne Desrosiers

Mary Edwards

Mary Egan

Tamra Ellis

Patricia Erlendson

Emily Etcheverry

Jennifer Fisher


Margaret Friesen

Julie Gabriele

Shahnaz Garousi

Karen Goldenberg

Susan Harvey

Invacare Canada

Susan James

Alan Judd

Donna Klaiman

Andrew Ksenych

Sonia Magnuson

Mary Manojlovich

Katherine McKay

Diane Meacutethot

Jan Miller Polgar

Denise Reid

Gayle Restall

Jacquie Ripat

Annette Rivard

Patricia Rodgers

Bradley Roulston




Marlene Stern

Debra Stewart

Thelma Sumsion

Linda Theessen

Barry Trentham


Mainland

Lise Vincent

Irvine Weekes

Muriel Westmorland

Seanne Wilkins

Willis Canada Inc

Frances Williams


Karen Yip

1 anonymous donor




































































































rjcoopercom


http

tashinccom

Tash - Switch Click











































































































































































Mary Clark Green






























































Award (see page 20)


























continued hellip










Alison Douglas


Melanie Levasseur

































































October 1 2005






























On your behalf

































































Marte Bachynski

Sue Baptiste

Gillian Barr

Denyse Blanco

Giovanna Boniface

Jane Bowman

CAOT

Deb Cameron

Donna Campbell

Patricia Card

Anne Carswell

Mary Clark Green

Melissa Coiffe

Juliette Cooper

Sandy Daughen

Elizabeth Demetriou

Johanne Desrosiers

Mary Edwards

Mary Egan

Tamra Ellis

Patricia Erlendson

Emily Etcheverry

Jennifer Fisher


Margaret Friesen

Julie Gabriele

Shahnaz Garousi

Karen Goldenberg

Susan Harvey

Invacare Canada

Susan James

Alan Judd

Donna Klaiman

Andrew Ksenych

Sonia Magnuson

Mary Manojlovich

Katherine McKay

Diane Meacutethot

Jan Miller Polgar

Denise Reid

Gayle Restall

Jacquie Ripat

Annette Rivard

Patricia Rodgers

Bradley Roulston




Marlene Stern

Debra Stewart

Thelma Sumsion

Linda Theessen

Barry Trentham


Mainland

Lise Vincent

Irvine Weekes

Muriel Westmorland

Seanne Wilkins

Willis Canada Inc

Frances Williams


Karen Yip

1 anonymous donor




































































































rjcoopercom


http

tashinccom

Tash - Switch Click



























































Award (see page 20)


























continued hellip










Alison Douglas


Melanie Levasseur

































































October 1 2005






























On your behalf

































































Marte Bachynski

Sue Baptiste

Gillian Barr

Denyse Blanco

Giovanna Boniface

Jane Bowman

CAOT

Deb Cameron

Donna Campbell

Patricia Card

Anne Carswell

Mary Clark Green

Melissa Coiffe

Juliette Cooper

Sandy Daughen

Elizabeth Demetriou

Johanne Desrosiers

Mary Edwards

Mary Egan

Tamra Ellis

Patricia Erlendson

Emily Etcheverry

Jennifer Fisher


Margaret Friesen

Julie Gabriele

Shahnaz Garousi

Karen Goldenberg

Susan Harvey

Invacare Canada

Susan James

Alan Judd

Donna Klaiman

Andrew Ksenych

Sonia Magnuson

Mary Manojlovich

Katherine McKay

Diane Meacutethot

Jan Miller Polgar

Denise Reid

Gayle Restall

Jacquie Ripat

Annette Rivard

Patricia Rodgers

Bradley Roulston




Marlene Stern

Debra Stewart

Thelma Sumsion

Linda Theessen

Barry Trentham


Mainland

Lise Vincent

Irvine Weekes

Muriel Westmorland

Seanne Wilkins

Willis Canada Inc

Frances Williams


Karen Yip

1 anonymous donor




































































































rjcoopercom


http

tashinccom

Tash - Switch Click


























continued hellip










Alison Douglas


Melanie Levasseur

































































October 1 2005






























On your behalf

































































Marte Bachynski

Sue Baptiste

Gillian Barr

Denyse Blanco

Giovanna Boniface

Jane Bowman

CAOT

Deb Cameron

Donna Campbell

Patricia Card

Anne Carswell

Mary Clark Green

Melissa Coiffe

Juliette Cooper

Sandy Daughen

Elizabeth Demetriou

Johanne Desrosiers

Mary Edwards

Mary Egan

Tamra Ellis

Patricia Erlendson

Emily Etcheverry

Jennifer Fisher


Margaret Friesen

Julie Gabriele

Shahnaz Garousi

Karen Goldenberg

Susan Harvey

Invacare Canada

Susan James

Alan Judd

Donna Klaiman

Andrew Ksenych

Sonia Magnuson

Mary Manojlovich

Katherine McKay

Diane Meacutethot

Jan Miller Polgar

Denise Reid

Gayle Restall

Jacquie Ripat

Annette Rivard

Patricia Rodgers

Bradley Roulston




Marlene Stern

Debra Stewart

Thelma Sumsion

Linda Theessen

Barry Trentham


Mainland

Lise Vincent

Irvine Weekes

Muriel Westmorland

Seanne Wilkins

Willis Canada Inc

Frances Williams


Karen Yip

1 anonymous donor




































































































rjcoopercom


http

tashinccom

Tash - Switch Click





Alison Douglas


Melanie Levasseur

































































October 1 2005






























On your behalf

































































Marte Bachynski

Sue Baptiste

Gillian Barr

Denyse Blanco

Giovanna Boniface

Jane Bowman

CAOT

Deb Cameron

Donna Campbell

Patricia Card

Anne Carswell

Mary Clark Green

Melissa Coiffe

Juliette Cooper

Sandy Daughen

Elizabeth Demetriou

Johanne Desrosiers

Mary Edwards

Mary Egan

Tamra Ellis

Patricia Erlendson

Emily Etcheverry

Jennifer Fisher


Margaret Friesen

Julie Gabriele

Shahnaz Garousi

Karen Goldenberg

Susan Harvey

Invacare Canada

Susan James

Alan Judd

Donna Klaiman

Andrew Ksenych

Sonia Magnuson

Mary Manojlovich

Katherine McKay

Diane Meacutethot

Jan Miller Polgar

Denise Reid

Gayle Restall

Jacquie Ripat

Annette Rivard

Patricia Rodgers

Bradley Roulston




Marlene Stern

Debra Stewart

Thelma Sumsion

Linda Theessen

Barry Trentham


Mainland

Lise Vincent

Irvine Weekes

Muriel Westmorland

Seanne Wilkins

Willis Canada Inc

Frances Williams


Karen Yip

1 anonymous donor




































































































rjcoopercom


http

tashinccom

Tash - Switch Click





























October 1 2005






























On your behalf

































































Marte Bachynski

Sue Baptiste

Gillian Barr

Denyse Blanco

Giovanna Boniface

Jane Bowman

CAOT

Deb Cameron

Donna Campbell

Patricia Card

Anne Carswell

Mary Clark Green

Melissa Coiffe

Juliette Cooper

Sandy Daughen

Elizabeth Demetriou

Johanne Desrosiers

Mary Edwards

Mary Egan

Tamra Ellis

Patricia Erlendson

Emily Etcheverry

Jennifer Fisher


Margaret Friesen

Julie Gabriele

Shahnaz Garousi

Karen Goldenberg

Susan Harvey

Invacare Canada

Susan James

Alan Judd

Donna Klaiman

Andrew Ksenych

Sonia Magnuson

Mary Manojlovich

Katherine McKay

Diane Meacutethot

Jan Miller Polgar

Denise Reid

Gayle Restall

Jacquie Ripat

Annette Rivard

Patricia Rodgers

Bradley Roulston




Marlene Stern

Debra Stewart

Thelma Sumsion

Linda Theessen

Barry Trentham


Mainland

Lise Vincent

Irvine Weekes

Muriel Westmorland

Seanne Wilkins

Willis Canada Inc

Frances Williams


Karen Yip

1 anonymous donor




































































































rjcoopercom


http

tashinccom

Tash - Switch Click

















On your behalf

































































Marte Bachynski

Sue Baptiste

Gillian Barr

Denyse Blanco

Giovanna Boniface

Jane Bowman

CAOT

Deb Cameron

Donna Campbell

Patricia Card

Anne Carswell

Mary Clark Green

Melissa Coiffe

Juliette Cooper

Sandy Daughen

Elizabeth Demetriou

Johanne Desrosiers

Mary Edwards

Mary Egan

Tamra Ellis

Patricia Erlendson

Emily Etcheverry

Jennifer Fisher


Margaret Friesen

Julie Gabriele

Shahnaz Garousi

Karen Goldenberg

Susan Harvey

Invacare Canada

Susan James

Alan Judd

Donna Klaiman

Andrew Ksenych

Sonia Magnuson

Mary Manojlovich

Katherine McKay

Diane Meacutethot

Jan Miller Polgar

Denise Reid

Gayle Restall

Jacquie Ripat

Annette Rivard

Patricia Rodgers

Bradley Roulston




Marlene Stern

Debra Stewart

Thelma Sumsion

Linda Theessen

Barry Trentham


Mainland

Lise Vincent

Irvine Weekes

Muriel Westmorland

Seanne Wilkins

Willis Canada Inc

Frances Williams


Karen Yip

1 anonymous donor




































































































rjcoopercom


http

tashinccom

Tash - Switch Click

































































Marte Bachynski

Sue Baptiste

Gillian Barr

Denyse Blanco

Giovanna Boniface

Jane Bowman

CAOT

Deb Cameron

Donna Campbell

Patricia Card

Anne Carswell

Mary Clark Green

Melissa Coiffe

Juliette Cooper

Sandy Daughen

Elizabeth Demetriou

Johanne Desrosiers

Mary Edwards

Mary Egan

Tamra Ellis

Patricia Erlendson

Emily Etcheverry

Jennifer Fisher


Margaret Friesen

Julie Gabriele

Shahnaz Garousi

Karen Goldenberg

Susan Harvey

Invacare Canada

Susan James

Alan Judd

Donna Klaiman

Andrew Ksenych

Sonia Magnuson

Mary Manojlovich

Katherine McKay

Diane Meacutethot

Jan Miller Polgar

Denise Reid

Gayle Restall

Jacquie Ripat

Annette Rivard

Patricia Rodgers

Bradley Roulston




Marlene Stern

Debra Stewart

Thelma Sumsion

Linda Theessen

Barry Trentham


Mainland

Lise Vincent

Irvine Weekes

Muriel Westmorland

Seanne Wilkins

Willis Canada Inc

Frances Williams


Karen Yip

1 anonymous donor




































































































rjcoopercom


http

tashinccom

Tash - Switch Click



































































































rjcoopercom


http

tashinccom

Tash - Switch Click

Occupational OT Now TherapyNow Contents - …2 C A N A D A P O S T A G R E E M E N T # 4 0 0 3 4 4 1...

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Transcript of Occupational OT Now TherapyNow Contents - …2 C A N A D A P O S T A G R E E M E N T # 4 0 0 3 4 4 1...