Occupational Therapy Occupational Therapy Overview and Overview and

Initiatives: Meeting the Initiatives: Meeting the challengechallenge

Assoc Professor Sylvia Assoc Professor Sylvia RodgerRodger

Dr Jodie CopleyDr Jodie CopleyMs Cate FitzgeraldMs Cate FitzgeraldOctober 31 2007October 31 2007

Placement Showcase T and L Placement Showcase T and L Week UQWeek UQ

OverviewOverview

The CRISISThe CRISIS OUR RESPONSESOUR RESPONSES

Strategic initiatives – Queensland OT Strategic initiatives – Queensland OT Fieldwork Collaborative Fieldwork Collaborative

Expansion of internal clinics Expansion of internal clinics Fieldwork Placement Flexibility, Fieldwork Placement Flexibility,

Support and ResourcingSupport and Resourcing

The CRISISThe CRISIS

Recognition of heading towards crisisRecognition of heading towards crisis Increased student numbers in UG Increased student numbers in UG

programprogram Introduction of GEMS programIntroduction of GEMS program Increased competition - OT program at Increased competition - OT program at

JCU, USC program planned for 2008.JCU, USC program planned for 2008. Feedback from the profession and Feedback from the profession and

placement providers – loss of clinical placement providers – loss of clinical tutor positionstutor positions

Ongoing ChallengesOngoing Challenges

Provide sufficient fieldwork Provide sufficient fieldwork placements for all occupational placements for all occupational therapy studentstherapy students

To ensure placement qualityTo ensure placement quality To prepare students for the realities To prepare students for the realities

of changing practiceof changing practice TTo ensure fieldwork opportunities o ensure fieldwork opportunities

reflect the growth areas and current reflect the growth areas and current and future needs of OT professionand future needs of OT profession

Occupational Therapy Occupational Therapy Fieldwork Fieldwork

Collaborative Collaborative (QOTFC)(QOTFC)

Sylvia Rodger, Yvonne Thomas, Sylvia Rodger, Yvonne Thomas, David Dickson, Jacqui David Dickson, Jacqui

Broadbridge, Linda Hopper, Ann Broadbridge, Linda Hopper, Ann Edwards, Cathy McBryde, Rachel Edwards, Cathy McBryde, Rachel

Hawkins.Hawkins.

Historical Overview of Historical Overview of QOTFCQOTFC

Working group of stakeholders Working group of stakeholders established 2003established 2003

First Qld Fieldwork Symposium held First Qld Fieldwork Symposium held November 2003.November 2003.

QOTFC formed early 2004QOTFC formed early 2004 QOTFC met for past three years monthlyQOTFC met for past three years monthly Terms of ReferenceTerms of Reference Projects completed and ongoingProjects completed and ongoing

QOTFC Established 2004QOTFC Established 2004 The University of QueenslandThe University of Queensland - Sylvia - Sylvia

RodgerRodger James Cook UniversityJames Cook University – Yvonne Thomas – Yvonne Thomas

OT AUSTRALIA – QldOT AUSTRALIA – Qld - Rachel Kipping - Rachel Kipping Occupational Therapists’ Board Of QldOccupational Therapists’ Board Of Qld – –

Cathy McBrydeCathy McBryde CRS AustraliaCRS Australia - Jacqueline Broadbridge- Jacqueline Broadbridge

Qld Government Service Managers – Qld Government Service Managers – Ann Ann EdwardsEdwards

University of Sunshine CoastUniversity of Sunshine Coast – Craig Greber – Craig Greber

QOTFC Position Paper QOTFC Position Paper 20042004

Vision StatementVision Statement

  

~ to integrate professional ~ to integrate professional ownership between universities, ownership between universities, professional bodies, major employers professional bodies, major employers of occupational therapists and of occupational therapists and individual occupational therapists to individual occupational therapists to meet fieldwork placement needsmeet fieldwork placement needs

QOTFC AimsQOTFC Aims

promote shared vision promote shared vision identify & promote issuesidentify & promote issues promote options for supporting promote options for supporting

supervisorssupervisors lead discussion & evaluation lead discussion & evaluation identify & promote strategies to identify & promote strategies to

placementsplacements promote state-wide discussion promote state-wide discussion promote discussion with major promote discussion with major

stakeholdersstakeholders

Key OutcomesKey Outcomes

1.1. Position Paper August 2004 to Position Paper August 2004 to promote discussion and ownershippromote discussion and ownership

2.2. All students placed March 2005All students placed March 2005

3.3. Few placements withdrawn during Few placements withdrawn during industrial action 2005-2007industrial action 2005-2007

4.4. Funded projectsFunded projects

QOTFC Funded ProjectsQOTFC Funded Projects Clinical Education in Private PracticeClinical Education in Private Practice - 2005 - 2005

joint funding UQ, JCU, OT Reg Board, OT A Qld. joint funding UQ, JCU, OT Reg Board, OT A Qld. Engaging the CliniciansEngaging the Clinicians – Queensland Health – Queensland Health

funding $68,000 to support hub champions and funding $68,000 to support hub champions and regional and special interest hubs to increase regional and special interest hubs to increase and improve fieldwork opportunities 2006-2007.and improve fieldwork opportunities 2006-2007.

Invigorating Mental Health FieldworkInvigorating Mental Health Fieldwork – – Queensland health $89,000 to investigate lackof Queensland health $89,000 to investigate lackof MH placements, pilot innovative MH placements MH placements, pilot innovative MH placements and support MH clinical educators 2007-2008.and support MH clinical educators 2007-2008.

UQ OT Clinics UQ OT Clinics

OT Children’s Life Skills ClinicOT Children’s Life Skills Clinic UQ OT Work ServiceUQ OT Work Service OT Upper Limb Hypertonicity ClinicOT Upper Limb Hypertonicity Clinic

Full time student placements are Full time student placements are offered in all clinics throughout the offered in all clinics throughout the yearyear

OT Children’s Life Skills OT Children’s Life Skills ClinicClinic

OTCLSC provides pre-OTCLSC provides pre-placement paediatric placement paediatric fieldwork for 100% of fieldwork for 100% of undergraduate and undergraduate and Graduate Entry Masters Graduate Entry Masters studentsstudents

OTCLSC provides 50% OTCLSC provides 50% of paediatric full time of paediatric full time fieldwork placements fieldwork placements for undergraduate and for undergraduate and Graduate Entry Masters Graduate Entry Masters StudentsStudents

Referrals from teachers, Referrals from teachers, guidance officers, guidance officers, parents and health parents and health professionalsprofessionals

Provides services for Provides services for children 0-18 years children 0-18 years with developmental, with developmental, learning, learning, coordination or coordination or social/behavioural issuessocial/behavioural issues

Student involvement in Student involvement in Students are involved in both onsite Students are involved in both onsite

and offsite clinics and offsite clinics Innovative clinics such as Innovative clinics such as

Murri School (ATSI Independent school)Murri School (ATSI Independent school) Catholic Education Rural Outreach Trips 4 Catholic Education Rural Outreach Trips 4

x/yearx/year Occtypus therapy (therapy in the pool)Occtypus therapy (therapy in the pool)

Inter-professional clinics with speech Inter-professional clinics with speech pathology and music therapypathology and music therapy SPOT (early intervention)SPOT (early intervention) Seton College (secondary school for Seton College (secondary school for

students with specific needs)students with specific needs)

Some benefits of Some benefits of university clinicsuniversity clinics

Multiple mentoring model of student Multiple mentoring model of student supervision supervision Promotes peer learning and independent Promotes peer learning and independent

problem solving/development of problem solving/development of personal/professional skillspersonal/professional skills

High standard of clinical education High standard of clinical education processesprocesses Processes used for explicit treatment planning, Processes used for explicit treatment planning,

observation, interpretation and documentationobservation, interpretation and documentation Theory to practice toolsTheory to practice tools

MISSION STATEMENTMISSION STATEMENT UQ UQ OT Work ServiceOT Work Service

For occupational therapy For occupational therapy students on practicum students on practicum to achieve experience to achieve experience in in occupational health occupational health and safety consultancyand safety consultancy (to industry and other (to industry and other organisations) with the organisations) with the support, education, support, education, training and training and supervision of supervision of experienced graduate experienced graduate therapists.therapists.

Model of Operation and Model of Operation and Service TypesService Types

UQ WORK SERVICEUQ WORK SERVICE

Injury Management Injury Prevention Health Promotion

Injury Management Injury Prevention Health Promotion

Person/Worker

Environment/Workplace

Task/Job

Law et al.,CJOT.,Vol 63.No.1.

Service locationsService locations UQ St Lucia and Ipswich UQ St Lucia and Ipswich

campusescampuses

But mainly on site:But mainly on site: FactoriesFactories OfficesOffices MinesMines Government departmentsGovernment departments In vehiclesIn vehicles LaboratoriesLaboratories

…………Wherever the client Wherever the client requires our service.requires our service.

Why is the Work Service Why is the Work Service Successful?Successful?

We have “The ability to integrate We have “The ability to integrate psychology, anatomy, physiology, psychology, anatomy, physiology, kinesiology and pathology with kinesiology and pathology with movement principles. This positions movement principles. This positions therapists to be important therapists to be important contributors to healthy workers and contributors to healthy workers and work environments”work environments”

Larsen. & Miller, M. Rehabilitation Ergonomics, Larsen. & Miller, M. Rehabilitation Ergonomics, WorkWork (2005) (2005)

UQ Work Service ClientsUQ Work Service Clients Gold Coast City CouncilGold Coast City Council Chubb SecurityChubb Security Amcor Packaging and RecyclingAmcor Packaging and Recycling Visy IndustriesVisy Industries Australian HardboardsAustralian Hardboards Queensland PoliceQueensland Police Logan Beaudesert Oral Health DistrictLogan Beaudesert Oral Health District Cerebral Palsy League of QueenslandCerebral Palsy League of Queensland Sinclair Knight MerzSinclair Knight Merz Campbell Brothers Chemicals (Clean Tec)Campbell Brothers Chemicals (Clean Tec)

Opportunity for ChangeOpportunity for Change Revision of the WFOT clinical placement Revision of the WFOT clinical placement

guidelinesguidelines- enabled greater variation of placement - enabled greater variation of placement types types - enabled changes to length of placements- enabled changes to length of placements- enabled use of alternative models of - enabled use of alternative models of placementsplacements- enabled a proportion of the required - enabled a proportion of the required placement hours to be integrated with placement hours to be integrated with students academic program students academic program

Key responses –Key responses –Program changesProgram changes

3 block placements instead of 4 – 3 block placements instead of 4 – changes to placement length.changes to placement length.

Development of FW activities within Development of FW activities within majority of courses and tracking of majority of courses and tracking of student FW hours across whole program. student FW hours across whole program.

Review of placement assessment tool – Review of placement assessment tool – SPEF and development of electronic SPEF and development of electronic version - eSPEF to ease assessment version - eSPEF to ease assessment process for CE’s.process for CE’s.

SPEF on-line training – T&L Grant.SPEF on-line training – T&L Grant.

Key Responses – Key Responses – Supports to CE’s Supports to CE’s

Creation of Clinical Education Liaison Creation of Clinical Education Liaison Manager positions – increased from .5 Manager positions – increased from .5 FTE to FTE to 2 FTE equivalent in last 12 months.2 FTE equivalent in last 12 months.

SHRS Interprofessional Introductory CE SHRS Interprofessional Introductory CE Workshops and Newsletters.Workshops and Newsletters.

OT specific CE training (Brisbane and OT specific CE training (Brisbane and Regional QLD) – placement Regional QLD) – placement establishment, managing challenging establishment, managing challenging students, facilitating clinical reasoning, students, facilitating clinical reasoning, conflict resolution.conflict resolution.

SHRS Rewards and Recognition Program.SHRS Rewards and Recognition Program.

Key Responses – Key Responses – Supports to CE’sSupports to CE’s

On-site inservice training and support to On-site inservice training and support to CE’s.CE’s.

Development of resources for CE’s.Development of resources for CE’s. Support to the use of alternative models of Support to the use of alternative models of

placement provision e.g. role emerging placement provision e.g. role emerging and collaborative modelsand collaborative models

On-time responses to queries and On-time responses to queries and concerns.concerns.

Forums to address concerns and to review Forums to address concerns and to review new ideas and initiatives in collaboration new ideas and initiatives in collaboration with the profession.with the profession.

Outcomes Outcomes Increased collaboration with the Increased collaboration with the

profession to manage clinical education profession to manage clinical education issues.issues.

Greater placement offers – more than Greater placement offers – more than we need!we need!

Collaborative support to students with a Collaborative support to students with a disability and those experiencing disability and those experiencing challenges on placements.challenges on placements.

Creation of opportunities to increase the Creation of opportunities to increase the quality of placements for students. quality of placements for students.