Rehabilitation Therapists   Roles and Relationships with  Case Managers, Health Professionals and  Treatment Teams <ul><li...
<ul><li>Client </li></ul><ul><li>Family </li></ul><ul><li>Case Manager </li></ul><ul><li>Various Professionals </li></ul><...
Rehabilitation Therapist <ul><li>Unregulated Profession </li></ul><ul><li>Title Unprotected </li></ul><ul><li>Vast Differe...
Rehabilitation Therapist Life Skills Coach Rehabilitation Counsellor Therapy Support Worker Rehabilitation Assistant Rehab...
Definition of a  Rehabilitation Therapist <ul><li>Characteristics </li></ul><ul><li>Hands-on </li></ul><ul><li>Front-line ...
Definition of a  Rehabilitation Therapist <ul><li>Relationship with treating professionals </li></ul><ul><li>Translate <> ...
Definition of a  Rehabilitation Therapist <ul><li>RT’s Must Be : </li></ul><ul><li>Facilitators </li></ul><ul><li>Motivato...
Core Skills of an  Effective Rehabilitation Therapist <ul><li>Interpersonal Skills </li></ul><ul><li>Engaging </li></ul><u...
Core Skills of an  Effective Rehabilitation Therapist <ul><li>Approach </li></ul><ul><li>Flexible </li></ul><ul><li>Client...
Core Skills of an  Effective Rehabilitation Therapist <ul><li>Confidence </li></ul><ul><li>Needs confidence to instill con...
Core Skills of an  Effective Rehabilitation Therapist <ul><li>The “Match” </li></ul><ul><li>Important Factors that mean no...
Qualifications of an  Effective Rehabilitation Therapist <ul><li>Education </li></ul><ul><li>Wide variety </li></ul><ul><l...
Qualifications of an  Effective Rehabilitation Therapist <ul><li>Professional Experience </li></ul><ul><li>Wide variety </...
Qualifications of an  Effective Rehabilitation Therapist <ul><li>Relevant  </li></ul><ul><li>Knowledge / Skills </li></ul>...
What is the Role of a Rehabilitation Therapist <ul><li>Implement Prescribed Treatment </li></ul><ul><li>“ Creativity” </li...
What is the Role of a Rehabilitation Therapist <ul><li>Facilitate Independence </li></ul><ul><li>School </li></ul><ul><li>...
What is the Role of a Rehabilitation Therapist <ul><li>Integrate Goals </li></ul><ul><li>Into sessions </li></ul><ul><li>I...
What is the Role of a Rehabilitation Therapist <ul><li>Communicate </li></ul><ul><li>Objective </li></ul><ul><li>Observati...
What is the Role of a Rehabilitation Therapist <ul><li>Observe </li></ul><ul><li>“ Eyes & Ears” of team </li></ul><ul><li>...
Chameleon
Typical Day for an RT <ul><li>Varied Day-to-Day Activities   </li></ul><ul><li>7:00 am – Farmer </li></ul><ul><li>Morning ...
Typical Day for an RT <ul><li>Varied Day-to-Day Activities   </li></ul><ul><li>10:30 am – Apartment </li></ul><ul><li>Inde...
Typical Day for an RT <ul><li>Varied Day-to-Day Activities   </li></ul><ul><li>1:00 pm - School  </li></ul><ul><li>Impulse...
Clients Vary <ul><li>Male / Female </li></ul><ul><li>Across the Lifespan </li></ul><ul><li>All Disability Groups </li></ul>
So What !? <ul><li>Costs / Benefits </li></ul><ul><li>Most Effective Use </li></ul><ul><li>Pitfalls to Avoid </li></ul>
Costs & benefits <ul><li>Costs </li></ul><ul><li>Between $50 - $78/hr </li></ul><ul><li>Auto Insurers </li></ul><ul><li>Pr...
Costs & Benefits <ul><li>Benefits </li></ul><ul><li>   Revolving Door </li></ul>
Costs & Benefits <ul><li>Sessions Occur in Context </li></ul><ul><li>Relevant to Client </li></ul><ul><li>Real-Life </li><...
Costs & Benefits <ul><li>Therapy Activities </li></ul><ul><li>Integrated    Alternated </li></ul><ul><li>Tolerance for T...
Costs & Benefits <ul><li>Strong Behavioural Emphasis </li></ul><ul><li>Observe & Address concerns in various contexts/sett...
How can RT’s be used Effectively? <ul><li>Pick the Right One </li></ul><ul><li>Provide Specific Goals </li></ul><ul><li>Be...
Pitfalls to Avoid <ul><li>Boundary Violations </li></ul><ul><ul><li>Professional Guidelines </li></ul></ul><ul><ul><li>Pro...
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Brainworks Rt Presentation Full Pictures

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  • I love RT—it is my professional passion…. I’ve hired and supervised over 100 therapists in the past 14 years from a wide variety of backgrounds ….. In fact – way back in 1992, I was involved with a group funded by the Ministry of Health and charged with the responsibility of enhancing services for people with brain injuries in southwestern Ontario. We took a critical and creative look at how we could stretch the limited resources available. We developed a system in which the treating professionals assumed the role of consultants rather than direct service providers…. And developed a new position…..the rehabilitation therapist who would function as an “implement” of the treating professionals to carry out their program plans. In this way—my colleagues and I were able to see literally hundreds of clients, (with the old system—MAYBE 30 clients)… I had the privilege of touring various US facilities – and checked out the Chedoke model that was in place—developed the RT position…. (I still remember the long discussions in trying to come up with the title RT – also considered RA., RSW,, Rehab Teacher, Rehab Coach)
  • Brainworks Rt Presentation Full Pictures

    1. 1. Rehabilitation Therapists Roles and Relationships with Case Managers, Health Professionals and Treatment Teams <ul><li>PRESENTER : </li></ul><ul><li>Arden McGregor, M.A., C. Psych. Assoc., CBIT, Executive Director, Brainworks Corporation </li></ul>
    2. 2. <ul><li>Client </li></ul><ul><li>Family </li></ul><ul><li>Case Manager </li></ul><ul><li>Various Professionals </li></ul><ul><li>Rehabilitation Therapist </li></ul>Treatment Team
    3. 3. Rehabilitation Therapist <ul><li>Unregulated Profession </li></ul><ul><li>Title Unprotected </li></ul><ul><li>Vast Differences </li></ul>
    4. 4. Rehabilitation Therapist Life Skills Coach Rehabilitation Counsellor Therapy Support Worker Rehabilitation Assistant Rehabilitation Coach Rehabilitation Support Worker Rehabilitation Worker
    5. 5. Definition of a Rehabilitation Therapist <ul><li>Characteristics </li></ul><ul><li>Hands-on </li></ul><ul><li>Front-line </li></ul><ul><li>Generalists </li></ul>
    6. 6. Definition of a Rehabilitation Therapist <ul><li>Relationship with treating professionals </li></ul><ul><li>Translate <> Implement </li></ul><ul><li>Prescribed goals, intervention tools & clinical direction </li></ul><ul><li>Into practical, meaningful integrated treatment protocols </li></ul>
    7. 7. Definition of a Rehabilitation Therapist <ul><li>RT’s Must Be : </li></ul><ul><li>Facilitators </li></ul><ul><li>Motivators </li></ul><ul><li>Communicators </li></ul><ul><li>Integrators </li></ul><ul><li>Chameleons </li></ul>
    8. 8. Core Skills of an Effective Rehabilitation Therapist <ul><li>Interpersonal Skills </li></ul><ul><li>Engaging </li></ul><ul><li>Therapeutically Allied </li></ul><ul><li>Focused & Positive </li></ul>
    9. 9. Core Skills of an Effective Rehabilitation Therapist <ul><li>Approach </li></ul><ul><li>Flexible </li></ul><ul><li>Client-centered </li></ul><ul><li>Individualized </li></ul><ul><li>Team-player </li></ul>
    10. 10. Core Skills of an Effective Rehabilitation Therapist <ul><li>Confidence </li></ul><ul><li>Needs confidence to instill confidence </li></ul><ul><li>Trust in therapeutic process </li></ul><ul><li>RT is supported </li></ul>
    11. 11. Core Skills of an Effective Rehabilitation Therapist <ul><li>The “Match” </li></ul><ul><li>Important Factors that mean nothing to team </li></ul><ul><li>e.g. Gender? Heritage? Hair colour? Age? </li></ul>
    12. 12. Qualifications of an Effective Rehabilitation Therapist <ul><li>Education </li></ul><ul><li>Wide variety </li></ul><ul><li>College or University </li></ul>
    13. 13. Qualifications of an Effective Rehabilitation Therapist <ul><li>Professional Experience </li></ul><ul><li>Wide variety </li></ul><ul><li>Broad experience helpful </li></ul>
    14. 14. Qualifications of an Effective Rehabilitation Therapist <ul><li>Relevant </li></ul><ul><li>Knowledge / Skills </li></ul><ul><li>Cognitive, Behavioural, Psychosocial & Physical </li></ul><ul><li>Disability Characteristics </li></ul><ul><li>Know Why, not just How </li></ul><ul><li>Mentoring / Workshops / Conferences </li></ul>
    15. 15. What is the Role of a Rehabilitation Therapist <ul><li>Implement Prescribed Treatment </li></ul><ul><li>“ Creativity” </li></ul><ul><li>… or not </li></ul>
    16. 16. What is the Role of a Rehabilitation Therapist <ul><li>Facilitate Independence </li></ul><ul><li>School </li></ul><ul><li>Work </li></ul><ul><li>Home </li></ul><ul><li>Community </li></ul>
    17. 17. What is the Role of a Rehabilitation Therapist <ul><li>Integrate Goals </li></ul><ul><li>Into sessions </li></ul><ul><li>Into meaningful activities </li></ul>
    18. 18. What is the Role of a Rehabilitation Therapist <ul><li>Communicate </li></ul><ul><li>Objective </li></ul><ul><li>Observations / Data </li></ul><ul><li>Progress & Barriers </li></ul><ul><li>Communication Protocols </li></ul>
    19. 19. What is the Role of a Rehabilitation Therapist <ul><li>Observe </li></ul><ul><li>“ Eyes & Ears” of team </li></ul><ul><li>Detail-oriented </li></ul><ul><li>Real-life, In Context </li></ul><ul><li>Advocate for Client </li></ul>
    20. 20. Chameleon
    21. 21. Typical Day for an RT <ul><li>Varied Day-to-Day Activities </li></ul><ul><li>7:00 am – Farmer </li></ul><ul><li>Morning Routine </li></ul><ul><li>Feed Animals </li></ul><ul><li>Managing Frustration </li></ul><ul><li>Equipment Repair </li></ul>
    22. 22. Typical Day for an RT <ul><li>Varied Day-to-Day Activities </li></ul><ul><li>10:30 am – Apartment </li></ul><ul><li>Independent Living </li></ul><ul><li>Labeling Cupboards </li></ul><ul><li>Routine with answering machine </li></ul>
    23. 23. Typical Day for an RT <ul><li>Varied Day-to-Day Activities </li></ul><ul><li>1:00 pm - School </li></ul><ul><li>Impulse Control </li></ul><ul><li>Use of rails </li></ul><ul><li>Safety at recess </li></ul>
    24. 24. Clients Vary <ul><li>Male / Female </li></ul><ul><li>Across the Lifespan </li></ul><ul><li>All Disability Groups </li></ul>
    25. 25. So What !? <ul><li>Costs / Benefits </li></ul><ul><li>Most Effective Use </li></ul><ul><li>Pitfalls to Avoid </li></ul>
    26. 26. Costs & benefits <ul><li>Costs </li></ul><ul><li>Between $50 - $78/hr </li></ul><ul><li>Auto Insurers </li></ul><ul><li>Private Payers </li></ul>
    27. 27. Costs & Benefits <ul><li>Benefits </li></ul><ul><li> Revolving Door </li></ul>
    28. 28. Costs & Benefits <ul><li>Sessions Occur in Context </li></ul><ul><li>Relevant to Client </li></ul><ul><li>Real-Life </li></ul><ul><li>Broader Perspective </li></ul><ul><li>Generalization </li></ul>
    29. 29. Costs & Benefits <ul><li>Therapy Activities </li></ul><ul><li>Integrated  Alternated </li></ul><ul><li>Tolerance for Therapy </li></ul><ul><li>Address Various Goals through Same Task </li></ul><ul><li>Improves Interest </li></ul>
    30. 30. Costs & Benefits <ul><li>Strong Behavioural Emphasis </li></ul><ul><li>Observe & Address concerns in various contexts/settings/levels of structure </li></ul><ul><li>Consistency with Approach </li></ul>
    31. 31. How can RT’s be used Effectively? <ul><li>Pick the Right One </li></ul><ul><li>Provide Specific Goals </li></ul><ul><li>Be Clear on Expectations </li></ul><ul><li>Facilitate Communication </li></ul>
    32. 32. Pitfalls to Avoid <ul><li>Boundary Violations </li></ul><ul><ul><li>Professional Guidelines </li></ul></ul><ul><ul><li>Professional Support </li></ul></ul><ul><li>Dependency Issues </li></ul><ul><ul><li>Plan for “Discharge” on Day #1 </li></ul></ul>
    33. 33. Questions / Comments

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