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)

Transcript

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