JANUARY 21, 2008 Camp Helping Hands

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AOTA T H EA ME R IC A NOC C UPAT I ONA LT HE RA P YA S S OC I AT I ON JANUARY 21, 2008Camp Helping HandsAddressing Hemiplegia inChildren With Cerebral PalsyPLUSHelping Students WithEmotional DisturbanceAOTA & ASD 2008 ElectionsCE ARTICLEThe Infants and ToddlersWith Disabilities Program(Part C of IDEA)

Imagine thePossibilitiesThat You’ll Discover atAOTA’s 88th AnnualConference & ExpoApril 10–13, 2008Long Beach, CaliforniaPre-Conference Institutes April 9THERE’S NO BETTER PLACE to exploreAOTA members saveon Annual Conference“Through his own journey and adventures, Warrenhas proven that impossible goals can be realized andwith his own new found sense of perspective, heprovides not only thought-provoking insights butalso key strategies that are critical to success in life.”Warren Macdonald,trapped beneath a one-tonslab boulder, had his legsamputated during a freakrock fall during a climbingexpedition. After theaccident, Macdonaldhas continued to climb,including becoming the first double aboveknee amputee to reach the summit ofMt. Kilimanjaro. Macdonald will presenthis compelling story during a memorableConference keynote address at the WelcomeCeremony on Thursday.AC-199professional and personal possibilities than AOTA’sAnnual Conference & Expo. With a wealth ofoutstanding continuing education—more than500 sessions in 25 primary topic areas—you’re sureto find choices that speak directly to your practicearea. And the energy and inspiration you are sure toexperience will spark exciting new ideas, connections,and possibilities for you and your career.Look for details at www.aota.org/conference{Early registration deadline: February 13Register Early, Save Big!Open your imagination.Come to Conference 2008.The possibilitiesare limitless.

Chief Operating Officer: Christopher BluhmDirector of Marketing & Member Communications:Beth LedfordEditor: Laura CollinsAssociate Editor: Molly StrzeleckiCE Articles Editor: Sarah D. HertfelderAOTA THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATIONCopyeditor: Jennifer HartVOLUME 13 ISSUE 1 JANUARY 21, 2008Creative Services Manager: Robert SacheliArt Director: Carol StrauchFEATURESProduction Manager: Sarah ElyDirector of Sales & Corporate Relations: Jeffrey A. CasperAccount Executives: Caryn M. FleishmanAddressing Hemiplegia inChildren With Cerebral PalsyAd inquiries: 800-877-1383, ext. 2715,or e-mail sales@aota.orgOT Practice External Advisory BoardDebbie Amini, Chairperson, PhysicalDisabilities Special Interest SectionStefanie Bodison, Chairperson,Sensory Integration Special Interest SectionRicardo C. Carrasco, Chairperson, DevelopmentalDisabilities Special Interest SectionBarbara E. Chandler, Chairperson,School System Special Interest SectionSharon J. Elliott, Chairperson, GerontologySpecial Interest SectionLisa Ann Fagan, Chairperson, Home &Community Health Special Interest SectionJyothi Gupta, Chairperson, Education SpecialInterest SectionKimberly Hartmann, Chairperson, TechnologySpecial Interest SectionChristine Kroll, Chairperson, Administration& Management Special Interest SectionLisa Mahaffey, Chairperson, Mental HealthSpecial Interest SectionJill Page, Chairperson, Work Programs SpecialInterest SectionPamela Toto, Chairperson, Special InterestSections CouncilAOTA President: Penelope A. MoyersExecutive Director: Frederick P. SomersChief Public Affairs Officer: Christina MetzlerChief Financial Officer: Chuck PartridgeChief Professional Affairs Officer: Maureen Peterson 2008 by The American Occupational Therapy Association, Inc.12Camp Helping HandsTracy HammondAdvertising Assistant: Clark CollinsScott Matthews, Craig Kaufmann,and Laurie Knis-Matthews describechanging the movement patterns thatresult from CP, while children have fun.COVER PHOTOGRAPH: “Helping hands to the rescue”became the theme of Superhero theme day. Courtesy of“Camp Helping Hands” authors.DEPARTMENTSCapital Briefing36Careers7Occupation in Action9NewsSupporting VA PractitionersMentoring: Coming Full CirclePRN in Physical RehabilitationFieldwork Issues22Perspectives23Conducting Fieldwork InterviewsOT Saved My Life:Surviving Domestic Violence17Findings andRecommendationsJane Case-Smith and Lori Archersuggest that emotional disturbanceshould be a focus of intervention,not a barrier to providing services.SPECIAL2008 AOTA and ASDElection Information26SPECIAL25Focus OnSchool-Based Servicesfor Students WithEmotional DisturbanceCE ArticleOT Practice (ISSN 1084-4902) is published 22 times a year,semimonthly except only once in January and December bythe American Occupational Therapy Association, Inc., 4720Montgomery Lane, Bethesda, MD 20814-3425; 301-652-2682.Periodical postage is paid at Bethesda, MD, and at additionalmailing offices.School System Special Interest SectionCalendar28The Infants and Toddlers WithDisabilities Program (Part C of IDEA)U.S. Postmaster: Send address changes to OT Practice, AOTA,PO Box 31220, Bethesda, MD 20824-1220.Employment Opportunities3240Earn .1 AOTA CEU (1 contact hour or NBCOTprofessional development unit) with thiscreative approach to independent learning.Canadian Publications Mail Agreement No. 41071009. ReturnUndeliverable Canadian Addresses to PO Box 503, RPO WestBeaver Creek, Richmond Hill ON L4B 4R6.Mission statement: The American Occupational Therapy Association advances the quality, availability, use, and support ofoccupational therapy through standard-setting, advocacy, education, and research on behalf of its members and the public.Annual membership dues are 225 for OTs, 131 for OTAs, and 75 for Student-Plus members, of which 14 is allocated to thesubscription to this publication. Standard Student membershipdues are 53 and do not include OT Practice. Subscriptions inthe U.S. are 142.50 for individuals and 216.50 for institutions.Subscriptions in Canada are 205.25 for individuals and 262.50for institutions. Subscriptions outside the U.S. and Canadaare 310 for individuals and 365 for institutions. Allow 4 to 6weeks for delivery of the first issue.Copyright of OT Practice is held by The American OccupationalTherapy Association, Inc. Written permission must be obtainedfrom AOTA to reproduce or photocopy material appearing inOT Practice. A fee of 15 per page, or per table or illustration,including photographs, will be charged and must be paid beforewritten permission is granted. Direct requests to Permissions,Publications Department, AOTA, or through the Publicationsarea of our Web site. Allow 2 weeks for a response.OT PRACTICE JANUARY 21, 2008Continuing Education OpportunitiesMolly AsksFred SomersSend e-mails regarding editorial content to otpractice@aota.org.Visit our Web site at www.aota.org for highlights of OT Practice,contributor guidelines, and additional news and information.OT Practice serves as a comprehensive source for practical information to help occupational therapists and occupational therapy assistants to succeed professionally. OT Practice encourages a dialogue among members on professional concerns and views. The opinionsand positions expressed by contributors are their own and not necessarily those of OT Practice’s editors or AOTA.Advertising is accepted on the basis of conformity with AOTA standards. AOTA is not responsible for statements made by advertisers, nordoes acceptance of advertising imply endorsement, official attitude, or position of OT Practice’s editors, Advisory Board, or The American Occupational Therapy Association, Inc. For inquiries, contact the advertising department at 800-877-1383, ext. 2715.Changes of address need to be reported to AOTA at least 6 weeks in advance. Members and subscribers should notify the Membershipdepartment. Copies not delivered because of address changes will not be replaced. Replacements for copies that were damaged inthe mail must be requested within 2 months of the date of issue for domestic subscribers and within 4 months of the date of issue forforeign subscribers. Send notice of address change to AOTA, PO Box 31220, Bethesda, MD 20824-1220, e-mail to members@aota.org,or make the change at our Web site at www.aota.org.Back issues are available prepaid from AOTA’s Membership department for 16 each for AOTA members and 24.75 each for nonmembers (U.S. and Canada) while supplies last.Members who prefer to access this publication electronically may request each issue in Word format (without graphics or other designelements). Send an e-mail to otpractice@aota.org.1

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NEWSAssociation updates.profession and industry newsAOTA UpdatesAOTA AdvocacyVictoryAfter more than 2 years ofadvocacy, the AmericanOccupational TherapyAssociation (AOTA) is happyto announce its success ineliminating an additionalrequirement for occupationaltherapy wheelchair evaluationsunder Medicare. Reimbursement and Regulatory Policystaff convinced the Centers forMedicare & Medicaid Servicesto eliminate a requirement thatwould have required an additional certification for occupational therapists performingwheelchair evaluations forhigher-end power devices. Formore information on the detailsof this victory, and what itmeans for practitioners, pleasevisit www.aota.org. Click on theNews section, then AdvocacyHighlights.Conference UpdateAOTA’s 88th AnnualConference & Expo inLong Beach, California,April 10 to 13, is packed withspecial events and highlightsthat attendees won’t wantto miss, including the Eleanor Clarke Slagle Lecture onFriday, April 11. This year’slecturer is Wendy J. Coster,PhD, OTR/L, FAOTA. Costerwill discuss “Embrace Ambiguity: Facing the Challenges ofMeasurement.”For more information, visitwww.aota.org/conference.For the latest newsaffecting you and yourprofession, visit AOTA’sWeb site at www.aota.org.OT PRACTICE JANUARY 21, 2008AJOT HighlightsThe January/February issueof the American Journalof Occupational Therapy(AJOT) features the articles“PDAs as Cognitive Aids forPeople With Multiple Sclerosis,” “A Controlled Study ofServices to Enhance ProductiveParticipation Among PeopleWith HIV/AIDS,” “Two Dimensions of Participation in VeryOld Age and Their Relationsto Home and NeighborhoodEnvironments,” and more. Thisissue also features an articlefrom editor Mary Corcoran on“Journal Impact Factors andAJOT.” AOTA members canaccess AJOT at www.aota.org.AOTA MembershipWorks!We are continually inspiredwhen members letus know how theyimproved their reimbursementrate, client outcomes, community visibility, or even jobsatisfaction by using information from AOTA. To helpcelebrate OT Month, we wantto share these stories with you.We will run as many answers tothe question, “Why are you amember of AOTA?” as we haveroom for in the April 14, 2008,issue of OT Practice. If youwould like to participate, pleasesend a submission of no morethan 250 words to otpractice@aota.org by February 4.ACOTE Fall 2007AccreditationActionsThe AOTA AccreditationCouncil for Occupational Therapy Education(ACOTE ) met November 30 toDecember 2, 2007, in Savannah,Georgia. Among the 125 program actions taken by ACOTEwere accreditation actions to:N grant continuing accreditation to 5 educationalprograms that had recentre-accreditation visits;N grant initial accreditation to3 new additional locations(satellite programs);N grant initial accreditation to1 new program level;N grant initial accreditation to3 new program formats; andN change the status of 1 program from Accreditation toAccreditation—Inactive.Continuing accreditationgranted subsequent to are-accreditation visit:Augusta Technical College(OTA associate degree),Augusta, GeorgiaLoma Linda University (OTA associate degree), Loma Linda,California (program currentlyon Inactive Status)University of Missouri–Columbia(OT professional entry-levelmaster’s and combinedbaccalaureate/master’s),Columbia, MissouriUniversity of Southern Indiana(OTA associate degree),Evansville, IndianaUniversity of Texas Health ScienceCenter at San Antonio (OTprofessional entry-levelmaster’s and combinedbaccalaureate/master’s),San Antonio, TexasAdditional locations grantedinitial accreditation:Keiser University, Kendall Campus(OTA associate degree),Miami, Florida (additionallocation of Keiser University,Ft. Lauderdale, Florida)Keiser University, Orlando Campus(OTA associate degree),Orlando, Florida (additionallocation of Keiser University,Ft. Lauderdale, Florida)Keiser University, Pembroke PinesCampus (OTA associatedegree), Pembroke Pines,Florida (additional locationof Keiser University, Ft.Lauderdale, Florida)Initial accreditation grantedto new program level:Southwest Virginia Community College (OTA associate degree),Richlands, VirginiaInitial accreditation grantedto new program format:Green River Community College(OTA associate degree),Auburn, Washington(evening/online format)Santa Ana College (OTA associatedegree), Santa Ana, California (evening/online format)University of Texas Pan-American(OT professional entry-levelmaster’s), Edinburg, Texas(weekday format)Program status changedfrom Accreditation toAccreditation—Inactive:Medical College of Georgia atColumbus State University(OT professional entry-levelmaster’s), Columbus, Georgia(additional location ofMedical College of Georgia,Augusta, Georgia)As of December 17, 2007,the number of programs inthe accreditation processtotaled 282.TotalProgramsOT OTA(145) (137)Accredited Programs 144Programs WithDeveloping ProgramStatus0Applicant Programs112926Additional informationregarding occupational therapyaccreditation may be obtainedfrom the ACOTE Accreditation section of the AOTA Website (www.acoteonline.org) orfrom AOTA accreditation staff3

A O TA B U L L E T I N B O A R DCelebrate OccupationalTherapy Month In April!Imagine thePossibilities.at AOTA’s 88th Annual Conference & Expo, Thursday, April 10through Sunday, April 13.Pre-Conference Institutes andSeminars on Wednesday, April 9.Keynote speaker WarrenMacdonald will present hiscompelling story during theWelcome Ceremony on Thursday.Macdonald’s legs were amputatedduring a freak rock fall while hewas on a climbing expedition.Macdonald has continued to climb,and was the first double above-kneeamputee to reach the summit of Mt.Kilimanjaro. You won’t want to missthis memorable event. Completedetails at www.aota.org/conference.NEWS! UPDATES!HOT TOPICS!AOTAAudioInsightTMSeminars!February 612:00–1:00 p.m. ETEarn .1 AOTA CEU(1 NBCOT PDU/1 contact hour) 30 AOTA Members, 42.50 NonmembersLive Audio Conference.Topic: Occupational Therapy andTransition Services. Register byFebruary 4. (Order #P2081-BB)Web-Based Extended Replayavailable February 6–April 30.(Order #PW2081-BB)Web-Based Extended Replays:Catch them before they’re gone!Through January 31: Alzheimer’s,Dementia, and Driving: The Transition From Driver to Passenger(#PW11071-BB)Through February 29: Autism:Evidence for the AOTA PracticeGuidelines (#PW12071-BB)Visit www.aota.org/aiseminars forcomplete details.4It’s not too early to start planningfor Occupational Therapy Month!AOTA’s got all the necessary materials to make every event—fromcommunity activities and campuscelebrations to staff recognitionsand facility open houses—a rousing success. Whether you’re lookingfor T-shirts, mugs, pens and pads,or other key resources, AOTAhas everything you need. Visitwww.aota.org/OTMonth and startyour planning today!KEY RESOURCEFROM AOTA PRESS!Enhancing HumanOccupation ThroughHippotherapy: A Guide forOccupational TherapyEdited by Barbara T. Engel, MEd,OTR, and Joyce R. MacKinnon,PhD, OT(C), OTRippotherapy—using a horse asa partner in treating a varietyof disabilities—was developed inGermany and Austria as a physicaltherapy modality.This book coversa wide range oftopics, includingwhy this treatmenttool is used, why itis effective, and how therapists canbecome involved in this dynamic,community-based approach.(Order #1106-BB, AOTA Members: 55, Nonmembers: 79)HBulletin Board is created by JohnPrudente, AOTA Marketing Specialist.Questions?Phone: 800-SAY-AOTA(members)301-652-AOTA(nonmembers and local callers)TDD: 800-377-8555Ready to order?By Phone: 877-404-AOTAOnline: www.aota.org(Books and Products)at 301-652-6611 ext. 2914 oraccred@aota.org.SocietalStatementsSince 2006, the Representative Assembly (RA) Coordinating Council has beendeveloping societal statements toinform the public about the profession’s position on issues thataffect the participation of individuals in society and to enhanceawareness of occupationaltherapy. At the Fall 2007 RAOnline meeting, two new societalstatements were adopted (“Play”and “Youth Violence”). All of thestatements are posted on theAOTA Web site, in the Press andMedia, Issue Statements section.The new code reads:96125—Standardized cognitiveperformance testing (e.g.,Ross Information Processing Assessment) per hourof a qualified health careprofessional’s time, bothface-to-face time administering tests to the patientand time interpreting thesetest results and preparingthe report.96125—An “active” codeand payable by Medicare,assuming all coveragecriteria are met.ETwo additional codes addedfor 2008 that were supported byAOTA are described as follows:99366—Medical team conference with interdisciplinaryteam of health care professionals, face to face withpatient and/or family; 30minutes or more, participation by nonphysician qualified health care professional99368—Medical team conference with interdisciplinaryteam of healthcare professionals, patient and/or familynot present; 30 minutes ormore; participation by nonphysician qualified healthcare professional.2008 CPT ChangesThese codes are only reportable by one member of eachprofession who is “familiar withthe patient, has performed anevaluation or treatment withinthe previous 60 days,” and isactively participating in theteam conference.The Team Conference codesare considered “bundled” byMedicare and are not separately payable. Relative valueunits have been developed andmay be used if the servicesare covered by other payers.The codes also would be useful in internal reporting ofproductivity.Occupational therapists arespecifically mentioned as professionals who perform this codein the AMA’s publication CPTSIS Electionslections are now going on forChairperson of the PhysicalDisabilities, DevelopmentalDisabilities, Work Programs, andSensory Integration Special InterestSections.The election will end at midnight on January 31. As an AOTAmember, you have voting rightsin up to three Special InterestSections that you selected as amember benefit. You can voteonline by going to the AOTA Website, www.aota.org and clicking on AOTA Elections—VoteHere! under AOT

With Disabilities Program (Part C of IDEA) AOTA THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATION JANUARY 21, 2008. AC-199 . occupational therapy through standard-setting, advocacy, edu-cation, and research on behalf of its members and the public. . Keiser University, Kendall Camp