2017-12-05 Bridge, K. (2017, December 14). Working for the Canadian Armed Forces and Veterans Affairs Canada: Guidance for Occupational Therapists. In CAOT News & Resources Webinar series. Retrieved from https://caot.ca/site/pt/resources/odnrwebinars?nav=sidebar Working for the Canadian Armed Forces and Veterans Affairs Canada: Guidance for Occupational Therapists Presented by: Katelyn Bridge, OT Reg. (Ont.) CAOT Professional Development News & Resources Webinar December 14, 2017 Canadian Association of Occupational Therapists Canadian Association of Occupational Therapists Association canadienne des ergothérapeutes Association canadienne des ergothérapeutes 1 Learning Objectives 1. Identify and understand the roles of occupational therapists working for the Canadian Armed Forces (CAF). 2. Identify and understand the roles of occupational therapists working for Veterans Affairs Canada (VAC). 3. Recognize the emerging role for occupational therapists in working with military families and children . Canadian Association of Occupational Therapists Association canadienne des ergothérapeutes 2 Disclaimer • This presentation is based on CAOT’s reference document, “ Working for the Canadian Armed Forces and Veterans Affairs Canada: A Guidance Document for Occupational Therapists ” http://www.caot.ca/site/pt/militaryguidancedocu ment?nav=sidebar • I do not work for CAF or VAC. Canadian Association of Occupational Therapists Association canadienne des ergothérapeutes 3 1
2017-12-05 Bridge, K. (2017, December 14). Working for the Canadian Armed Forces and Veterans Affairs Canada: Guidance for Occupational Therapists. In CAOT News & Resources Webinar series. Retrieved from https://caot.ca/site/pt/resources/odnrwebinars?nav=sidebar Recent Developments • CAOT has been working closely with the CAF and VAC to promote occupational therapy as an essential service for the health and well being of military personnel, Veterans, and their families. • At the 2017 CIMVHR Forum, the CAF announced that they will be hiring 30 new occupational therapists – an increase from their current number of 4. – Reiterated at the 2017 Family Medicine Forum Canadian Association of Occupational Therapists Association canadienne des ergothérapeutes 4 Working with Members of the Canadian Armed Forces Occupational therapists work with active military personnel in two different roles: – OTs may work directly on base for the Department of National Defence (DND) as a DND Rehabilitation Occupational Therapist (DND OT). *** – Occupational therapists can also register to be Blue Cross service providers and work in the community as Blue Cross Occupational Therapists (Blue Cross OTs). Canadian Association of Occupational Therapists Association canadienne des ergothérapeutes 5 Unique Considerations • When working with members of the CAF, whether as a DND OT or a Blue Cross OT, there are some unique considerations: – The overarching goal of occupational therapy interventions with CAF members is return to duty. – Rehabilitation outcomes with CAF personnel are strongly tied to motivation , effort , and support . – An injured CAF member is seen a recovering athlete who must be provided with an appropriate level of challenge to reach their rehabilitation goals. (National Defence and the Canadian Armed Forces, 2011) Canadian Association of Occupational Therapists Association canadienne des ergothérapeutes 6 2
2017-12-05 Bridge, K. (2017, December 14). Working for the Canadian Armed Forces and Veterans Affairs Canada: Guidance for Occupational Therapists. In CAOT News & Resources Webinar series. Retrieved from https://caot.ca/site/pt/resources/odnrwebinars?nav=sidebar DND Occupational Therapists • DND OTs work on military bases as team members on the Canadian Forces Health Services Physical Rehabilitation Team. – Primary goal: Return injured personnel to their previous duty as soon as medically possible. – When return to duty cannot be accomplished through a physical rehabilitation program, the secondary goal is to prepare CAF personnel for alternative military employment. – If this too is not a realistic goal, the tertiary goal is to prepare CAF members for an optimal transition to civilian life. (Besemann, 2011) Canadian Association of Occupational Therapists Association canadienne des ergothérapeutes 7 DND OTs: Commonly Addressed Issues • DND OTs commonly work with CAF members who may be experiencing the following: • orthopedic problems • need for assistive • musculoskeletal devices/equipment • needs for home problems • sleep disorders adaptations • amputations • need for vehicle • chronic pain adaptations • traumatic brain injury • dysregulated routines • need for mobility aids and habits Canadian Association of Occupational Therapists Association canadienne des ergothérapeutes 8 DND OTs: Commonly Used Assessment Tools • The following list is an example of occupational therapy assessments used on one of the CAF bases: • Beck Anxiety Inventory (BAI) • Montreal Cognitive Assessment (MoCA) • • Beck Depression Inventory (BDI) Motor-Free Visual Perception Test (MVPT) • • Behavioral Assessment of Dysexecutive Neurobehavioral Symptom Inventory (NSI) Syndrome (BADS) • Patient Health Questionnaire-9 (PHQ-9) • • Box and Block Test (BBT) Pittsburgh Sleep Quality Index (PSQI) • • Brain Injury Visual Assessment Battery for Purdue Peg Board Adults (biVABA) • Rivermead Behavioural Memory Test • Canadian Occupational Performance (RBMT) • Measure (COPM) Standardized Concussion Assessment Tool • Contextual Memory Test (CMT) 3 (SCAT3) • • Headache Impact Test (HIT-6) Tampa Scale of Kinesiophobia (TSK) • • Insomnia Severity Index (ISI) Test of Everyday Attention (TEA) • Jebsen Hand Function Test (JHFT) Canadian Association of Occupational Therapists Association canadienne des ergothérapeutes 9 3
2017-12-05 Bridge, K. (2017, December 14). Working for the Canadian Armed Forces and Veterans Affairs Canada: Guidance for Occupational Therapists. In CAOT News & Resources Webinar series. Retrieved from https://caot.ca/site/pt/resources/odnrwebinars?nav=sidebar Working for the Canadian Armed Forces Keep an eye out for the online application process for the recently announced positions. www.jobs.gc.ca https://bts.calian.com/en/career_jobs/index.asp They will also be advertised on www.caot.ca Canadian Association of Occupational Therapists Association canadienne des ergothérapeutes 10 Blue Cross Occupational Therapists • OTs working in the community or private practice can register with Medavie Blue Cross to become Blue Cross service providers, making them eligible to provide direct service to CAF members requiring occupational therapy. https://www.medaviebc.ca/en/health- professionals/register Canadian Association of Occupational Therapists Association canadienne des ergothérapeutes 11 Blue Cross Occupational Therapists “Outsourcing” is the term used when a CAF member is referred to a Blue Cross OT. CAF members may be referred to Blue Cross OTs for a variety of reasons including: • When no on-site occupational therapy services are available on base. • The DND OT is unable to see a client within the required priority timeline. • The member requires specialized assessment or treatment that is not available on-site (e.g. hand therapy, functional capacity evaluation). • The member lives/works at a distance from the primary DND OT location. Canadian Association of Occupational Therapists Association canadienne des ergothérapeutes 12 4
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