#OTalk Transcript
Healthcare social media transcript of the #OTalk hashtag.
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| Profile | Tweet |
|---|---|
 | Bill Wong, OTD, OTR/L @BillWongOT Hello everyone! Today I am going to be pre-tweeting for #otalk due to daylight savings. |
 | Katrina Bannigan @katrinabannigan As a guide @OTalk when should you retweet and when should you like.? I have noticed people like-ing more recently and wondered if there is an etiquette about this? #otalk |
| Katrina Bannigan @katrinabannigan What's pre-tweeting? #OTalk @MOT1ON_Research @OTPlymouthUni @IHCPlymouth @PlymUniResearch https://t.co/vGDkd1EQcS |
| Bill Wong, OTD, OTR/L @BillWongOT @KatrinaBannigan @MOT1ON_Research @OTPlymouthUni @IHCPlymouth @PlymUniResearch That means I schedule tweets in advance and have them appear live in real time. So you can tell that my tweets might be out of sync relatively speaking in relation to the discussions. #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT And the dimension I come from- I work with a good bit of patients with psych diagnosis; and some of the nursing homes I work at have almost all psych patients. #Otalk |
 | OTalk @OTalk_ Who's on for tonight's #otalk ? @Tori_Doll_ is ready to go |
| OTalk @OTalk_ That is dedication! #otalk https://t.co/peBtNwv12x |
 | Mark Whiteman @markstudentOT #OTalk checking in from a train! 🚆 🚆 🚆 |
 | Tori OT @tori_doll_ Good evening #OTalk community! I am here this evening tweeting on behalf of @MOT1ON_Research - which is a collaboration between researchers, service users, clinicians and educators committed to improving outcomes in mental health #occupationaltherapy by advancing research. |
 | Rob Brooks @robbrooks_uk Hello #Otalk from Brighton! |
 | Carolina Cordero @colourful_ot @OTalk_ @Tori_Doll_ Here! Pretty busy with assignments atm but making time this evening for #OTalk |
 | Mary Birken @MaryBirken Hello everyone I'm here and looking forward to #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT @OTalk_ And I already scheduled my tweets... since I am working now! #otalk |
| OTalk @OTalk_ #Otalk on the go! https://t.co/o7XWQjUSzf |
 | Margaret Spencer @margaretOT360 #OTalk prepping teaching but keeping an ear in |
 | Sue Parkinson @MOHOspark @OTalk_ @Tori_Doll_ #OTalk I'm looking forward to following this chat ... but may lose signal as I'm on a train (again!) |
| Bill Wong, OTD, OTR/L @BillWongOT In my setting, I think I see a good bit of psych patients are the most motivated when time is getting close to smoke break time. #otalk |
 | Deborah Harrison @DebbiiHarrison Good evening #OTalk & hello @KatrinaBannigan in Latvia. Looking forward to tonight’s discussion |
| Katrina Bannigan @katrinabannigan Hi Mary #OTalk @MOT1ON_Research https://t.co/KhxSecHaoU |
| Katrina Bannigan @katrinabannigan RT @Tori_Doll_: Good evening #OTalk community! I am here this evening tweeting on behalf of @MOT1ON_Research - which is a collaboration bet… |
 | Susan Ritchie @susanritchie123 Joining #otalk tonight |
| Katrina Bannigan @katrinabannigan Me too #OTalk @MOT1ON_Research https://t.co/v5ARlkIemr |
| OTalk @OTalk_ RT @Tori_Doll_: Good evening #OTalk community! I am here this evening tweeting on behalf of @MOT1ON_Research - which is a collaboration bet… |
| Tori OT @tori_doll_ Q1: What does the term #participation mean to you/your service users? #OTalk |
 | Khalilah R. Johnson @OccScienceBae @OTalk_ @Tori_Doll_ Checking in from Richmond, Virginia #OTalk |
 | Jessika Lack @JessikaLack_OT When you forget to change from your hospital account to your personal professional twitter account 🙈#OTalk #HelloFronTheOtherSide 🎼 |
| OTalk @OTalk_ Q1 #OTalk https://t.co/s3yZASKg6p |
| Katrina Bannigan @katrinabannigan Hi Sue #OTalk @MOT1ON_Research @OTPlymouthUni https://t.co/o5MgSMVBFP |
| Sue Parkinson @MOHOspark #OTalk Participation v. Performance. The latter describes how well a person performs an activity which may or may not be meaningful and may not be continued. Participation in occupation implies meaningfulness, commitment over time, role opportunities. @Tori_Doll_ |
| Margaret Spencer @margaretOT360 Belonging and having control of place, time and content #otalk https://t.co/ldbPz01bhL |
| Bill Wong, OTD, OTR/L @BillWongOT Participation is meaningful in my setting (through my example) can be something like a meaningful time to socialize and build friendships with fellow patients. #otalk |
 | Kevin Breitman @kbreitman27 RT @BillWongOT: Participation is meaningful in my setting (through my example) can be something like a meaningful time to socialize and bui… |
| Rob Brooks @robbrooks_uk Are there types of participation? For example, occupational partication, social participation, or maybe they are all under one term? #Otalk |
| Jessika Lack @JessikaLack_OT @Tori_Doll_ Service users I work with would define participation as ‘taking part’, ‘trying their best’. I also agree with this however the idea of engagement and satisfaction of what people part take in is so important #OTalk |
 | Tilly Greenwell @Tilly_OT Here for tonight's #OTalk will probably be lurking as I'm still sleep deprived since getting back from Ukraine 😴 |
| Rob Brooks @robbrooks_uk RT @MOHOspark: #OTalk Participation v. Performance. The latter describes how well a person performs an activity which may or may not be mea… |
| Sue Parkinson @MOHOspark #OTalk One doesn't have 2 perform well in order 2 participate in occupation. Participating leads 2 sense of belonging & identity. E.g., I don't sing well, but I still participate in a community choir. On the other hand, I can drive but don't identify as 'a driver'. @Tori_Doll_ |
 | Kate Sharp @ot_sharp I’m here...at the gym but aiming for Occupational balance! #otalk https://t.co/cOhIZcTa8k |
 | Vikki Barry @VikkiBarryOT #OTalk great first question. I think it’s very much a multifaceted concept whereby identity is developed alongside purpose, meaning and levels of engagement https://t.co/CfjPIce53o |
| Mark Whiteman @markstudentOT Participation is in part about service users having the opportunity to do so #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT And of course... occasionally we also do community training. That is also meaningful because it can be motivation for them to get discharged to lower level of care. (Though that might not happen at some nursing homes I work at because patient might also be flight risk). #otalk |
| Tilly Greenwell @Tilly_OT RT @theRCOT: Tonight's #OTalk is on 'what does the term 'participation' mean in mental health from an occupational therapy perspective?' ht… |
 | Charlotte Carpenter @charcarpenter @Tori_Doll_ @Tori_Doll_ #OTalk Engaging patients in what is meaningful to them whilst presenting a stimulating just-right challenge using #VdTMoCA to aid skill development and improvement in self-esteem/self-worth |
| Tilly Greenwell @Tilly_OT RT @MOHOspark: #OTalk Participation v. Performance. The latter describes how well a person performs an activity which may or may not be mea… |
 | Hiral Khatri, OTD @DrHiralKhatri @margaretOT360 The term Participation for me is - getting involved with just everything but not above my availability, and my skills. Following passion and working for what I like makes me more of a good participant rather than just being a passive-employee. #OTALK |
| OTalk @OTalk_ RT @CharCarpenter: @Tori_Doll_ @Tori_Doll_ #OTalk Engaging patients in what is meaningful to them whilst presenting a stimulating just-righ… |
| Katrina Bannigan @katrinabannigan This has resonance for me but how does it fit with the ICF #OTalk @MOT1ON_Research https://t.co/xYDOUX9Qrv |
| Tilly Greenwell @Tilly_OT RT @robbrooks_uk: Are there types of participation? For example, occupational partication, social participation, or maybe they are all unde… |
| Tilly Greenwell @Tilly_OT RT @JessikaLack_OT: @Tori_Doll_ Service users I work with would define participation as ‘taking part’, ‘trying their best’. I also agree wi… |
| Bill Wong, OTD, OTR/L @BillWongOT In terms of meaning to me, that means feeling I belong actively in an environment through participation. #otalk |
| Tilly Greenwell @Tilly_OT RT @MOHOspark: #OTalk One doesn't have 2 perform well in order 2 participate in occupation. Participating leads 2 sense of belonging & iden… |
| OTalk @OTalk_ Great examples Sue. #otalk https://t.co/dBWVWpuG4X |
| Susan Ritchie @susanritchie123 @Tori_Doll_ It means doing or being part of something that is valuing to the person that they want to do #OTalk To me it is finding that something and providing the means for them to do it |
| OTalk @OTalk_ RT @sweet_hiral: @margaretOT360 The term Participation for me is - getting involved with just everything but not above my availability, and… |
 | peter walton @ihealthe1 RT @MOHOspark: #OTalk One doesn't have 2 perform well in order 2 participate in occupation. Participating leads 2 sense of belonging & iden… |
| Carolina Cordero @colourful_ot RT @MOHOspark: #OTalk One doesn't have 2 perform well in order 2 participate in occupation. Participating leads 2 sense of belonging & iden… |
| OTalk @OTalk_ RT @margaretOT360: Belonging and having control of place, time and content #otalk https://t.co/ldbPz01bhL |
| Khalilah R. Johnson @OccScienceBae @OTalk_ Broadly, it’s the ability to access and engage in daily life activities of one’s choosing. However, what I have learned working with adults with intellectual and developmental disabilities, is that participation can look different. We should think beyond the conventional. #OTalk |
| Vikki Barry @VikkiBarryOT RT @OTalk_: Great examples Sue. #otalk https://t.co/dBWVWpuG4X |
| Mark Whiteman @markstudentOT There's a side to participation that's about 'joining in' or not joining in as the case may be with some clients #OTalk |
| OTalk @OTalk_ RT @KatrinaBannigan: This has resonance for me but how does it fit with the ICF #OTalk @MOT1ON_Research https://t.co/xYDOUX9Qrv |
| Deborah Harrison @DebbiiHarrison #OTalk Q1 participation = ‘joining in’ with others, being able to take up opportunities, being connected with others in meaningful occupations 💚 https://t.co/plJakumGwq |
 | Austin @spicer_booth Probably ask them, I'd not want to assume their unique perspective on what it is and is not #otalk |
| Tori OT @tori_doll_ Q2) Is #participation an important measure within mental health services, if so how? #OTalk |
| OTalk @OTalk_ RT @JessikaLack_OT: @Tori_Doll_ Service users I work with would define participation as ‘taking part’, ‘trying their best’. I also agree wi… |
| Jessika Lack @JessikaLack_OT Good question! If this relates to what does ‘participation’ mean to you/ service users I am sure you will get two very different responses 😊 It’s important to break down the diversity of participation #OTalk https://t.co/usedwJ2H0p |
| OTalk @OTalk_ RT @DebbiiHarrison: #OTalk Q1 participation = ‘joining in’ with others, being able to take up opportunities, being connected with others in… |
| Hiral Khatri, OTD @DrHiralKhatri @KatrinaBannigan @MOT1ON_Research certainly. #otalk and performance is better if you start practicing participation. Its hard to comment sitting on the other side and actually participating and experiencing that task. |
 | Vikki Smith @vikkijaynedale RT @MOHOspark: #OTalk One doesn't have 2 perform well in order 2 participate in occupation. Participating leads 2 sense of belonging & iden… |
| Vikki Barry @VikkiBarryOT RT @Tori_Doll_: Q2) Is #participation an important measure within mental health services, if so how? #OTalk |
| Charlotte Carpenter @charcarpenter @Tori_Doll_ Absolutely!! Especially how #VdTMoCA helps us to gain the smallest amount of participation from even the least well individuals - a strength lacking by most other models #OTalk |
| Mary Birken @MaryBirken @OccScienceBae @OTalk_ Participation can look different, I agree- have you got examples of these differences? #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT In my setting, I will say we don’t have a direct measure for participation. However, it will show in some way in patients’ functioning levels... as the hard work they put in usually will result in improvements in some way. #otalk |
| OTalk @OTalk_ RT @VikkiBarryOT: #OTalk great first question. I think it’s very much a multifaceted concept whereby identity is developed alongside purpos… |
| Austin @spicer_booth You get what you measure #OTalk |
 | Dianne @OTStudentDianne Very interesting #OTalk topic tonight - don't have enough experience in mental health to add anything, but keen to learn from those who do 🤓 |
| Rob Brooks @robbrooks_uk @MOHOspark @Tori_Doll_ We use this idea often when enabling C&YP to participate, when performance might be tricky, such as riding the bike with dad #OTalk |
| OTalk @OTalk_ RT @OccScienceBae: @OTalk_ Broadly, it’s the ability to access and engage in daily life activities of one’s choosing. However, what I have… |
| OTalk @OTalk_ RT @MaryBirken: @OccScienceBae @OTalk_ Participation can look different, I agree- have you got examples of these differences? #otalk |
 | Miriam Noonan @mirnoonanot @Tori_Doll_ If it is the client's /service users goal to participate, then yes it's an important measure #OTalk but participation has to be meaningful |
| Margaret Spencer @margaretOT360 #Otalk yes being there often it's a first tentative step to participation https://t.co/QQG5lAXQkg |
| Hiral Khatri, OTD @DrHiralKhatri @robbrooks_uk Good question. #otalk I believe, there are no specific types though we can differentiate as per our own norms may be?? |
| Vikki Barry @VikkiBarryOT #OTalk I think it is...but who is measuring it? Shouldn’t service users be their own determinant of levels of participation... https://t.co/b50hHxBkqb |
| Katrina Bannigan @katrinabannigan Lost internet there for a while - Is achieving participation contigent on using the @VdTMoCAFUK? #OTalk @MOT1ON_Research https://t.co/L7ZjMqeRkK |
| Bill Wong, OTD, OTR/L @BillWongOT In my setting, participation makes a positive difference in prognosis in patient’s maximum functional potential. #otalk |
| Vikki Barry @VikkiBarryOT RT @margaretOT360: #Otalk yes being there often it's a first tentative step to participation https://t.co/QQG5lAXQkg |
| Khalilah R. Johnson @OccScienceBae @MaryBirken @OTalk_ Using emblematic gestures (i.e. eye gazes and vocalizations) rather than physical touch to engage in activity. For example using eye gaze to choose pieces in a game of dominos when verbal language and upper extremity movement is impaired. #OTalk |
| Jessika Lack @JessikaLack_OT The concept of 25 hours of therapeutic engagement per week is definitely a measure that is important, in particular for commissioners #OTalk https://t.co/okGmoSeLZX |
| Carolina Cordero @colourful_ot @Tori_Doll_ Because of what I've been learning in lectures, when I hear participation I think of it as a component of the ICF that's similar to but separate from activities - but I'm still getting my head around what that means exactly! #OTalk https://t.co/bNDbjElaDH |
| Mark Whiteman @markstudentOT There's a sense that service users participate because they have to and are doing to effect an end to their inpatient stay #OTalk |
| Vikki Smith @vikkijaynedale RT @OccScienceBae: @OTalk_ Broadly, it’s the ability to access and engage in daily life activities of one’s choosing. However, what I have… |
| OTalk @OTalk_ Interesting point. How is it being measured? #otalk https://t.co/LjdB4VO7Sg |
| Margaret Spencer @margaretOT360 RT @VikkiBarryOT: #OTalk I think it is...but who is measuring it? Shouldn’t service users be their own determinant of levels of participati… |
| Miriam Noonan @mirnoonanot @VikkiBarryOT I agree Vicky! #Otalk |
| Charlotte Carpenter @charcarpenter @Tori_Doll_ As a high secure service, It is in terms of the standard of offering a min of 25hrs of activity to each patient per week but the quality of this participation is often not considered - us OTs definitely feel this is more important! Quality over quantity every time!! #OTalk |
| Katrina Bannigan @katrinabannigan Curious - Is not participating ever really a goal? #Otalk @MOT1ON_Research https://t.co/r3U3AFp0ka |
| Hiral Khatri, OTD @DrHiralKhatri @Tori_Doll_ Yes. It is an important measure. As it shows signs of a person's choices, moods, tolerance levels and interests. #otalk |
| Dianne @OTStudentDianne @VikkiBarryOT Very good point! It would be interesting to compare the perspectives of the service users and the therapists 🤔 #OTalk |
| Margaret Spencer @margaretOT360 RT @JessikaLack_OT: The concept of 25 hours of therapeutic engagement per week is definitely a measure that is important, in particular for… |
 | Sam Baker @thebakerstron @Tori_Doll_ #OTalk Often the wider focus is on quantity as opposed to quality. Focus should be on meaningful engagement for service users, as opposed to meeting activity targets. @OTalk_ |
| Sue Parkinson @MOHOspark @Tori_Doll_ #OTalk We can measure skills, and performance, which support participation, and personal/environmental qualities that support participation (e.g., volition, habituation, physical/social components). Use of time also indicates participation, but is only half the story. |
| Khalilah R. Johnson @OccScienceBae @BillWongOT How do you document it, Bill? #OTalk |
| Vikki Barry @VikkiBarryOT #OTalk this is a really valuable point https://t.co/Vm0IClxRMw |
| Vikki Smith @vikkijaynedale RT @MOHOspark: #OTalk Participation v. Performance. The latter describes how well a person performs an activity which may or may not be mea… |
| Rob Brooks @robbrooks_uk We need to own participation in MH! It is a foreign concept to medics, psychologists and psychotherapists (bit of a generalisation, but you get my drift) #Otalk |
 | Lauren @Lauren_OT @Tori_Doll_ Not always. Nursing Staff just want ‘bums on seats’ as looks good for ‘meaningful’ activity targets. I think it’s only an important measure if participation is part of individuals goals as should be person centred and meaningful to them. #OTalk |
| Katrina Bannigan @katrinabannigan So do I and it is a powerful asset for us, as occupationaltherapists, to have had it expressed in the ICF. Unfortunately it is not well conceptual is it @joanne_inman? #Otalk @MOT1ON_Research https://t.co/z2j7T9o44y |
| Vikki Barry @VikkiBarryOT RT @MOHOspark: @Tori_Doll_ #OTalk We can measure skills, and performance, which support participation, and personal/environmental qualities… |
| Katrina Bannigan @katrinabannigan What does that mean @JessikaLack_OT ? #otalk @MOT1ON_Research https://t.co/lfCqzO0kk9 |
| Sam Baker @thebakerstron @Tori_Doll_ @OTalk_ #OTalk Patients/service users should take lead role when measuring participation, empowering them in patient centred care. Therapists also should look at quality of therapy provision and engagement on an ongoing basis. |
| Mary Birken @MaryBirken I think participation is the most important outcome to measure result of occupational therapy in mental health. Occupational performance can be seen as proximal outcome that contributes to participation #otalk |
| Vikki Barry @VikkiBarryOT Couldn’t agree more Rob! #OTalk https://t.co/wHyN9349F5 |
| Charlotte Carpenter @charcarpenter @KatrinaBannigan @VdTMoCAFUK @MOT1ON_Research No but the strategies it gives us in high security on ICU, HDU & Admissions are incredibly beneficial when working with extremely unwell individuals who would often be assumed as too unwell for OT. As a service, we have more confidence in ourselves, our role and direction #OTalk |
| Tori OT @tori_doll_ Really useful information being circulated! Q3) Do you consider occupational #participation throughout the occupational therapy process, if so how? #OTalk |
 | EmHarman @emharmanxx @Tori_Doll_ Very important as is can draw in peoples interests to make care client centred.! #OTalk |
| Miriam Noonan @mirnoonanot @KatrinaBannigan @MOT1ON_Research I'm thinking more along the lines of when clients are referred to groups and it gets recorded in their notes or care plan that they are 'participating' in many activities but im reality these may not be meaningful but can end up as a tick box exercise #Otalk |
| Vikki Barry @VikkiBarryOT RT @thebakerstron: @Tori_Doll_ @OTalk_ #OTalk Patients/service users should take lead role when measuring participation, empowering them in… |
| Katrina Bannigan @katrinabannigan RT @VikkiBarryOT: #OTalk this is a really valuable point https://t.co/Vm0IClxRMw |
 | Matthew Molineux @mmolineux Daniel Sutton at https://t.co/1hMFJiULCI has a paper that includes that issue #OTalk https://t.co/uKfYtssksB |
| OTalk @OTalk_ RT @Tori_Doll_: Really useful information being circulated! Q3) Do you consider occupational #participation throughout the occupational th… |
| Bill Wong, OTD, OTR/L @BillWongOT and in my setting, community integration has meaning from occupational participation standpoint. For some patients, this might mean a crucial step before being discharged to home or lower level of care. #otalk |
| Khalilah R. Johnson @OccScienceBae @VikkiBarryOT If we’re truly practicing client-centered care, would patient’s determinants of participation not be captured? #OTalk |
 | Sue Gara @Jgara4LIfe #OTalk participation implies you want to take part,a sense of common spirit and belonging |
| Tori OT @tori_doll_ @thebakerstron @OTalk_ Definitely agree re quality over quantity with regards to measuring participation - particularly in MH services, otherwise the therapeutic value gets lost, becomes meaningless and is service led. Rather than service user led! #clientcentred #OTalk |
 | RCOT Northern Ireland @RCOTNIreland RT @theRCOT: Tonight's #OTalk is on 'what does the term 'participation' mean in mental health from an occupational therapy perspective?' ht… |
| Austin @spicer_booth No, it's like a lighthouse beacon, comes and goes but you know it's there #OTalk |
| OTalk @OTalk_ @Tori_Doll_ Certainly for my client group I would need to monitor participation, review how it’s going, change if needed. Sometimes we pause things because it not the right time to participate and then revisit how we reboot things. #otalk |
| Vikki Barry @VikkiBarryOT It’s fundamental to every aspect of the OT process from developing the therapeutic relationship right through to discharge. Changes in participation and thus identity will occur along the way which will only inform our Occupational understanding #OTalk https://t.co/7GBotSPOp4 |
| Charlotte Carpenter @charcarpenter @JessikaLack_OT @Tori_Doll_ Yes but I’m not always sure it does when NHS targets are set unfortunately! #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT And for those who are long term residents at my setting, it can mean a reward for good behavior and a much needed change from being at the facility all day. #otalk |
| Rob Brooks @robbrooks_uk We consider occupational participation in occupational formulation don't we @MOHOspark? #Otalk |
| Katrina Bannigan @katrinabannigan Oh OK ... that makes sense #OTalk @MOT1ON_Research https://t.co/V4C8GjpmPp |
| Lauren @Lauren_OT @Tori_Doll_ Quality of participation is also not seen as important, focus seems to be more on quantity. I would much rather a patient participate once a month and it be valuable than all day everyday and it mean nothing to them. #OTalk |
 | Alondra Ammon @ammonam81 @Tori_Doll_ I would say for sure! In my opinion, as OT's our purpose as a whole is to help our clients participate in meaningful occupations. The only thing that changes in regards to the type of participation they engage in is the setting, but our focus remains the same. #OTalk |
| Vikki Barry @VikkiBarryOT Yes great point surely they would #OTalk https://t.co/o6hcT2tXmQ |
| Katrina Bannigan @katrinabannigan So @MaryBirken how would you measure it? #Otalk @MOT1ON_Research https://t.co/vC5lW1NUBv |
| Dianne @OTStudentDianne #otalk Q3 - Does anyone use a theoretical model which includes occupational #participation as goal? |
| Mary Birken @MaryBirken @KatrinaBannigan @joanne_inman @MOT1ON_Research I agree that its an asset to Occupational therapy to have WHO recognise participation as a component of health. In mental health the concept hasn't been recognised as much as other areas of OT. But overlapping terms are used- eg social functioning. #otalk |
 | Sophie Maynard @SophieMaynard8 RT @MOHOspark: #OTalk One doesn't have 2 perform well in order 2 participate in occupation. Participating leads 2 sense of belonging & iden… |
| Khalilah R. Johnson @OccScienceBae @VikkiBarryOT I think drawing on evidence from the literature and being intentional in how we document participation and patient’s progress is what will make a difference. #OTalk |
| Vikki Barry @VikkiBarryOT RT @AmmonAM81: @Tori_Doll_ I would say for sure! In my opinion, as OT's our purpose as a whole is to help our clients participate in meanin… |
| Katrina Bannigan @katrinabannigan Is occupational participation the same or diffrence to participation? #OTalk @MOT1ON_Research and how do you consider it in occupational formulation? I am interested. https://t.co/YzFpwb9X8m |
| Charlotte Carpenter @charcarpenter @mirnoonanOT @KatrinaBannigan @MOT1ON_Research Great point!! We’re doing a service evaluation to compare numbers of sessions patients have attended vs their outcomes in occupational domains. A big question out of this is, what was the quality of their engagement in each session plus the quality of session delivery! #Otalk |
| Vikki Barry @VikkiBarryOT RT @OccScienceBae: @VikkiBarryOT I think drawing on evidence from the literature and being intentional in how we document participation and… |
| Sam Baker @thebakerstron @Tori_Doll_ #OTalk @OTalk_ By having a strong professional identity. Understanding that each patients recovery journey is unique, therefore each step of the OT process should also be unique to promote and enable participation. |
| Bill Wong, OTD, OTR/L @BillWongOT I think where I live in LA is a huge factor with culture. After all, Los Angeles is like a melting pot. #otalk |
| Sophie Maynard @SophieMaynard8 @Tori_Doll_ Q2 - I am unsure if #participation should be a measure. A little participation in a meaningful occupation might be the perfect balance for one individual and not enough to another #OTalk |
 | Student Platform OT @SPOTeurope Students would like to have a few examples of how professionals have previously measure occupational participation! #OTalk |
| Vikki Barry @VikkiBarryOT Hopefully our overall eclectic understanding of models and therapeutic approaches will enable us select which is most suitable for the individual - most approaches encompass levels of participation, some maybe more than others #OTalk https://t.co/uCQAQrphwR |
| Sue Parkinson @MOHOspark @OTStudentDianne #OTalk I wouldn't be me, if I didn't tweet the #MOHO diagram 😁 Participation is the ultimate goal of doing 😃 https://t.co/uH3c3gC8B1 |
| Vikki Barry @VikkiBarryOT RT @MaryBirken: @KatrinaBannigan @joanne_inman @MOT1ON_Research I agree that its an asset to Occupational therapy to have WHO recognise pa… |
| Katrina Bannigan @katrinabannigan There has been some work by WHO e.g. whodas 2.0 @joanne_inman used USER-P and the P-Scale in her PHD which came from a review of measures. They were the best available but had had limited psychometric testing - time use was the primary measure as a proxy #OTalk @MOT1ON_Research https://t.co/jxhBpgl8du |
| OTalk @OTalk_ RT @CharCarpenter: @mirnoonanOT @KatrinaBannigan @MOT1ON_Research Great point!! We’re doing a service evaluation to compare numbers of sess… |
| Mary Birken @MaryBirken @KatrinaBannigan @MOT1ON_Research It is currently difficult to measure as not clearly defined as a concept, particularly in MH but we can attempt to measure "involvement in a life situation" in the meantime? #otalk |
| OTalk @OTalk_ RT @KatrinaBannigan: Is occupational participation the same or diffrence to participation? #OTalk @MOT1ON_Research and how do you consider… |
| Vikki Barry @VikkiBarryOT Me too #OTalk https://t.co/2HngbXOUCd |
| Vikki Barry @VikkiBarryOT RT @thebakerstron: @Tori_Doll_ #OTalk @OTalk_ By having a strong professional identity. Understanding that each patients recovery journey i… |
| Bill Wong, OTD, OTR/L @BillWongOT And culture also play a role in setup in the environments I work in. Some holidays were better celebrated than others. So does activities the residents would do at these places on an everyday basis. #otalk |
| Sam Baker @thebakerstron @Tori_Doll_ @OTalk_ Also, it is key for OTs to promote enabling participation to wider MDT. Be proud of what makes OTs unique and demonstrate positive impact on patients. #OTalk |
| Rob Brooks @robbrooks_uk @KatrinaBannigan @MOT1ON_Research Perhaps the word participation is enough to use? Can be part of a theoretical model, and the persons narrative, which guides your occupational formulation #OTalk |
| Jessika Lack @JessikaLack_OT @CharCarpenter @Tori_Doll_ Unfortunately not however it is important commissioners listen to clinical teams regarding service users participation. Some targets are not viable as targets set by NHS often don’t view service users as individuals #OTalk |
 | Christie Robinson @christiephysio @KatrinaBannigan @joanne_inman @MOT1ON_Research lack of clarity between activity & participation domains & overall conceptualisation of participation unfortunately make measuring participation as an outcome challenging - but not impossible! Increased focus & discussion around participation can only be a good thing #OTalk |
| Vikki Barry @VikkiBarryOT RT @MOHOspark: @OTStudentDianne #OTalk I wouldn't be me, if I didn't tweet the #MOHO diagram 😁 Participation is the ultimate goal of doing… |
| Alondra Ammon @ammonam81 @Tori_Doll_ I would say that subconsciously I do. If a client seems disengaged from the occupation or activity at hand, then it's something I feel most would recognize and question/probe and begin to think more critically about the approach or client preference. #OTalk |
| Lauren @Lauren_OT RT @mirnoonanOT: @KatrinaBannigan @MOT1ON_Research I'm thinking more along the lines of when clients are referred to groups and it gets rec… |
| Deborah Harrison @DebbiiHarrison I was thinking the same thing Katrina, this has to be from qualitative data surely? From my perspective I can sometimes appear to be participating in an activity (like a meeting) when I’m actually not!!! #OTalk https://t.co/1GIr7SDGQb |
| Sophie Maynard @SophieMaynard8 @Tori_Doll_ When assessing interventions it may be important to look at participation - what is holding people back? Is the intervention useful or does it need changing/reassessing? Is the individual doing too much and not having any balance? #OTalk |
| Jessika Lack @JessikaLack_OT RT @thebakerstron: @Tori_Doll_ @OTalk_ Also, it is key for OTs to promote enabling participation to wider MDT. Be proud of what makes OTs u… |
| OTalk @OTalk_ RT @JessikaLack_OT: @CharCarpenter @Tori_Doll_ Unfortunately not however it is important commissioners listen to clinical teams regarding s… |
| Mary Birken @MaryBirken @KatrinaBannigan @joanne_inman @MOT1ON_Research I agree that more psychometric testing of existing measures claiming to measure participation is needed #otalk |
| Vikki Barry @VikkiBarryOT RT @robbrooks_uk: @KatrinaBannigan @MOT1ON_Research Perhaps the word participation is enough to use? Can be part of a theoretical model, an… |
| OTalk @OTalk_ RT @robbrooks_uk: @KatrinaBannigan @MOT1ON_Research Perhaps the word participation is enough to use? Can be part of a theoretical model, an… |
| Katrina Bannigan @katrinabannigan This is key and measures of participation are trying to capture this nuance #Otalk @MOT1ON_Research https://t.co/y9aipf3dgr |
| Miriam Noonan @mirnoonanot @JessikaLack_OT @CharCarpenter @Tori_Doll_ And i think this leads back to how do we OTs measure participation? Is there a gap between how we measure it, I'm thinking client feedback vs what commissioners want? #Otalk |
| Mary Birken @MaryBirken RT @christiephysio: @KatrinaBannigan @joanne_inman @MOT1ON_Research lack of clarity between activity & participation domains & overall conc… |
| Bill Wong, OTD, OTR/L @BillWongOT Social wise, I think it will really depend on the mix of patients. It is almost like how a group of special needs kids blend in with one another in such classrooms. #otalk |
 | Francesca S @ot_francesca Late to #OTalk tonight. Looks like an interesting chat so far though :) |
| Dianne @OTStudentDianne @MOHOspark Thank you! 😄 (Also that's one of the best MOHO diagrams I've seen - I'll save that for future reference if you don't mind!) #OTalk |
| Charlotte Carpenter @charcarpenter @JessikaLack_OT @Tori_Doll_ Too true!! Shows how we need to promote the impact of our work whilst meeting standards but educate our senior management teams along the way to help inform commissioners of such issues. #OTalk |
 | Sarah Sharland @SarahSharland19 @Tori_Doll_ @OTalk_ Sorry, late to the party (vomiting toddler). But for me, I’d say occupational participation is subjective and different for each individual #OTalk |
| Vikki Barry @VikkiBarryOT RT @KatrinaBannigan: This is key and measures of participation are trying to capture this nuance #Otalk @MOT1ON_Research https://t.co/y9ai… |
| Katrina Bannigan @katrinabannigan Not necessarily - quality of life is a intangible concept - but we can measure it #Otalk @MOT1ON_Research https://t.co/vWMalFkFwc |
| Khalilah R. Johnson @OccScienceBae @KatrinaBannigan @MOT1ON_Research Theoretically, I’ve wondered the same. What are we (as a profession) adding when we say “occupational” participation? #OTalk Maybe I’m being too deep about this?!? |
| Margaret Spencer @margaretOT360 I agree. The persons own narrative is crucial #otalk https://t.co/EbXOGLClR3 |
| OTalk @OTalk_ RT @OccScienceBae: @KatrinaBannigan @MOT1ON_Research Theoretically, I’ve wondered the same. What are we (as a profession) adding when we sa… |
| OTalk @OTalk_ RT @KatrinaBannigan: Not necessarily - quality of life is a intangible concept - but we can measure it #Otalk @MOT1ON_Research https://t.co… |
| OTalk @OTalk_ RT @CharCarpenter: @JessikaLack_OT @Tori_Doll_ Too true!! Shows how we need to promote the impact of our work whilst meeting standards but… |
| Katrina Bannigan @katrinabannigan Welcome! Would you mind clarifiying what the distinction is between occupational participation and participation? #Otalk @MOT1ON_Research https://t.co/LZnEvox8Y8 |
| OTalk @OTalk_ RT @MOHOspark: @OTStudentDianne #OTalk I wouldn't be me, if I didn't tweet the #MOHO diagram 😁 Participation is the ultimate goal of doing… |
| Sarah Sharland @SarahSharland19 @CharCarpenter @Tori_Doll_ @OTalk_ Totally agree @CharCarpenter #OTalk |
| Miriam Noonan @mirnoonanot @MaryBirken @KatrinaBannigan @MOT1ON_Research I struggle with this i.e i can have a conversation with a client and we can determine if their participation is meaningful and we can measure in a qualitative way but translating that to rest of team or commissioners is the challenge! #Otalk |
| Mary Birken @MaryBirken @thebakerstron @Tori_Doll_ @OTalk_ I agree it is key that Occupational therapists use the term participation within MDT, to demonstrate our unique contribution. #otalk |
| Katrina Bannigan @katrinabannigan I agree that participation on its own is enough. I think we muddy the waters adding occupational to participation #Otalk @MOT1ON_Research https://t.co/LJ2O1ukJki |
| Bill Wong, OTD, OTR/L @BillWongOT Although I can’t say it is completely true... but i can imagine patients will feel like they are in jail if they are placed in locked units... even if it is a measure to protect them for themselves and/or the community. #otalk |
| Vikki Barry @VikkiBarryOT This is the exact same conversation I had recently with my PhD supervisor, different professions view participation differently - participation in communities, society, as well as individually it’s a large concept #OTalk https://t.co/jyHxq8pPAd |
| Christie Robinson @christiephysio Can highly recommend the 'participation in childhood' MSc module at Plymouth University. Great opportunity to explore the concept, measurement and ways to increase participation @KatrinaBannigan #OTalk |
 | Mai93 @ot_mai @Tori_Doll_ Also it might not be in the forefront of my mind when I carry out interventions #OTalk |
| Sarah Sharland @SarahSharland19 @KatrinaBannigan @MOT1ON_Research Hello! I could be wrong, but I see them as much the same thing. For me, the word Participation itself implies an activity or occupation. #OTalk |
| Vikki Barry @VikkiBarryOT RT @MaryBirken: @thebakerstron @Tori_Doll_ @OTalk_ I agree it is key that Occupational therapists use the term participation within MDT, to… |
| Mai93 @ot_mai RT @MOHOspark: @OTStudentDianne #OTalk I wouldn't be me, if I didn't tweet the #MOHO diagram 😁 Participation is the ultimate goal of doing… |
| Sue Parkinson @MOHOspark #OTalk Occupational participation often involves social participation but not always. One can participate in a solitary occupation that is profoundly meaningful, without social contact |
| Khalilah R. Johnson @OccScienceBae @VikkiBarryOT It comes up every year at the SSO-USA conference! #OTalk |
 | Sophie Faulkner @sleepotsophie @Tori_Doll_ #OTalk Its a big part of screening and initial assessment a lot of the time yes. Then sometimes you can work straight on participation or sometimes you need to take a diversion via skills or environmental barriers |
| Tori OT @tori_doll_ @mirnoonanOT @JessikaLack_OT @CharCarpenter Definitely agree Miriam! Yes, obtaining data, facts and figures for commissioners around key performance indicators is important. But its fundamental we keep our service users at the heart of what we do! Its a tricky balance! #OTalk |
 | Lee Ann Hoffman @leeannhoffman2 RT @MOHOspark: @OTStudentDianne #OTalk I wouldn't be me, if I didn't tweet the #MOHO diagram 😁 Participation is the ultimate goal of doing… |
 | Dr Joanne Inman @joanne_inman Absolutely imperative to use robust research theory development methods to approach this dilemma; defining participation in a valid reliable & defensible manner #OTalk https://t.co/zsNt38kS0D |
| Charlotte Carpenter @charcarpenter @mrkwhtmnOT @mirnoonanOT @JessikaLack_OT @Tori_Doll_ If we want to show our impact we need to show what patients are participating in (we have specific treatment based sessions) and change in occupational performance in each domain being treated at CPA intervals. This is vital to aiding others’ understanding of our work #Otalk |
 | Sue Mesa @sue_mesa @KatrinaBannigan @MOT1ON_Research I think they’re the same thing #OTalk |
| Jessika Lack @JessikaLack_OT @mirnoonanOT @CharCarpenter @Tori_Doll_ It’s definitely thinking of the individual and for us as a high dependency rehab MH it’s about rehabilitation goals and discharge pathway. Someone whose taken ‘x’ time to participate to certain level will progress at similar pace and won’t be set level in ‘a’ time #OTalk |
| Tori OT @tori_doll_ Q4) How does the physical, social, cultural environment impact on #participation within inpatient and community mental health services? #OTalk |
| Katrina Bannigan @katrinabannigan Definitely for understanding in the practice setting and for informing measures but it does not preclude the development of measures. I think the two can co-exist and are essential in practice and demonstrate our skills as occupational therapists #OTalk @MOT1ON_Research https://t.co/LJ2O1ukJki |
| Dianne @OTStudentDianne @VikkiBarryOT Thank you! That makes sense and would compare with what I've seen on placements where models aren't explicitly being used but concepts like #participation are always considered #OTalk |
| Sarah Sharland @SarahSharland19 @BillWongOT What setting is that? #OTalk |
| Susan Ritchie @susanritchie123 @SPOTeurope Not a standardises measure but in my long stay MH ward I evidence increased participation by applying a graded approach and each week the person has a bigger part of the activity to do #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT I will respond to any tweets responded to me at a later time. But now I will add my final thoughts. #otalk |
| Vikki Barry @VikkiBarryOT Interesting- Do you think participation therefore needs to be understood in its broadest sense and not be necessarily related to in Occupational terms? #OTalk https://t.co/WkDqFcr7Ip |
| Mai93 @ot_mai @Tori_Doll_ I think for me it's about taking part in something that is meaningful and important to you. It's also about what will bring value to you #OTalk |
| Katrina Bannigan @katrinabannigan So should we just talk about participation and not use the phrase occupational participation? #OTalk @MOT1ON_Research PS Hello Sue :) https://t.co/ZpS6F2FsbA |
| Francesca S @ot_francesca RT @MaryBirken: @thebakerstron @Tori_Doll_ @OTalk_ I agree it is key that Occupational therapists use the term participation within MDT, to… |
| Vikki Barry @VikkiBarryOT Yes most definitely #OTalk https://t.co/c2L2hc9lOQ |
| Tori OT @tori_doll_ RT @MaryBirken: @thebakerstron @Tori_Doll_ @OTalk_ I agree it is key that Occupational therapists use the term participation within MDT, to… |
| Christie Robinson @christiephysio @DebbiiHarrison Key concepts central to participation attendance and involvement (Imms et al 2016) Just being at the meeting isn't participation!! 😉#OTalk |
| Katrina Bannigan @katrinabannigan Is that how you achieve it rather than how you measure it or are you saying that the data is embedded in that? #Otalk @MOT1ON_Research https://t.co/J3a5tInBNy |
| Dr Joanne Inman @joanne_inman RT @KatrinaBannigan: I agree that participation on its own is enough. I think we muddy the waters adding occupational to participation #Ota… |
 | Megan Howes @megantheot RT @theRCOT: Tonight's #OTalk is on 'what does the term 'participation' mean in mental health from an occupational therapy perspective?' ht… |
| Mary Birken @MaryBirken RT @christiephysio: @DebbiiHarrison Key concepts central to participation attendance and involvement (Imms et al 2016) Just being at the me… |
| Deborah Harrison @DebbiiHarrison @MOHOspark Ah Sue, that’s really interesting but confusing! I had a definition of ‘participation’ in my head that always included others. Is solitary activity not just ‘occupational engagement’? #OTalk |
| Mai93 @ot_mai @MOHOspark @Tori_Doll_ I don't think I could have said it better myself! I always try and find out what hobbies or interest they have just so that I can get an idea of who they are and what brings meaning to their life #OTalk |
 | Simon Jacques @Jacqusie @OTalk_ OT and participation for some is about discussing and imagining possibilities but also key is providing opportunities. There is the work question in all this too... #OTalk |
| Sophie Faulkner @sleepotsophie @KatrinaBannigan @MOT1ON_Research #OTalk I've been using them to mean the same. I think anything you can participate in should count as an occupation. Everyone might not agree. |
| Mai93 @ot_mai RT @MOHOspark: #OTalk Participation v. Performance. The latter describes how well a person performs an activity which may or may not be mea… |
| OTalk @OTalk_ RT @Tori_Doll_: Q4) How does the physical, social, cultural environment impact on #participation within inpatient and community mental hea… |
| Sue Parkinson @MOHOspark @OTStudentDianne Thought I'd replied to this, but it seems to have failed. I wouldn't be me if I didn't mention #MOHO Participation is the ultimate form of doing #OTalk https://t.co/LFhjAhNYKp |
| Katrina Bannigan @katrinabannigan Ohh! I am not sure I agree - adding different terms like social participation & occupational participation dilutes the concept for me. Is the term social participation a tautology? Not being pedantic I think the use of language about this is important #otalk @MOT1ON_Research https://t.co/2EWTQ5Luyv |
| Miriam Noonan @mirnoonanot RT @CharCarpenter: @mrkwhtmnOT @mirnoonanOT @JessikaLack_OT @Tori_Doll_ If we want to show our impact we need to show what patients are par… |
| OTalk @OTalk_ RT @VikkiBarryOT: Interesting- Do you think participation therefore needs to be understood in its broadest sense and not be necessarily rel… |
| Miriam Noonan @mirnoonanot RT @JessikaLack_OT: @mirnoonanOT @CharCarpenter @Tori_Doll_ It’s definitely thinking of the individual and for us as a high dependency reha… |
| OTalk @OTalk_ RT @VikkiBarryOT: Yes most definitely #OTalk https://t.co/c2L2hc9lOQ |
| Vikki Barry @VikkiBarryOT They all impact, influence, provide context, meaning and significance for people’s level of participation and again alter, adapt and change over time #OTalk https://t.co/jcR0GkZ6zU |
| Mai93 @ot_mai Couldn't have said it better myself #whatbringsmeaningtoyourlife #otalk #meaningful https://t.co/FChmvpHCHW |
| Miriam Noonan @mirnoonanot RT @MOHOspark: #OTalk Occupational participation often involves social participation but not always. One can participate in a solitary occu… |
| OTalk @OTalk_ RT @DebbiiHarrison: @MOHOspark Ah Sue, that’s really interesting but confusing! I had a definition of ‘participation’ in my head that alway… |
| Katrina Bannigan @katrinabannigan I am not sure that it has toinvolve others but there needs to be an internal sense of being involved (I think!) #Otalk @MOT1ON_Research https://t.co/FZOXNK9CTq |
| OTalk @OTalk_ RT @Jacqusie: @OTalk_ OT and participation for some is about discussing and imagining possibilities but also key is providing opportunities… |
| OTalk @OTalk_ RT @MaryBirken: @thebakerstron @Tori_Doll_ @OTalk_ I agree it is key that Occupational therapists use the term participation within MDT, to… |
| Susan Ritchie @susanritchie123 For many with MI the social part is so hard joining groups is not for everyone #otalk it is about them having the skill to get their need me,t can the get on a quiet bus to go to the shop this for many is as much participation as they want |
| Vikki Smith @vikkijaynedale RT @MOHOspark: @OTStudentDianne Thought I'd replied to this, but it seems to have failed. I wouldn't be me if I didn't mention #MOHO Partic… |
| Vikki Barry @VikkiBarryOT RT @MOHOspark: @OTStudentDianne Thought I'd replied to this, but it seems to have failed. I wouldn't be me if I didn't mention #MOHO Partic… |
 | #HelloMyNameIs Laura @laurareidot RT @MaryBirken: @thebakerstron @Tori_Doll_ @OTalk_ I agree it is key that Occupational therapists use the term participation within MDT, to… |
| Dianne @OTStudentDianne @MOHOspark Your first tweet worked fine, I replied but it no doubt got lost in all the notifications 😄 thank you again! #OTalk |
| Sarah Sharland @SarahSharland19 Again, that varies for individuals. They all have their own circumstances and perceptions of their environment. Our job is to explore that with them #OTalk https://t.co/qSnOHvbpeo |
| Mary Birken @MaryBirken @KatrinaBannigan @MOT1ON_Research Yes I think we should talk about participation- the occupational element is implicit, and we are in danger of talking to ourselves by using different phrase than wider mdt use #otalk |
| Miriam Noonan @mirnoonanot RT @MOHOspark: #OTalk One doesn't have 2 perform well in order 2 participate in occupation. Participating leads 2 sense of belonging & iden… |
 | Fenella Lemonsky #FBPE @organiclemon RT @JessikaLack_OT: @CharCarpenter @Tori_Doll_ Unfortunately not however it is important commissioners listen to clinical teams regarding s… |
| Katrina Bannigan @katrinabannigan And what makes participation the ultimate form of doing rather than just doing? #otalk @MOT1ON_Research https://t.co/QKDSoELPdK |
| Bill Wong, OTD, OTR/L @BillWongOT @SarahSharland19 It will be a nursing home setting. #otalk |
| Sue Parkinson @MOHOspark @DebbiiHarrison ooo - interesting. Perhaps engagement is synonymous with participation? I prefer the term participation, because engagement can be confused with ' engaging' in therapy #OTalk |
| Khalilah R. Johnson @OccScienceBae @Tori_Doll_ This is a big question, especially when you consider the culture and histories our clients bring to therapy and how they transact through the culture of healthcare. #OTalk |
| Vikki Barry @VikkiBarryOT Different types of participation but ultimately are all participation #OTalk https://t.co/Xe2DUn9iww |
| Sam Baker @thebakerstron @Tori_Doll_ #OTalk @OTalk_ In high secure services the physical environment is restrictive, therefore being patient centred is even more important to promote recovery, hope and empower patients to take control when it comes to participation. |
| Susan Ritchie @susanritchie123 RT @DebbiiHarrison: @MOHOspark Ah Sue, that’s really interesting but confusing! I had a definition of ‘participation’ in my head that alway… |
| Katrina Bannigan @katrinabannigan Spot on in my book @MaryBirken #Otalk @MOT1ON_Research https://t.co/gpPxmGOpC3 |
| Dr Joanne Inman @joanne_inman It’s broadest sense it’s a key component of the ICF which is used to classify health- related states. As a concept it is an abstract term & therefore constructs/ more tangible elements such as people engaging in occupations can be an indicator of its existence #OTalk https://t.co/KA0I6t6BMd |
| Sue Mesa @sue_mesa @MOHOspark I think I also view participation as something that is done with others #Otalk |
| Khalilah R. Johnson @OccScienceBae This is an important question to ponder, especially when you consider the culture and histories our clients bring to therapy and how they transact through the culture of healthcare. #OTalk #AOTA #OccupationalTherapy #OccupationalScience https://t.co/qxKIGeqTLC |
| Dr Joanne Inman @joanne_inman Yes #OTalk https://t.co/y7KqFI8IZ8 |
| Vikki Barry @VikkiBarryOT I think this could be questionable if people are unable to participate but can engage, do people think there is a clear difference? #OTalk https://t.co/3mFyEwKGnO |
| Christie Robinson @christiephysio @MaryBirken @OTalk_ @thebakerstron @Tori_Doll_ As a physiotherapist I feel we are increasingly working towards a participatory approach too.... MDT should be working towards participatory goals.... Participation can be complex and rarely involves input from one profession. May also reduce burden of care for carers #OTalk |
| Sarah Sharland @SarahSharland19 @BillWongOT I just wondered as I found the use of the term “reward” a little unsettling. So was just curious as to the context #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT Just like with special needs kids, I feel service users in this population should be placed in least restrictive environments. #otalk |
| Dianne @OTStudentDianne @CharCarpenter @VikkiBarryOT That sounds really interesting, I'll definitely have a look into that! #OTalk |
| Carolina Cordero @colourful_ot RT @thebakerstron: @Tori_Doll_ #OTalk @OTalk_ In high secure services the physical environment is restrictive, therefore being patient cent… |
| Katrina Bannigan @katrinabannigan Absolutely - it does not have to involve others to be participation -it is the sense of 'being a part of...', what contribute to that sense will come from what is meaningful to the individual #otalk @MOT1ON_Research https://t.co/ZbZaNyorbk |
| Sophie Maynard @SophieMaynard8 @KatrinaBannigan @MOT1ON_Research I feel like the “occupation” but refers more to whether it is meaningful to the person. I might seem to participate in something but not find any value positive or negative #OTalk |
| Lauren @Lauren_OT @Tori_Doll_ The culture of wider team and RC, I think can have a big impact, and sometimes unfortunately I think this means that patients feel they don’t have a choice in if they participate or not. #OTalk |
| Vikki Barry @VikkiBarryOT Ah...my point too Sue #otalk https://t.co/gmxCJ7RAvb |
| Bill Wong, OTD, OTR/L @BillWongOT With the mental health population, safety is an ultra important component to consider while thinking of meaningful occupations for patients to engage. #otalk |
| Vikki Smith @vikkijaynedale RT @KatrinaBannigan: Absolutely - it does not have to involve others to be participation -it is the sense of 'being a part of...', what co… |
| Katrina Bannigan @katrinabannigan Interesting angle @christiephysio - when you say a participatory approach is that the same as participation? #Otalk @MOT1ON_Research https://t.co/xJ18Z7yiD9 |
| Fenella Lemonsky #FBPE @organiclemon Quick hello to say please check out my blog and also to congratulate @Keirwales on passing his MSc. https://t.co/rKaoa6O8zR. #OTalk thanks |
| Sam Baker @thebakerstron @Tori_Doll_ @OTalk_ #OTalk @OTalk_ Also, taking an empathetic approach and having unconditional positive regard is essential in supporting patients to participate socially and culturally. Many patients will have had disrupted/negative/destructive past experiences. |
| Vikki Barry @VikkiBarryOT RT @joanne_inman: It’s broadest sense it’s a key component of the ICF which is used to classify health- related states. As a concept it is… |
| Vikki Barry @VikkiBarryOT RT @christiephysio: @MaryBirken @OTalk_ @thebakerstron @Tori_Doll_ As a physiotherapist I feel we are increasingly working towards a partic… |
| Lauren @Lauren_OT @Tori_Doll_ I myself as a HCP am questioned as to why I’m not insisting a patient participate in a b or c. Because they don’t want to 🤷🏻♀️ because it’s not important to them 🤷🏻♀️ because reading their book is what’s meaningful to them 🤷🏻♀️ #OTalk |
| Vikki Smith @vikkijaynedale RT @SophieMaynard8: @KatrinaBannigan @MOT1ON_Research I feel like the “occupation” but refers more to whether it is meaningful to the perso… |
| Margaret Spencer @margaretOT360 Great to have another profession involved #otalk https://t.co/wDQyTywzNF |
| Bill Wong, OTD, OTR/L @BillWongOT And within mental health settings, I feel participation in meaningful occupations has a direct correlation with maximum functional potential for the patients. #otalk |
| Sophie Faulkner @sleepotsophie @sue_mesa @MOHOspark #OTalk I've been pondering this, I tend to feel participation should at some point link with others (e.g. knitting someone a hat, even if you are doing it alone, is socially connected) I'm not sure though if this is just because I value social connection within my participation. |
| Vikki Barry @VikkiBarryOT Very true #OTalk https://t.co/TcvlROD1xL |
| Tori OT @tori_doll_ Final question of the evening ... Q5) How do mental health services define #participation in meaningful occupation? #OTalk |
| OTalk @OTalk_ Final 7 minutes of an interesting #otalk tonight. Certainly giving me lots to think about @Tori_Doll_ |
| Vikki Smith @vikkijaynedale RT @thebakerstron: @Tori_Doll_ @OTalk_ #OTalk @OTalk_ Also, taking an empathetic approach and having unconditional positive regard is essen… |
| OTalk @OTalk_ RT @thebakerstron: @Tori_Doll_ @OTalk_ #OTalk @OTalk_ Also, taking an empathetic approach and having unconditional positive regard is essen… |
| Dr Joanne Inman @joanne_inman I agree & the impact is unique to each individual. Occupational therapists clinical reasoning when shared in an overt way such as an occupational need formulation demonstrates this with clarity #OTalk https://t.co/OGmuqx9L3y |
| Katrina Bannigan @katrinabannigan @MOHOspark @DebbiiHarrison No - it is not synonymous with engagement - the distinction you made at the start is good. We don't need to distinguish social participation from participation because participation is by its nature social even if there is not another person involved, its about meaning #Otalk |
| Mary Birken @MaryBirken Very good point MDT contributes to changing participation #otalk https://t.co/SVpMrfYh1g |
| Vikki Smith @vikkijaynedale RT @sleepOTsophie: @sue_mesa @MOHOspark #OTalk I've been pondering this, I tend to feel participation should at some point link with others… |
| Bill Wong, OTD, OTR/L @BillWongOT So as occupational therapy practitioners, I feel it is important all of us to promote the importance of participation in meaningful occupations... even if they say no again and again. Who knows if they will say yes one of these times. #otalk |
| Sue Mesa @sue_mesa @KatrinaBannigan @MOT1ON_Research Yes I think we should just use participation - for the same reasons @MaryBirken identified #Otalk |
| Vikki Barry @VikkiBarryOT RT @joanne_inman: I agree & the impact is unique to each individual. Occupational therapists clinical reasoning when shared in an overt way… |
| Sophie Maynard @SophieMaynard8 @Tori_Doll_ #OTalk secure environments can be restrictive of participation, both physically and socially. It’s important not to force participation on patients and cause occupational alienation |
| Christie Robinson @christiephysio @KatrinaBannigan @MOT1ON_Research By this I guess I mean taking a participatory approach to therapy ie using participation goals and interventions rather than a impairment based approach which has in the past has often dominated PT interventions #OTalk |
| Mark Whiteman @markstudentOT Just a side thought: ladder of participation (arnstein 1969) #OTalk |
| Margaret Spencer @margaretOT360 RT @SophieMaynard8: @Tori_Doll_ #OTalk secure environments can be restrictive of participation, both physically and socially. It’s importan… |
 | glenn westrop @glenn_westrop RT @MaryBirken: @thebakerstron @Tori_Doll_ @OTalk_ I agree it is key that Occupational therapists use the term participation within MDT, to… |
| Vikki Smith @vikkijaynedale RT @SophieMaynard8: @Tori_Doll_ #OTalk secure environments can be restrictive of participation, both physically and socially. It’s importan… |
| Vikki Barry @VikkiBarryOT Being as client Centred as possible #OTalk https://t.co/o8YoLMdIL2 |
| Katrina Bannigan @katrinabannigan RT @christiephysio: @KatrinaBannigan @MOT1ON_Research By this I guess I mean taking a participatory approach to therapy ie using participa… |
 | Mike Makher @mikemakher RT @BillWongOT: So as occupational therapy practitioners, I feel it is important all of us to promote the importance of participation in me… |
| Sue Parkinson @MOHOspark @KatrinaBannigan @MOT1ON_Research Yep - it's had to deny that occupational participation is occurring when someone is passionate about something, even if they act alone #OTalk ... Sorry for the delay in replying - just missed my connection 😕 |
| Tori OT @tori_doll_ @SophieMaynard8 Can totally relate to this having working within High and Medium Secure Environments - its all about being creative within the restrictions both you as the clinician and your service users are faced with and finding/creating meaningful opportunities within that. #OTalk |
| Vikki Smith @vikkijaynedale RT @VikkiBarryOT: Being as client Centred as possible #OTalk https://t.co/o8YoLMdIL2 |
| OTalk @OTalk_ Final thoughts? #otalk https://t.co/c4GZsW2hz3 |
| OTalk @OTalk_ RT @MOHOspark: @KatrinaBannigan @MOT1ON_Research Yep - it's had to deny that occupational participation is occurring when someone is passio… |
| Katrina Bannigan @katrinabannigan Ah! You have made me think now @SophieMaynard8 can you ever force participation on another - is it always in the (mind's) eye of the beholder? Isn't this why it is so highly prized? #Otalk @MOT1ON_Research https://t.co/FlWIFplfei |
| Vikki Barry @VikkiBarryOT RT @Tori_Doll_: @SophieMaynard8 Can totally relate to this having working within High and Medium Secure Environments - its all about being… |
| OTalk @OTalk_ RT @Tori_Doll_: @SophieMaynard8 Can totally relate to this having working within High and Medium Secure Environments - its all about being… |
| Deborah Harrison @DebbiiHarrison @KatrinaBannigan @MOHOspark Ah yes, I think I’m getting it now Katrina, So, the meaning is what makes the ‘connection’ & that might be with others who are not physically present or an identity & purpose in life. #OTalk |
| Sophie Maynard @SophieMaynard8 @Tori_Doll_ Unfortunately participation can be seen as a tick box for people getting better, but again, we need to make sure that the participation is suitable and meaningful to that individual, only then we will see positive effects on health and well-being #OTalk |
| Carolina Cordero @colourful_ot RT @thebakerstron: @Tori_Doll_ @OTalk_ #OTalk @OTalk_ Also, taking an empathetic approach and having unconditional positive regard is essen… |
| Lauren @Lauren_OT @Tori_Doll_ @SophieMaynard8 Definitely, in my experience having to enable participation with patients in long term segregation needed lots of creative thinking! #OTalk |
| Vikki Smith @vikkijaynedale RT @KatrinaBannigan: Ah! You have made me think now @SophieMaynard8 can you ever force participation on another - is it always in the (mind… |
| Sophie Faulkner @sleepotsophie @KatrinaBannigan @MOT1ON_Research #OTalk Just to throw a spanner in the works...in its colloquial use participation can imply going along with 1 - a thing initiated by another person or 2 - an external structure of activity or system (e.g. participating VS disrupting). |
 | sarah thompson @sarahth50274266 RT @Tori_Doll_: Q2) Is #participation an important measure within mental health services, if so how? #OTalk |
| Vikki Barry @VikkiBarryOT Such an interesting discussion! Great ideas to consider for my PhD Work, thanks everyone #OTalk https://t.co/FKMoLtGA9A |
| Katrina Bannigan @katrinabannigan Sorry to keep harping on but do we need to preface participation with occupational? Haven't WHO acknowledged that participation does not exist without activities in the ICF? #Otalk @MOT1ON_Research https://t.co/ZAVx150qT1 |
| Mary Birken @MaryBirken The ICF defines participation as "involvement in a life situation". Not all life situations involve other people. #otalk https://t.co/2x3rPmfvnL |
| Vikki Smith @vikkijaynedale RT @sleepOTsophie: @KatrinaBannigan @MOT1ON_Research #OTalk Just to throw a spanner in the works...in its colloquial use participation can… |
| Sam Baker @thebakerstron @Tori_Doll_ #OTalk @OTalk_ Unfortunately I think services often define participation through numbers and statistics. But OTs are in prime position to change that, and identify that participation is about meaning and quality. A strong professional identify, and promoting this is key! |
| OTalk @OTalk_ Thanks to @Tori_Doll_ for tonight's #OTalk and to our fab community for an interesting and thought provoking discussion. |
| Sophie Faulkner @sleepotsophie @KatrinaBannigan @MOT1ON_Research #OTalk I don't think that's how most OTs are using it or what WHO means though |
| Lauren @Lauren_OT I would be really keen to speak to any other OT’s working in #mentalhealthrehab please! I am relatively new in this setting having worked in forensics and older adults before, would be interested to know how other units/teams run. @OTalk #OTalk |
| Vikki Barry @VikkiBarryOT RT @KatrinaBannigan: Sorry to keep harping on but do we need to preface participation with occupational? Haven't WHO acknowledged that part… |
| Tori OT @tori_doll_ Thank you for participating this evening in #OTalk - I have really enjoyed facilitating and hearing about everyones experiences! For more information about @MOT1ON_Research please visit: https://t.co/VJM9AEXS4T |
| Katrina Bannigan @katrinabannigan Oh - great spanner - not sure where you are coming from here - doyou wnat suggest some reading? Thanks #Otalk @MOT1ON_Research https://t.co/DTE3RMdct9 |
| Sophie Maynard @SophieMaynard8 @Tori_Doll_ Often this is what makes occupational therapy unique, meaningful participation needs to be advocated for by the OT to the MDT #OTalk |
| Katrina Bannigan @katrinabannigan RT @MaryBirken: The ICF defines participation as "involvement in a life situation". Not all life situations involve other people. #otalk ht… |
| Mary Birken @MaryBirken RT @Tori_Doll_: @SophieMaynard8 Can totally relate to this having working within High and Medium Secure Environments - its all about being… |
| Vikki Smith @vikkijaynedale RT @thebakerstron: @Tori_Doll_ #OTalk @OTalk_ Unfortunately I think services often define participation through numbers and statistics. But… |
| Katrina Bannigan @katrinabannigan RT @Tori_Doll_: Thank you for participating this evening in #OTalk - I have really enjoyed facilitating and hearing about everyones experie… |
| Sue Mesa @sue_mesa @MaryBirken @MOHOspark Interesting. But how is life situation defined? #Otalk |
| Vikki Barry @VikkiBarryOT Thank you! Fab topic! #OTalk https://t.co/pPBTLnNvsp |
| Vikki Barry @VikkiBarryOT RT @Tori_Doll_: Thank you for participating this evening in #OTalk - I have really enjoyed facilitating and hearing about everyones experie… |
 | Lynne Goodacre PhD @LynneGoodacre Great to know that @TinaColdham and @ClaireBallinge1 will be leading #OTalk research in April based on #coproduction in research https://t.co/s6d8XryaLd |
| Sue Parkinson @MOHOspark @KatrinaBannigan @MOT1ON_Research The ultimate form of doing, as in: people may experience aspects of doing, exhibit skills in doing, perform tasks and activities. OT can focus on all these levels, but participation is the ultimate goal #OTalk |
| Deborah Harrison @DebbiiHarrison Yes! Thank you @Tori_Doll_ & @OTalk_ for a really thought provoking #OTalk discussion. I’ll be pondering 🤔 for a long time 💚 https://t.co/ZAprzCuESK |
| Mary Birken @MaryBirken RT @Tori_Doll_: Thank you for participating this evening in #OTalk - I have really enjoyed facilitating and hearing about everyones experie… |
| Katrina Bannigan @katrinabannigan RT @LynneGoodacre: Great to know that @TinaColdham and @ClaireBallinge1 will be leading #OTalk research in April based on #coproduction in… |
| Tori OT @tori_doll_ I will still be online for a little longer to read through everyones fab contributions - thanks again! Some really interesting feedback re the meaning of 'participation' in mental health services from an Occupational Therapy perspective #OTalk @MOT1ON_Research |
| Vikki Barry @VikkiBarryOT RT @LynneGoodacre: Great to know that @TinaColdham and @ClaireBallinge1 will be leading #OTalk research in April based on #coproduction in… |
| Katrina Bannigan @katrinabannigan I agree @MOT1ON_Research #Otalk https://t.co/J2cnzwozsF |
| Vikki Barry @VikkiBarryOT RT @MOHOspark: @KatrinaBannigan @MOT1ON_Research The ultimate form of doing, as in: people may experience aspects of doing, exhibit skills… |
| Jessika Lack @JessikaLack_OT RT @thebakerstron: @Tori_Doll_ #OTalk @OTalk_ Unfortunately I think services often define participation through numbers and statistics. But… |
| Deborah Harrison @DebbiiHarrison RT @thebakerstron: @Tori_Doll_ #OTalk @OTalk_ Unfortunately I think services often define participation through numbers and statistics. But… |
| Carolina Cordero @colourful_ot @SophieMaynard8 @Tori_Doll_ Reminds me of a really insightful @RespectConnectd blog post I read recently about kids and parallel play - there's lots of ways to do things with others and we shouldn't force people to participate in what we think is the "right" way #OTalk https://t.co/VY49q32Bhs |
| Sue Mesa @sue_mesa @sleepOTsophie @MOHOspark I think that’s what I mean by ‘with others’, maybe a better way to say this would be ‘in connection with others’. Will ponder on this more though 🤔 #Otalk |
 | Angela Miller @angelamillerot RT @MOHOspark: #OTalk Occupational participation often involves social participation but not always. One can participate in a solitary occu… |
| Christie Robinson @christiephysio @MaryBirken @KatrinaBannigan No true and some participation measures such as the PEM-CY include activities such as puzzles, crafts, computing etc which can be done on your own #OTalk |
| Carolina Cordero @colourful_ot RT @OTalk_: Thanks to @Tori_Doll_ for tonight's #OTalk and to our fab community for an interesting and thought provoking discussion. |
| Sue Mesa @sue_mesa @VikkiBarryOT Really good, thank you! #Otalk |
 | carol duff @carolfish32 RT @KatrinaBannigan: And what makes participation the ultimate form of doing rather than just doing? #otalk @MOT1ON_Research https://t.co/Q… |
| Tori OT @tori_doll_ @CharCarpenter @SophieMaynard8 Yes definitely and for some, those 5 minutes can be the stepping stone to starting to engage in treatment, thus developing insight, building self esteem, increase knowledge/skills/confidence, developing task concept, a sense of identity, engaging in pro-social roles #OTalk |
| carol duff @carolfish32 RT @MOHOspark: @KatrinaBannigan @MOT1ON_Research The ultimate form of doing, as in: people may experience aspects of doing, exhibit skills… |
| Mai93 @ot_mai Totally agree! Especially if they see others having fun and engaging with it, they might realise that they might enjoy it #OTalk https://t.co/CnRAzBDYaR |
| Mary Birken @MaryBirken @sue_mesa @MOHOspark There have been some papers published exploring this and what it means but the term participation does need further defining conceptually. Some of the papers are on @MOT1ON_Research website. #otalk |
| carol duff @carolfish32 RT @MOHOspark: #OTalk One doesn't have 2 perform well in order 2 participate in occupation. Participating leads 2 sense of belonging & iden… |
| Sophie Maynard @SophieMaynard8 @KatrinaBannigan @MOT1ON_Research I guess arguably if they have been coerced to participate, then they may not feel they are actively participating. Unfortunately in secure environments, it can sometimes lead towards a reward system... eg good to see you doing xyz, we will increase your leave now #OTalk |
| Sue Mesa @sue_mesa @MaryBirken @MOHOspark @MOT1ON_Research Things will take a look #Otalk |
| Sue Mesa @sue_mesa @MaryBirken @MOHOspark @MOT1ON_Research Will take a look - thanks! #Otalk |
| Christie Robinson @christiephysio @Tori_Doll_ @KatrinaBannigan @MOT1ON_Research Great topic and some really interesting and insightful tweets tonight! #OTalk |
| Sophie Maynard @SophieMaynard8 RT @Tori_Doll_: @CharCarpenter @SophieMaynard8 Yes definitely and for some, those 5 minutes can be the stepping stone to starting to engage… |
 | FlightRefunds @flight_refunds RT @MOHOspark: @KatrinaBannigan @MOT1ON_Research Yep - it's had to deny that occupational participation is occurring when someone is passio… |
| Sophie Maynard @SophieMaynard8 @colourful_ot @Tori_Doll_ @RespectConnectd Thanks for the link. Will be an interesting read for my current essay! #OTalk |
| Sophie Maynard @SophieMaynard8 I was a bit late, but really enjoying #OTalk this evening |
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