#OTalk Transcript
Healthcare social media transcript of the #OTalk hashtag.
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| Profile | Tweet |
|---|---|
 | #OTalk @OTalk_ Welcome all to this weeks #otalk @OT_rach on the @OTalk_ account tonight, here to keep you on track, and help in anyway I can. @Keirwales will be leading the chat from his own account, I just have a few house rule tweets first. https://t.co/Ut0yWMIXkL |
| #OTalk @OTalk_ Quick housekeeping reminder: please be respectful of each other & everyones views, think about confidentiality & dont forget that your codes of practice also apply to online activity. #OTalk https://t.co/lTgqNy8Joi |
| #OTalk @OTalk_ #OTalk.... Don't forget the # in ALL your tweets or they won't be seen by everyone or included in the transcript. https://t.co/emXoL10wTG |
| #OTalk @OTalk_ The #OTalk team understand that yesterdays #OT4PD conference & subsequent tweets may have inadvertently caused upset to some. We would like to reiterate that the #OTalk platform is an open platform where we welcome all perspectives & viewpoints. |
| #OTalk @OTalk_ As always discussion/debate is good but please be mindful of professionalsim, politeness/respect & understanding we may all have difference of opinions, perspective and experiences. I’m here to support anyone who feels they need it during tonight’s discussion #Otalk |
| #OTalk @OTalk_ Say hello if your joining us tonight? #otalk |
 | Becky French @becky_1983 RT @Keirwales: Just before #otalk starts I'm going to throw a few things out there relating to this topic. Loads of resources here https:… |
 | Jo Scordellis @jo_scordellis RT @Keirwales: Some thoughts on the value of the dignosis here... #otalk https://t.co/i4QRYGfWoP |
 | Clarissa @GeekyOT @OTalk_ hellooo! I'm joining in with #OTalk tonight... or at least I will be, once I've got my oreo ice cream from the freezer :D |
 | Lindsay Rook @LindsayOTPICU @OTalk_ Hello! #OTalk |
 | Keir Harding @Keirwales #otalk Hello all. Great conference yesterday. Tonight's questions looks at some of the themes which we will cover in huge depth, for about 10 mins each! |
| #OTalk @OTalk_ RT @GeekyOT: @OTalk_ hellooo! I'm joining in with #OTalk tonight... or at least I will be, once I've got my oreo ice cream from the freezer… |
| Becky French @becky_1983 #otalk hi there. I will be trying to multi task tonight 🤓 |
| #OTalk @OTalk_ @OTLiaisonPsych Welcome #otalk |
| #OTalk @OTalk_ RT @Keirwales: #otalk Hello all. Great conference yesterday. Tonight's questions looks at some of the themes which we will cover in huge… |
 | Sarah Mercer @pd2ot #OTalk Hi All, sort of here tonight as the topic is v close to my heart! |
 | Carolina Cordero 🌈 @colourful_ot RT @OTalk_: Just under an hour until Tonight #Otalk following on from yesterday’s #OT4PD Delivering occupational therapy for those with a d… |
| #OTalk @OTalk_ @becky_1983 Welcome - multitasking is also welcome #Otalk |
| #OTalk @OTalk_ @EmilyK_OT @GeekyOT Hello #Otalk |
| Keir Harding @Keirwales Q1 The evidence for OT in this area is sparse. What do we need to do? #otalk |
| #OTalk @OTalk_ RT @pd2ot: #OTalk Hi All, sort of here tonight as the topic is v close to my heart! |
| #OTalk @OTalk_ @pd2ot Your very welcome Sarah #otalk |
| Keir Harding @Keirwales Feel free to disagree #otalk ☺ |
 | Rebecca Crouch, Occupational Therapist @RebeccaCrouch @OTalk_ Ready and waiting! Newly qualified OT on my second rotation with an #ElderlyCareUnit here. Really interested in learning more about PD & the role of occupational therapy. Mental health is included in my rotation, thinking of choosing it next #otalk |
 | Dr Catriona Connell @DrCConnell RT @Keirwales: Q1 The evidence for OT in this area is sparse. What do we need to do? #otalk |
| #OTalk @OTalk_ Question 1 #otalk https://t.co/3NvS68b7GE |
 | Kirstie @Kirstie_OT Were never a community to shy away from heated/passionate topics within health & social care. We welcome all view points & encourage professional & respectful debate #OTalk https://t.co/btzxNgiQVS |
| Dr Catriona Connell @DrCConnell Hi all #OTalk |
 | Sue Parkinson @MOHOspark @Keirwales Hi #OTalk - listening in tonight |
| Keir Harding @Keirwales @pd2ot Hello. Loved your blog earlier. Please share it again ☺ #otalk |
| #OTalk @OTalk_ Welcome #otalk https://t.co/issYkbt5vc |
| #OTalk @OTalk_ Welcome Jenny #otalk https://t.co/qEE6yQICYD |
| Clarissa @GeekyOT @Keirwales agree. @pd2ot's blog shaped much of my thinking and practice as a newly qualified OT #OTalk |
| Keir Harding @Keirwales @RebeccaCrouch @OTalk_ The topic is a contentious subject. Language is so important #otalk |
| Keir Harding @Keirwales @Kirstie_OT Here here! #Otalk |
 | Hayley Samantha OT @hsbannister Hello all #Otalk |
| #OTalk @OTalk_ Jenny use the hashtag rather that the @. So #Otalk not @Otalk https://t.co/21zkEmyfJj |
| Keir Harding @Keirwales RT @GeekyOT: @Keirwales agree. @pd2ot's blog shaped much of my thinking and practice as a newly qualified OT #OTalk |
| #OTalk @OTalk_ @DebbiiHarrison @Keirwales Welcome #Otalk |
| Keir Harding @Keirwales @GeekyOT @pd2ot Someone's going to need to post a link soon....#Otalk |
| Kirstie @Kirstie_OT RT @OTalk_: As always discussion/debate is good but please be mindful of professionalsim, politeness/respect & understanding we may all hav… |
 | Lauren @Lauren_OT @Keirwales I think there’s a lack of specialist services/ teams to support people with a diagnosis of personality disorder at all, which in turn potentially reduces opportunities for research to be done and for us to find the evidence #OTalk |
| #OTalk @OTalk_ Don’t forget the hashtag @RRule3 #otalk https://t.co/FA27h4mp3M |
| Rebecca Crouch, Occupational Therapist @RebeccaCrouch @Keirwales Encourage OTs working in this area to think about carrying out research, provide an environment that supports them carrying out research e.g. safeguarding time to carry out research, and if funding is needed, support them with finding funding... my guess #otalk |
| Dr Catriona Connell @DrCConnell Identify the research priorities for our profession but in collaboration with people with lived experience #otalk https://t.co/f3ZDYi6L8H |
| Keir Harding @Keirwales How do othwr disciplines build evidence? Is it purely through MDT interaction? #otalk https://t.co/E6adAFhJnl |
| Dr Catriona Connell @DrCConnell @RebeccaCrouch @Keirwales Increasing the number who take formal research training, like at MRes #otalk |
| Lindsay Rook @LindsayOTPICU @Keirwales I think we need to identify research priorities in relation to Occupational Therapy and working with people who’re recovering from trauma. #OTalk |
| Keir Harding @Keirwales Any thoughts? Looking at the SUs out there too. #otalk https://t.co/voIs3n75he |
| Sarah Mercer @pd2ot @Keirwales #OTalk it definitely needs a bigger evidence-base. Very low on research priorities though so very hard to get funding, even for small scale. |
 | Deborah Harrison @DebbiiHarrison @OTalk_ @Keirwales My first tweet & I forgot the #OTalk! I’ll just sit here quietly on the naughty step & drink tea ☕️😉 |
| #OTalk @OTalk_ @MOHOspark @Keirwales Always welcome Sue #otalk |
| Becky French @becky_1983 #otalk for me networking and discussing shared practice with other colleagues. |
 | Lucy Howell @howell_lucy Hi, just joining #OTalk |
| #OTalk @OTalk_ @POPPED_Project Welcome Cat - #otalk |
| Dr Catriona Connell @DrCConnell @RebeccaCrouch @Keirwales The NIHR provide a programme of training opportunities from dipping your toe in, up to senior academic roles #otalk https://t.co/kFFWxHIhu6 |
 | Cat Ripley @Cat_Ripley @OTalk_ Alan Hiron's talk of 'Attachment informed OT' really resonated with me. Always seek to work relationally and to develop an understanding of how life experiences have impacted #Otalk |
| #OTalk @OTalk_ RT @RebeccaCrouch: @Keirwales Encourage OTs working in this area to think about carrying out research, provide an environment that supports… |
| Keir Harding @Keirwales Ah but even in those specialist services there's not a massive appetite for OTs. How can we change that? #Otalk https://t.co/xhicrkLAec |
| #OTalk @OTalk_ RT @POPPED_Project: Identify the research priorities for our profession but in collaboration with people with lived experience #otalk https… |
| Clarissa @GeekyOT @DebbiiHarrison @OTalk_ @Keirwales enjoy the naughty step, it's super comfy isn't it :) #OTalk |
| #OTalk @OTalk_ RT @Keirwales: How do othwr disciplines build evidence? Is it purely through MDT interaction? #otalk https://t.co/E6adAFhJnl |
| #OTalk @OTalk_ RT @OTLiaisonPsych: @Keirwales I think we need to identify research priorities in relation to Occupational Therapy and working with people… |
| #OTalk @OTalk_ RT @Keirwales: Any thoughts? Looking at the SUs out there too. #otalk https://t.co/voIs3n75he |
 | Emma Hall @Emm_OT @OTalk_ #OTalk I agree with Emily K_OT.. Sharing good practice, beginning to look at what we do with evidence in mind. |
 | Louise Crisp 🎓 @louisecrisp5 @OTalk_ 🙋🏼♀️hey #OTalk |
 | Fen Lemonsky @organiclemon @Keirwales Hi everyone I’m here! I’m on best behaviour...#OTalk |
| Fen Lemonsky @organiclemon RT @Keirwales: Q1 The evidence for OT in this area is sparse. What do we need to do? #otalk |
| Keir Harding @Keirwales @POPPED_Project You're at the forefront of this Caty. Any advice for people in how to pursue that? #Otalk |
| Dr Catriona Connell @DrCConnell @pd2ot @Keirwales Indeed - its not 'sexy' at the moment, or 'easy' to study #otalk |
 | Rachel OT 🌻 @_rachelOT @Lauren_OT @Keirwales I agree! I’m still at uni and this was an area that I was interested in shadowing for my exploration into practice, however services were few & far between.. especially in the South West. Also found it v difficult to find correct support for an individual who I work with.. #otalk |
| #OTalk @OTalk_ RT @pd2ot: @Keirwales #OTalk it definitely needs a bigger evidence-base. Very low on research priorities though so very hard to get funding… |
| Dr Catriona Connell @DrCConnell @OTLiaisonPsych @Keirwales this is @Tilly_OT passion #otalk |
| #OTalk @OTalk_ Ha ha - indeed #Otalk https://t.co/JevUcehlVQ |
| Rebecca Crouch, Occupational Therapist @RebeccaCrouch @Keirwales Encourage specialists in this area to publish books/guidelines to share knowledge with others. I've seen great RCOT resources for physical health, not seen so many for mental health. When I had a placement in forensics, there was only 1 OT book available in our library #Otalk |
| Lindsay Rook @LindsayOTPICU @Lauren_OT @Keirwales We have a specialist service in my area but it is accessed by few compared with general adult mental health services. I would argue that more could be done for people sooner, beginning in primary care. There are pros and cons of specialist services. #OTalk |
| #OTalk @OTalk_ RT @becky_1983: #otalk for me networking and discussing shared practice with other colleagues. |
| Keir Harding @Keirwales @EmilyK_OT @OTalk_ What should our outcome measures be in this area? What matters most? (Also what saves money) #Otalk |
| #OTalk @OTalk_ @howell_lucy Welcome Lucy here to help if you get lost - #otalk just remember the hashtag in all your tweets and you’ll be ok! |
| #OTalk @OTalk_ RT @POPPED_Project: @RebeccaCrouch @Keirwales The NIHR provide a programme of training opportunities from dipping your toe in, up to senior… |
| Keir Harding @Keirwales @Emm_OT @OTalk_ Any tips on how best to share good practice? #Otalk |
| Dr Catriona Connell @DrCConnell @EmilyK_OT @OTalk_ I identified some problems with commonly used OMs in my research/practice too. Need to understand better what the outcome we're aiming for is, and what the factors relevant to an occupational therapist are that influence that outcome #otalk |
| #OTalk @OTalk_ RT @Cat_Ripley: @OTalk_ Alan Hiron's talk of 'Attachment informed OT' really resonated with me. Always seek to work relationally and to d… |
| Hayley Samantha OT @hsbannister #otalk I think we need to prioritise what is needed and really think about how our practice is different - what are we trying to achieve? What is the desired outcome? What is different about the delivery of OT - Is it different? |
| #OTalk @OTalk_ RT @Keirwales: Ah but even in those specialist services there's not a massive appetite for OTs. How can we change that? #Otalk https://t.… |
| Sarah Mercer @pd2ot @POPPED_Project @Keirwales So true. I was lucky at undergrad to get ethics approval for a small study. Now that I've moved uni I realise just how lucky. A lot of panels struggle to give approval for the needed studies. #OTalk |
| #OTalk @OTalk_ @LouiseCrisp5 Hi Louise #otalk |
| #OTalk @OTalk_ @organiclemon @Keirwales Your most welcome #Otalk |
| Keir Harding @Keirwales @EmilyK_OT I suppose I'm thinking that Nice guidelines don't mention us. What would we need to do to change that? #Otalk |
 | Tilly Greenwell @Tilly_OT Couldn't agree more! #OTalk https://t.co/1pj0dOwU9K |
| Emma Hall @Emm_OT @OTalk_ #OTalk are we replying on this thread or @Keirwales ? |
| Dr Catriona Connell @DrCConnell @RebeccaCrouch @Keirwales 'forensic occupational therapy' by Couldrik and @Deb4dare ? That was the one i used nearly a decade ago as student too #otalk |
| Keir Harding @Keirwales RT @RRule3: @Lauren_OT @Keirwales I agree! I’m still at uni and this was an area that I was interested in shadowing for my exploration into… |
 | April OT @OT_april @Keirwales #Otalk sharing ideas, what works , what may not work... talking to eachother as we are all doing right now! 👍🏻 |
| Keir Harding @Keirwales The Rcot leaflet on BPD is fairly uninspiring...#Otalk https://t.co/G856NeCTap |
| #OTalk @OTalk_ RT @Keirwales: @EmilyK_OT I suppose I'm thinking that Nice guidelines don't mention us. What would we need to do to change that? #Otalk |
| Keir Harding @Keirwales RT @OTLiaisonPsych: @Lauren_OT @Keirwales We have a specialist service in my area but it is accessed by few compared with general adult men… |
| Sarah Mercer @pd2ot #OTalk this is the post I mentioned this morning as it came up yesterday: https://t.co/tF6ORpmgY9 Lots of other (ancient) musings on pd and Occupational therapy in general on https://t.co/LX8iyWO1Vf |
| Lauren @Lauren_OT @RRule3 @Keirwales I’ve also found it very difficult to refer on and get one of my patients the support that is quite clearly needed. #OTalk |
| Fen Lemonsky @organiclemon RT @OTalk_: @organiclemon @Keirwales Your most welcome #Otalk |
| #OTalk @OTalk_ Just make sure you use the # @Emm_OT and people will see what your saying #Otalk https://t.co/ZeYypxX0Pu |
| Dr Catriona Connell @DrCConnell @Keirwales Organisations like the @LindAlliance identify research priorities in collaboration with people with lived experience - maybe they would think about this as a future project? #otalk |
| Becky French @becky_1983 #otalk promoting practice. Setting up discussion with funders, CCG's. Many funders have been impressed and want to know if you talk them through what you do. |
| Emma Hall @Emm_OT @Keirwales @OTalk_ #OTalk consider networking with others,peer support, focus groups? |
| #OTalk @OTalk_ RT @OT_april: @Keirwales #Otalk sharing ideas, what works , what may not work... talking to eachother as we are all doing right now! 👍🏻 |
| Tilly Greenwell @Tilly_OT RT @POPPED_Project: @EmilyK_OT @OTalk_ I identified some problems with commonly used OMs in my research/practice too. Need to understand be… |
| Keir Harding @Keirwales @OTLiaisonPsych @Lauren_OT And yet that's what NICE tells us to do. My experience is that in generic services there isn't a specialist service because the difficulties of this group don't get thought about #otalk |
| #OTalk @OTalk_ RT @Keirwales: The Rcot leaflet on BPD is fairly uninspiring...#Otalk https://t.co/G856NeCTap |
| #OTalk @OTalk_ RT @pd2ot: #OTalk this is the post I mentioned this morning as it came up yesterday: https://t.co/tF6ORpmgY9 Lots of other (ancient) musing… |
| Lauren @Lauren_OT @Keirwales Same old I suppose, promoting our unique contribution and showing how we can make a difference. #OTalk |
| Keir Harding @Keirwales Q2 Lots of talk of models yesterday. Are ours helpful? Do we need to borrow from elsewhere? #Otalk |
| Keir Harding @Keirwales RT @POPPED_Project: @Keirwales Organisations like the @LindAlliance identify research priorities in collaboration with people with lived ex… |
| Keir Harding @Keirwales RT @hsbannister: #otalk I think we need to prioritise what is needed and really think about how our practice is different - what are we try… |
| Rebecca Crouch, Occupational Therapist @RebeccaCrouch @Keirwales @Emm_OT @OTalk_ Sharing experiences/good practice with @viagem_otnews & other OT magazines, RCOT Specialist Section newsletters, letter to editors, Twitter... again initial thoughts that come to mind #otalk |
| Keir Harding @Keirwales RT @POPPED_Project: @EmilyK_OT @OTalk_ I identified some problems with commonly used OMs in my research/practice too. Need to understand be… |
| Dr Catriona Connell @DrCConnell @Keirwales It can be done at lots of levels, from informing an individual project by liaising with people you work with, up to a whole research project in itself #otalk |
| Keir Harding @Keirwales RT @Tilly_OT: Couldn't agree more! #OTalk https://t.co/1pj0dOwU9K |
| #OTalk @OTalk_ @RRule3 Your not the frist to forget and you will not be the last #Otalk |
 | Sadie Blue @SadieBlueOT @Keirwales @OTalk_ I would like to see more evidence or interventions happening with the young adults 15-25. Since a diagnosis is unlikely under the age of 25 (in my area at least) I wanna know what we can be doing early intervention wise. #OTalk |
| Keir Harding @Keirwales @Emm_OT @OTalk_ Use the hashtag and ill see it. Use it even if replying to me then everyone gets to see #Otalk |
| Dr Catriona Connell @DrCConnell @Keirwales .@theRCOT are refreshing their research strategy, led by @JoWatson22 - If it includes reviewing priorities, occupational therapists could indicate where they think the gaps are in this area. #otalk |
 | ed sum 🏳️🌈 ❤🏴 @musedNeuroOT @RRule3 @Keirwales @Lauren_OT #otalk I work in neuro out-patients - several patients with a diagnosis of personality disorder when I look through the records but not on referral. I'm sure I have worked with many more patients and colleagues than I ever realised |
| Dr Catriona Connell @DrCConnell #otalk |
| Keir Harding @Keirwales All OTs should read this. MH or not! #otalk https://t.co/bSGZEnZgIW |
| Dr Catriona Connell @DrCConnell Struggling to keep pace tonight! #otalk |
| Keir Harding @Keirwales RT @becky_1983: #otalk promoting practice. Setting up discussion with funders, CCG's. Many funders have been impressed and want to know if… |
| Rebecca Crouch, Occupational Therapist @RebeccaCrouch @POPPED_Project @Keirwales @Deb4dare That's the one Catriona. A great resource that got me through my placement and left me wanting more. #Otalk |
| Keir Harding @Keirwales RT @RebeccaCrouch: @Keirwales @Emm_OT @OTalk_ Sharing experiences/good practice with @viagem_otnews & other OT magazines, RCOT Specialist S… |
| Fen Lemonsky @organiclemon @Keirwales I think OTs need show initiative and get involved with their Trust R& D departments. Plus every Trust has R& D clinical lead they can link up with . Find which OT in Trust is lead for R& D. Most don’t have as voluntary as time constraint. Lastly @OfficialNIHR training!! #OTalk |
| Lauren @Lauren_OT @OTLiaisonPsych @Keirwales I do agree, I think that generally services need to be improved massively across the board to be able to support the needs of people with this diagnosis. In my experience it always seems to be the patients with a primary diagnosis of PD who seem to slip through the net #OTalk |
| Keir Harding @Keirwales RT @POPPED_Project: @Keirwales It can be done at lots of levels, from informing an individual project by liaising with people you work with… |
| #OTalk @OTalk_ Yes don’t forget the hashtag - otherwise you end up on the naughty step! #otalk. https://t.co/3mYE7RqV16 |
 | Katie Crowfoot @katie_crowfoot @POPPED_Project @OTalk_ @RebeccaCrouch @Keirwales #Otalk maybe an idea is trying to breakdown some of 'fear barriers' of research maybe a day/conference/workshop to demonstrate the steps practice etc could be specific to diagnosis to encourage more OTs to take the step into research |
| Lindsay Rook @LindsayOTPICU @POPPED_Project @RebeccaCrouch @Keirwales Great opportunities but the application process is a little intimidating. Our trust has created the chance for interested clinicians to learn more about research and to promote opportunities to get involved in research. I’m going to give that a go! #OTalk |
| #OTalk @OTalk_ @jennp2460 @otalk Just one t in the hashtag. #Otalk |
| Keir Harding @Keirwales #otalk You might need to be the one to develope that intervention Sadie. https://t.co/dEnp6xjhdn |
| Keir Harding @Keirwales RT @POPPED_Project: @Keirwales .@theRCOT are refreshing their research strategy, led by @JoWatson22 - If it includes reviewing priorities,… |
| Lauren @Lauren_OT RT @pd2ot: #OTalk this is the post I mentioned this morning as it came up yesterday: https://t.co/tF6ORpmgY9 Lots of other (ancient) musing… |
| Dr Catriona Connell @DrCConnell @SadieBlueOT @Keirwales @OTalk_ Early intervention or even public health approaches could pay big dividends - the impact of adversity in childhood affecting participation in 'normal' developmental occupations is a huge influencer #otalk |
| Tilly Greenwell @Tilly_OT RT @POPPED_Project: @Keirwales .@theRCOT are refreshing their research strategy, led by @JoWatson22 - If it includes reviewing priorities,… |
 | Peter Martin @PeterMartin55 #Otalk Whatever the models there needs to be flexibility. People don’t always fit into models - hence the rhetoric of person centred care. https://t.co/9CFUuSF2H3 |
 | Jenny @jennp2460 @OTalk_ @otalk #OTalk sorry Thankyou |
| Keir Harding @Keirwales @POPPED_Project You are? Try my house... #otalk |
| Dr Catriona Connell @DrCConnell RT @Keirwales: Q2 Lots of talk of models yesterday. Are ours helpful? Do we need to borrow from elsewhere? #Otalk |
| Keir Harding @Keirwales RT @organiclemon: @Keirwales I think OTs need show initiative and get involved with their Trust R& D departments. Plus every Trust has R&… |
| Keir Harding @Keirwales RT @Lauren_OT: @OTLiaisonPsych @Keirwales I do agree, I think that generally services need to be improved massively across the board to be… |
| Fen Lemonsky @organiclemon No it’s do a paper mache . Tea is a HTT line lol.......#OTalk https://t.co/qhIm3VSjdq |
| Fen Lemonsky @organiclemon RT @RebeccaCrouch: @Keirwales Encourage specialists in this area to publish books/guidelines to share knowledge with others. I've seen grea… |
| Dr Catriona Connell @DrCConnell @Keirwales I didn't know there was one - will investigate #otalk |
| Keir Harding @Keirwales RT @katie_crowfoot: @POPPED_Project @OTalk_ @RebeccaCrouch @Keirwales #Otalk maybe an idea is trying to breakdown some of 'fear barriers' o… |
| Keir Harding @Keirwales RT @OTLiaisonPsych: @POPPED_Project @RebeccaCrouch @Keirwales Great opportunities but the application process is a little intimidating. Our… |
| Fen Lemonsky @organiclemon RT @Keirwales: @EmilyK_OT @OTalk_ What should our outcome measures be in this area? What matters most? (Also what saves money) #Otalk |
| Dr Catriona Connell @DrCConnell @OTLiaisonPsych @RebeccaCrouch @Keirwales That sounds fantastic - you definitely need employer support, time and resource to pull everything together. #otalk |
| Deborah Harrison @DebbiiHarrison RT @POPPED_Project: @SadieBlueOT @Keirwales @OTalk_ Early intervention or even public health approaches could pay big dividends - the impac… |
| Dr Catriona Connell @DrCConnell @OTLiaisonPsych @RebeccaCrouch @Keirwales It's hard work, but it pays off to put in the preparation when it comes to the doing bit #otalk |
| Keir Harding @Keirwales Cardiff uni was very supportive of my attempts at research. @kerryhood led a team which aimed to support clinicians to build evidence. #otalk sure there's something similar in England. https://t.co/HtSsPRRUMY |
 | Kathryn Fox @OccupationalFox @SadieBlueOT @Keirwales @OTalk_ If it's likely to be undiagnosed at this time how can early interventions work? What service would the individual fall into? Agree early intervention is key but until there's a diagnosis it's difficult to know how to do this #OTalk |
| Tilly Greenwell @Tilly_OT @organiclemon @Keirwales @OfficialNIHR You've just reminded me, I was meant to email my R&D dept today 🙈 unfortunately the OT in our R&D left the Trust #OTalk |
| Keir Harding @Keirwales RT @POPPED_Project: @SadieBlueOT @Keirwales @OTalk_ Early intervention or even public health approaches could pay big dividends - the impac… |
| Keir Harding @Keirwales RT @PeterMartin55: #Otalk Whatever the models there needs to be flexibility. People don’t always fit into models - hence the rhetoric of pe… |
| Sarah Mercer @pd2ot RT @organiclemon: @Keirwales I think OTs need show initiative and get involved with their Trust R& D departments. Plus every Trust has R&… |
| Rebecca Crouch, Occupational Therapist @RebeccaCrouch @OTLiaisonPsych @POPPED_Project @Keirwales Good luck Lindsay! I wish you every success. (Post application, could you maybe provide some feedback about the intimidating process, if you find it intimidating, chances are others do too) #OTalk |
| Sadie Blue @SadieBlueOT @Keirwales Perhaps! But as a lone OT working in a charity service, with young people who have no diagnosis and are rarely picked up unless in crisis.. I wouldn't know where to start! #help #otalk |
| Rachel OT 🌻 @_rachelOT @Keirwales Perhaps introducing more discussion about this area at uni would be a good place to start. We are advocates and SU’s with this diagnosis are often the most stigmatised in society, yet still SO little is known. Could awareness = drive to create change (through research?) #otalk |
 | Louise Clark @louiseclark15 @NeurorehabSGUL @AvrilDrummond1 Would be really interesting to explore this. Maybe an #OTalk?? How and who decides? Using what rationale, evidence and experience? How much does how it’s communicated affect perception? and how does the perception of this differ between the pt and therapist? |
| #OTalk @OTalk_ Question 2 #otalk https://t.co/ublqMx8Lh7 |
| Fen Lemonsky @organiclemon @Keirwales @EmilyK_OT @OTalk_ Outcomes for me include GAF scores . So basic but so functional. Can clients 3njoy something away from the typical things.......what keeps them out of a/e- type of support ? Qualitative data important as is QALY data. #OTalk |
| Dr Catriona Connell @DrCConnell @PeterMartin55 Great point - there are problems with some of our models because of their focus on explaining socially valued participation. But essential we have a number of well evidenced tools in our tool-box #otalk |
| Keir Harding @Keirwales RT @OccupationalFox: @SadieBlueOT @Keirwales @OTalk_ If it's likely to be undiagnosed at this time how can early interventions work? What s… |
| Becky French @becky_1983 #otalk common model MOHO, for me a bit outdated so reach out for other influences. I would like to think that we could create something which is more useful |
| Keir Harding @Keirwales RT @Tilly_OT: @organiclemon @Keirwales @OfficialNIHR You've just reminded me, I was meant to email my R&D dept today 🙈 unfortunately the OT… |
| Keir Harding @Keirwales How does a lone worker build evidence? Sure someone can help out here...#otalk https://t.co/q491CMFh9g |
| Fen Lemonsky @organiclemon Maybe you can offer ? #OTalk https://t.co/xNTds7b3LF |
| Kirstie @Kirstie_OT @emerging56 @OTalk_ @RRule3 Dont forget to pop the #OTalk hashtag on your tweets so everyone can see & share in your contributions 👍🏼 |
| Keir Harding @Keirwales This is essential. Trauma and self harm didn't get a mention in my training. A grave omission? #otalk https://t.co/90zcppMiem |
| Emma Hall @Emm_OT @OTalk_ 😆#otalk |
| #OTalk @OTalk_ RT @Keirwales: How does a lone worker build evidence? Sure someone can help out here...#otalk https://t.co/q491CMFh9g |
| Lauren @Lauren_OT @OccupationalFox @SadieBlueOT @Keirwales @OTalk_ I agree. Unsure how, and no experience within adolscent MH but feel that earlier intervention and maybe CAMHS should/ could be involved somehow in improving outcomes for patients, if this happened people might not even get a diagnosis... #OTalk |
| Dr Catriona Connell @DrCConnell A whole research project in itself #otalk https://t.co/a25MDIw3y8 |
| Keir Harding @Keirwales RT @organiclemon: @Keirwales @EmilyK_OT @OTalk_ Outcomes for me include GAF scores . So basic but so functional. Can clients 3njoy somethin… |
| #OTalk @OTalk_ RT @Kirstie_OT: @emerging56 @OTalk_ @RRule3 Dont forget to pop the #OTalk hashtag on your tweets so everyone can see & share in your contri… |
| Lindsay Rook @LindsayOTPICU @Lauren_OT @Keirwales The key is ensuring that there is an easy transition and good communication between services (primary care, CMHT, specialist services, acute hospitals etc). Unfortunately need can be identified and the appropriate service may be available but with long waiting lists #OTalk. |
| Kirstie @Kirstie_OT @emerging56 Dont forget to pop the #OTalk hashtag on your tweets so everyone can see & share in your contributions 👍🏼 |
| Peter Martin @PeterMartin55 @POPPED_Project #OTalk That’s great. Just need to make sure that audits audit the outcomes not the tools themselves. You can have the best hammer and screwdriver on the market but still end up with a wonky shelf! |
| Rebecca Crouch, Occupational Therapist @RebeccaCrouch @OTalk_ I wasn't at the conference yesterday, were these the more traditional models we are taught at uni (Kawa, MOHO, CMOP) or were those discussed PD specific OT models? #otalk |
| Keir Harding @Keirwales @POPPED_Project @PeterMartin55 So are our models good enough? Some better than others? Do we need to integrate with those of other professions/therapies? #Otalk |
| Tilly Greenwell @Tilly_OT @organiclemon I'm currently covering 2 inpatient acute AMH wards, developing an audit and trying to write doctorate applications in my spare time! Think I'll have to pass on that! #OTalk |
| Keir Harding @Keirwales What's missing? #otalk https://t.co/BegBl0PKnd |
| #OTalk @OTalk_ @Leahalderr don’t forget the # other wise people will not see your tweet. #OTalk 🤓 https://t.co/vXhU6rzvBr |
| Dr Catriona Connell @DrCConnell @OccupationalFox @SadieBlueOT @Keirwales @OTalk_ Yes - there is a huge amount of research around the indicators someone is struggling in their youth, but not all will continue to struggle and identifying who is who is not clear #otalk |
| Keir Harding @Keirwales RT @Lauren_OT: @OccupationalFox @SadieBlueOT @Keirwales @OTalk_ I agree. Unsure how, and no experience within adolscent MH but feel that ea… |
| #OTalk @OTalk_ Don’t forget those hashtags so all will see your tweets #Otalk @howell_lucy https://t.co/88AH682awm |
| Deborah Harrison @DebbiiHarrison I wonder if the Kawa model might be useful. Is anyone using it with people who have a diagnosis of PD? #OTalk https://t.co/E9YUb2fgrz |
| Sarah Mercer @pd2ot @Keirwales @POPPED_Project @PeterMartin55 #OTalk I think something very occupation-focused is our best tool. The therapeutic relationship might have psychological influences, but not o sure the model should. |
| Keir Harding @Keirwales Makes me think that a specialist service that sits across the boundaries could help with that...#otalk https://t.co/YSSFBy3DUp |
 | Catherine McNulty @cathymc9781 RT @Keirwales: Q1 The evidence for OT in this area is sparse. What do we need to do? #otalk |
| April OT @OT_april @Keirwales I use MOHO which I find works. I think that as long as the model we use as an OT can work alongside and doesn’t conflict with a model that the broader MDT uses is helpful.. as long as there are no disagreements or inconsistencies with approaches to care #OTalk |
| Keir Harding @Keirwales RT @PeterMartin55: @POPPED_Project #OTalk That’s great. Just need to make sure that audits audit the outcomes not the tools themselves. You… |
| Tilly Greenwell @Tilly_OT @RebeccaCrouch @OTLiaisonPsych @POPPED_Project @Keirwales My friend @jenny_welford was very well supported by her Trust and still found it overwhelming at times (soz Jen) #OTalk |
| Kirstie @Kirstie_OT Perhaps there are a few more people working in similar lone roles? Maybe a peer support group? #OTalk https://t.co/VeIT0BRktk |
| Emma Hall @Emm_OT @Keirwales #OTalk @MOHOspark .moho case formulation. |
| Tilly Greenwell @Tilly_OT RT @RRule3: @Keirwales Perhaps introducing more discussion about this area at uni would be a good place to start. We are advocates and SU’s… |
| #OTalk @OTalk_ Just need a space between you last work and the # #Otalk https://t.co/1gauayJqyD |
| #OTalk @OTalk_ Great point - people and needs focussed. #otalk https://t.co/1gauayJqyD |
| Lauren @Lauren_OT @OTalk_ Ahhhh I was running out of space! Haha! #OTalk |
 | Leah @Leahalderr @OTalk_ Ahhh sorry ahaha!! #OTalk |
| #OTalk @OTalk_ RT @DebbiiHarrison: I wonder if the Kawa model might be useful. Is anyone using it with people who have a diagnosis of PD? #OTalk https://t… |
| Keir Harding @Keirwales @RebeccaCrouch @OTalk_ MOCA was mentioned yesterday too. The room seemed unconvinced...#otalk |
| Rachel OT 🌻 @_rachelOT @OccupationalFox @SadieBlueOT @Keirwales @OTalk_ I am aware of an Early Intervention service in Plym who support YP experiencing severe emotional distress (which could be related to an ‘emerging PD’. Seems to be a way of providing early intervention whilst at least trying not to label? Not sure if there are OT’s though.. #otalk |
| Sue Parkinson @MOHOspark @POPPED_Project Gotta reply! #OTalk MOHO is constantly evolving - it's about human occupation and not diagnosis-specific, but why wouldn't we want to talk with people about their values & goals, their roles & habits, their skills and the impact of the environment on everything? |
| Dr Catriona Connell @DrCConnell @RebeccaCrouch @OTalk_ No models have been specifically developed to explain occupational participation for ppl with a personality dis diagnosis. You can apply all of the traditional ones, but with a critical eye, when u think about who was sample (if any) that was studied to validate the model #otalk |
| #OTalk @OTalk_ Again - @Leahalderr don’t forget your hashtag #Otalk https://t.co/B1jgwWEEer |
| Sadie Blue @SadieBlueOT @OccupationalFox @Keirwales @OTalk_ I'm just saying from what I see in my service there seems to be a high number of adolescents (especially transitioning) who experience frequent crisis' and regularly self harm.. Yet when asking for support they are referred to IAPT or picked up by crisis teams. #otalk |
| Keir Harding @Keirwales @EmilyK_OT @organiclemon @OTalk_ And does COPM cover all the bases for you? #Otalk |
| Dr Catriona Connell @DrCConnell @becky_1983 what models do you use in addition? #otalk |
| Emma Hall @Emm_OT @RebeccaCrouch @OTalk_ #OTalk no, the Moca was discussed along with MOHO. |
| Jenny @jennp2460 @Keirwales @keirwales #OTalk I use MOHO but would like to hear of other models out there in this area of work for comparison |
| Keir Harding @Keirwales RT @DebbiiHarrison: I wonder if the Kawa model might be useful. Is anyone using it with people who have a diagnosis of PD? #OTalk https://t… |
| #OTalk @OTalk_ @OccupationalFox you need to include the hashtag in ALL your tweets so people see them. #otalk https://t.co/akNDtIHRoD |
| Keir Harding @Keirwales RT @pd2ot: @Keirwales @POPPED_Project @PeterMartin55 #OTalk I think something very occupation-focused is our best tool. The therapeutic rel… |
| Kathryn Fox @OccupationalFox @Keirwales Limited experience with models but I assume that if model doesn't cover an individual with a certain diagnosis than it's not fully fit for purpose? #OTalk |
| Dr Catriona Connell @DrCConnell Maybe start with a case study where you had good outcomes, compare with one that was less good? #otalk https://t.co/pFx1fQPynd |
| Keir Harding @Keirwales RT @OT_april: @Keirwales I use MOHO which I find works. I think that as long as the model we use as an OT can work alongside and doesn’t co… |
| Keir Harding @Keirwales RT @MOHOspark: @POPPED_Project Gotta reply! #OTalk MOHO is constantly evolving - it's about human occupation and not diagnosis-specific, bu… |
| Dr Catriona Connell @DrCConnell RT @Keirwales: @RebeccaCrouch @OTalk_ MOCA was mentioned yesterday too. The room seemed unconvinced...#otalk |
| Catherine McNulty @cathymc9781 @Keirwales #OTalk show by your practice powerful evidence lone worker or otherwise |
| Deborah Harrison @DebbiiHarrison That was my thought too Sarah, our models need to have occupation at their heart. Otherwise we lose our unique perspective. We might use techniques from other approaches, but with occupational reasoning & goals #OTalk 💚 https://t.co/YI5j9G7fGC |
| Sadie Blue @SadieBlueOT @OccupationalFox @Keirwales @OTalk_ More needs to be done. I agree a diagnosis is not always helpful, but waiting until these YP reach the age of 25 then giving a diagnosis (which allows them to access specialist services) seems a big flaw in the system when they've then spent years building unhealthy coping #otalk |
| Carolina Cordero 🌈 @colourful_ot We've covered self harm in our mental health module this semester but not trauma - I've noticed a huge gap between how important trauma-informed care seems to be in mental health at the moment and how little we're being taught about it #OTalk https://t.co/IXuOsOmPQP |
| Leah @Leahalderr @emerging56 @Keirwales Yes!!!!😃 #OTalk |
| Keir Harding @Keirwales @POPPED_Project @RebeccaCrouch @OTalk_ Any thoughts on what MOHO might miss Caty? #otalk |
| Rebecca Crouch, Occupational Therapist @RebeccaCrouch RT @DebbiiHarrison: That was my thought too Sarah, our models need to have occupation at their heart. Otherwise we lose our unique perspect… |
| #OTalk @OTalk_ Goodness 35 mins have gone already, very fast and great chat, Just reminder there are quite a few new or not very regular people joining in tonight don’t forget that hashtag #otalk https://t.co/JkzKYG3Vqf |
| Carolina Cordero 🌈 @colourful_ot RT @POPPED_Project: @SadieBlueOT @Keirwales @OTalk_ Early intervention or even public health approaches could pay big dividends - the impac… |
| Dr Catriona Connell @DrCConnell @EmilyK_OT @Keirwales MOHO is the whole model, but the assessment tools are based on it. MOHOST is just a screen, so if not getting what you need, it may mean a more thorough Ax #otalk |
| Lindsay Rook @LindsayOTPICU @Keirwales Absolutely agree with you on that! Have had some interesting discussions recently about what this could look like #OTalk |
| Sarah Mercer @pd2ot RT @DebbiiHarrison: That was my thought too Sarah, our models need to have occupation at their heart. Otherwise we lose our unique perspect… |
| Dr Catriona Connell @DrCConnell @EmilyK_OT @Keirwales DO u use a model for your formulations? #otalk |
 | Kat Hawman @KatHawman @Keirwales @RebeccaCrouch @OTalk_ Uncomfortably so.... #otalk |
| Peter Martin @PeterMartin55 @Keirwales @POPPED_Project #OTalk Social network involvement, collaborative relationship key. Recovery model relevant. Whatever model works for you, works! But relationships and communications clearly vital factor. |
| #OTalk @OTalk_ You need the hashtag @EmsOTs so everyone sees your tweets #OTalk https://t.co/tAGrm4lRDH |
| Fen Lemonsky @organiclemon Excellent chat #OTalk https://t.co/mLZzAtTyCb |
| Katie Crowfoot @katie_crowfoot @Keirwales @RebeccaCrouch @OTalk_ #Otalk as an OT training in VdT MOCA, I think yesterdays presentation let the model down, it could have been so positive, shame it wasn't Wendy Sherwood presenting. I don't think it should be ruled out but more research looked at how it complements MOHO within services |
| Deborah Harrison @DebbiiHarrison #OTalk https://t.co/Y5pgGJvazy |
| Keir Harding @Keirwales @OccupationalFox I think MOHO does but you might need to borrow so thinking from other areas to throw some extra questions in #otalk |
| Lauren @Lauren_OT @OccupationalFox @Keirwales The models I have come across aren’t diagnosis specific and in theory can be applied to any individual and their occupational circumstances - MOHO, Kawa and COPM, some may fit better in certain areas. We use MOHO in my trust. I would like to learn more about the VdTMoCA. #OTalk |
| Keir Harding @Keirwales @DebbiiHarrison We can't just be good practitioners of other disciplines work. #Otalk |
| Keir Harding @Keirwales RT @colourful_ot: We've covered self harm in our mental health module this semester but not trauma - I've noticed a huge gap between how im… |
| #OTalk @OTalk_ @organiclemon Glad your enjoying it. #otalk |
| Dr Catriona Connell @DrCConnell @MOHOspark Knew you couldn't resist - MOHO is the strongest model, some of the factors that play a strong role in the challenges in participation for people with personality difficulties are not well described. #otalk |
| Leah @Leahalderr @SadieBlueOT @OccupationalFox @Keirwales @OTalk_ Specialised services, which will allow them to get the appropriate treatment #OTalk |
| Lucy Howell @howell_lucy @OTalk_ @Leahalderr #otalk I feel even at 18 EUPD can be a damaging diagnosis for young people, being a teenage is being emotionally unstable at times. For many there is so much going on in their lives, even the development of the prefrontal cortex and understanding in social situations is normal |
| #OTalk @OTalk_ #otalk https://t.co/FZ8vmn3yFT |
| Keir Harding @Keirwales Q3 We talked of things that harm that also help. How can we pay attention to activities that aren’t obviously healthy?(Self harm etc) #Otalk |
| Catherine McNulty @cathymc9781 #OTalk ? using the KAWA river model .. might give shape to a person who life has been marked with struggles and truama but also how hope and use of the driftwood in our lives can help us keep going https://t.co/DwumemjswA |
| Rebecca Crouch, Occupational Therapist @RebeccaCrouch @katie_crowfoot @Keirwales @OTalk_ Not heard of the VdT MOCA. Will have to look into it, I am intrigued. Any recommended places to look Katie? Shall I search for Wendy Sherwood's work? #OTalk |
| Dr Catriona Connell @DrCConnell @EmilyK_OT @Keirwales Good practice - have you found anything particualrly useful for people who are diagnosed with personality disorder? #otalk |
| Peter Martin @PeterMartin55 @pd2ot @Keirwales @POPPED_Project #OTalk Indeed. Think it’s also important to remember the value of volunteering too. |
| Keir Harding @Keirwales RT @POPPED_Project: @EmilyK_OT @Keirwales MOHO is the whole model, but the assessment tools are based on it. MOHOST is just a screen, so if… |
| #OTalk @OTalk_ Question 3 #otalk https://t.co/p9Si4mQvzp |
| Keir Harding @Keirwales RT @OTLiaisonPsych: @Keirwales Absolutely agree with you on that! Have had some interesting discussions recently about what this could look… |
| Deborah Harrison @DebbiiHarrison @Keirwales Absolutely! My favourite topic to rant about is the lack of occupation in occupational therapy #OTalk |
| Keir Harding @Keirwales @OTLiaisonPsych And then how do we get OTs leading it! #otalk |
| #OTalk @OTalk_ RT @DebbiiHarrison: @Keirwales Absolutely! My favourite topic to rant about is the lack of occupation in occupational therapy #OTalk |
| Sue Parkinson @MOHOspark @EmilyK_OT @organiclemon @Keirwales @OTalk_ #OTalk Hi Emily - I'm sure you look at the strengths too. You can use broad tools to help you screen occupational need, but there are deeper ones too that should show occupational changes regarding volition and skills |
| Emma Hall @Emm_OT @katie_crowfoot @POPPED_Project @OTalk_ @RebeccaCrouch @Keirwales #OTalk absolutely agree, it sounds pretty daunting! |
| Keir Harding @Keirwales RT @organiclemon: Excellent chat #OTalk https://t.co/mLZzAtTyCb |
| Dr Catriona Connell @DrCConnell @Keirwales @RebeccaCrouch @OTalk_ Im still analysing to understand the areas that need further refining and development based on my research #otalk |
| #OTalk @OTalk_ @jennysticks75 don’t forget the # so all can see your tweets and they get included in the transcript of the convention on the blog later. #otalk https://t.co/q0oixuBad6 |
| Sarah Mercer @pd2ot @Keirwales #OTalk not entirely clear about what you mean? |
| Keir Harding @Keirwales I think we have a huge advantage in this area as diagnosis isn't particularly important to us #Otalk https://t.co/VZRhVtM6Jp |
| Carolina Cordero 🌈 @colourful_ot @EmsOTs Yeah it's definitely not only useful for people w/ diagnoses - tbh I think with all the evidence we have now around e.g. adverse childhood experiences and chronic conditions we should be being taught about psychological trauma in relation to physical health, too #OTalk |
| Keir Harding @Keirwales RT @howell_lucy: @OTalk_ @Leahalderr #otalk I feel even at 18 EUPD can be a damaging diagnosis for young people, being a teenage is being e… |
 | glenn westrop @glenn_westrop @Keirwales @OTLiaisonPsych hi all lurking and catching up #OTalk! |
| #OTalk @OTalk_ Yes we just need someone to offer to host it - any takers? #otalk https://t.co/X0X9Rjx2GG |
| Keir Harding @Keirwales RT @POPPED_Project: @EmilyK_OT @Keirwales Good practice - have you found anything particualrly useful for people who are diagnosed with per… |
| Keir Harding @Keirwales RT @DebbiiHarrison: @Keirwales Absolutely! My favourite topic to rant about is the lack of occupation in occupational therapy #OTalk |
| Dr Catriona Connell @DrCConnell @Emm_OT @katie_crowfoot @OTalk_ @RebeccaCrouch @Keirwales #otalk It's a change from clinical practice, and any change is daunting. But if you take it a step at a time, getting skills and experience - you develop into an academic, occupational adaptation |
| Keir Harding @Keirwales RT @MOHOspark: @EmilyK_OT @organiclemon @Keirwales @OTalk_ #OTalk Hi Emily - I'm sure you look at the strengths too. You can use broad tool… |
| Sarah Mercer @pd2ot RT @colourful_ot: @EmsOTs Yeah it's definitely not only useful for people w/ diagnoses - tbh I think with all the evidence we have now arou… |
| #OTalk @OTalk_ @glenn_westrop @Keirwales @OTLiaisonPsych Welcome #otalk |
| Fen Lemonsky @organiclemon Me . #Otalk and @Keirwales 😊 https://t.co/QiLDZtW4No |
| Lindsay Rook @LindsayOTPICU @Keirwales This is such a big question! #OTalk |
| Lindsay Rook @LindsayOTPICU @Keirwales Explore the meaning and function of that activity (self-harm or otherwise) for the person you’re working with and determine whether it’s something they want to change. #OTalk |
| Dr Catriona Connell @DrCConnell @EmilyK_OT @Keirwales @MOHOspark Great - i'm working on some formulation training now, and tend towards using one model to explain participation, but you can inform with assessment from many sources #otalk |
| #OTalk @OTalk_ That’s great - once the chat is over I’ll share how to apply to host future chats #Otalk https://t.co/3KLUn8RaGp |
 | 🌟Kerry Pace⭐ @DiverseLearners RT @OTalk_: Goodness 35 mins have gone already, very fast and great chat, Just reminder there are quite a few new or not very regular peo… |
| Jenny @jennp2460 @Keirwales #OTalk do you mean what do we do as clinicians to understand why someone self harms ?? |
| Rebecca Crouch, Occupational Therapist @RebeccaCrouch What is your experience of this Keir? #OTalk https://t.co/oX3c1waBAf |
| Keir Harding @Keirwales @pd2ot #otalk often 'bad' things just have to stop and can't be thought about. How do we understand the value people place on SH, drug use, violence and other things without just condemning the behaviour? #otalk |
| Keir Harding @Keirwales @pd2ot Thanks for showing it needed clarifying #otalk |
| Lauren @Lauren_OT @Keirwales I think maybe that for the person, self harming, smoking, drinking, drugs etc. Is serving some sort of purpose and providing some sort of meaning for them. So it’s about trying to understand what that means for that person? And if they actually want to change that? #OTalk |
| Rebecca Crouch, Occupational Therapist @RebeccaCrouch RT @OTLiaisonPsych: @Keirwales Explore the meaning and function of that activity (self-harm or otherwise) for the person you’re working wit… |
| Leah @Leahalderr @howell_lucy @OTalk_ Exactly I think diagnosis of a PD especially EUPD should be held off until at least 21/22, it’s extremely detrimental to a young persons treatment if they are given that diagnosis when it’s incorrect. A thread 1/ #OTalk |
| April OT @OT_april @Keirwales I was going to look into the MoCA but after yesterday I have to admit I feel a little skeptical! 🤔 #OTalk #OT4PD #TEWVconf |
| Keir Harding @Keirwales Which leads to...how do we influence the undergraduate curriculum? #otalk https://t.co/rqbeYQOcs1 |
| Lindsay Rook @LindsayOTPICU @Keirwales Build mutually respectful therapeutic relationships with people to enable them to feel safe to talk about self-harm without fear of judgement, overreaction or rejection #OTalk |
| Dr Catriona Connell @DrCConnell RT @Keirwales: Q3 We talked of things that harm that also help. How can we pay attention to activities that aren’t obviously healthy?(Self… |
| Catherine McNulty @cathymc9781 #OTalk might B out of sinc here but wen a young person is struggling 4 whatever reason they are entitled 2 support as social occupational human animals & may respond best to social occupational perspectives. we may never know if the work we do has helped only that they recover https://t.co/Fn7RiJRJtS |
| Keir Harding @Keirwales RT @OTalk_: Yes we just need someone to offer to host it - any takers? #otalk https://t.co/X0X9Rjx2GG |
| Lucy Howell @howell_lucy @Keirwales #otalk for one of my clients, it's just talking about it (self harm) it's hidden as something the family don't talk about, so it becomes even more of a compulsion. No more open with her mum, has been harming less |
| Becky French @becky_1983 #OTalk we have open discussion groups which allows for discussion in a contained space. Occupation either deemed negative/good explored |
| Dr Catriona Connell @DrCConnell @OT_april @Keirwales A skeptical eye is a good place to start - critical appraisal of all our evidence and whether we apply it is important #otalk |
| Sarah Mercer @pd2ot @Keirwales #OTalk with you now! In my experience the discussion about negative occupations was the start of change. Previous OTs had ignored them and left me alienated. |
| Tilly Greenwell @Tilly_OT RT @POPPED_Project: @Emm_OT @katie_crowfoot @OTalk_ @RebeccaCrouch @Keirwales #otalk It's a change from clinical practice, and any change i… |
| Deborah Harrison @DebbiiHarrison @Keirwales @pd2ot Are we talking about dark occupations here? @RebeccaTwinley has developed & researched this concept #OTalk |
| Keir Harding @Keirwales But do some things have to change? #otalk https://t.co/nE207DDQuK |
| #OTalk @OTalk_ @organiclemon Sorry is @OT_rach on the account tonight #Otalk |
| Keir Harding @Keirwales RT @POPPED_Project: @EmilyK_OT @Keirwales @MOHOspark Great - i'm working on some formulation training now, and tend towards using one model… |
| Sarah Mercer @pd2ot @Keirwales #OTalk yep, the discussion was risky and possibly increased engagement in the short term. But I don't think I could have moved on without it. It was a big part of feeling understood. |
| Lauren @Lauren_OT @Keirwales ‘Unhealthy occupations’ can link to identity, belonging, social networks, routine, coping strategies, retaining control... need to be mindful of that and be aware of our own thoughts and judgments about whatever it is the person is doing #OTalk |
| #OTalk @OTalk_ Only 10mins of the chat left. #Otalk @Keirwales |
| Sarah Mercer @pd2ot My favourite researcher/concept! #OTalk https://t.co/1ehtHqhaJz |
| Keir Harding @Keirwales @jennp2460 To an extent. How much done tend to explore that with people? Is it worth doing? #otalk |
| Kathryn Fox @OccupationalFox RT @Lauren_OT: @Keirwales ‘Unhealthy occupations’ can link to identity, belonging, social networks, routine, coping strategies, retaining c… |
| Leah @Leahalderr @howell_lucy @OTalk_ Are experiences that nearly all teenagers will experience at one point or another #OTalk |
| Dr Catriona Connell @DrCConnell @EmsOTs @Keirwales I think this is where some of our models could be refined - thinking about all human occupation, not just those that society views as desirable, because all occupation is functional, if take a behaviourist perspective #otalk |
| Lucy Howell @howell_lucy @Leahalderr @OTalk_ #otalk I agree, even later in some cases, especially when personal living conditions and finances are in such a difficult state. I feel all the other contributing factors should be included and addressed before fixing, what can be damaging, diagnosis. |
| #OTalk @OTalk_ #Otalk in all tweets please !!!!!!!!!!!!!!!!!!!!! https://t.co/FzmyYNAGM7 |
| Dr Catriona Connell @DrCConnell @pd2ot There was a workshop on this, really well delivered #otalk |
 | Avril Drummond @AvrilDrummond1 RT @louiseclark15: @NeurorehabSGUL @AvrilDrummond1 Would be really interesting to explore this. Maybe an #OTalk?? How and who decides? Usin… |
| Keir Harding @Keirwales @RebeccaCrouch You've noticed I'm only asking questions! For me it's an essential focus. Lots of people inworknwith lose their liberty due to behaviour that hurts no-one but themselves. Really need to understand so that we know how to respond effectively. #Otalk |
| Tilly Greenwell @Tilly_OT RT @Lauren_OT: @Keirwales ‘Unhealthy occupations’ can link to identity, belonging, social networks, routine, coping strategies, retaining c… |
| Deborah Harrison @DebbiiHarrison When occupational therapy programmes review their curriculum they will invite clinical colleagues to contribute, so offer your opinions & offer to teach some sessions. We’d welcome you @UEA_Health @Keirwales #OTalk https://t.co/u5JwnPhR6H |
| Lucy Howell @howell_lucy @Leahalderr @OTalk_ #otalk yes! I know I would have fitted under this umbrella when I was a teen! |
| Keir Harding @Keirwales @RebeccaCrouch And some of that understanding can be used to make the social environment more relaxed and less coercive #Otalk |
| #OTalk @OTalk_ RT @Keirwales: @RebeccaCrouch You've noticed I'm only asking questions! For me it's an essential focus. Lots of people inworknwith lose t… |
| Keir Harding @Keirwales RT @Lauren_OT: @Keirwales I think maybe that for the person, self harming, smoking, drinking, drugs etc. Is serving some sort of purpose an… |
| #OTalk @OTalk_ RT @POPPED_Project: @pd2ot There was a workshop on this, really well delivered #otalk |
| Dr Catriona Connell @DrCConnell How do people feel about the dichotomy of dark/light, healthy/unhealthy, prosocial/antisocial - whats dark for some is light to others #otalk https://t.co/tDDfqmpp9o |
| Rachel OT 🌻 @_rachelOT @Keirwales Don’t assume, open dialogue where poss, try to understand. IF being used as a coping strategy perhaps work can be done to make this as safe as possible/consider positive risk and rights. Not just automatically condemning activities with the threat of rights being revoked. #otalk |
| Catherine McNulty @cathymc9781 #OTalk within the relationship to discuss acknowledge the self harm and work out where it fits the person you are trying to support leading the way ... this worked profoundly with one young person - https://t.co/YOj4prcpTu |
| Lucy Howell @howell_lucy #otalk https://t.co/eENKs5KZRv |
| Keir Harding @Keirwales Many will tell you that getting the diagnosis is massively unhelpful....#Otalk https://t.co/sflTJpJ10J |
 | Abi Edwards @AbiEdwards7 @colourful_ot #OTalk good resources on trauma informed practice at Beacon House, did a lot of work on it ( including a module accredited by Brighton Uni) last year when I was a teacher. |
 | Louise Jeffries @LouiseJeffries4 @POPPED_Project @OT_april @Keirwales Indeed I myself was very skeptical, but once I saw the results there was no going back. More research needed though. #otalk |
| Kathryn Fox @OccupationalFox @Keirwales @RebeccaCrouch Interested to hear about how to respond effectively? Recognise the importance of understanding 'dark occupations' however I struggle when it comes to how I might deal with this in practice #OTalk |
| Sadie Blue @SadieBlueOT @Keirwales I don't focus on the action of self harm but more what the individual gets from it. Then we'll explore other activities that can be used which can also function in that way. Lots of testing and trialing to build a toolbox of alternatives #otalk |
| Lauren @Lauren_OT @Keirwales On this note... does anyone have any resources / articles anything on smoking as an occupation? Please point me in the right direction if you do! I am going to seek patient opinions on this also. #OTalk |
| Keir Harding @Keirwales Q5 The language we use is so important. How can we communicate in the most empathic way? #otalk |
| Clarissa @GeekyOT @POPPED_Project I like the idea of #thedarksideofoccupation being the "unexplored" vs "bad" - often very complex #OTalk |
| Keir Harding @Keirwales RT @cathymc9781: #OTalk within the relationship to discuss acknowledge the self harm and work out where it fits the person you are trying… |
| #OTalk @OTalk_ ***5 Minutes until the end of the chat*** Time flies when you are having fun... What are your final thoughts or take away messages from this evenings #OTalk @Keirwales https://t.co/pXS2u2D8ZY |
| Dr Catriona Connell @DrCConnell @EmilyK_OT @Keirwales I need to revisit VQ, have only used with people with mental illness diagnosis #otalk |
| Keir Harding @Keirwales @GeekyOT @POPPED_Project It seems there's a judgement in 'dark' though🤔 #otalk |
| Dr Catriona Connell @DrCConnell @glenn_westrop @Keirwales @RebeccaCrouch @OTalk_ Great for local solutions i agree - sometimes difficult to get neighbours to accept something that wasn't developed in their locality #otalk |
| Sarah Mercer @pd2ot @POPPED_Project #OTalk no issue for me - happy to recognise things against a social construct of 'pos/negative' so long as room for full understanding of individual experience (ie. Self harm was destructive and comforting all at once).. Can see how others may differ though. |
| Keir Harding @Keirwales RT @AbiEdwards7: @colourful_ot #OTalk good resources on trauma informed practice at Beacon House, did a lot of work on it ( including a mod… |
| Kirstie @Kirstie_OT @OTalk_ Just makes it more difficult for people to follow your thoughts and continue the discussion which would be a shame 👍🏼 #OTalk |
| Keir Harding @Keirwales RT @POPPED_Project: How do people feel about the dichotomy of dark/light, healthy/unhealthy, prosocial/antisocial - whats dark for some is… |
| Kirstie @Kirstie_OT @emerging56 @OTalk_ Just makes it more difficult for people to follow your thoughts and continue the discussion which would be a shame 👍🏼 #OTalk |
| Rebecca Crouch, Occupational Therapist @RebeccaCrouch @POPPED_Project I think it's a reality that reminds us that all occupations need to be considered, no matter how they are perceived by the service user, the occupational therapist or society. If they are meaningful, it's our role to explore them #OTalk |
| Dr Catriona Connell @DrCConnell @becky_1983 YEs - these all are common approaches. Do you ever look at the occupational adaptation part of MOHO? #otalk |
| Keir Harding @Keirwales RT @DebbiiHarrison: When occupational therapy programmes review their curriculum they will invite clinical colleagues to contribute, so off… |
| Lucy Howell @howell_lucy @Leahalderr @OTalk_ #otalk 🤦♀️ just to add to your difficulties! |
| Lindsay Rook @LindsayOTPICU @Keirwales From whose perspective? Every person and their situation is completely different, so many factors to consider! #OTalk |
| Keir Harding @Keirwales Any advice people? #otalk https://t.co/IDQWW7pUvf |
| Emma Hall @Emm_OT @Keirwales #OTalk avoiding the jargon.. We had a discussion about this today at work and realised that commonplace words for us such as 'engage' can be pretty loaded. |
| Keir Harding @Keirwales RT @SadieBlueOT: @Keirwales I don't focus on the action of self harm but more what the individual gets from it. Then we'll explore other ac… |
| #OTalk @OTalk_ No s on the end of the #. Just #otalk https://t.co/ClNqADkHtd |
| Deborah Harrison @DebbiiHarrison RT @RebeccaCrouch: @POPPED_Project I think it's a reality that reminds us that all occupations need to be considered, no matter how they ar… |
| April OT @OT_april @Keirwales Mentalisation and validating what the service user is saying/how they are feeling. I think as OTs we have the skill to adapt our communication to suit each service user, as we know them! I usually communicate through banter/humour however aware this does not work for all #OTalk |
| Keir Harding @Keirwales #otalk My take home message...pick one theme and explore it in depth on #otalk trying to cover 5 mashes your head. |
| #OTalk @OTalk_ 2 mins left #Otalk |
| Sarah Mercer @pd2ot @OccupationalFox @Keirwales @RebeccaCrouch #OTalk what's your setting? And what are your concerns? |
| Keir Harding @Keirwales RT @Emm_OT: @Keirwales #OTalk avoiding the jargon.. We had a discussion about this today at work and realised that commonplace words for us… |
| Catherine McNulty @cathymc9781 #OTalk key perspectives often people have lifetimes of struggles trauma and many reasons to mistrust anyone .. the beginning is to the repsectful relationship .. occupation is a good place to start people talk most when they are making the toast stated by Katie Greathead 2018 https://t.co/AzsUoO88P2 |
| #OTalk @OTalk_ RT @Keirwales: #otalk My take home message...pick one theme and explore it in depth on #otalk trying to cover 5 mashes your head. |
| Clarissa @GeekyOT @Keirwales @POPPED_Project I see where you're coming from but for me it's more like a map on an old PC game - map is darkened until you get closer, and more is revealed #OTalk |
| #OTalk @OTalk_ #OTalk 24 April – Occupational therapy and volunteering https://t.co/miKZPUTBYV |
| #OTalk @OTalk_ Ok that it that’s the hour over, what a thought-provoking and busy chat. Or insure the transcript gets added to the blog in the next couple of days. Can we please thank @Keirwales for hosting tonight #Otalk 👏🏽👏🏽 |
| #OTalk @OTalk_ Thankyou everyone for your contributions. #OTalk https://t.co/rfTHMWhqpN |
| Sarah Mercer @pd2ot RT @GeekyOT: @Keirwales @POPPED_Project I see where you're coming from but for me it's more like a map on an old PC game - map is darkened… |
| Clarissa @GeekyOT @OTalk_ @Keirwales Thanks @OT_rach and @Keirwales for the chat, and to all who contributed. I realise I didn't say much, but did lots of thinking! #OTalk |
| Keir Harding @Keirwales #otalk The personality disorder consensus statement was published recently. Service users were clear they are not PDs or people with disordered personalities. Let's try to use 'people with a diagnosis of' or 'those who have lived through trauma' #otalk |
 | Katie Ann Siobhan @KatieAnnSiobhan @Keirwales #otalk talk to us how you would you want yourselve or a loved of yours be spoken to been compassionate and empathetic shouldn't be hard |
| Dr Catriona Connell @DrCConnell @LouiseJeffries4 @OT_april @Keirwales Definitely, MoCA needs to move to validating its constructs in 'modern' times - and send for peer review. Is anyone working on it do you know? #otalk |
| Keir Harding @Keirwales RT @OT_april: @Keirwales Mentalisation and validating what the service user is saying/how they are feeling. I think as OTs we have the skil… |
| Sarah Mercer @pd2ot #Otalk love this analogy. https://t.co/JOVh8myGNn |
| Becky French @becky_1983 RT @Keirwales: #otalk The personality disorder consensus statement was published recently. Service users were clear they are not PDs or peo… |
| Sadie Blue @SadieBlueOT @Keirwales Avoiding accusations or why did you do this? I also hate the lazy "well that's your choice" answer. If I don't know what to say that would be helpful, acknowledging the hurt and pain/validation is the best place to start I feel #otalk |
| #OTalk @OTalk_ If you have an idea for a future chat you can apply here!!! #OTalk https://t.co/Kf8nFtq4Zi |
| Keir Harding @Keirwales RT @cathymc9781: #OTalk key perspectives often people have lifetimes of struggles trauma and many reasons to mistrust anyone .. the beginn… |
| Kirstie @Kirstie_OT @Keirwales But you like a challenge 😉 #OTalk |
| Keir Harding @Keirwales RT @GeekyOT: @Keirwales @POPPED_Project I see where you're coming from but for me it's more like a map on an old PC game - map is darkened… |
| Carolina Cordero 🌈 @colourful_ot @AbiEdwards7 Yes, I think @BeaconHouseTeam have fantastic resources - trauma/attachment is something I've read a fair bit about in my own time but I still feel it's a shame it's not featured more heavily in our curriculum #OTalk |
| Becky French @becky_1983 #OTalk thanks @Keirwales and @OTalk_ |
| Deborah Harrison @DebbiiHarrison Thank you @Keirwales & @OTalk_ for another brilliant #OTalk. I’m inspired to do more reading & reflections 💚 https://t.co/FpRV1bS34Q |
| Rebecca Crouch, Occupational Therapist @RebeccaCrouch @OTalk_ @Keirwales A lot to pack into an hour! Insightful as always, 60 minutes just doesn't feel like enough! Thanks Keir & Rach #OTalk |
| #OTalk @OTalk_ @organiclemon here is that link #Otalk https://t.co/iF0tAcaGDk |
| Dr Catriona Connell @DrCConnell @pd2ot Is any occupation all bad or all good? Sometimes accepting the grey can be challenging for us and our service users #otalk |
| Keir Harding @Keirwales RT @KatieAnnSiobhan: @Keirwales #otalk talk to us how you would you want yourselve or a loved of yours be spoken to been compassionate and… |
| Leah @Leahalderr @morellohope @howell_lucy @OTalk_ Yep I agree! When I was diagnosed (misdiagnosed) and attended A&E the way I was treat was horrific, I was disregarded and just very badly treated. EUPD is a mental illness not a choice, not someone who is attention seeking it’s an ill person #OTalk |
| #OTalk @OTalk_ RT @becky_1983: #OTalk thanks @Keirwales and @OTalk_ |
| Lucy Howell @howell_lucy #otalk https://t.co/rBwvDt5Fwo |
| #OTalk @OTalk_ This is @OT_rach signing off - great chat everyone #otalk https://t.co/kTqEjfyKXL |
| glenn westrop @glenn_westrop @POPPED_Project #OTalk (whoops!) |
| Dr Catriona Connell @DrCConnell @OTalk_ @OT_rach THanks - great to keep the conversation going #otalk |
| glenn westrop @glenn_westrop @Keirwales #OTalk (Whoops!) |
| Becky French @becky_1983 #OTalk i hope there are more avenues like the conference yesterday to showcase the work people are doing! Definately something to explore even in the private sector! |
| Keir Harding @Keirwales #otalk Sorry if I missed anything tonight. I'll try to pick things up as i read back through. This is my area so always happy to chat if people are interested. Thanks Guys ☺ |
| glenn westrop @glenn_westrop @POPPED_Project @Keirwales @RebeccaCrouch @OTalk_ #OTalk |
| #OTalk @OTalk_ RT @POPPED_Project: @OTalk_ @OT_rach THanks - great to keep the conversation going #otalk |
| Lindsay Rook @LindsayOTPICU @Keirwales I don’t see it as my role to enforce change, but to support the people I work with to consider the possibility that things could be different. To be alongside them. To be hopeful when they’ve lost sight of hope. #OTalk |
| Keir Harding @Keirwales RT @Leahalderr: @morellohope @howell_lucy @OTalk_ Yep I agree! When I was diagnosed (misdiagnosed) and attended A&E the way I was treat was… |
 | Rachel Booth 💚 @OT_rach RT @GeekyOT: @OTalk_ @Keirwales Thanks @OT_rach and @Keirwales for the chat, and to all who contributed. I realise I didn't say much, but d… |
| Kirstie @Kirstie_OT RT @POPPED_Project: @pd2ot Is any occupation all bad or all good? Sometimes accepting the grey can be challenging for us and our service us… |
| Keir Harding @Keirwales RT @POPPED_Project: @pd2ot Is any occupation all bad or all good? Sometimes accepting the grey can be challenging for us and our service us… |
| Keir Harding @Keirwales RT @colourful_ot: @AbiEdwards7 Yes, I think @BeaconHouseTeam have fantastic resources - trauma/attachment is something I've read a fair bit… |
| Keir Harding @Keirwales RT @SadieBlueOT: @Keirwales Avoiding accusations or why did you do this? I also hate the lazy "well that's your choice" answer. If I don't… |
| Sarah Mercer @pd2ot @OccupationalFox @Keirwales @RebeccaCrouch I'd say it's quite individual - in general I'd say be open to discussing all elements of thoughts/feelings/behaviour/occupation but with clinical judgment about support for the person, and you (and assessment of your skill), which will depend on the setting. #OTalk |
 | beesus @Stillproudtobe RT @SadieBlueOT: @Keirwales I don't focus on the action of self harm but more what the individual gets from it. Then we'll explore other ac… |
 | Morello @morellohope @EmsOTs To be given the time to listened to, look at alternate ways to manage why I self harm and help me build the confidence up. #OTalk |
 | RCOT_PLD @RCOT_PLD RT @POPPED_Project: @pd2ot Is any occupation all bad or all good? Sometimes accepting the grey can be challenging for us and our service us… |
| Dr Catriona Connell @DrCConnell @becky_1983 I agree, there are areas that i am exploring further based on my research findings and other theories can be helpful. Just knowing whether this eclectically informed approach is more or less effective. #otalk |
| Sarah Mercer @pd2ot @OccupationalFox @Keirwales @RebeccaCrouch #Otalk the promotion of alternatives - again clinical judgment - is the person wanting that/ready for that etc. I think it's great you're thinking that way, and all will probably become clear at the time! |
| Carolina Cordero 🌈 @colourful_ot RT @KatieAnnSiobhan: @Keirwales #otalk talk to us how you would you want yourselve or a loved of yours be spoken to been compassionate and… |
| Morello @morellohope @Keirwales Talk openly and non judgementally about self harm, being able to vent feelings and look at ways that may be practically and within an individuals currently ability to start and built on #OTalk |
 | Lyndsay Mary @Marleah27 #Otalk < Just so much bullshit I can't read anymore tweets. |
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