#OTalk Transcript
Healthcare social media transcript of the #OTalk hashtag.
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| Profile | Tweet |
|---|---|
 | #OTalk @OTalk_ Evening all! Welcome to tonights #OTalk chat! We are talking Mental Capacity Act and Deprivation of Liberty Safeguards. with @SarahSharland19 and @OT_rach for support https://t.co/zZMNKNmGLo |
 | Bill Wong, OTD, OTR/L @BillWongOT Howdy from Canada. I am on the road in Vancouver this week. #otalk https://t.co/YydDD8DcES |
 | Holly Flintoff @hollyflintoff @OTalk_ @SarahSharland19 @OT_rach Whoop whoop #OTalk |
| #OTalk @OTalk_ Whats the first rule of #OTalk? Dont forget to include the hash tag in ALL your tweets. https://t.co/EFyHqcGlkn |
 | Claire Bell @ClaireBellNYPOT @OTalk_ @SarahSharland19 @OT_rach Evening all #OTalk |
| #OTalk @OTalk_ Remember your professional codes of conduct apply online as they do in practice. Please consider confidentiality when sharing & respect others views and experiences. #OTalk https://t.co/r0RCVv36iQ |
| #OTalk @OTalk_ Right, lets get this show on the road! @SarahSharland19 its over to you! #OTalk https://t.co/Blo1EYKJPj |
| Bill Wong, OTD, OTR/L @BillWongOT @ais_d make sure you make your tweets public for the hour. #otalk |
| #OTalk @OTalk_ @Lauren_OT WELCOME you need to put the # in all your tweets. #otalk!! https://t.co/cuiTNvftcf |
 | Sarah Sharland (OT) @SarahSharland19 Hello everyone! The first question is: Q1: how does the Mental Capacity Act affect your practice? #OTalk |
 | Gilly- does- Doing @GillyGorry RT @OTalk_: Remember your professional codes of conduct apply online as they do in practice. Please consider confidentiality when sharing &… |
 | Tim Dockerty @timdockerty82 #OTalk I am a first year student who is about do my case study presentation, I am in a mental health unit for eating disorders. I have to do a 10-20 minute discussion but I really can’t think of any questions to propose to initiate the conversation. any suggestions please might |
| Gilly- does- Doing @GillyGorry #otalk evening, I'm on but mostly lurking tonight |
| #OTalk @OTalk_ Question 1 #OTalk https://t.co/RJMyeZBOHH |
| Bill Wong, OTD, OTR/L @BillWongOT RT @timdockerty82: #OTalk I am a first year student who is about do my case study presentation, I am in a mental health unit for eating di… |
| #OTalk @OTalk_ @timdockerty82 Hi Tim, questions like that are best at the end off the discussion. We need to focus on the questions. #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT @GillyGorry I am lurking too because it seems like an UK only topic. #otalk |
| Holly Flintoff @hollyflintoff @OTalk_ Hi everyone, I’m a return to OT gal but previously MCA influenced my practice greatly with older ppl #otalk |
| #OTalk @OTalk_ It’s a uk act of Parliament yes, but I’m sure there will be things to pick up on. #OTalk https://t.co/jM8eDpD6vf |
| Sarah Sharland (OT) @SarahSharland19 @FlintoffHolly @OTalk_ How would you say it impacted upon your practice @FlintoffHolly ? #OTalk |
| #OTalk @OTalk_ @shilyOT @SarahSharland19 Generic assessment anyone in the team can? Or always done by OT? #OTalk |
| Holly Flintoff @hollyflintoff @timdockerty82 Could u do something on a case you’ve seen, a little about the condition and then a treatment plan? I always found chocolate to those watching helped too! ☺️#otalk |
| Claire Bell @ClaireBellNYPOT @SarahSharland19 Q1 to #OTalk working in adult social care MCA is essential to all practice OT, SW and vocational qualified. We Practice team have just re delivered Action Learning Sets on MCA and it practical application. It should be considered at every point. |
| Holly Flintoff @hollyflintoff @SarahSharland19 @OTalk_ I think having an awareness of it and that if older ppl don’t have capacity whether that be financial or otherwise they could be taken advantage of #otalk |
 | Lauren @Lauren_OT @SarahSharland19 Provides a legal framework to safeguard vulnerable patients who don’t have capacity to make decisions for themselves but also to protect us in our work as OT’s. #OTalk |
 | Orla @orlatheot @SarahSharland19 It played a big factor in my communities learning disabilities placement, it was essential reading. Every adult must be assumed to have capacity unless it is proved otherwise. #otalk |
| Orla @orlatheot @SarahSharland19 This means that you cannot assume that someone cannot make a decision for themselves just because they have a particular medical condition or disability #OTalk |
 | Gemma P @gemOT18 #OTalk I’m late to the chat so will try and catch up on MCA chat... |
| Bill Wong, OTD, OTR/L @BillWongOT RT @FlintoffHolly: @SarahSharland19 @OTalk_ I think having an awareness of it and that if older ppl don’t have capacity whether that be fin… |
| Bill Wong, OTD, OTR/L @BillWongOT RT @Lauren_OT: @SarahSharland19 Provides a legal framework to safeguard vulnerable patients who don’t have capacity to make decisions for t… |
| #OTalk @OTalk_ Do people tonight feel they have an awareness? Or is more training needed. #OTalk https://t.co/dYHqKzl24Y |
| Bill Wong, OTD, OTR/L @BillWongOT @orlatheot @SarahSharland19 In the US... we have something called conservatorship. It is for those who don’t have cognitive capacity to represent themselves. #otalk |
| #OTalk @OTalk_ @shilyOT @SarahSharland19 How is this documented? #OTalk |
 | RCOT_PLD @RCOT_PLD It's not too late to join Sarah's #otalk om a topic very relevant to learning disabilities occupational therapy https://t.co/15fbJroLnp |
| Bill Wong, OTD, OTR/L @BillWongOT RT @orlatheot: @SarahSharland19 This means that you cannot assume that someone cannot make a decision for themselves just because they have… |
| Gemma P @gemOT18 @SarahSharland19 #OTalk MCA affects my practice to be able to consider its principles in daily work with older people with MH needs inc dementia. We consider capacity on a daily basis but need to improve on formal assessments. |
| Claire Bell @ClaireBellNYPOT @OTalk_ @shilyOT @SarahSharland19 The assessment should be done by person who requires the decision as MCA is decision specific. So anyone from carer choosing a red or blue dress to an OT deciding if a person should be hoisted..#OTalk |
| Lauren @Lauren_OT @SarahSharland19 Ensures that we work in best interests of patient and choose least restrictive options for those vulnerable patients. #OTalk |
| Sarah Sharland (OT) @SarahSharland19 @BillWongOT @orlatheot That sounds similar. How is it regulated? And are the individuals appointed an advocate? #OTalk |
 | SueH.(OccupationalTherapist💥ret'd-ish)🇪🇺💚💙🐠 @therapy2optimum #OTalk swapped to this account, from personal one! @shilyOT |
| Holly Flintoff @hollyflintoff @OTalk_ Totally feel it’s not trained enough, I only knew bits because of reading up on it but every member of professional staff should be trained on it me thinks #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT @SarahSharland19 @orlatheot Yes... I believe so. I seen that in mental health and occasionally at my work setting in nursing homes too. #otalk |
| Gemma P @gemOT18 @OTalk_ I often feel I don’t have the skills to assess capacity and often consider an MDT approach #OTalk |
| Claire Bell @ClaireBellNYPOT @Mark_HollowayHF @SarahSharland19 #OTalk yes all ways must be tried to allow person to make a decision. Even if an unwise one. Then important to support through risk Ax |
| Sarah Sharland (OT) @SarahSharland19 @BillWongOT @orlatheot I work in a nursing home setting and it dictates pretty much everything I do! #OTalk |
| Holly Flintoff @hollyflintoff @ClaireBellNYPOT @OTalk_ @shilyOT @SarahSharland19 Great way of putting that 🤔#otalk |
| Gemma P @gemOT18 @BillWongOT @orlatheot @SarahSharland19 It does sound like something similar to what we have in the UK 🇬🇧 #OTalk |
| Lauren @Lauren_OT @SarahSharland19 I also think it’s important to remember that people can have capacity and still make choices that we might not agree with/could put them at risk/ aren’t healthy etc and they have the right to do so. #OTalk |
| Sarah Sharland (OT) @SarahSharland19 @Lauren_OT Absolutely! #OTalk |
| SueH.(OccupationalTherapist💥ret'd-ish)🇪🇺💚💙🐠 @therapy2optimum @OTalk_ @shilyOT @SarahSharland19 Sorry, new account. #OTalk We have a 2sided proforma which is completed by client or their representative with their consent and signed by clinician. This is then scanned for digital notes. 1side with capacity, other without |
| #OTalk @OTalk_ Yes I would agree (@OT_rach) it’s done within the MDT? Need more understanding training #OTalk https://t.co/wn1SkIglAK |
| #OTalk @OTalk_ RT @ClaireBellNYPOT: @OTalk_ @shilyOT @SarahSharland19 The assessment should be done by person who requires the decision as MCA is decision… |
 | Paula Otter @PaulaOtter1 Integral part of our practice in stroke rehab from identifying capacity to be in hospital and consent to treatment to capacity regarding discharge destination. whole MDT are able to complete assessments - initially band 6's and 7's now extended to band 5's #OTalk https://t.co/rzSEmnKD1L |
| Orla @orlatheot RT @Lauren_OT: @SarahSharland19 I also think it’s important to remember that people can have capacity and still make choices that we might… |
| SueH.(OccupationalTherapist💥ret'd-ish)🇪🇺💚💙🐠 @therapy2optimum #OTalk I work in a community rehab team, with #CommunityNurses |
| Bill Wong, OTD, OTR/L @BillWongOT RT @Lauren_OT: @SarahSharland19 I also think it’s important to remember that people can have capacity and still make choices that we might… |
| Claire Bell @ClaireBellNYPOT @OTalk_ My awareness and skill increased after masters level training as DoLs BIA. Akin to AMHP training and skills applicable to all work with MCA. OTs make fab BIAs #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT @Lauren_OT @SarahSharland19 In the nursing home setting can be like smoking. Not all of us agree, but that can be meaningful social occupation for them. #otalk |
| Gemma P @gemOT18 @OTalk_ @OT_rach Think it’s often my confidence with the assessment but when I know a patient well and understand the nature of the decision to be made then actually it makes it easier #OTalk |
| Holly Flintoff @hollyflintoff @Lauren_OT @SarahSharland19 So true! That’s really good point #otalk |
| #OTalk @OTalk_ Thanks for Joining us @Mark_HollowayHF you need to include the # so people can see your tweet, in the conversation, and transcript after. #OTalk https://t.co/jQqOj04d6N |
 | Carolina C 🏳️🌈 @colourful_ot RT @Lauren_OT: @SarahSharland19 I also think it’s important to remember that people can have capacity and still make choices that we might… |
 | Jo OT 💙 @LDOTJo @SarahSharland19 I am. I work with adults with learning disabilities. I lead on certain assessments and am part of others #OTalk |
| Jo OT 💙 @LDOTJo RT @RCOT_PLD: It's not too late to join Sarah's #otalk om a topic very relevant to learning disabilities occupational therapy https://t.co… |
| Claire Bell @ClaireBellNYPOT @OTalk_ Important to always include a person who knows the person well, their communication styles etc. #OTalk |
| Lauren @Lauren_OT @gemOT18 @OTalk_ Not always possible for MDT and I think ‘skills’ is more confidence and experience. I don’t think classroom based training or e-learning is the best way to learn this, but observing others doing Ax’s, doing first ones you do, in a pair if you can #OTalk |
| Gemma P @gemOT18 @ClaireBellNYPOT @OTalk_ I’ve often thought about becoming a BIA but need to know more #OTalk |
| SueH.(OccupationalTherapist💥ret'd-ish)🇪🇺💚💙🐠 @therapy2optimum @Lauren_OT @SarahSharland19 #OTalk just because they make a unwise decision, does not mean they do not have capacity. If in doubt speak with #CommunityPsychiatricNurse |
| Bill Wong, OTD, OTR/L @BillWongOT RT @PaulaOtter1: Integral part of our practice in stroke rehab from identifying capacity to be in hospital and consent to treatment to cap… |
| #OTalk @OTalk_ Hi @PaulaOtter1 thanks for joining us. #OTalk needs to be in all your tweets so people see what your saying and ends up on the transcript https://t.co/TooZ727fuI |
| Gemma P @gemOT18 @Lauren_OT @OTalk_ Completely agree its confidence and practicing with each case #OTalk |
| #OTalk @OTalk_ #OTalk https://t.co/5Sc1bF7UPV |
 | Sultana 💙 @SultanaBhatti1 RT @BillWongOT: @orlatheot @SarahSharland19 In the US... we have something called conservatorship. It is for those who don’t have cognitive… |
| #OTalk @OTalk_ 😱 @colourful_ot forgetting the hashtag!!! #OTalk https://t.co/izsrmGeOZL |
| Claire Bell @ClaireBellNYPOT @OTalk_ Advocacy are so important. There is a duty under the care Act. To use advocacy to support a person with an assessment if they are deemed unable to engage themselves. #OTalk This decision is made alongside individual MCA Ax fit each decision. Not a blanket. |
| Lauren @Lauren_OT RT @ClaireBellNYPOT: @OTalk_ My awareness and skill increased after masters level training as DoLs BIA. Akin to AMHP training and skills ap… |
| Paula Otter @PaulaOtter1 @gemOT18 @OTalk_ @OT_rach #otalk - yes absolutely. Important that the people who know person best are involved in the assessment. Also important assesssmenr is on more than one occasion and a different times of day. Patients can have fluctuating capacity and important to recognise this |
 | Mark Holloway @Mark_HollowayHF @OTalk_ Whoops! thank you #OTalk |
| Carolina C 🏳️🌈 @colourful_ot @OTalk_ Oh noooo! I would have noticed if I had just typed the sentence but it was pasting in the link that distracted me... :P #OTalk |
| Holly Flintoff @hollyflintoff @ClaireBellNYPOT @OTalk_ Sorry what’s a BIA? #otalk #ivenotgotaclue |
| #OTalk @OTalk_ Don’t forget that hashtag #Otalk https://t.co/Ms5nmmb4Ei |
| Sarah Sharland (OT) @SarahSharland19 @therapy2optimum @Lauren_OT What do you mean by the NT approach? #OTalk |
| Lauren @Lauren_OT @therapy2optimum @SarahSharland19 What is #NTapproach ? #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @ClaireBellNYPOT: @OTalk_ Advocacy are so important. There is a duty under the care Act. To use advocacy to support a person with an ass… |
| SueH.(OccupationalTherapist💥ret'd-ish)🇪🇺💚💙🐠 @therapy2optimum @FlintoffHolly @ClaireBellNYPOT @OTalk_ Guessing Best Interest Assessment? #OTalk |
 | Simon Jacques @JacqusieOT @OTalk_ The only time I've heard of DoLs was on placement in passing and being a nosey student who asks questions, I learnt a bit more about it that way. It does need to be covered in training for sure as it's too important not to. #OTalk |
| Sarah Sharland (OT) @SarahSharland19 @Mark_HollowayHF @gemOT18 @OTalk_ Absolutely! Have actually had my assessments and participation in the best interests process examined in court. One of the most nerve wracking experiences of my career! #OTalk |
| #OTalk @OTalk_ Lots forgetting to include the # in their tweets if you miss it out, your tweet will not be seen, and it will not get on the transcript of conversation so don’t forget #OTalk IN ALL TWEETS.. https://t.co/MxpWJJxcSD |
| Gemma P @gemOT18 @FlintoffHolly @ClaireBellNYPOT @OTalk_ Yes its Best interest assessor #OTalk |
| #OTalk @OTalk_ 🤗 #OTalk https://t.co/yNa4m0OZ4T |
| Claire Bell @ClaireBellNYPOT @OTalk_ #OTalk I am surprised when I interview staff how little is known about MCA and even less about DoL and DoLs. We always have an MCA question as it’s so important to practice. |
| Bill Wong, OTD, OTR/L @BillWongOT RT @JacqusieOT: @OTalk_ The only time I've heard of DoLs was on placement in passing and being a nosey student who asks questions, I learnt… |
 | Carrie Beaumont @carrieba2000 #OTalk we use a template and have a group of MCA Champions who are OTs & SLTs to support colleagues with training, assessment & documenting |
| Jo OT 💙 @LDOTJo @ClaireBellNYPOT @OTalk_ @shilyOT @SarahSharland19 Although every day care plans can cover regular acts of care such as choosing clothes. The Act recognises this #OTalk |
| Mark Holloway @Mark_HollowayHF @colourful_ot @OTalk_ Very mixed picture in UK, some very positive aspects but identified as working much less well with ABI + we train people about the Act and not about ABI and why this affects decision making, a significant failure as identified by the House of Lords #OTalk |
| Holly Flintoff @hollyflintoff @ClaireBellNYPOT @OTalk_ As in NY? USA? I’m there.... lol #otalk |
 | Nabachwa LL (she/her) #BlackLivesMatter ✊🏾❤️💚 @NabachwaOT @GillyGorry Evening all. I’m lurking as well on tonight’s #OTalk. Hoping to get a different perspective on the Mental Capacity Act (MCA) Deprivation of Liberty Safeguards (DoLS) in a range of settings. It’s been interesting so far... |
| Bill Wong, OTD, OTR/L @BillWongOT @JacqusieOT @OTalk_ I think perhaps in the mental health portion is probably best. It will be a good idea to know a thing or two before going into such settings for placements. #otalk |
| SueH.(OccupationalTherapist💥ret'd-ish)🇪🇺💚💙🐠 @therapy2optimum @Lauren_OT @SarahSharland19 #OTalk sorry multidisciplinary team. #MDT not #NT |
| #OTalk @OTalk_ Question 2 #OTALK @SarahSharland19 You forgot the # https://t.co/nnVl05jjlu |
| Claire Bell @ClaireBellNYPOT @gemOT18 @OTalk_ Do message me and we can have a chat. #OTalk all u see review so things will change. |
| #OTalk @OTalk_ Question 3 #OTalk https://t.co/qD8tEU46jz |
| Gemma P @gemOT18 @SarahSharland19 @Mark_HollowayHF @OTalk_ I think that’s so important to remember that if it went to court it’s examined so we need to have confidence in the training we have to apply it in practice #OTalk |
 | KarenB @KazzaBAdv Great to see #OTalk discussing MCA & DoLS in relation to their work as they too have a duty to refer to relevant advocacy which not many are aware of #IMCA #ICAA #DoLS #Advocacy #statutory #decisionmaking https://t.co/azAMGZfdlV |
| Sarah Sharland (OT) @SarahSharland19 @OTalk_ Oops! Sorry, I copied and pasted. #OTalk |
| Claire Bell @ClaireBellNYPOT @gemOT18 @OTalk_ @OT_rach Getting to know someone is crucial all part of the TR. #OTalk |
| Mark Holloway @Mark_HollowayHF @SarahSharland19 @gemOT18 @OTalk_ Same! But the Court makes us consider, in depth, our processes and our thinking behind decision making so it is a good if nerve-wracking experience perhaps? #OTalk |
| #OTalk @OTalk_ @Mrsbaistow don’t forget that Hashtag!! #OTALK https://t.co/HlZ1m2JQnt |
| Sarah Sharland (OT) @SarahSharland19 @gemOT18 @Mark_HollowayHF @OTalk_ And document it! #OTalk |
| Lauren @Lauren_OT @SarahSharland19 Yep. Have been throughout my career, in both general and mental health settings. #OTalk |
| Gemma P @gemOT18 @carrieba2000 Like the idea of having champions I might suggest this in our teams #OTalk |
| SueH.(OccupationalTherapist💥ret'd-ish)🇪🇺💚💙🐠 @therapy2optimum @ClaireBellNYPOT @OTalk_ #OTalk I believe they are IMCAs independent mental capacity advocates |
| Bill Wong, OTD, OTR/L @BillWongOT @SarahSharland19 In my setting, probably just informal testing. That info can be helpful for develop appropriate goals and plan of care. If I really want to do more during the course of plan of care to further my understanding of the patient, I can though. #otalk |
| Carrie Beaumont @carrieba2000 @SarahSharland19 #OTalk work in Community Neuro and a key part of what we do. Even been asked by Police to help take statement as an OT after patient mugged |
| Sarah Sharland (OT) @SarahSharland19 #OTalk https://t.co/DTMCGnTgjU |
| Holly Flintoff @hollyflintoff @PaulaOtter1 @gemOT18 @OTalk_ @OT_rach Agree with this massively. Hospitalised patients can have apparent no capacity but if they were in their own home then they are safe and do have capacity——need to recognise this! #otalk |
| RCOT_PLD @RCOT_PLD RT @SarahSharland19: Hello everyone! The first question is: Q1: how does the Mental Capacity Act affect your practice? #OTalk |
| RCOT_PLD @RCOT_PLD RT @orlatheot: @SarahSharland19 It played a big factor in my communities learning disabilities placement, it was essential reading. Every… |
| #OTalk @OTalk_ Hi @iDashItAll - just one t in the hashtag. It’s #OTalk said O talk ( not OT talk). https://t.co/ouKNRUlar5 |
| Bill Wong, OTD, OTR/L @BillWongOT @SarahSharland19 If it is the US equivalent, I am learning on the fly actually. Don’t have to deal with it that much in my setting. #otalk |
| Claire Bell @ClaireBellNYPOT @LDOTJo @OTalk_ @shilyOT @SarahSharland19 Yes but a sort of informal Decidion is made in your head, a little like active risk Ax for everyday M&H #OTalk |
| RCOT_PLD @RCOT_PLD RT @SarahSharland19: @BillWongOT @orlatheot I work in a nursing home setting and it dictates pretty much everything I do! #OTalk |
| Paula Otter @PaulaOtter1 Yes I am involved with MCA assessments.... we look at who is best placed in the team to complete an individual assessment. OT's often involved together with SALT as often a combination of aphasia and ⬇️cognition on our stroke unit #otalk https://t.co/XW0Hqu0f3Q |
| RCOT_PLD @RCOT_PLD RT @SarahSharland19: @Lauren_OT Absolutely! #OTalk |
| Carolina C 🏳️🌈 @colourful_ot @Mark_HollowayHF @OTalk_ I don't know a huge amount about it but I think the main issue in Ireland is that our Act is quite good in theory but it's being put into practice very, very slowly #OTalk |
| Jo OT 💙 @LDOTJo @SarahSharland19 I am very confident due to my day to day work, additional training I have pursued and also keeping up to date with caselaw... although that can be confusing! #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @FlintoffHolly: @PaulaOtter1 @gemOT18 @OTalk_ @OT_rach Agree with this massively. Hospitalised patients can have apparent no capacity bu… |
| RCOT_PLD @RCOT_PLD RT @LDOTJo: @ClaireBellNYPOT @OTalk_ @shilyOT @SarahSharland19 Although every day care plans can cover regular acts of care such as choosin… |
| RCOT_PLD @RCOT_PLD RT @ClaireBellNYPOT: @Mark_HollowayHF @SarahSharland19 #OTalk yes all ways must be tried to allow person to make a decision. Even if an unw… |
| Sultana 💙 @SultanaBhatti1 @SarahSharland19 Knowledge and confidence go hand in hand (adult social care) however situations can become clouded when families strongly feel there are issues but on ax you haven't observed any! #otalk |
| RCOT_PLD @RCOT_PLD RT @Lauren_OT: @SarahSharland19 Provides a legal framework to safeguard vulnerable patients who don’t have capacity to make decisions for t… |
| RCOT_PLD @RCOT_PLD RT @gemOT18: @SarahSharland19 #OTalk MCA affects my practice to be able to consider its principles in daily work with older people with MH… |
| Bill Wong, OTD, OTR/L @BillWongOT @FlintoffHolly @PaulaOtter1 @gemOT18 @OTalk_ @OT_rach Thing is though- are they able to live at their home environments safely? #otalk |
| Sarah Sharland (OT) @SarahSharland19 @Mark_HollowayHF @gemOT18 @OTalk_ I’d say so. Such a massive learning curve for my whole team but it’s definitely shaped how I assess, document and report things #OTalk |
| RCOT_PLD @RCOT_PLD RT @ClaireBellNYPOT: @SarahSharland19 Q1 to #OTalk working in adult social care MCA is essential to all practice OT, SW and vocational qual… |
| Claire Bell @ClaireBellNYPOT @iDashItAll @OTalk_ Are you taught about DoL along side DoLs and applications to court of protection for those? #OTalk |
| Lauren @Lauren_OT @SarahSharland19 I feel very confident. I’ve had multiple trainings and lots of practice. #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @SultanaBhatti1: @SarahSharland19 Knowledge and confidence go hand in hand (adult social care) however situations can become clouded whe… |
| Sarah Sharland (OT) @SarahSharland19 @Lauren_OT That’s great to hear #OTalk |
| Carrie Beaumont @carrieba2000 @gemOT18 share training to teams and hope to roll out model to increase confidence amongst nurses. Often approached by social care to assess #OTalk |
| Paula Otter @PaulaOtter1 Yes there are IMCAs who will help but only if no family or friends willing to support patient and act in best interests if found to not have capacity regarding a specific decision #otalk https://t.co/DkKxhrLi8e |
| Bill Wong, OTD, OTR/L @BillWongOT RT @carrieba2000: @gemOT18 share training to teams and hope to roll out model to increase confidence amongst nurses. Often approached by so… |
| Mark Holloway @Mark_HollowayHF @colourful_ot @OTalk_ I will be interested to hear how this beds in and what your experience is, we have clients in Ireland so it will be important for us to be aware of this. Theory always cleaner than practice #OTalk |
| Jo OT 💙 @LDOTJo @Lauren_OT @SarahSharland19 There is also case law that says it’s not all about keeping people safe and so people who might lack capacity might also be supported to continue to make ‘unwise’ choices #OTalk |
| Holly Flintoff @hollyflintoff @BillWongOT @PaulaOtter1 @gemOT18 @OTalk_ @OT_rach Well that’s the magic question @BillWongOT, and our clinical reasoning I guess answers that #Otalk |
| Sarah Sharland (OT) @SarahSharland19 Q4: How confident do you feel in your knowledge of the Deprivation of Liberty Safeguards? Please give reasons for this (training, experience etc) #OTalk (I remembered the hashtag this time!) |
| #OTalk @OTalk_ Over half way through our hour now. #OTalk |
| Claire Bell @ClaireBellNYPOT @SarahSharland19 Very confident but aware that confidence comes with competence and being given the opportunity to utilise skills. Knowledge of act does not necessary apply to good application of it in practice. #OTalk |
| Sarah Sharland (OT) @SarahSharland19 @iDashItAll @OTalk_ See Q4 :) #OTalk |
| Simon Jacques @JacqusieOT @OTalk_ @SarahSharland19 I have been involved in a best interests MDT (Mental Health Placement) which was very insightful and it was good to be part of it on placement, but also broke my heart at the same time. It's a tough area in some cases #OTalk |
| #OTalk @OTalk_ Great answer!! #OTalk every one will be different. Our assessment will help us determined this. https://t.co/zWGzHsdBN7 |
| Sarah Sharland (OT) @SarahSharland19 @LDOTJo @Lauren_OT Positive risk taking? #OTalk |
| #OTalk @OTalk_ Question 4 #OTalk https://t.co/wEqddN5DDD |
| Carrie Beaumont @carrieba2000 @SarahSharland19 #OTalk have initiated process and completed paperwork a few times. Have attended workshops and worked closely with safeguarding team |
| Claire Bell @ClaireBellNYPOT @SarahSharland19 As a lapsed BIA under DoLs hopefully confident (new role now) but things are changing fast. Newest is application of DoL outside of Hospital and Care Home. As this is an application to the CoP. #OTalk |
| Mark Holloway @Mark_HollowayHF @PaulaOtter1 V good point @PaulaOtter1 when cognition is better retained and aphasia is an issue, our SALT colleagues very helpful, when cognition low too, SALT can really help with supporting best interests decision making etc #OTalk |
| Gemma P @gemOT18 @SarahSharland19 Assessments often go to the doctor or social worker. I’m in older peoples mental health & feel confident when I know a patient well and have been specific about what the decision is to assess capacity #OTalk |
| Jo OT 💙 @LDOTJo @SarahSharland19 @Lauren_OT Yes....One judge simply said that being happy was also important #OTalk |
| Holly Flintoff @hollyflintoff @OTalk_ I feel it’s only through experience with a couple of patients that my knowledge of mca is ok. Since I’m returning to OT my working knowledge of this isn’t what it was but the training isn’t there to correct this #OTalk |
| #OTalk @OTalk_ @iDashItAll Your getting the hashtag wrong just 1 T #OTalk |
| Sarah Sharland (OT) @SarahSharland19 @ClaireBellNYPOT This sounds interesting. #OTalk |
| Claire Bell @ClaireBellNYPOT @SarahSharland19 Very good training and an Ind Reviewer of OT BIA cases remarked on their quality and how OTs understood the broader implications and had skills to avoid a deprivation. #OTalk |
| Carrie Beaumont @carrieba2000 #OTalk we are in process of setting up web page on intranet with guidance, training resources, supportive communication tools |
| Sarah Sharland (OT) @SarahSharland19 @ClaireBellNYPOT I love this! #OTalk |
 | RCOT Northern Ireland @RCOTNIreland RT @theRCOT: Tonight's #OTalk is on the Mental Capacity Act and Deprivation of Liberty Safeguards. 8-9pm UK time. https://t.co/VfZ8fz7isu h… |
| Claire Bell @ClaireBellNYPOT @SarahSharland19 Has to be a consideration for a lot of assistive tech. ‘Always thinking control and constant supervision....#OTalk |
| Gemma P @gemOT18 @SarahSharland19 Not confident at all I’m afraid! I think I would be able to identify a situation where a DoLs needed to be applied for but unsure of all the process #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @ClaireBellNYPOT: @SarahSharland19 Has to be a consideration for a lot of assistive tech. ‘Always thinking control and constant supervis… |
| Simon Jacques @JacqusieOT @SarahSharland19 I have been involved in a best interests MDT (Mental Health Placement) which was very insightful and it was good to be part of it on placement, but also broke my heart at the same time. It's a tough area in some cases #OTalk |
| Sarah Sharland (OT) @SarahSharland19 @ClaireBellNYPOT @ClaireBellNYPOT you’ve just kind of answered Q5! #OTalk |
| Mark Holloway @Mark_HollowayHF @FlintoffHolly @PaulaOtter1 @gemOT18 @OTalk_ @OT_rach + the absolute reverse too, structured hospital/rehab settings can mask impairment to function/decision making in real world settings, structured assessments based upon verbal output always mask executive impairments, need to have 3rd party and functional aX corroboration #OTalk |
| Carrie Beaumont @carrieba2000 #OTalk trying to fund role to lead OT and SLT training and co-ordinate MCA champions. Includes DoLS support |
| Claire Bell @ClaireBellNYPOT @LDOTJo @Lauren_OT @SarahSharland19 We do a lot of work re this and positive risk taking #OTalk (positive being a positive impact on persons wellbeing) |
| Sarah Sharland (OT) @SarahSharland19 @gemOT18 What do you think would help this? #OTalk |
| Lauren @Lauren_OT RT @LDOTJo: @SarahSharland19 @Lauren_OT Yes....One judge simply said that being happy was also important #OTalk |
| Paula Otter @PaulaOtter1 Yes confident. We have good training in place. Our nursing team tend to complete the paperwork but this is changing as we are taking an improved MDT approach. Also important to talk about POA and check if this is in place and for which area - health/ wealth or both #otalk https://t.co/0hsQ3hNMv5 |
| Sarah Sharland (OT) @SarahSharland19 @ClaireBellNYPOT Yes, we include things like floor sensors, door alarms, tilt in space seating, amongst many other things. #OTalk |
| Claire Bell @ClaireBellNYPOT @SarahSharland19 Oops #OTalk have to say it’s hard keeping up... |
| Gemma P @gemOT18 @SarahSharland19 Case study examples, further training and possibly following a case of a DoLs if it came up for me on my caseload (which in my current role isn’t v often). I def want to improve my learning after this discussion though #OTalk |
| Sarah Sharland (OT) @SarahSharland19 @ClaireBellNYPOT Sorry! But what wonderful feedback for OT input #OTalk |
| Sarah Sharland (OT) @SarahSharland19 Last question.... Q5: What do you think are the benefits of involving occupational therapists in MCA and DOLS assessments? #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @gemOT18: @SarahSharland19 Case study examples, further training and possibly following a case of a DoLs if it came up for me on my case… |
| Jo OT 💙 @LDOTJo @Lauren_OT @gemOT18 @OTalk_ I read something once that said ‘it’s not an exam to pass’ it’s a discussion about a specific issue at a point in time - which is what we do well #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT @gemOT18 @SarahSharland19 That’s the magic phrase- so that students can learn in their mental health courses. #otalk |
| #OTalk @OTalk_ Question 5 the last one!! #OTalk https://t.co/66bcbdedmT |
| Carrie Beaumont @carrieba2000 @SarahSharland19 #OTalk |
| Holly Flintoff @hollyflintoff @SarahSharland19 The holistic view point that ots take mean they should get a wide picture of a patient #otalk |
| #OTalk @OTalk_ #OTalk https://t.co/HlZ1m2JQnt |
| Simon Jacques @JacqusieOT @SarahSharland19 Not confident at all, but certainly an area for CPD once qualified (all being well 🙂 ) and something I feel will be important for myself as a practitioner in MH. #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT @SarahSharland19 We are client centered and we have a holistic approach. #otalk |
| Carrie Beaumont @carrieba2000 #OTalk understand the effects of cognition on function and work so closely with SLTs so cross over with communication assessment |
| #OTalk @OTalk_ Lots of hashtags there, but not the one that ensures the tweet is seen. Remember #OTalk in all tweets. https://t.co/yw6894cDdS |
| Claire Bell @ClaireBellNYPOT @SarahSharland19 Ah just seen what your comment was in regard to. Yes not sorry about feedback just answering early. And I forgot the #OTalk |
| Sarah Sharland (OT) @SarahSharland19 @ClaireBellNYPOT I bet! The BIA role seems to carry such a lot of responsibility. I totally admire anyone doing it. #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @carrieba2000: #OTalk understand the effects of cognition on function and work so closely with SLTs so cross over with communication ass… |
| Paula Otter @PaulaOtter1 I think we have a great skill set in identifying the best way to structure the questions for individual patients . Knowing how to adapt your approach to elicit the best possible response is so important in identifying capacity in any given area #otalk https://t.co/K7uVXhqnxQ |
| #OTalk @OTalk_ Wow time is going fast 10 mins left!! #OTalk |
| Mark Holloway @Mark_HollowayHF @SarahSharland19 The easiest question to answer #OTalk ! My OT colleagues are excellent at providing really good functional assessments of my clients with ABI, noting what is done (not what is said can be done!) Adds a practical voice, linking impairment to function, gives a rounded aX |
| Claire Bell @ClaireBellNYPOT @SarahSharland19 We are the world’s best problem solvers #OTalk I wish more OTs had become BIAs. We can see different ways.. |
| SueH.(OccupationalTherapist💥ret'd-ish)🇪🇺💚💙🐠 @therapy2optimum #OTalk sorry! https://t.co/WmEz9VEUxG |
| #OTalk @OTalk_ That’s what I’m here for. #OTalk 🤓 https://t.co/IPRkrT38bu |
| Gemma P @gemOT18 @SarahSharland19 Guess we have a lot to bring to these Ax. We have the skills to assess a patients level of function, maximise communication, being patient centred and allowing those unwise decisions by taking risks (positively of course!) #OTalk |
| Simon Jacques @JacqusieOT @SarahSharland19 Same really as my last answer - not confident at all, but certainly an area of interest and I'll seek out advice and training on Dols as and when I can #Otalk |
| SueH.(OccupationalTherapist💥ret'd-ish)🇪🇺💚💙🐠 @therapy2optimum #OTalk https://t.co/9C1S5KqBmQ |
| Claire Bell @ClaireBellNYPOT @BillWongOT @gemOT18 @SarahSharland19 Not just Mental Health trg comes up all the time in physical settings. #OTalk |
| Carrie Beaumont @carrieba2000 #OTalk Any OTs involved in the MCA network meetings? |
| KarenB @KazzaBAdv @OTalk_ Sorry to gatecrash but really interested to know your experience/knowledge of Independent Mental Capacity Advocates and when you should/must refer as decision makers under MC. Does this get included in your training or should advocacy orgs do more to engage with you? #OTalk #MCA |
| Sarah Sharland (OT) @SarahSharland19 @ClaireBellNYPOT It’s definitely a career path I’d be interested in...#OTalk |
| Claire Bell @ClaireBellNYPOT @LDOTJo @Lauren_OT @gemOT18 @OTalk_ Spot on #OTalk |
| #OTalk @OTalk_ Very important point!! #OTalk https://t.co/eog3BHm5LQ |
| Gemma P @gemOT18 @carrieba2000 No what is it? #OTalk |
| #OTalk @OTalk_ Everyone is welcome! #OTalk https://t.co/9at1DMwC9b |
| Holly Flintoff @hollyflintoff @ClaireBellNYPOT @BillWongOT @gemOT18 @SarahSharland19 Totally agree #otalk |
| Carrie Beaumont @carrieba2000 @gemOT18 #OTalk seen some minutes on Twitter from a recent meeting and trying to find out more |
| Sarah Sharland (OT) @SarahSharland19 @KazzaBAdv @OTalk_ Previously we would refer to IMCA services if necessary when making the DOLS application. Now it’s up to the supervisory body #OTalk |
| #OTalk @OTalk_ 5mins left any finial thoughts? #OTalk https://t.co/HPCaLUHVZU |
| Claire Bell @ClaireBellNYPOT @SarahSharland19 It’s all about a balance act approach. Pros and cons #OTalk. Yet to meet an OT who’s trained to not get a lot from it. They then become the go to person for MCA queries as it sort of goes hand in hand. #OTalk |
| Carrie Beaumont @carrieba2000 RT @ClaireBellNYPOT: @SarahSharland19 It’s all about a balance act approach. Pros and cons #OTalk. Yet to meet an OT who’s trained to not g… |
| Claire Bell @ClaireBellNYPOT @SarahSharland19 Again happy to talk to anyone PM me #OTalk |
| #OTalk @OTalk_ Don’t forget the # #OTalk https://t.co/T1GrzO2PD3 |
| Bill Wong, OTD, OTR/L @BillWongOT RT @ClaireBellNYPOT: @BillWongOT @gemOT18 @SarahSharland19 Not just Mental Health trg comes up all the time in physical settings. #OTalk |
| Holly Flintoff @hollyflintoff @OTalk_ I didn’t think I’d be able to contribute anything to this chat but I’ve learnt so much! Thanks all #otalk |
| Simon Jacques @JacqusieOT @SarahSharland19 Working holistically and picking up on many different and sometimes subtle cues that OT's are really good at, alongside functional assesments and really listening to people. #OTalk |
| #OTalk @OTalk_ Great to read!!!! #OTalk https://t.co/o1V4p7mBMz |
| #OTalk @OTalk_ #OTalk https://t.co/7k7F0DcTbi |
| Claire Bell @ClaireBellNYPOT Can I just check are people aware of difference between a DoLs in care homes and hospitals and a DoL in a persons home or supported living? #OTalk |
| Gemma P @gemOT18 @OTalk_ Really interesting topic tonight I have lots to take away. I often find that when someone does have capacity it can close some doors on accessing certain services. Know we need to support unwise decisions too #OTalk |
| Holly Flintoff @hollyflintoff @ClaireBellNYPOT Please share...#otalk |
| #OTalk @OTalk_ Times up, can we Thank @SarahSharland19 for hosting tonight, great job!! 👏🏽👏🏽👏🏽 #OTalk The transcript will be added to the blog for you to down load later in the week. https://t.co/nRryGC9yix |
| #OTalk @OTalk_ Enjoyed tonight’s chat? Why not host one of your own? #OTalk https://t.co/Kf8nFtq4Zi |
| Sarah Sharland (OT) @SarahSharland19 Thank you so much everyone, can’t wait to read the transcript! #OTalk |
| SueH.(OccupationalTherapist💥ret'd-ish)🇪🇺💚💙🐠 @therapy2optimum #OTalk thanks for the refresher! It's good to #reflect on practice and support colleagues |
| #OTalk @OTalk_ Glad you enjoyed #OTalk https://t.co/5KyxDUCMXq |
| Claire Bell @ClaireBellNYPOT @KazzaBAdv @OTalk_ If linked to MCA and no formal person to speak to an IMCA is involved. In DoLS an RPR is appointed (often from IMCA service. IMCAs are awesome #OTalk |
| Gemma P @gemOT18 @FlintoffHolly @ClaireBellNYPOT No I wasn’t aware 😳 #OTalk |
| #OTalk @OTalk_ This is @OT_rach logging off, great chat tonight, and thanks for remembering the #OTalk 😜 https://t.co/wdk7YWecwf |
| Holly Flintoff @hollyflintoff @OTalk_ @SarahSharland19 Thanks @SarahSharland19 😻#otalk |
| Carrie Beaumont @carrieba2000 @gemOT18 @FlintoffHolly @ClaireBellNYPOT #OTalk acid test DOLS |
| Gemma P @gemOT18 @SarahSharland19 Well done that was a great #OTalk I have a lot to think about 🤔 |
| SueH.(OccupationalTherapist💥ret'd-ish)🇪🇺💚💙🐠 @therapy2optimum @FlintoffHolly @OTalk_ #OTalk you are welcome! |
| Simon Jacques @JacqusieOT Great #Otalk and thanks everyone for sharing their expertise and thoughts, always lots to reflect on 🙂 |
| Claire Bell @ClaireBellNYPOT @Chazzzatron @FlintoffHolly @therapy2optimum @OTalk_ #OTalk |
| KarenB @KazzaBAdv @SarahSharland19 @OTalk_ Absolutely, maybe consider for best interest decisions you guys may make and/or care planning involvement under Care Act. Others may not exercise their duties to refer and we can really help/safeguard individuals and also support your work. #OTalk |
 | Helen OTUK @Helen_OTUK @OTalk_ @OT_rach Drats...got distracted by family stuff and missed #OTalk 😿 |
| Claire Bell @ClaireBellNYPOT @carrieba2000 @gemOT18 @FlintoffHolly That’s the chap! Gotta love Justice Munby and his friends..#OTalk |
| Helen OTUK @Helen_OTUK RT @OTalk_: Enjoyed tonight’s chat? Why not host one of your own? #OTalk https://t.co/Kf8nFtq4Zi |
| Helen OTUK @Helen_OTUK @OTalk_ @SarahSharland19 I look forward to catching up with the transcript as I got distracted and missed #OTalk oops. You would think it was emblazoned on my memory by now! Tue 8pm!!! |
| Claire Bell @ClaireBellNYPOT Just to add an after note it’s all changing see LiPs https://t.co/gakrxTJWnQ #OTalk |
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