#OTalk Transcript
Healthcare social media transcript of the #OTalk hashtag.
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| Profile | Tweet |
|---|---|
 | Becca Khanna @rebecca_khanna RT @OTalk_: Lets get started with question 1: Do you engage with or participate in any occupations that may not be deemed as “age appropria… |
 | OT Sophie @OTSophie Hi everyone!! Who is out there tonight? Lets get started!! What is your current involvement with safeguarding? (any? Explain). #OTalk |
 | Bill Wong, OTD, OTR/L @BillWongOT Hello folks! This week I am still in holiday mode. This time I am in Taiwan. It’s 3 am here. #otalk |
 | OTalk @OTalk_ Who's joining us this evening? Tell us a bit about yourself! (or lurk quietly if you'd prefer 😊) #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT @OTSophie Well- I don’t want to be jet lagged too much when I return. I have to work Saturday... lol! It’s in the low to mid 30’s literally every day + high humidity! #otalk |
| OT Sophie @OTSophie @AideenKa @OTalk_ Have you observed or heard much about safeguarding? #OTalk |
| OTalk @OTalk_ @AideenKa Hi Aideen! #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT @OTSophie In my regular work setting, I know I am responsible for reporting any elder related abuse if I see one. There are guidelines on how soon I need to report such, depending on the case. #otalk |
 | Aideen Carroll @AideenKa @OTalk_ Oops I forgot again #OTalk. |
| OT Sophie @OTSophie @BillWongOT Thanks Bill (you just can't help yourself can you ;)), do you find you have to do that very often? #OTalk |
 | Katharine Scott @kathscottOT Hi I’m an OT and lead a team of complex discharge coordinators - we are all safeguarding ambassadors @RBandH #OTalk |
 | Tori OT @Tori_Doll_ @OTSophie Q1 Response: My involvement at present is more from a clinical team perspective, in terms of a patient is identified within the ward as ‘vulnerable’ & a safeguarding alert will be recorded to outline the risk & strategies to mitigate this, & is then reviewed within MDT. #OTalk |
| OTalk @OTalk_ RT @BillWongOT: @OTSophie In my regular work setting, I know I am responsible for reporting any elder related abuse if I see one. There are… |
| Aideen Carroll @AideenKa @OTSophie @OTalk_ I'm on a Neuro rehab placement at the moment. I have heard of the Deprivation of liberty safeguarding #OTalk. |
| OTalk @OTalk_ @mileswashbrook Hi Miles! Remember to write #OTalk at the end of your tweets so that people who are following the chat by searching the hashtag can see it 🙂 |
| OT Sophie @OTSophie @Tori_Doll_ Thanks Tori! So as a team you collectively outline the risks and strategies? #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT @OTSophie Fortunately not really! But it is important for me to know because just in case the nursing home is in annual surveys (when state surveyors come), it is ALWAYS a good idea to come up with the responses quickly! #otalk |
| OTalk @OTalk_ RT @Tori_Doll_: @OTSophie Q1 Response: My involvement at present is more from a clinical team perspective, in terms of a patient is identif… |
| OTalk @OTalk_ RT @AideenKa: @OTSophie @OTalk_ I'm on a Neuro rehab placement at the moment. I have heard of the Deprivation of liberty safeguarding #OTal… |
 | Erica Davis @ezzybezzy1989 @OTSophie @AideenKa @OTalk_ So I work predominantly in A&E and working with elderly and have been involved in raising a few safeguarding situations interesting to complete and you know that you are protecting that person. #OTalk |
| OT Sophie @OTSophie @AideenKa @OTalk_ Well that's great! Do you find the OTs very involved in any of it, from what you have observed so far? #OTalk |
 | @mileswashbrook @mileswashbrook @OTalk_ Yes, sorry, thanks I will do. #OTalk |
| OTalk @OTalk_ RT @ezzybezzy1989: @OTSophie @AideenKa @OTalk_ So I work predominantly in A&E and working with elderly and have been involved in raising a… |
| Erica Davis @ezzybezzy1989 @AideenKa @OTSophie @OTalk_ Yes this is very key at the moment and interesting to read about #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT @OTSophie Haha- I think I have an #otalk alarm clock every week. ⏰ https://t.co/tGhiNwITKd |
| OT Sophie @OTSophie @ezzybezzy1989 @AideenKa @OTalk_ Yes I can imagine! After you raise the safeguarding, do you follow it any further or is that continued by a different professional? #OTalk |
 | Khalilah R. Johnson, PhD, OTR/L @OccScienceBae @OTalk_ Khalilah Johnson from North Carolina. OT faculty and practitioner (13 years). I’m lurking tonight. #Otalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @ezzybezzy1989: @OTSophie @AideenKa @OTalk_ So I work predominantly in A&E and working with elderly and have been involved in raising a… |
| Bill Wong, OTD, OTR/L @BillWongOT RT @AideenKa: @OTSophie @OTalk_ I'm on a Neuro rehab placement at the moment. I have heard of the Deprivation of liberty safeguarding #OTal… |
| Bill Wong, OTD, OTR/L @BillWongOT RT @Tori_Doll_: @OTSophie Q1 Response: My involvement at present is more from a clinical team perspective, in terms of a patient is identif… |
| Bill Wong, OTD, OTR/L @BillWongOT RT @kathscottOT: Hi I’m an OT and lead a team of complex discharge coordinators - we are all safeguarding ambassadors @RBandH #OTalk |
| OT Sophie @OTSophie @BillWongOT Absolutely! What kind of legislation is supporting safeguarding work out there? #OTalk |
| Aideen Carroll @AideenKa @OTSophie @OTalk_ The deprivation of liberty safeguarding was used once so far. The occupational therapist and the nurse filled out the paperwork #OTalk. |
| Tori OT @Tori_Doll_ @OTSophie Yes, as part of the development of a management strategy around safeguarding needs. This then goes external to the designated safeguarding team via social work. I work within a forensic mental health environment just to put this into context. #OTalk |
| Erica Davis @ezzybezzy1989 @OTSophie @AideenKa @OTalk_ So we can loads with our safeguarding team to see the progress. But often it is then passed to the social work team who then will investigate it further. #OTalk |
| OT Sophie @OTSophie @ezzybezzy1989 @AideenKa @OTalk_ Yes, I think there's lots of change going on with DOLs at the moment isn't there? #OTalk |
| OT Sophie @OTSophie @AideenKa @OTalk_ Great! Nice to hear two professionals working together! Surprised no Social Worker involved though. #OTalk |
 | Sarah Sharland @SarahSharland19 @OTalk_ I’m an OT in the private sector. We raise safeguarding alerts on a regular basis. Mostly resident-resident contact, unwitnessed falls etc. #OTalk |
 | Sadie Blue @SadieBlueOT @OTSophie I work non-traditionally for the nspcc. Safeguarding threads through every contact I have with every child. I've learnt a huge amount since graduating, I actually feel uni study did not cover safeguarding in enough depth at all. #OTalk |
| OTalk @OTalk_ RT @SarahSharland19: @OTalk_ I’m an OT in the private sector. We raise safeguarding alerts on a regular basis. Mostly resident-resident con… |
| Aideen Carroll @AideenKa @OTSophie @ezzybezzy1989 @OTalk_ What type of changes? #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT @OTSophie https://t.co/qGmZTSq2nm We have these regulations in the USA with nursing home setting. #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @SadieBlueOT: @OTSophie I work non-traditionally for the nspcc. Safeguarding threads through every contact I have with every child. I've… |
| Bill Wong, OTD, OTR/L @BillWongOT RT @SarahSharland19: @OTalk_ I’m an OT in the private sector. We raise safeguarding alerts on a regular basis. Mostly resident-resident con… |
| OT Sophie @OTSophie Q2: How do safeguardings affect your current practice? E.g therapy, rapport #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @Tori_Doll_: @OTSophie Yes, as part of the development of a management strategy around safeguarding needs. This then goes external to t… |
| OT Sophie @OTSophie @SadieBlueOT Oh would love to hear more. Interesting you say that Sadie because I completely agree- I wonder if this impacts #OT confidence in contributing to it? #OTalk |
| OTalk @OTalk_ RT @SadieBlueOT: @OTSophie I work non-traditionally for the nspcc. Safeguarding threads through every contact I have with every child. I've… |
| Tori OT @Tori_Doll_ @OTSophie In my role, I think the role of #OT is around how to decrease the vulnerability of the patient through the development of skills (such as communication skills, assertiveness, sustaining relationships, routine etc) & then contributing to this within the safeguarding plan. #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT And of course now I am also in academia, it is also important to safeguard students’ academic related information! #OTalk |
| OT Sophie @OTSophie @BillWongOT Thanks Bill, great to have context across the pond so to speak! I'll have a look later to see if there are similarities to here #OTalk |
 | Lauren @Lauren_OT @OTSophie I work in a ward team in acute mental health, by definition all of our patients are ‘adults at risk’. My involvement depends really, could be disclosure, referrals/reporting, attending meetings, daily implementation of safeguarding plans. Safeguarding is everyone’s role. #OTALK |
| OTalk @OTalk_ Question 2! #OTalk |
| OTalk @OTalk_ RT @Lauren_OT: @OTSophie I work in a ward team in acute mental health, by definition all of our patients are ‘adults at risk’. My involveme… |
| OTalk @OTalk_ RT @Tori_Doll_: @OTSophie In my role, I think the role of #OT is around how to decrease the vulnerability of the patient through the develo… |
| Bill Wong, OTD, OTR/L @BillWongOT @OTSophie In terms of nursing home, this is actually a collaborative effort between different disciplines. So we actually have to be cohesive so that we can ensure every resident has good quality of life. #otalk |
| OT Sophie @OTSophie @Tori_Doll_ That's great Tori- preventative and enabling by the sounds of things. #OTalk |
| Erica Davis @ezzybezzy1989 @SadieBlueOT @OTalk_ @OTSophie I don't think uni prepare you for what safeguarding is actually. First time you complete one is a scary experience I think #OTalk |
| OTalk @OTalk_ RT @ezzybezzy1989: @SadieBlueOT @OTalk_ @OTSophie I don't think uni prepare you for what safeguarding is actually. First time you complete… |
| Bill Wong, OTD, OTR/L @BillWongOT And as for being an academic now also, safeguarding is important because you sometimes have to balance between trying to help the student vs. protecting the student. #otalk |
| OT Sophie @OTSophie @Lauren_OT Exactly! Sounds like you are fully embracing it! I think sometimes as OTs we see it as other professionals roles. #OTalk |
| Sadie Blue @SadieBlueOT @OTSophie Hugely impacts. Safeguarding is everyone's business and I certainly was not confident leaving uni in safeguarding processes. I think we tend to rely on other professions/senior staff to safeguard if we notice concerns but in reality it's everyone's duty. #OTalk |
| OT Sophie @OTSophie @ezzybezzy1989 @SadieBlueOT @OTalk_ Absolutely! A bit like capacity assessments, the thought of it is more daunting than doing it. Great to see a theme emerging that I hadn't realised. #OTalk |
| Tori OT @Tori_Doll_ @OTSophie Not limited to ... but I think this is definitely our unique contribution to the safeguarding process within inpatient mental health #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT @ezzybezzy1989 @SadieBlueOT @OTalk_ @OTSophie I think I learned the very basics of it in uni. But placements are the places where we see real-life applications for the first time. #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @Lauren_OT: @OTSophie I work in a ward team in acute mental health, by definition all of our patients are ‘adults at risk’. My involveme… |
| Bill Wong, OTD, OTR/L @BillWongOT RT @Tori_Doll_: @OTSophie In my role, I think the role of #OT is around how to decrease the vulnerability of the patient through the develo… |
| Bill Wong, OTD, OTR/L @BillWongOT RT @OTSophie: @Lauren_OT Exactly! Sounds like you are fully embracing it! I think sometimes as OTs we see it as other professionals roles.… |
| Bill Wong, OTD, OTR/L @BillWongOT RT @SadieBlueOT: @OTSophie Hugely impacts. Safeguarding is everyone's business and I certainly was not confident leaving uni in safeguardin… |
| OT Sophie @OTSophie @BillWongOT You have highlighted a really important aspect that we often forget- the person's wellbeing and quality of life at the heart of the safeguarding- great way to frame it. #OTalk |
| Erica Davis @ezzybezzy1989 @BillWongOT @SadieBlueOT @OTalk_ @OTSophie Most definitely but I think some further understanding of what to expect of some of these situations would help out students #OTalk |
| OT Sophie @OTSophie @BillWongOT @ezzybezzy1989 @SadieBlueOT @OTalk_ True, but not necessarily everyone (if anyone!) will get this experience in placement, well, I speak for myself in the UK- anyone else found this? #OTalk |
| Lauren @Lauren_OT @ezzybezzy1989 @SadieBlueOT @OTalk_ @OTSophie It can feel daunting but remember that if you have a concern then it’s probably valid and the patients needs you to advocate for them and support them and making the referral is just part of your role in that. It’s better to be safe than sorry. #OTalk |
| OT Sophie @OTSophie @SadieBlueOT Not only that, but as OTs we can provide a really unique and important view point in problem solving and outcome planning. #OTalk |
| OTalk @OTalk_ RT @SadieBlueOT: @OTSophie Hugely impacts. Safeguarding is everyone's business and I certainly was not confident leaving uni in safeguardin… |
| Bill Wong, OTD, OTR/L @BillWongOT @OTSophie @ezzybezzy1989 @SadieBlueOT @OTalk_ I think looking back, this is very indirect. It is deeper level stuff that we may look back and realize, “Hey! This is safeguarding.” #otalk |
| OTalk @OTalk_ RT @OTSophie: @BillWongOT You have highlighted a really important aspect that we often forget- the person's wellbeing and quality of life a… |
 | Student Platform OT @SPOTeurope RT @OTalk_: Question 2! #OTalk https://t.co/NX9gGKamz6 |
| Bill Wong, OTD, OTR/L @BillWongOT RT @OTSophie: @BillWongOT You have highlighted a really important aspect that we often forget- the person's wellbeing and quality of life a… |
| Student Platform OT @SPOTeurope RT @OTSophie: @ezzybezzy1989 @SadieBlueOT @OTalk_ Absolutely! A bit like capacity assessments, the thought of it is more daunting than doin… |
| Student Platform OT @SPOTeurope RT @ezzybezzy1989: @BillWongOT @SadieBlueOT @OTalk_ @OTSophie Most definitely but I think some further understanding of what to expect of s… |
| OT Sophie @OTSophie @ezzybezzy1989 @BillWongOT @SadieBlueOT @OTalk_ Perhaps OTs in education sharing this learning with students? #OTalk |
| Student Platform OT @SPOTeurope RT @Lauren_OT: @ezzybezzy1989 @SadieBlueOT @OTalk_ @OTSophie It can feel daunting but remember that if you have a concern then it’s probabl… |
| Lauren @Lauren_OT @ezzybezzy1989 @SadieBlueOT @OTalk_ @OTSophie I think it’s difficult to learn this at uni and really does come in practice. Each trust will have different policy/procedure and each LA will have different referrals and pathways in. This should form part of induction / preceptorship and is part of mandatory training. #OTalk |
| OT Sophie @OTSophie @Lauren_OT @ezzybezzy1989 @SadieBlueOT @OTalk_ But it is also important to recognise that sometimes just the word safeguarding can have quite damaging connotations #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT @OTSophie @ezzybezzy1989 @SadieBlueOT @OTalk_ I think maybe these could be opportunities for students to ask such questions to their placement educators? #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @ezzybezzy1989: @BillWongOT @SadieBlueOT @OTalk_ @OTSophie Most definitely but I think some further understanding of what to expect of s… |
| OT Sophie @OTSophie @Lauren_OT @ezzybezzy1989 @SadieBlueOT @OTalk_ Good point! Perhaps feedback may be for the safeguarding training to have an OT perspective in it? #OTalk |
| Erica Davis @ezzybezzy1989 @OTSophie @SadieBlueOT @OTalk_ I think it is. Safeguarding is so complex and you won't understand it in 1 form that's completed #OTalk |
| OT Sophie @OTSophie Q3: Do you feel safeguarding should be part of the Occupational Therapy role, why? #OTalk |
| Tori OT @Tori_Doll_ @OTSophie Doesn’t necessarily impact my practice as I consider this as part of the role. It is reassuring to have these systems in place to support our vulnerable client group #OTalk |
 | Elizabeth @Lizzie_OT @OTalk_ Evening all. Sorry late joining you tonight #OTalk |
| OT Sophie @OTSophie @Tori_Doll_ So, almost a tool to support you to help you complete your job/make decisions? #OTalk |
| Erica Davis @ezzybezzy1989 @OTSophie Safeguarding makes it difficult at times as you sometimes do have to go against what the patient wants making rappor difficult. #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @Tori_Doll_: @OTSophie Doesn’t necessarily impact my practice as I consider this as part of the role. It is reassuring to have these sys… |
| Bill Wong, OTD, OTR/L @BillWongOT @OTSophie Yes- because we are supposed to do no harm... and this includes not putting patients at risk, including being abused. #otalk |
| OTalk @OTalk_ Question 3! "Is this part of the OT role?" always an interesting question... 🤔#OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @OTSophie: @Lauren_OT @ezzybezzy1989 @SadieBlueOT @OTalk_ Good point! Perhaps feedback may be for the safeguarding training to have an O… |
| Bill Wong, OTD, OTR/L @BillWongOT RT @ezzybezzy1989: @OTSophie Safeguarding makes it difficult at times as you sometimes do have to go against what the patient wants making… |
 | Kate Joester @rebelraising @OTSophie Working in a non-trad role (dementia link worker) I found I was able to articulate risk enablement and safeguarding in a much more balanced way than I had previously found in OT directly. However "returning to practice" now five years later I think things have changed. #OTalk |
| OTalk @OTalk_ @Lizzie_OT Better late than never! Glad you could join us 😊 #OTalk |
| Lauren @Lauren_OT @OTSophie @ezzybezzy1989 @SadieBlueOT @OTalk_ In what way do you mean? Different professions attend the same training in our Trust and the levels of training depend on banding and clinical role. #OTalk |
| Kate Joester @rebelraising @OTSophie It's part of life. It's an obligatory part of working life, pretty much no matter what your job. #OTalk |
| Erica Davis @ezzybezzy1989 @OTalk_ I think we need to remember it's part of all our roles. We need to have an understanding of the importance of safeguarding and be able to act upon issues that arise #OTalk |
| Tori OT @Tori_Doll_ @OTSophie Yes, a framework to guide practice and promote cohesive MDT working. Having said that, I have worked in teams where this has/hasn’t been successful. Comes down to training/individuals etc to name a few variables. #OTalk |
| OTalk @OTalk_ RT @ezzybezzy1989: @OTalk_ I think we need to remember it's part of all our roles. We need to have an understanding of the importance of sa… |
| OT Sophie @OTSophie @ezzybezzy1989 This is a really interesting point- how can we build rapport in these situations? Yesterday we took someone to an allotment to build rapport before doing a capacity assessment- it was really successful! #OTALK |
| Bill Wong, OTD, OTR/L @BillWongOT RT @ezzybezzy1989: @OTalk_ I think we need to remember it's part of all our roles. We need to have an understanding of the importance of sa… |
| Bill Wong, OTD, OTR/L @BillWongOT RT @rebelraising: @OTSophie It's part of life. It's an obligatory part of working life, pretty much no matter what your job. #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @rebelraising: @OTSophie Working in a non-trad role (dementia link worker) I found I was able to articulate risk enablement and safeguar… |
| Bill Wong, OTD, OTR/L @BillWongOT RT @Tori_Doll_: @OTSophie Yes, a framework to guide practice and promote cohesive MDT working. Having said that, I have worked in teams whe… |
| Lauren @Lauren_OT @OTSophie @ezzybezzy1989 @SadieBlueOT @OTalk_ Should it though? #OTalk |
 | KIRSTY OT @KIRSTY_OT @OTSophie Absolutely. Safeguarding is everyone's responsibility and it certainly is our duty to safeguard and keep people safe... #OTalk |
| Lauren @Lauren_OT @OTSophie It’s everybody’s role. #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT @OTSophie And as for myself also now being an educator, it is my job to make sure I don’t put students in unnecessarily and potentially harmful situations. #otalk |
| OT Sophie @OTSophie @rebelraising Interesting points there Kate- how do you think things have changed? I find risk enablement particularly interesting in regard to safeguarding- e..g sometimes "safeguardings" are actually not safeguardings, but risk aversity! #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @KIRSTY_OT: @OTSophie Absolutely. Safeguarding is everyone's responsibility and it certainly is our duty to safeguard and keep people sa… |
| Student Platform OT @SPOTeurope RT @OTalk_: Question 3! "Is this part of the OT role?" always an interesting question... 🤔#OTalk https://t.co/tCn3R4iCu6 |
| Bill Wong, OTD, OTR/L @BillWongOT RT @OTSophie: @rebelraising Interesting points there Kate- how do you think things have changed? I find risk enablement particularly intere… |
 | Carolyn is an OT @CeeCeeOT RT @KIRSTY_OT: @OTSophie Absolutely. Safeguarding is everyone's responsibility and it certainly is our duty to safeguard and keep people sa… |
| OT Sophie @OTSophie @Lauren_OT @ezzybezzy1989 @SadieBlueOT @OTalk_ Ahh see where I work OTs and Social workers have the same training, run by a Social Worker. #OTalk |
| Kate Joester @rebelraising @Lauren_OT @OTSophie @ezzybezzy1989 @SadieBlueOT @OTalk_ Should or should not, the reality is that it can (I think). People are afraid that it means an infringement of liberty, link it to "taking away" a child or vulnerable adult from their care. #OTalk |
| OT Sophie @OTSophie @OTJuliedo But does that impact our therapeutic relationship if we are raising or dealing with the safeguarding concerns directly as OTs? #OTalk |
| @mileswashbrook @mileswashbrook @OTalk_ #OTalk It comes back to Kielhofner. If we are not assessing and treating for purposeful activities in the future, happily, in a safe and sustainable way, what are we doing ? https://t.co/7jVBNkFU6g |
| Sadie Blue @SadieBlueOT @Lauren_OT @ezzybezzy1989 @OTalk_ @OTSophie I disagree. Safeguarding can be taught quite easily - group work discussion of case studies and learning the "signs of safety" model will prepare all future professionals to walk into any role and feel more competent then a 30 min e-learning course. #OTalk |
| OTalk @OTalk_ That's a great point, Kate! Maybe this is a situation where we shouldn't think of ourselves just in terms of being OTs but as part of a wider MDT? #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @rebelraising: @Lauren_OT @OTSophie @ezzybezzy1989 @SadieBlueOT @OTalk_ Should or should not, the reality is that it can (I think). Peop… |
| Kate Joester @rebelraising @OTSophie @Lauren_OT @ezzybezzy1989 @SadieBlueOT @OTalk_ Interesting - I find that safeguarding judgements, for me, are not possible without dialogue with colleagues, and it was always social workers that I found most helpful. Perhaps because I already *am* an OT and can use that perspective myself! #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @OTSophie: @OTJuliedo But does that impact our therapeutic relationship if we are raising or dealing with the safeguarding concerns dire… |
| Erica Davis @ezzybezzy1989 People are worried what it means. I think safeguarding can be so confusing though for those putting in the referral and those in need of it too. #OTalk |
| Carolyn is an OT @CeeCeeOT RT @OTalk_: Question 3! "Is this part of the OT role?" always an interesting question... 🤔#OTalk https://t.co/tCn3R4iCu6 |
| OT Sophie @OTSophie @Lauren_OT @ezzybezzy1989 @SadieBlueOT @OTalk_ It absolutely shouldn't, do we all frame things in the right way? Is there a way of addressing something before it needs the formalilty of a safeguarding enquiry? #OTalk |
| Erica Davis @ezzybezzy1989 RT @OTalk_: That's a great point, Kate! Maybe this is a situation where we shouldn't think of ourselves just in terms of being OTs but as p… |
| Bill Wong, OTD, OTR/L @BillWongOT @OTSophie @OTJuliedo Well- but we also don’t want liability lawsuits in our hands either! #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @SadieBlueOT: @Lauren_OT @ezzybezzy1989 @OTalk_ @OTSophie I disagree. Safeguarding can be taught quite easily - group work discussion of… |
| OT Sophie @OTSophie @KIRSTY_OT But in what context? Does it have to be the formality of a safeguarding enquiry or could it be a different process? #OTalk |
| OTalk @OTalk_ RT @KIRSTY_OT: @OTSophie Absolutely. Safeguarding is everyone's responsibility and it certainly is our duty to safeguard and keep people sa… |
| Erica Davis @ezzybezzy1989 So true. I think we need to remember it's not just OTs who do it. Many healthcare professionals do #OTalk |
| Erica Davis @ezzybezzy1989 RT @KIRSTY_OT: @OTSophie Absolutely. Safeguarding is everyone's responsibility and it certainly is our duty to safeguard and keep people sa… |
| Bill Wong, OTD, OTR/L @BillWongOT @SadieBlueOT @Lauren_OT @ezzybezzy1989 @OTalk_ @OTSophie Perhaps we can put that in a so-called ethical dilemmas class... or when students doing debriefing halfway through their placements that are vital for their licensure. #otalk |
| OT Sophie @OTSophie @rebelraising @Lauren_OT @ezzybezzy1989 @SadieBlueOT @OTalk_ I guess I mean from a more preventative approach? #OTalk |
| Tori OT @Tori_Doll_ @OTSophie Not explicitly OTs role, it is each and every member of staff who works with the patients role to be aware of safeguarding. Each member of the MDT will have their own individual role to play within the system. #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @rebelraising: @OTSophie @Lauren_OT @ezzybezzy1989 @SadieBlueOT @OTalk_ Interesting - I find that safeguarding judgements, for me, are n… |
| Bill Wong, OTD, OTR/L @BillWongOT RT @ezzybezzy1989: People are worried what it means. I think safeguarding can be so confusing though for those putting in the referral and… |
| OT Sophie @OTSophie @SadieBlueOT @Lauren_OT @ezzybezzy1989 @OTalk_ I think risk enablement does also play an important role in this though. #OTalk |
| Erica Davis @ezzybezzy1989 It's difficult I think it's gaining there trust. And explain the reason why. #OTalk |
| OT Sophie @OTSophie @BillWongOT @SadieBlueOT @Lauren_OT @ezzybezzy1989 @OTalk_ Sounds like a great idea Bill. Would be a good way of assessing ability during training #OTalk |
| @mileswashbrook @mileswashbrook #OTalk #WomeninSport #Safeguarding #shouldertoshoulder |
| Lauren @Lauren_OT @SadieBlueOT @ezzybezzy1989 @OTalk_ @OTSophie It’s been a while since I went to uni so I can’t honestly remember what we did in terms of safeguarding, but I know that the training within our trust is very thorough and certainly not delivered via 30 minutes of e-learning #OTalk |
| OT Sophie @OTSophie Q4: What systems (if any) are in place currently for you to prevent safeguardings? E.g quality issues, training #OTalk |
| Kate Joester @rebelraising @OTSophie @KIRSTY_OT Safeguarding is a thread of professional thinking - when you look at environment (human and material), safety and wellbeing are in there, and there's a sort of threshhold where your alarm bell goes "now I need to think more formally about this". #OTalk |
| OTalk @OTalk_ This is an interesting way of looking at it; what do you think is the individual role of OT in safeguarding (as opposed to the role of other team members)? #OTalk |
| Sarah Sharland @SarahSharland19 @OTalk_ I think it should be a part of everyone’s role! #OTalk |
| OTalk @OTalk_ RT @rebelraising: @OTSophie @KIRSTY_OT Safeguarding is a thread of professional thinking - when you look at environment (human and material… |
| Bill Wong, OTD, OTR/L @BillWongOT RT @OTSophie: @BillWongOT @SadieBlueOT @Lauren_OT @ezzybezzy1989 @OTalk_ Sounds like a great idea Bill. Would be a good way of assessing ab… |
| OT Sophie @OTSophie @Lauren_OT @SadieBlueOT @ezzybezzy1989 @OTalk_ It sounds like this may vary across the board (which may be part of the problem!). In Adult Social Care we have 2 days and then yearly refreshers. This is likely to impact confidence on input I would imagine #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @OTSophie: @Lauren_OT @SadieBlueOT @ezzybezzy1989 @OTalk_ It sounds like this may vary across the board (which may be part of the proble… |
| Bill Wong, OTD, OTR/L @BillWongOT RT @SarahSharland19: @OTalk_ I think it should be a part of everyone’s role! #OTalk |
 | Colin P G Jones @colinpgjones @OTSophie @BillWongOT @OTJuliedo Yes as it’s keeping people safe the hard conversation & asking the questions are worth the discomfort of doing it, especially when it is happening so you have safeguarded your client/vulnerable person if you can’t ask the difficult question are you really doing the job? #OTalk |
| Tori OT @Tori_Doll_ @OTalk_ OT has a very unique contribution in this ... we can support the person to develop skills to mitigate their safeguarding risks/vulnerabilities (I.e communication skills, assertiveness, roles, employment, education to name a few!). #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @rebelraising: @OTSophie @KIRSTY_OT Safeguarding is a thread of professional thinking - when you look at environment (human and material… |
| OTalk @OTalk_ Question 4! I wonder how this varies between different settings? #OTalk |
| @mileswashbrook @mileswashbrook @rebelraising @BillWongOT @Lauren_OT @OTSophie @ezzybezzy1989 @SadieBlueOT @OTalk_ #OTalk There is without doubt unresolved risks around removing a child from its parents, especially when the parent, plenty of evidence to support. Additionally DOL on dementia patients undermedicated could be construed as financial abuse |
| OTalk @OTalk_ RT @Tori_Doll_: @OTalk_ OT has a very unique contribution in this ... we can support the person to develop skills to mitigate their safegua… |
| Bill Wong, OTD, OTR/L @BillWongOT RT @colinpgjones: @OTSophie @BillWongOT @OTJuliedo Yes as it’s keeping people safe the hard conversation & asking the questions are worth t… |
| Lauren @Lauren_OT @OTSophie @ezzybezzy1989 @SadieBlueOT @OTalk_ Yes, some of the referrals that go from our ward don’t actually get taken forwards as we can demonstrate what we have done locally and how that has reduced risk of harm. #OTalk |
| Elizabeth @Lizzie_OT @OTalk_ Absolutely! Our core values underpin the holistic, client centred approach required and should promote wellbeing, empower choice and control, as per the Care Act? We are well positioned in terms of complex assessment and risk management #otalk |
| Student Platform OT @SPOTeurope RT @rebelraising: @OTSophie @KIRSTY_OT Safeguarding is a thread of professional thinking - when you look at environment (human and material… |
| OT Sophie @OTSophie @colinpgjones @BillWongOT @OTJuliedo Colin you raise an interesting point, as I think as OTs sometimes we shy away from the difficult questions by nature. #OTalk |
| Sarah Sharland @SarahSharland19 That said, although we all need to know how to report it, we need training to ensure consistency in documentation and the process. For us, safeguarding also needs to be reported to CQC. Need to ensure the loops are closed. #OTalk |
| Student Platform OT @SPOTeurope RT @OTSophie: Q4: What systems (if any) are in place currently for you to prevent safeguardings? E.g quality issues, training #OTalk |
| Sadie Blue @SadieBlueOT @OTSophie In my role working with children/young people it's important that at the first meet I explain what safeguarding is and what that means so that kids don't feel "tricked" after talking about concerns which may need safeguarding. #OTalk |
| Kate Joester @rebelraising @ezzybezzy1989 And council H&SC front desks get referrals from locksmiths, from pet rescue, from bank managers - people encounter vulnerable fellow humans all over the place and use that way of thinking. I feel like this is safeguarding, perhaps I'm being too broad? #OTalk |
| OT Sophie @OTSophie @Lauren_OT @ezzybezzy1989 @SadieBlueOT @OTalk_ This is great to hear Lauren, have you got any examples of the type of input you had to do this? #OTalk |
| Elizabeth @Lizzie_OT @OTalk_ My previous role in adult social care; undertaking complex moving and handling assessments differentiated my contribution to safeguarding to that of my social work colleagues for example #Otalk |
| OT Sophie @OTSophie @SadieBlueOT I can imagine this is especially hard in regard to trust with the kids! How do you make that work for you therapeutically? Honesty only? #OTalk |
| Sadie Blue @SadieBlueOT @OTSophie In my experience they value the transparency of what this means, and if I do have to safeguard then its always a collaborative approach if appropriate #OTalk |
| Kate Joester @rebelraising @SadieBlueOT @OTSophie (A wonderful charity worker just demonstrated how to do this in an exemplary way to my daughter today. I was literally taking notes on the wording she used! #OTalk #OTalkFringe) |
| Tori OT @Tori_Doll_ @OTSophie We have a very robust system in secure services to identify/record intelligence that could lead to issues around safeguardings, due to increased understanding of factors such as relational security. This helps to reduce/prevent safeguardings I imagine. #OTalk |
| OT Sophie @OTSophie @Suze17 Absolutely, great examples. How as OTs could we make that investigation meaningful to that person? #OTalk |
| OTalk @OTalk_ RT @Tori_Doll_: @OTSophie We have a very robust system in secure services to identify/record intelligence that could lead to issues around… |
| Sadie Blue @SadieBlueOT @OTSophie In the field I work in I think the kids respect and appreciate an adult they can trust, who will safeguard and advocate for their needs so I feel its pretty accepted in the work we do #OTalk |
| OT Sophie @OTSophie @SadieBlueOT Sounds great, do you have any strategies you use to make that approach accessible to them? I can imagine it can be confusing. #OTalk |
| OT Sophie @OTSophie @rebelraising @SadieBlueOT If only they were in this chat! #OTalk |
| Lauren @Lauren_OT @OTSophie @ezzybezzy1989 @SadieBlueOT @OTalk_ I think it’s our role to challenge the negativity and have that open and honest communication regarding Safeguarding processes with patients and carers, as people tend to think they know stuff as the media publish worse case, when actually it should be supportive process. #OTalk |
| Colin P G Jones @colinpgjones @OTSophie Loads in my area of CYPF Local authority work, especially as the evidence suggests Disable persons are 4 time more likely to experience abuse, neglect and be at risk of exploration. #OTalk I guess it’s like any area there is loads if you look and take the time to apply & reflect |
| Bill Wong, OTD, OTR/L @BillWongOT RT @OTSophie: @colinpgjones @BillWongOT @OTJuliedo Colin you raise an interesting point, as I think as OTs sometimes we shy away from the d… |
| @mileswashbrook @mileswashbrook @OTSophie @SadieBlueOT #OTalk I recently treated a number of rape victims just north of Manchester and had to explain the perpetrators behaviours in a different way to the Government's line. |
| OT Sophie @OTSophie @KIRSTY_OT @rebelraising @OTalk_ Ahh proportionate response and least intrusive. Very logical. #OTalk |
 | Dedan @GKimathy @OTSophie It's an absolute role of OT in the practice to ensure the wellbeing of our clients #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @Lauren_OT: @OTSophie @ezzybezzy1989 @SadieBlueOT @OTalk_ I think it’s our role to challenge the negativity and have that open and hones… |
| Bill Wong, OTD, OTR/L @BillWongOT RT @SadieBlueOT: @OTSophie In the field I work in I think the kids respect and appreciate an adult they can trust, who will safeguard and a… |
| Tori OT @Tori_Doll_ @OTSophie This includes things like, trading, language used in gang culture, dynamics between patients, ward atmosphere etc. There is no data around how this reduces the need for formal safeguardings being recorded, but it enables the MDT to be aware and be responsive #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @Tori_Doll_: @OTSophie We have a very robust system in secure services to identify/record intelligence that could lead to issues around… |
| Bill Wong, OTD, OTR/L @BillWongOT RT @SadieBlueOT: @OTSophie In my experience they value the transparency of what this means, and if I do have to safeguard then its always a… |
| Bill Wong, OTD, OTR/L @BillWongOT RT @Lizzie_OT: @OTalk_ My previous role in adult social care; undertaking complex moving and handling assessments differentiated my contrib… |
| Bill Wong, OTD, OTR/L @BillWongOT RT @SadieBlueOT: @OTSophie In my role working with children/young people it's important that at the first meet I explain what safeguarding… |
| OT Sophie @OTSophie @Lauren_OT @ezzybezzy1989 @SadieBlueOT @OTalk_ Great word to use there Lauren, supportive! And highlights the impact of media and challenges family can pose in these situations. #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @SarahSharland19: That said, although we all need to know how to report it, we need training to ensure consistency in documentation and… |
| Bill Wong, OTD, OTR/L @BillWongOT RT @Lizzie_OT: @OTalk_ Absolutely! Our core values underpin the holistic, client centred approach required and should promote wellbeing, em… |
| @mileswashbrook @mileswashbrook @OTSophie @SadieBlueOT #OTalk Equally there were couples involved with substance abuse issues and worklessness that were experiencing high anxiety about their children being taken into 'care' and what would happen to them. |
| Bill Wong, OTD, OTR/L @BillWongOT RT @Tori_Doll_: @OTalk_ OT has a very unique contribution in this ... we can support the person to develop skills to mitigate their safegua… |
| Bill Wong, OTD, OTR/L @BillWongOT RT @Tori_Doll_: @OTSophie This includes things like, trading, language used in gang culture, dynamics between patients, ward atmosphere etc… |
| OT Sophie @OTSophie @colinpgjones Do you mind sharing what types of things your LA use? We use quality referral forms in mine- they have changed my life! #OTalk and helped identify patterns |
| OT Sophie @OTSophie LAST QUESTION! Q5: How can we as Occupational Therapist’s positively prevent safeguardings? #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT Need to go back for some 😴. See you guys next week. #otalk |
| OTalk @OTalk_ We're coming to the end of today's #OTalk! It's been a really interesting chat tonight; lots to think about regarding how we're taught about safeguarding and how we "do" safeguarding in a way that fits with our roles as OTs |
 | Sophie Faulkner @sleepOTsophie @OTSophie Sometimes if you help someone enhance their self-efficacy through achieving in other areas, they can become less vulnerable to abuse and better at speaking up when someone tries it! #OTalk |
| Kate Joester @rebelraising @KIRSTY_OT @OTalk_ @OTSophie Yes! Clarifying (in my case, through chatting with colleagues always best) what exactly set your alarm bells ringing, what is clear, what needs informal enquiry and what needs formal action now. #OTalk 1/2 |
| Sadie Blue @SadieBlueOT @OTSophie We have a really easy to understand hand out which explains safeguarding, confidentiality and data protection. We talk about how we use their data and how they can request to read their files. I also say this verbally and leave lots of time for questions etc #OTalk |
| Sophie Faulkner @sleepOTsophie @OTSophie Not really a system, but use of OT approach. #OTalk |
| OT Sophie @OTSophie @Tori_Doll_ I wonder how you could possibly collate that data?! So hard to capture those outcomes, even though what has helped! #OTalk |
| OTalk @OTalk_ Final question for tonight on preventing safeguarding issues #OTalk |
| KIRSTY OT @KIRSTY_OT @OTSophie For my prison area of work there is a safeguarding panel and as an OT, I will also support the panel to protect and advocate for the more vulnerable residents. #OTalk |
| Sarah Sharland @SarahSharland19 @OTSophie In my setting, things like unwitnessed falls and pressure areas/wounds would be raised as safeguardings. We have monthly audits on falls, skin integrity, nutrition and other clinical governance issues. We identify trends and risks and act accordingly. #OTalk |
| OTalk @OTalk_ RT @sleepOTsophie: @OTSophie Sometimes if you help someone enhance their self-efficacy through achieving in other areas, they can become le… |
| OT Sophie @OTSophie @sleepOTsophie This is a great topic to home in on Sophie! I don't we as OTs are doing that enough as a preventative approach. Can you elaborate any further on ways to do that? #OTalk |
| OTalk @OTalk_ RT @SarahSharland19: @OTSophie In my setting, things like unwitnessed falls and pressure areas/wounds would be raised as safeguardings. We… |
| OT Sophie @OTSophie @rebelraising @KIRSTY_OT @OTalk_ Having that open dialogue is so important. #OTalk |
| Colin P G Jones @colinpgjones @OTSophie @BillWongOT @OTJuliedo I guess it’s about the working culture, from my experience it depends on the Lead OT in your working environment or the management you work to. It also depends on identity, at the end of the day we ask some of the most personal & illuminating questions to our client #OTalk |
| Sarah Sharland @SarahSharland19 @OTSophie For resident-resident contact, we have 1:1 in place for residents who pose a risk to others. This is recorded hourly and reviewed weekly to see if the level is appropriate. We can grade this for different levels of observation too. #OTalk |
| OT Sophie @OTSophie @sleepOTsophie Even better!! #OTalk |
| OTalk @OTalk_ RT @SarahSharland19: @OTSophie For resident-resident contact, we have 1:1 in place for residents who pose a risk to others. This is recorde… |
| @mileswashbrook @mileswashbrook @BillWongOT Thanks Bill, great to meet you #OTalk |
| OT Sophie @OTSophie @KIRSTY_OT That's great that you have a pivotal role. #OTalk |
| OT Sophie @OTSophie @SarahSharland19 So is any work done on how to prevent those happening/being safeguarding? #OTalk |
| OT Sophie @OTSophie @SadieBlueOT When kids already feel powerless, I can imagine that impacts the whole process- this probably goes for vulnerable adults too! #OTalk |
| @mileswashbrook @mileswashbrook @veryunfakenews @LCY1878 #OTalk We never see this behaviour from Chinese people. We never see this behaviour from Hindu's with Indian heritage. We only ever see it from followers of mohammeds book of rules (allah-carte korak) that explicitly sanctions such atrocities. It is A Spectral Disorder. |
| Colin P G Jones @colinpgjones @OTSophie I’m not sure you can stop safeguarding. But u can be reflective & alive to the issues. Unfortunately human beings can do some horrible things to each other, as well as amazing kind & helpful things. Reflection & bravery to have professional curiosity....knowing our clients #OTalk |
| Sarah Sharland @SarahSharland19 @OTSophie The first level would be a behaviour chart - if we saw any concerns about their interactions with other residents, we would implement the 1:1 and then request funding for it. Of course then there is the deprivation of liberty involved in 1:1.... more paperwork! #OTalk |
| OT Sophie @OTSophie @Lizzie_OT @OTalk_ agreed- sometimes the best placed I think! #OTalk |
| Sadie Blue @SadieBlueOT @OTSophie I don't see safeguarding as a negative in my role. Safeguarding means we are aware of the potential risks. I use the signs of safety model and honestly, it is a brilliant tool and so easy to get in to the habit of doing with every note I record. #OTalk |
| OTalk @OTalk_ RT @colinpgjones: @OTSophie I’m not sure you can stop safeguarding. But u can be reflective & alive to the issues. Unfortunately human bein… |
| OTalk @OTalk_ RT @colinpgjones: @OTSophie I’m not sure you can stop safeguarding. But u can be reflective & alive to the issues. Unfortunately human bein… |
| OTalk @OTalk_ RT @SadieBlueOT: @OTSophie I don't see safeguarding as a negative in my role. Safeguarding means we are aware of the potential risks. I use… |
| OT Sophie @OTSophie @SadieBlueOT I shall look it up! #OTalk |
| Sadie Blue @SadieBlueOT @OTSophie Signs of safety is strength based and it helps us to 'hold in mind' any worries or potential worries. 1. What are we worried about? 2. What is working well? 3. What needs to happen next? Its focused and clear. #OTalk |
| Sarah Sharland @SarahSharland19 @OTSophie Yes, we have different levels of falls careplans and fully review the person and environment. For pressure care we look at 24 hour posture and pressure care - seating, mattresses, mobility etc. This also links to nutrition - in-house dietician and specialised diets #OTalk |
| Lauren @Lauren_OT @OTSophie I don’t think Safeguarding is a negative thing and not really sure that preventing it should be what we are aiming for as sometimes unfortunately that’s what people need. #OTalk |
| OT Sophie @OTSophie @SadieBlueOT Strength based is a great way to frame the process. #OTalk |
| Elizabeth @Lizzie_OT @OTalk_ Using our core OT skills, client centred comprehensive assessment, effective communication & joined up working with other services as well as patients and carers. Engaging in supervision, reflective practice, clinical governance and audit for quality assurance #otalk |
| OTalk @OTalk_ This is Carolina signing off; thanks @OTSophie for such an engaging chat! We'll have a transcript of the chat available on our blog (https://t.co/xq6um06VVE) later for anyone who would like to catch up 😊 #OTalk |
| Aideen Carroll @AideenKa @kathscottOT @OTSophie @ezzybezzy1989 @OTalk_ Do you know why they are making these changes? #OTalk. |
 | Sophie Maynard @SophieMaynard8 @OTSophie I'm lurking when I have signal. Starting my first post next Tuesday #newbie #OTalk |
| Lauren @Lauren_OT @OTSophie But I think that basic things like knowing your patients, having professional curiosity, sharing information with your colleagues and between agencies and teams, ensuring your Safeguarding knowledge is up to date etc are things that could maybe help #OTalk |
| Sarah Sharland @SarahSharland19 Great #OTalk tonight, good to be back into it (it’s been a while! A toddler and a newborn...) #OT #maternityleave |
| Tori OT @Tori_Doll_ @OTSophie Don’t think there would be a way to collate this? 🤔 #OTalk |
| OT Sophie @OTSophie @Lauren_OT All very good points #Otalk |
| @mileswashbrook @mileswashbrook #OTalk #God #Jesus #WellnessBoogies #JoyJumps https://t.co/9ItJNXpEDT |
| Aideen Carroll @AideenKa @OTSophie @kathscottOT @ezzybezzy1989 @OTalk_ I'll look it up thanks #OTalk. |
| OT Sophie @OTSophie Thanks everyone for engaging in a topic not necessarily top of our exciting list but so important to our practice and profession #OTalk |
| OT Sophie @OTSophie Also thanks for not leaving me just talking to myself!! Hard to keep up though! #OTalk https://t.co/ypoSUUOz0S |
| OT Sophie @OTSophie @SarahSharland19 Wow well done!! Super woman!! Hope you're getting some sleep! #OTalk |
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