#OTalk Transcript
Healthcare social media transcript of the #OTalk hashtag.
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See #OTalk Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | #OTalk @OTalk_ Good evening #OTalk @OT_rach on the account this evening. Do say hi even if you plan on lurking. If you have any questions about joining in just let me know. https://t.co/UCP1fAObc8 |
 | Rachel OT @_rachelOT @Keirwales @OTalk_ @JadeH_OT @theRCOT Yeah that's the one... 💁🏻♀️ #otalk |
| #OTalk @OTalk_ Its 8pm here in the UK so that means time for #OTalk, hosted by @Keirwales Don't forget the house rules, but most of all enjoy the chat! https://t.co/b30iaduqTu |
 | Lucy @smile4wales RT @OTalk_: Its 8pm here in the UK so that means time for #OTalk, hosted by @Keirwales Don't forget the house rules, but most of all enjoy the chat! https://t.co/b30iaduqTu |
 | Pixiegirle #StopSIM 🏴🇪🇺 @pixiegirle I’m here but not promising a stellar performance 🤣 #OTalk |
 | Keir Harding @Keirwales Good to be here tonight. My 4th OTalk ever and first this year. I’m doing a similar session to this in London on Oct 3rd. Would be great to see you there #OTalk https://t.co/t0xUa4fIGh. |
 | Bill Wong, OTD, OTR/L @BillWongOT Hello folks! #otalk |
| Lucy @smile4wales RT @Keirwales: Good to be here tonight. My 4th OTalk ever and first this year. I’m doing a similar session to this in London on Oct 3rd. Would be great to see you there #OTalk https://t.co/t0xUa4fIGh. |
| Lucy @smile4wales RT @pixiegirle: I’m here but not promising a stellar performance 🤣 #OTalk |
| #OTalk @OTalk_ RT @Keirwales: Good to be here tonight. My 4th OTalk ever and first this year. I’m doing a similar session to this in London on Oct 3rd. Would be great to see you there #OTalk https://t.co/t0xUa4fIGh. |
 | Ruth Hawley @Ruth_Hawley @OTalk_ I am 👋 #OTalk |
 | OT_Expert♥️ @OT_Expert RT @Keirwales: Good to be here tonight. My 4th OTalk ever and first this year. I’m doing a similar session to this in London on Oct 3rd. Would be great to see you there #OTalk https://t.co/t0xUa4fIGh. |
| Keir Harding @Keirwales @pixiegirle Presence is enough! #otalk |
| #OTalk @OTalk_ Welcome #otalk |
 | Tori the OT @Tori_Doll_ @Keirwales Feel your pain WRT this! I only realised when facilitating my #OTalk - had to paste it into notepad in preparation! Just couldn’t figure it out! Haha! |
| Keir Harding @Keirwales @Ruth_Hawley @OTalk_ Hello #otalk |
| Keir Harding @Keirwales I think what’s difficult for me in retrospect is thinking about how much I unknowingly (and knowingly) contributed to stigma over the years. #Otalk |
 | Jo Collier @MassDecoration @OTalk_ @OT_rach I'm interested ...though unsure how much I'll contribute so may lurk #Otalk |
| Lucy @smile4wales RT @Keirwales: I think what’s difficult for me in retrospect is thinking about how much I unknowingly (and knowingly) contributed to stigma over the years. #Otalk |
| #OTalk @OTalk_ Lurks always welcome and you might surprise yourself #otalk |
| Pixiegirle #StopSIM 🏴🇪🇺 @pixiegirle @MassDecoration @OTalk_ @OT_rach But you have a FABULOUS bag! #otalk |
| Keir Harding @Keirwales @MassDecoration @OTalk_ @OT_rach Risk talking. We don’t bite :-) #otalk |
 | Teoh Jou Yin @teohjouyin @OTalk_ @Keirwales Have we started? #OTalk |
| Keir Harding @Keirwales And with that prompt… 1 What do we think of the idea that Stigma is part of the social environment? (Or racism, or neoliberalism). Is this part of our thinking and decision making? #Otalk |
| #OTalk @OTalk_ Ha ha -, multitasking is allowed!! #otalk |
 | Carolina C 🏳️🌈 @colourful_ot @OTalk_ I am! Though having a late dinner simultaneously so I might be a bit distracted 😅 #OTalk https://t.co/VwzljDU9cM |
| Ruth Hawley @Ruth_Hawley @MassDecoration @OTalk_ @OT_rach I have previously planned to lurk but then got drawn in and has been well worth it. Go for it! #OTalk |
 | Claire Murphy @DrClaireMurphy @MassDecoration @OTalk_ @OT_rach Another interested lurker! 👋 #otalk |
| Pixiegirle #StopSIM 🏴🇪🇺 @pixiegirle @Keirwales Yes it should be, but not sure it’s always considered - these wider less obvious impacts on the social environment #otalk |
| Keir Harding @Keirwales @colourful_ot @OTalk_ Hello! #otalk |
| #OTalk @OTalk_ @SophieMaynard8 @Keirwales But don’t Forget that # in every tweet otherwise you’ll end up on the naughty step #otalk https://t.co/P1bhlKIcHu |
| Lucy @smile4wales RT @Keirwales: And with that prompt… 1 What do we think of the idea that Stigma is part of the social environment? (Or racism, or neoliberalism). Is this part of our thinking and decision making? #Otalk |
| Teoh Jou Yin @teohjouyin @Keirwales Hahaha #OTalk this requires a lot of heavy duty thinking which I think I may not have the cognitive capacity for at this point. |
| Jo Collier @MassDecoration @Keirwales I really hadn't considered it but it makes sense that it is part of the social environment #OTalk |
 | Alresford Bear and the Town Mill Teddy Posse @AlresfordBear Is it a singular. And how do we define the social environment and is racism and neoliberalism externalised to this. Also decision making......#OTalk |
| #OTalk @OTalk_ Welcome #OTalk |
 | Rock Paper Moon @RockPaperMoon RT @MassDecoration: @Keirwales I really hadn't considered it but it makes sense that it is part of the social environment #OTalk |
| Keir Harding @Keirwales Why don’t we pay as much attention to it Bethan? #Otalk |
| Bill Wong, OTD, OTR/L @BillWongOT @Keirwales I think ableism is one that I often see. People see that I can handle a busy OT conference schedule every year... but I actually have to put up with a lot to attend these things because I love OT so much. #otalk |
 | Westchester Therapy Solutions @DonnaKl38563266 RT @Keirwales: Good to be here tonight. My 4th OTalk ever and first this year. I’m doing a similar session to this in London on Oct 3rd. Would be great to see you there #OTalk https://t.co/t0xUa4fIGh. |
| Keir Harding @Keirwales RT @pixiegirle: @Keirwales Yes it should be, but not sure it’s always considered - these wider less obvious impacts on the social environment #otalk |
| Ruth Hawley @Ruth_Hawley @Keirwales I think #stigma is definitely part of a social environment, shaped by sociocultural influences and perceptions. #OTalk |
| Teoh Jou Yin @teohjouyin Is stigma part of the social environment or no? Join #Otalk and tell 'em! |
| #OTalk @OTalk_ Question 1 #otalk |
| Keir Harding @Keirwales RT @BillWongOT: @Keirwales I think ableism is one that I often see. People see that I can handle a busy OT conference schedule every year... but I actually have to put up with a lot to attend these things because I love OT so much. #otalk |
 | Sophie Maynard @SophieMaynard8 @Keirwales I think it is completely entwined into society which is why so many follow "norms" that are stigmatising. Doesn't mean we shouldn't challenge these though #otalk |
| Rachel OT @_rachelOT @Keirwales @SophieMaynard8 @OTalk_ You're strict! ... #otalk |
| Keir Harding @Keirwales @MassDecoration Why don’t we think about it as much as the physical environment? #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT @Keirwales I made this comment because I read a lot of tweets from autistic attendees commenting about the autism conferences they were at in Nice and Singapore. But... I know I put up with a lot more when I attend the AOTA conferences every year. #otalk |
| Alresford Bear and the Town Mill Teddy Posse @AlresfordBear How do we not? Where is the evidence to determine such a comparison? #OTalk |
| Keir Harding @Keirwales @Ruth_Hawley Do we give it enough attention? #otalk |
| Keir Harding @Keirwales RT @teohjouyin: Is stigma part of the social environment or no? Join #Otalk and tell 'em! |
 | Laura Cliff @laurafcliff @Keirwales I think stigma is a major part of the social environment, it is often hidden though so isn't recognised. #OTalk |
| Sophie Maynard @SophieMaynard8 @Keirwales @OTalk_ Oops #bakeoff Vs #otalk 🙊 |
| #OTalk @OTalk_ RT @teohjouyin: Is stigma part of the social environment or no? Join #Otalk and tell 'em! |
| Ruth Hawley @Ruth_Hawley @Keirwales And should form part of our considerations and clinical reasoning in assessments and interventions #OTalk. To ignore is to have a blind spot and not see something important and potentially contribute to the equivalent of a crash from pulling out at the wrong moment. |
| Alresford Bear and the Town Mill Teddy Posse @AlresfordBear If they are entwined, why would notice them as abnormal elements to be challenged through neoliberal marketisation #OTalk |
| Carolina C 🏳️🌈 @colourful_ot @Keirwales It definitely is! Attitudes that make people feel unwelcome can make a place inaccessible in the same way as physical inaccessibility can #OTalk |
| Jo Collier @MassDecoration @Keirwales Health care culture itself doesn't really acknowledge stigma in a practical way....it seems stuck in the theoretical rather than reality of practice #OTalk |
| Pixiegirle #StopSIM 🏴🇪🇺 @pixiegirle @Keirwales Maybe not enough time, we can’t ‘see’ it always, we aren’t taught it? #otalk |
| Keir Harding @Keirwales @SophieMaynard8 Doesn’t mean we shouldn’t…. As experts in the environment is it on our radar enough? (Leading question alert) #otalk |
| Keir Harding @Keirwales RT @Ruth_Hawley: @Keirwales And should form part of our considerations and clinical reasoning in assessments and interventions #OTalk. To ignore is to have a blind spot and not see something important and potentially contribute to the equivalent of a crash from pulling out at the wrong moment. |
| Teoh Jou Yin @teohjouyin @Keirwales @MassDecoration Because it is not as blatantly obvious and in our face? #OTalk it's often something intangible and hard to put one's finger on. |
| Bill Wong, OTD, OTR/L @BillWongOT @Keirwales Another can be related to culture. For certain disabilities, caregivers/parents might not disclose their children having them and these parents might feel ashamed if they openly disclose. #otalk |
| Keir Harding @Keirwales RT @colourful_ot: @Keirwales It definitely is! Attitudes that make people feel unwelcome can make a place inaccessible in the same way as physical inaccessibility can #OTalk |
| #OTalk @OTalk_ @_rachelOT @Keirwales @SophieMaynard8 You won’t get in the transcript, and you can’t use it as evidence if you don’t use the hashtag! #otalk, it’s not being strict it’s just thinking of you! 😛 |
 | Kate Tudor @OT_KateT @Keirwales It's definitely there, but also more complicated because it creeps into a person's understanding of themselves, influences direct interactions, & is massively part of the institutional env... feel like I could go on, because as always, everything's more complicated #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @colourful_ot: @Keirwales It definitely is! Attitudes that make people feel unwelcome can make a place inaccessible in the same way as physical inaccessibility can #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @laurafcliff: @Keirwales I think stigma is a major part of the social environment, it is often hidden though so isn't recognised. #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @SophieMaynard8: @Keirwales I think it is completely entwined into society which is why so many follow "norms" that are stigmatising. Doesn't mean we shouldn't challenge these though #otalk |
| Teoh Jou Yin @teohjouyin @pixiegirle @Keirwales Stigma is actually one of the first things my first year students learnt about in their history of OT lessons #OTalk |
| Keir Harding @Keirwales For a long time i didn’t notice the stigma in the environments I was working in. It was just normal. But when you see it it can’t be unseen…#otalk |
| #OTalk @OTalk_ RT @AlresfordBear: If they are entwined, why would notice them as abnormal elements to be challenged through neoliberal marketisation #OTalk |
| Pixiegirle #StopSIM 🏴🇪🇺 @pixiegirle @MassDecoration @Keirwales I agree - it’s more a ‘theoretical’ thing. We are ‘doers’ & like to be practical. We can’t always ‘do’ something immediately about stigma, neoliberalism etc & maybe that’s why we shy away from it? #otalk |
| Rachel OT @_rachelOT @Keirwales To me, stigma creates the atmosphere in an environment.. it guides our preconceptions, attempts to understand or rationalise and forward planning. I have thought about this more as a concept of being a part of the environment since attending the training that you provided #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @OT_KateT: @Keirwales It's definitely there, but also more complicated because it creeps into a person's understanding of themselves, influences direct interactions, & is massively part of the institutional env... feel like I could go on, because as always, everything's more complicated #OTalk |
| #OTalk @OTalk_ RT @colourful_ot: @Keirwales It definitely is! Attitudes that make people feel unwelcome can make a place inaccessible in the same way as physical inaccessibility can #OTalk |
| Teoh Jou Yin @teohjouyin @pixiegirle @Keirwales I do feel an understanding of stigma is essential to do proper #occupationaltherapy work, given the sort of clients we all work with #OTalk |
| Keir Harding @Keirwales Why aren’t we taught to address the social environments in the same way we are the physical one? #otalk |
| #OTalk @OTalk_ RT @MassDecoration: @Keirwales Health care culture itself doesn't really acknowledge stigma in a practical way....it seems stuck in the theoretical rather than reality of practice #OTalk |
| Ruth Hawley @Ruth_Hawley @teohjouyin @Keirwales @MassDecoration Can be intangible to put finger on at times but like electricity is invisible but can be seen by what it does, the effects of #stigma are easier to spot and be impacted by. #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @pixiegirle: @MassDecoration @Keirwales I agree - it’s more a ‘theoretical’ thing. We are ‘doers’ & like to be practical. We can’t always ‘do’ something immediately about stigma, neoliberalism etc & maybe that’s why we shy away from it? #otalk |
| Keir Harding @Keirwales RT @teohjouyin: @Keirwales @MassDecoration Because it is not as blatantly obvious and in our face? #OTalk it's often something intangible and hard to put one's finger on. |
| Bill Wong, OTD, OTR/L @BillWongOT RT @_rachelOT: @Keirwales To me, stigma creates the atmosphere in an environment.. it guides our preconceptions, attempts to understand or rationalise and forward planning. I have thought about this more as a concept of being a part of the environment since attending the training that you provided #otalk |
| Alresford Bear and the Town Mill Teddy Posse @AlresfordBear How does its atmospheric contribution differ from power and resources? #OTalk |
| #OTalk @OTalk_ RT @Keirwales: @SophieMaynard8 Doesn’t mean we shouldn’t…. As experts in the environment is it on our radar enough? (Leading question alert) #otalk |
| Keir Harding @Keirwales RT @BillWongOT: @Keirwales Another can be related to culture. For certain disabilities, caregivers/parents might not disclose their children having them and these parents might feel ashamed if they openly disclose. #otalk |
| Keir Harding @Keirwales RT @OT_KateT: @Keirwales It's definitely there, but also more complicated because it creeps into a person's understanding of themselves, influences direct interactions, & is massively part of the institutional env... feel like I could go on, because as always, everything's more complicated #OTalk |
 | Janet @janetregan3 @Keirwales Forgot the #OTalk ooops! |
| #OTalk @OTalk_ RT @teohjouyin: @pixiegirle @Keirwales Stigma is actually one of the first things my first year students learnt about in their history of OT lessons #OTalk |
| Teoh Jou Yin @teohjouyin @pixiegirle @MassDecoration @Keirwales But we can. We can certainly ensure that we ourselves *don't* perpetuate stigma! #OTalk start with ourselves! |
| Keir Harding @Keirwales Tell us more about this!!! #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT @Keirwales My guess is- because there is no one size fit all solution to this type of issue. #otalk |
| Teoh Jou Yin @teohjouyin RT @Ruth_Hawley: @teohjouyin @Keirwales @MassDecoration Can be intangible to put finger on at times but like electricity is invisible but can be seen by what it does, the effects of #stigma are easier to spot and be impacted by. #OTalk |
| Alresford Bear and the Town Mill Teddy Posse @AlresfordBear Or it doesnt have tangible start and end. And the reductionist of doing is an adjunct to not question the marketisation of its challenge.....with an ever present Event Horizon of a few capitalist cult individuals and organisations #OTalk |
| Tori the OT @Tori_Doll_ @pixiegirle @Keirwales I think a huge factor is the environment that you are practicing in. Stigma isn’t as big an issue in HSS, it’s there ... but the pts aren’t necessarily exposed to it. It’s more apparent as pts progress through their care pathway. #OTalk |
| Keir Harding @Keirwales Question 2 How do we see Stigma played out in our work environment? What is done? What isn’t done? What gets said? #Otalk |
| Keir Harding @Keirwales I see my client group both excluded from services and on the end of massive restriction. I also hear staff talk about them as less deserving than other service users. #Otalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @Tori_Doll_: @pixiegirle @Keirwales I think a huge factor is the environment that you are practicing in. Stigma isn’t as big an issue in HSS, it’s there ... but the pts aren’t necessarily exposed to it. It’s more apparent as pts progress through their care pathway. #OTalk |
| Keir Harding @Keirwales RT @Tori_Doll_: @pixiegirle @Keirwales I think a huge factor is the environment that you are practicing in. Stigma isn’t as big an issue in HSS, it’s there ... but the pts aren’t necessarily exposed to it. It’s more apparent as pts progress through their care pathway. #OTalk |
| Pixiegirle #StopSIM 🏴🇪🇺 @pixiegirle @Keirwales When I was training (not sure if it’s same now),we wernt taught 2 critically evaluate policy-it was policy & we had to work to it. Without this critique in our training we just accept policy is neutral & must be accepted despite the stigma / discrimination inherent in it #otalk |
| Ruth Hawley @Ruth_Hawley @Keirwales Probably not, but always good to be prompted to think more deeply about how practice can be improved. I think this is one of the big benefits of things like these #OTalk to provoke thinking, reflection and hopefully contribute to positive practice applications. |
| Teoh Jou Yin @teohjouyin @Keirwales I try my best to ensure my students are taught. I work in collectivist societies, it is necessary. #OTalk |
| Pixiegirle #StopSIM 🏴🇪🇺 @pixiegirle @Keirwales Awesome! #otalk |
| Lucy @smile4wales RT @Keirwales: Question 2 How do we see Stigma played out in our work environment? What is done? What isn’t done? What gets said? #Otalk |
| Keir Harding @Keirwales @Tori_Doll_ @pixiegirle In what way is it more apparent? (God link to Q2!!!) #otalk |
| Lucy @smile4wales RT @Keirwales: I see my client group both excluded from services and on the end of massive restriction. I also hear staff talk about them as less deserving than other service users. #Otalk |
 | ComplexWales 🏴💙 @ComplexWales RT @Keirwales: Why aren’t we taught to address the social environments in the same way we are the physical one? #otalk |
| #OTalk @OTalk_ RT @Keirwales: For a long time i didn’t notice the stigma in the environments I was working in. It was just normal. But when you see it it can’t be unseen…#otalk |
| Lucy @smile4wales RT @pixiegirle: @Keirwales When I was training (not sure if it’s same now),we wernt taught 2 critically evaluate policy-it was policy & we had to work to it. Without this critique in our training we just accept policy is neutral & must be accepted despite the stigma / discrimination inherent in it #otalk |
| Alresford Bear and the Town Mill Teddy Posse @AlresfordBear Is it a singular concept. And indeed application. And does stigma as a singular mean stigma is self-perpetual. #OTalk |
| Keir Harding @Keirwales @BillWongOT Aren’t we meant to be creative though? #otalk |
| Keir Harding @Keirwales RT @pixiegirle: @Keirwales When I was training (not sure if it’s same now),we wernt taught 2 critically evaluate policy-it was policy & we had to work to it. Without this critique in our training we just accept policy is neutral & must be accepted despite the stigma / discrimination inherent in it #otalk |
| #OTalk @OTalk_ Can you give us an example Keir @Keirwales #otalk |
| Alresford Bear and the Town Mill Teddy Posse @AlresfordBear Is it a singular concept. And indeed application. And does stigma as a singular mean stigma is self-perpetual. #OTalk |
| Teoh Jou Yin @teohjouyin @Keirwales However, I wonder if Western OT train has less focus on this because OT is seen as individual and focus on collective is very new #OTalk |
| Rachel OT @_rachelOT @AlresfordBear I'm not sure that it always does, dependent on how reflective people are in noticing that stigma is affecting the service or resources that they choose to offer #otalk |
| Carolina C 🏳️🌈 @colourful_ot @Keirwales I think because it takes more "big picture" action, like instead of e.g. installing a ramp (relatively straightforward) you need to convince people to change their perceptions which can be really deeply ingrained #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT @Keirwales Hmm... I constantly have to prove people wrong that I am competent. Of course, I help change my students’ perceptions of what autistic individuals can do in the process. They get to see me in action in class and figure out how I overcome challenges to be their instructor. #otalk |
| Keir Harding @Keirwales @pixiegirle Can you give an example Bethan? #otalk |
| Keir Harding @Keirwales RT @Ruth_Hawley: @Keirwales Probably not, but always good to be prompted to think more deeply about how practice can be improved. I think this is one of the big benefits of things like these #OTalk to provoke thinking, reflection and hopefully contribute to positive practice applications. |
| Alresford Bear and the Town Mill Teddy Posse @AlresfordBear @_rachelOT If stigma is a singular impact to be quantified and modified. #OTalk |
| Pixiegirle #StopSIM 🏴🇪🇺 @pixiegirle @teohjouyin @Keirwales YES - I wish we lived in a collectivist society - I’d be much happier then #otalk |
| Teoh Jou Yin @teohjouyin @Keirwales When I studied in the UK, I got the impression that the social environment was regarded to be the domain of social workers #OTalk |
| Claire Murphy @DrClaireMurphy @Keirwales Definitely stigma re mental health issues in the social environment. I had thought this was less so with today's young adults with so much "awareness" and discussion in social media but now realising that in reality stigma is still experienced and perceived by this group #otalk |
| Keir Harding @Keirwales @Ruth_Hawley I’m wondering what it might look like if we had more of a focus on this…#otalk |
| Bill Wong, OTD, OTR/L @BillWongOT @Keirwales True- I think we should have a general blueprint... but then we also got to use our critical thinking to adapt to the situation at hand. #otalk |
| Laura Cliff @laurafcliff @Keirwales Not work environment. But in my #student research project stigma has come up in responses from families who have children with autism. It impacts upon their co-occupations as a family. #OTalk |
| Keir Harding @Keirwales RT @teohjouyin: @Keirwales I try my best to ensure my students are taught. I work in collectivist societies, it is necessary. #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @Incredhead: @Keirwales Definitely stigma re mental health issues in the social environment. I had thought this was less so with today's young adults with so much "awareness" and discussion in social media but now realising that in reality stigma is still experienced and perceived by this group #otalk |
 | K-OT (she, her) 💙 @kalessandram @Keirwales I think stigma is so intertwined with our culture, we may lip service to it but dont challenge & , question enough. I think it causes people to opt out and remove their voices because of the impact of shame. So keeps perpetuating. #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @colourful_ot: @Keirwales I think because it takes more "big picture" action, like instead of e.g. installing a ramp (relatively straightforward) you need to convince people to change their perceptions which can be really deeply ingrained #OTalk |
| Teoh Jou Yin @teohjouyin @Keirwales The social work literature has covered these issues extensively, much more than OT does. #Otalk |
| Sophie Maynard @SophieMaynard8 @Keirwales I like to think it's on my radar quite a lot, but it's never enough. If we don't ask questions then we don't know how stigma is impacting the individual #otalk |
| Pixiegirle #StopSIM 🏴🇪🇺 @pixiegirle @teohjouyin @Keirwales That’s sad x #otalk |
| Tori the OT @Tori_Doll_ @Keirwales Raises the importance of engaging in & advocating supervision, debriefs, formulation meetings etc. Additionally promoting a culture of trauma informed care. I noticed a huge shift in staff perception of pts histories/behaviours/risks following attendance to TIC training #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @laurafcliff: @Keirwales Not work environment. But in my #student research project stigma has come up in responses from families who have children with autism. It impacts upon their co-occupations as a family. #OTalk |
| Keir Harding @Keirwales The social environment is the domain of other professionals??? This is outrageous!!! #otalk |
| Keir Harding @Keirwales RT @Incredhead: @Keirwales Definitely stigma re mental health issues in the social environment. I had thought this was less so with today's young adults with so much "awareness" and discussion in social media but now realising that in reality stigma is still experienced and perceived by this group #otalk |
| Teoh Jou Yin @teohjouyin Love this reflection! #OTalk |
| Keir Harding @Keirwales @Incredhead In what way? #otalk |
| Keir Harding @Keirwales RT @BillWongOT: @Keirwales True- I think we should have a general blueprint... but then we also got to use our critical thinking to adapt to the situation at hand. #otalk |
| Ruth Hawley @Ruth_Hawley @Keirwales As NQOT on acute mental health wards in 90’s on occasions in disparaging ways about individuals with diagnoses of personality disorder. Was v confusing at the time how people would say of people in obvious distress “no evidence of mental illness” #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT @laurafcliff @Keirwales I see that with my cousin who has way more severe in terms of symptoms goes. Safety is a number 1 concern for that family. #otalk |
| Pixiegirle #StopSIM 🏴🇪🇺 @pixiegirle @Keirwales Now your pushing me 🤣 well an example now would be work as a health outcome #otalk in an age of austerity & conservative gov, the profession needs to continue to justify its existence & claim expertise in delivering government policy unquestionably #otalk |
| Keir Harding @Keirwales RT @teohjouyin: @Keirwales The social work literature has covered these issues extensively, much more than OT does. #Otalk |
| Carolina C 🏳️🌈 @colourful_ot @Keirwales To be fair, stigma/discrimination *were* covered quite a bit in my course but it was more as context to be aware of rather than an area where we can directly intervene #OTalk |
| Keir Harding @Keirwales RT @SophieMaynard8: @Keirwales I like to think it's on my radar quite a lot, but it's never enough. If we don't ask questions then we don't know how stigma is impacting the individual #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @pixiegirle: @Keirwales Now your pushing me 🤣 well an example now would be work as a health outcome #otalk in an age of austerity & conservative gov, the profession needs to continue to justify its existence & claim expertise in delivering government policy unquestionably #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @kalessandram: @Keirwales I think stigma is so intertwined with our culture, we may lip service to it but dont challenge & , question enough. I think it causes people to opt out and remove their voices because of the impact of shame. So keeps perpetuating. #otalk |
| Pixiegirle #StopSIM 🏴🇪🇺 @pixiegirle @Keirwales I think many OTs are critical of this, but many may not realise the values and assumptions underpinning health as a work outcome policy #otalk |
| Keir Harding @Keirwales What do you see that’s different Tori? And why the change? #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT @laurafcliff @Keirwales My family- I know it took 4 years for them to accept the good of me having autism- but that’s because I have accomplishments to prove them wrong! #otalk |
| Keir Harding @Keirwales RT @Ruth_Hawley: @Keirwales As NQOT on acute mental health wards in 90’s on occasions in disparaging ways about individuals with diagnoses of personality disorder. Was v confusing at the time how people would say of people in obvious distress “no evidence of mental illness” #OTalk |
| Keir Harding @Keirwales RT @pixiegirle: @Keirwales Now your pushing me 🤣 well an example now would be work as a health outcome #otalk in an age of austerity & conservative gov, the profession needs to continue to justify its existence & claim expertise in delivering government policy unquestionably #otalk |
| Ruth Hawley @Ruth_Hawley @Keirwales Now can see that that statement “no evidence of mental illness" can be understood in more nuanced ways than I did at the time. Like with many things at the time, #stigma is perceived not just with WHAT said but HOW it is said. #OTalk |
| Teoh Jou Yin @teohjouyin @pixiegirle @Keirwales Occupational Therapy in Malaysia started with an institutionalised community of people with leprosy. #OTalk |
| Tori the OT @Tori_Doll_ @Keirwales @pixiegirle As pts progress to MSU/LSU they will reengage in the community external to the secure ‘community’. Very different social experience ... may even be required to disclose risks, history, info re diagnosis in order to engage in certain opportunities (college, volunteering) #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @Ruth_Hawley: @Keirwales Now can see that that statement “no evidence of mental illness" can be understood in more nuanced ways than I did at the time. Like with many things at the time, #stigma is perceived not just with WHAT said but HOW it is said. #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @pixiegirle: @Keirwales I think many OTs are critical of this, but many may not realise the values and assumptions underpinning health as a work outcome policy #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @colourful_ot: @Keirwales To be fair, stigma/discrimination *were* covered quite a bit in my course but it was more as context to be aware of rather than an area where we can directly intervene #OTalk |
| Teoh Jou Yin @teohjouyin @pixiegirle @Keirwales Discussion around why people with disabilities were institutionalised is a great way to introduce the concept of stigma. #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @Ruth_Hawley: @Keirwales As NQOT on acute mental health wards in 90’s on occasions in disparaging ways about individuals with diagnoses of personality disorder. Was v confusing at the time how people would say of people in obvious distress “no evidence of mental illness” #OTalk |
| Keir Harding @Keirwales @pixiegirle Do you think OT’s need to be more political? Policy has a huge effect on the environment around people? Eg Ill/srcounger. #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @Tori_Doll_: @Keirwales Raises the importance of engaging in & advocating supervision, debriefs, formulation meetings etc. Additionally promoting a culture of trauma informed care. I noticed a huge shift in staff perception of pts histories/behaviours/risks following attendance to TIC training #OTalk |
| Keir Harding @Keirwales RT @pixiegirle: @Keirwales I think many OTs are critical of this, but many may not realise the values and assumptions underpinning health as a work outcome policy #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @Tori_Doll_: @Keirwales @pixiegirle As pts progress to MSU/LSU they will reengage in the community external to the secure ‘community’. Very different social experience ... may even be required to disclose risks, history, info re diagnosis in order to engage in certain opportunities (college, volunteering) #OTalk |
| #OTalk @OTalk_ Question 2 #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @teohjouyin: @pixiegirle @Keirwales Discussion around why people with disabilities were institutionalised is a great way to introduce the concept of stigma. #OTalk |
| Keir Harding @Keirwales @pixiegirle What’s a solution? #otalk |
| Teoh Jou Yin @teohjouyin @pixiegirle @Keirwales My students, in the course of their own studies, learnt to examine their own attitudes towards ppl w/ various conditions #OTalk |
| Ruth Hawley @Ruth_Hawley @katebinnington @Keirwales Expectations based on diagnosis a pet hate. #OTalk. Thankfully people surprise us in positive ways often. |
| Keir Harding @Keirwales @Ruth_Hawley What do think it meant? #otalk |
| Pixiegirle #StopSIM 🏴🇪🇺 @pixiegirle @teohjouyin @Keirwales Wow yes - so in Malaysia you are well aware of stigma, exclusion & discrimination because it’s your history #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT @Keirwales @pixiegirle I think so. We can help bridge society’s gaps in that regard. #otalk |
| Pixiegirle #StopSIM 🏴🇪🇺 @pixiegirle RT @teohjouyin: @pixiegirle @Keirwales Discussion around why people with disabilities were institutionalised is a great way to introduce the concept of stigma. #OTalk |
| Teoh Jou Yin @teohjouyin @pixiegirle @Keirwales Which also includes checking their own stigma towards such people. #OTalk |
| Pixiegirle #StopSIM 🏴🇪🇺 @pixiegirle @Keirwales YES I do! #otalk |
| Claire Murphy @DrClaireMurphy @Ruth_Hawley @Keirwales I've recently joined a cmht and was shocked at the way people with diagnosis of a personality disorder were spoken about. And that exact phrase is regularly used. Within mental health service this group of people seem stigmatised by the service itself #otalk |
| Keir Harding @Keirwales @Tori_Doll_ @pixiegirle Linked with some of Bethans ideas, that jump from nurturing to rugged individualism is far more painful than it needs to be #otalk |
 | KIRSTY OT @KIRSTY_OT @Keirwales Absolutely... I hear this so much with staff and ex-prisoners #OTalk |
| Keir Harding @Keirwales RT @teohjouyin: @pixiegirle @Keirwales My students, in the course of their own studies, learnt to examine their own attitudes towards ppl w/ various conditions #OTalk |
| Pixiegirle #StopSIM 🏴🇪🇺 @pixiegirle @Keirwales We need to be encouraged when we train to evaluate the underpinning values inherent in policy & legislation #otalk |
| Ruth Hawley @Ruth_Hawley @Keirwales Good question! #OTalk. Hopefully some ideas will emerge across the discussion this evening. |
| Tori the OT @Tori_Doll_ @Keirwales @pixiegirle .. in light of this, they may be exposed to (in)direct discrimination/stigma. Something they may have been protected from in the HS environment. A unique part of our role is to prepare pts for this, improve social skills, strengthen social network & develop coping skills #OTalk |
| Keir Harding @Keirwales RT @Ruth_Hawley: @katebinnington @Keirwales Expectations based on diagnosis a pet hate. #OTalk. Thankfully people surprise us in positive ways often. |
| Keir Harding @Keirwales RT @pixiegirle: @Keirwales YES I do! #otalk |
| Pixiegirle #StopSIM 🏴🇪🇺 @pixiegirle @Incredhead @Ruth_Hawley @Keirwales Totally. It’s despicable #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT Another form of stigma I sometimes see- some of us are not receptive to constructive opinions regarding identity first vs. person first issue. It is an issue that is going in for decades and some communities prefer IFL. #otalk |
| #OTalk @OTalk_ Have others experience this? #otalk does the service people are using stigmatised them? |
| Teoh Jou Yin @teohjouyin @pixiegirle @Keirwales Oh I live discrimination. Here there is a public uni which only admits ppl from the majority ethnic group #OTalk |
| Jo Collier @MassDecoration @Keirwales @pixiegirle I think we do definitely. I think we have also ignored the occupation of protest and pushing for wider change. Perhaps by emphasising our pragmatic side that encourages adaption over change #OTalk |
| Teoh Jou Yin @teohjouyin @pixiegirle @Keirwales The programme I taught was full of minority ethnic students. Hence we had a very strong social justice focus. We all lived this. #OTalk |
| Pixiegirle #StopSIM 🏴🇪🇺 @pixiegirle RT @OTalk_: Have others experience this? #otalk does the service people are using stigmatised them? |
| Keir Harding @Keirwales How else is that stgma played out? What’s said and not said? Done and not done? #otalk |
| Keir Harding @Keirwales RT @KIRSTY_OT: @Keirwales Absolutely... I hear this so much with staff and ex-prisoners #OTalk |
| Keir Harding @Keirwales RT @pixiegirle: @Keirwales We need to be encouraged when we train to evaluate the underpinning values inherent in policy & legislation #otalk |
| Ruth Hawley @Ruth_Hawley @Incredhead @Keirwales Not acceptable. I think some positive progress has occurred during my working career but problem remains. #OTalk |
| K-OT (she, her) 💙 @kalessandram @Keirwales I think we are but i think because social environments its less tangible than physical environments its harder to challenge and change, it is perceived as being more subjective and personal when questioning and raising. #otalk |
| Keir Harding @Keirwales RT @Ruth_Hawley: @Incredhead @Keirwales Not acceptable. I think some positive progress has occurred during my working career but problem remains. #OTalk |
| Kate Tudor @OT_KateT @Keirwales There's so many layers of stigma within mental health - general population's understanding of any MH; diagnosis specific labels and their interpretation; the word "traits"; the judgement issued on anyone with drug/alcohol issues etc etc etc #OTalk |
| Pixiegirle #StopSIM 🏴🇪🇺 @pixiegirle RT @MassDecoration: @Keirwales @pixiegirle I think we do definitely. I think we have also ignored the occupation of protest and pushing for wider change. Perhaps by emphasising our pragmatic side that encourages adaption over change #OTalk |
| Tori the OT @Tori_Doll_ @Keirwales I think there has been a shift in MH services in recent years to move towards TIC - staff now view pts in a different light, in terms of their upbringing (ACES) etc. #OTalk |
| Carolina C 🏳️🌈 @colourful_ot @Ruth_Hawley @Keirwales I noticed this on placement, it was striking how much of a difference there could be between the way different people were talked about depending on their diagnosis (or "emerging" or "suspected" diagnosis) #OTalk |
| Sophie Maynard @SophieMaynard8 @Ruth_Hawley @Keirwales @katebinnington Yes! in stroke, certain presentations are expected for certain types of stroke and patients can be accused of being "functional" if it doesn't fit...usually to find that their MRI shows more extensive damage that first diagnosed #otalk |
| Keir Harding @Keirwales @kalessandram So 1 It’s hard to notice 2 Its hard to change I wonder if people feel confident they can have an impact #Otalk |
| Pixiegirle #StopSIM 🏴🇪🇺 @pixiegirle @OT_KateT @Keirwales Yes don’t get me started on ‘traits’. We all know what that means! #otalk |
| Teoh Jou Yin @teohjouyin @BillWongOT I hate it when OTs get defensive about this and send journal articles trying to justify their insistence on person-first ONLY #OTalk |
| Keir Harding @Keirwales Question 3- What is the impact of stigma on those we are supposed to care for? #Otalk |
| Claire Murphy @DrClaireMurphy @Keirwales Thinking of a couple examples from young adults Im working with who were fearful of returning to work in case people had found out why they were off. And experiencing bullying via social media from "friends" about their mental illness #otalk |
| Teoh Jou Yin @teohjouyin @Tori_Doll_ @Keirwales What is TIC? #OTalk |
| Keir Harding @Keirwales 3 What is the impact of stigma on those we are supposed to care for? #Otalk |
| Ruth Hawley @Ruth_Hawley @colourful_ot @Keirwales A good reason to find alternatives to diagnosis when possible. Labels that get attached are inherently linked with #stigma #OTalk |
| Sophie Maynard @SophieMaynard8 @Ruth_Hawley @Keirwales Unfortunately this isn't a thing of the past, there is still a huge amount of stigma for those who are diagnosed with a personality disorder #otalk |
| Teoh Jou Yin @teohjouyin @Tori_Doll_ @Keirwales I read somewhere about a quote that trauma informed care is incomplete w/out social justice informed approaches. #OTalk |
| Teoh Jou Yin @teohjouyin @Keirwales So difficult to navigate these issues sometimes. One has to grapple with oneself first. #OTalk |
| Keir Harding @Keirwales @colourful_ot @Ruth_Hawley And that attitude has a profound effect on people. The difference between an optimistic and pessimistic worker is likely to be the main factor in their effectiveness. #otalk |
| Alresford Bear and the Town Mill Teddy Posse @AlresfordBear Being defined as a collective *looks at camera* #OTalk |
| Carolina C 🏳️🌈 @colourful_ot @Keirwales Stigma can make people's behaviour be misinterpreted, pathologised or framed in a negative way (like seeing someone as trying to manipulate professionals as opposed to just getting along better with some professionals than others) #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT @Keirwales Impact of not being open to hearing feedback on using IFL in certain situations- it is not a good representation of what we are supposed to be as a profession. #otalk |
 | Ms Rachel Booth-Gardiner 💚 @OT_rach I was at a event last week where the key note speaker referred to ‘service users’ as ‘treatment resistant’? This in itself stigmatises people! Are people treatment resistant? Or have we just not found the right treatment? #otalk @salbod1985 (tonight’s #otalk might interest you) |
| Ruth Hawley @Ruth_Hawley @colourful_ot @Keirwales And so reflective of how societal views impact on our perceptions of what a diagnosis means. #stigma in action. #OTalk |
| Teoh Jou Yin @teohjouyin @Keirwales What? We're at 3 already?? #Otalk |
| Carolina C 🏳️🌈 @colourful_ot RT @OT_KateT: @Keirwales There's so many layers of stigma within mental health - general population's understanding of any MH; diagnosis specific labels and their interpretation; the word "traits"; the judgement issued on anyone with drug/alcohol issues etc etc etc #OTalk |
| Jo Collier @MassDecoration @OT_KateT @Keirwales 2. No one seems to be able to address their needs and collaboration between services is problematic. Perhaps this is stigma in action #Otalk |
| Keir Harding @Keirwales @pixiegirle @OT_KateT What does it mean - in terms of how the environment changes when that terminology is around? #otalk |
| #OTalk @OTalk_ RT @OT_rach: I was at a event last week where the key note speaker referred to ‘service users’ as ‘treatment resistant’? This in itself stigmatises people! Are people treatment resistant? Or have we just not found the right treatment? #otalk @salbod1985 (tonight’s #otalk might interest you) |
| Tori the OT @Tori_Doll_ @Keirwales I often think the pts I work with have somehow been rejected from society, they then go for “treatment” and then potentially they feel rejected all over again at the other end when they are faced with stigma. There is this perception that some how they can’t win. #OTalk #Stigma |
| Sophie Maynard @SophieMaynard8 @Keirwales Stigmas can make access to support and services difficult #otalk |
| Teoh Jou Yin @teohjouyin @AbdMydin I know you are asleep but you may want to check this out and respond later haha |
| Bill Wong, OTD, OTR/L @BillWongOT RT @SophieMaynard8: @Keirwales Stigmas can make access to support and services difficult #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @Tori_Doll_: @Keirwales I often think the pts I work with have somehow been rejected from society, they then go for “treatment” and then potentially they feel rejected all over again at the other end when they are faced with stigma. There is this perception that some how they can’t win. #OTalk #Stigma |
| #OTalk @OTalk_ Question 3 #OTalk |
| Keir Harding @Keirwales @teohjouyin @Tori_Doll_ trauma informed care :-) #otalk |
 | tricia long🦋🌹💙 @TrishaL8 RT @Incredhead: @Ruth_Hawley @Keirwales I've recently joined a cmht and was shocked at the way people with diagnosis of a personality disorder were spoken about. And that exact phrase is regularly used. Within mental health service this group of people seem stigmatised by the service itself #otalk |
| K-OT (she, her) 💙 @kalessandram @Keirwales There is sometimes a sense of people making a choice to where they have ended up when needing services and therefore it is implied their need isn't as deserved as someone who didn't choose. Really unhelpful and depressing perpectives. Need to challenge #otalk |
| Keir Harding @Keirwales Should OTs do away with diagnosis? Do labels only harm? #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT Stigma can also prevent people who need help seek help! #OTalk |
| Claire Murphy @DrClaireMurphy @Keirwales People may be discharged because no axis 1 diagnosis. No current DBT service so told the cmht cannot offer any intervention. Burnout among staff members. Frustration understandably from service users. Lack of hope for some. Often trauma informed care is absent #otalk |
| Keir Harding @Keirwales RT @colourful_ot: @Keirwales Stigma can make people's behaviour be misinterpreted, pathologised or framed in a negative way (like seeing someone as trying to manipulate professionals as opposed to just getting along better with some professionals than others) #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @kalessandram: @Keirwales There is sometimes a sense of people making a choice to where they have ended up when needing services and therefore it is implied their need isn't as deserved as someone who didn't choose. Really unhelpful and depressing perpectives. Need to challenge #otalk |
| tricia long🦋🌹💙 @TrishaL8 RT @Keirwales: I see my client group both excluded from services and on the end of massive restriction. I also hear staff talk about them as less deserving than other service users. #Otalk |
| Keir Harding @Keirwales RT @BillWongOT: @Keirwales Impact of not being open to hearing feedback on using IFL in certain situations- it is not a good representation of what we are supposed to be as a profession. #otalk |
| Teoh Jou Yin @teohjouyin @pixiegirle @Keirwales And you know what? The irony is that we have the opportunity to be, but most OTs prefer to skirt around the issue. #OTalk |
| Keir Harding @Keirwales @BillWongOT I think we’re all useless if we stop listening #otalk |
| Keir Harding @Keirwales RT @OT_rach: I was at a event last week where the key note speaker referred to ‘service users’ as ‘treatment resistant’? This in itself stigmatises people! Are people treatment resistant? Or have we just not found the right treatment? #otalk @salbod1985 (tonight’s #otalk might interest you) |
| Keir Harding @Keirwales RT @Ruth_Hawley: @colourful_ot @Keirwales And so reflective of how societal views impact on our perceptions of what a diagnosis means. #stigma in action. #OTalk |
| Keir Harding @Keirwales RT @MassDecoration: @OT_KateT @Keirwales 2. No one seems to be able to address their needs and collaboration between services is problematic. Perhaps this is stigma in action #Otalk |
 | Derek McCabe @DerekMcCabe9 RT @OT_rach: I was at a event last week where the key note speaker referred to ‘service users’ as ‘treatment resistant’? This in itself stigmatises people! Are people treatment resistant? Or have we just not found the right treatment? #otalk @salbod1985 (tonight’s #otalk might interest you) |
| Ruth Hawley @Ruth_Hawley @Tori_Doll_ @Keirwales And can then be judged for how they respond compounding the problem. Vicious cycle. #OTalk |
| Teoh Jou Yin @teohjouyin @pixiegirle @Keirwales Despite its inclusion into our curricula as per WFOT standards, I actually think many OT educators are unable to teach social justice #OTalk |
| Derek McCabe @DerekMcCabe9 RT @Keirwales: Should OTs do away with diagnosis? Do labels only harm? #otalk |
| Teoh Jou Yin @teohjouyin @pixiegirle @Keirwales Even people who claim to have done PhD research on social justice may not actually be able to practice it #Otalk |
| Pixiegirle #StopSIM 🏴🇪🇺 @pixiegirle RT @OT_rach: I was at a event last week where the key note speaker referred to ‘service users’ as ‘treatment resistant’? This in itself stigmatises people! Are people treatment resistant? Or have we just not found the right treatment? #otalk @salbod1985 (tonight’s #otalk might interest you) |
| Keir Harding @Keirwales RT @kalessandram: @Keirwales There is sometimes a sense of people making a choice to where they have ended up when needing services and therefore it is implied their need isn't as deserved as someone who didn't choose. Really unhelpful and depressing perpectives. Need to challenge #otalk |
 | Sarah P. Hancock, MS, CRC ♿ @PsychRecovery @Ruth_Hawley @Keirwales #Stigma is but a kind name for #Discrimination against those who live w/ Sx of #mentalillness. It's entirely social & environmental. It's worse among #MentalHealth professionals working in acute care situations bc they only get to see ppl at their worst. #Otalk |
| Pixiegirle #StopSIM 🏴🇪🇺 @pixiegirle @Keirwales We don’t diagnose #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @PsychRecovery: @Ruth_Hawley @Keirwales #Stigma is but a kind name for #Discrimination against those who live w/ Sx of #mentalillness. It's entirely social & environmental. It's worse among #MentalHealth professionals working in acute care situations bc they only get to see ppl at their worst. #Otalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @teohjouyin: @pixiegirle @Keirwales Even people who claim to have done PhD research on social justice may not actually be able to practice it #Otalk |
| Keir Harding @Keirwales @BillWongOT Sounds like it can also make the help pretty unhelpful!!! #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @teohjouyin: @pixiegirle @Keirwales Despite its inclusion into our curricula as per WFOT standards, I actually think many OT educators are unable to teach social justice #OTalk |
| K-OT (she, her) 💙 @kalessandram @Keirwales Excluding people who are seeking support, preventing them from coming back to service #otalk |
| Keir Harding @Keirwales RT @Incredhead: @Keirwales People may be discharged because no axis 1 diagnosis. No current DBT service so told the cmht cannot offer any intervention. Burnout among staff members. Frustration understandably from service users. Lack of hope for some. Often trauma informed care is absent #otalk |
| Pixiegirle #StopSIM 🏴🇪🇺 @pixiegirle @Incredhead @Keirwales But this is political - we should be shouting from the roof tops about lack of funding #otalk |
 | Somia Jan @SomiaOT @Keirwales Stigmas in perinatal mental health leave the service users feeling isolated as they are reluctant to talk about how they are truly feeling, which can lead to crisis before interventions are offered #OTalk |
| Teoh Jou Yin @teohjouyin Absolutely! I have seen the way some health professionals talk about their pts. Who would want to see u if u talk abt them like that? #OTalk |
| Keir Harding @Keirwales @Incredhead It’s as if without specialist training, staff have nothing to offer. Being discharged is more helpful than being in the service. How have we got here? #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT @Keirwales We need to change perceptions that seeking help is not a sign of weakness! #otalk |
| Tori the OT @Tori_Doll_ @Ruth_Hawley @Keirwales Definitely - it’s almost a perpetuating cycle of rejection. We run a group to gradually prepare/expose pts to stigma. However, I feel more can be done on a wider scale to reduce the stigma overall #OTalk |
| Claire Murphy @DrClaireMurphy @Tori_Doll_ @Keirwales Unfortunately not enough of a shift towards trauma informed care everywhere #otalk |
| Ruth Hawley @Ruth_Hawley @Keirwales Another good question. In my opinion, others available, OT’s with our OT lens often pay more attention to functioning than diagnosis which I think is helpful and more person centred. Labels can also be positive source of information and access point to support/ resources #OTalk |
| #OTalk @OTalk_ RT @Keirwales: Should OTs do away with diagnosis? Do labels only harm? #otalk |
| Keir Harding @Keirwales RT @PsychRecovery: @Ruth_Hawley @Keirwales #Stigma is but a kind name for #Discrimination against those who live w/ Sx of #mentalillness. It's entirely social & environmental. It's worse among #MentalHealth professionals working in acute care situations bc they only get to see ppl at their worst. #Otalk |
| Pixiegirle #StopSIM 🏴🇪🇺 @pixiegirle @Keirwales @Incredhead Yes this. It’s a massive injustice - discharge because no appropriate services is wrong & harmful - blames the person for not having the ‘right’ condition #otalk which is stigma manifest. |
| Bill Wong, OTD, OTR/L @BillWongOT @teohjouyin Or sometimes having preconceived notions about their students if they share that they need reasonable accommodations for school work. #otalk |
| Keir Harding @Keirwales Are OT’s any more or less cilpable in this? #otalk |
| Teoh Jou Yin @teohjouyin @Incredhead @Tori_Doll_ @Keirwales Still something quite new to the OT profession I think #OTalk |
| Jo Collier @MassDecoration @pixiegirle @Keirwales In my area of work it can be useful to know the diagnosis but it risks becoming prescriptive and constraining individuality. I tend to work with what I see rather than knowledge about what part of the brain was injured #Otalk |
| Kate Tudor @OT_KateT @Keirwales Labels can be helpful when used wisely. Lots of people want a diagnosis and find it reassuring, even with a big mental health uncertainty caveat However, as an OT, diagnosis does not define the occupational needs and is only one piece of information in my work with someone #OTalk |
| Keir Harding @Keirwales @pixiegirle Ah but we choose how we respond to the label we are given. #otalk |
| Ruth Hawley @Ruth_Hawley @pixiegirle @Keirwales Good point. #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @Tori_Doll_: @Ruth_Hawley @Keirwales Definitely - it’s almost a perpetuating cycle of rejection. We run a group to gradually prepare/expose pts to stigma. However, I feel more can be done on a wider scale to reduce the stigma overall #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @SomiaOT: @Keirwales Stigmas in perinatal mental health leave the service users feeling isolated as they are reluctant to talk about how they are truly feeling, which can lead to crisis before interventions are offered #OTalk |
| Tori the OT @Tori_Doll_ @Incredhead @Keirwales I know. There are pockets of a shift towards a Trauma Informed Care approach. @Mersey_Care seem to be leading the way at present! #OTalk |
 | Susan Griffiths @SusanGriffiths5 @Keirwales I think it the meaning that people attach to diagnosis/labels that decide whether it is helpful or harmful #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @kalessandram: @Keirwales Excluding people who are seeking support, preventing them from coming back to service #otalk |
| Keir Harding @Keirwales Question 4 - What is the impact on us and the staff we work with? #Otalk @OTalk_ |
| Pixiegirle #StopSIM 🏴🇪🇺 @pixiegirle @Keirwales Of course & my stance would be take any diagnosis with a ‘pinch of salt’. A diagnosis can change with every psychiatrist as person sees #otalk |
| Janet @janetregan3 @Keirwales Coming from background of supporting ppl with learning disabilities I think stigma leads to "them and us" mentality from support staff. Idea that people with LDs don't have same rights as staff. Stigma plays huge part in institutional abuse (Winterbourne View etc) #OTalk |
| Keir Harding @Keirwales RT @OT_KateT: @Keirwales Labels can be helpful when used wisely. Lots of people want a diagnosis and find it reassuring, even with a big mental health uncertainty caveat However, as an OT, diagnosis does not define the occupational needs and is only one piece of information in my work with someone #OTalk |
| Teoh Jou Yin @teohjouyin @PsychRecovery @Ruth_Hawley @Keirwales Stigma towards people with physical conditions is still there in some parts of the world too. Mental probably worse because invisible #OTalk |
| Keir Harding @Keirwales RT @MassDecoration: @pixiegirle @Keirwales In my area of work it can be useful to know the diagnosis but it risks becoming prescriptive and constraining individuality. I tend to work with what I see rather than knowledge about what part of the brain was injured #Otalk |
| Bill Wong, OTD, OTR/L @BillWongOT Sexual orientation is another one. Sometimes individuals with disabilities are also LGBTQ+. They may experience double doze of stigma from society. #otalk |
| Keir Harding @Keirwales Culpable even #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @teohjouyin: @PsychRecovery @Ruth_Hawley @Keirwales Stigma towards people with physical conditions is still there in some parts of the world too. Mental probably worse because invisible #OTalk |
| #OTalk @OTalk_ Question 4 #OTalk |
| Keir Harding @Keirwales RT @SusanGriffiths5: @Keirwales I think it the meaning that people attach to diagnosis/labels that decide whether it is helpful or harmful #OTalk |
| Claire Murphy @DrClaireMurphy @Keirwales Also fails to acknowledge the awful things that have happened to many people and once again they experience rejection and are effectively told you are so broken we cannot fix you #otalk |
| Teoh Jou Yin @teohjouyin @pixiegirle @Keirwales I once saw an OT who claimed to do a PhD on social justice say ppl shouldn't complain about discrimination they face on social media #Otalk |
| Keir Harding @Keirwales @pixiegirle Might need more than a pinch sometimes….#otalk |
| Somia Jan @SomiaOT @Keirwales We offer talks/ training sessions to existing services, this includes targeting physical health settings/ gps etc trying to make it everyone’s business to ask questions which hopefully start a conversation and ‘normalise’ perinatal mental health #OTalk |
| Keir Harding @Keirwales RT @janetregan3: @Keirwales Coming from background of supporting ppl with learning disabilities I think stigma leads to "them and us" mentality from support staff. Idea that people with LDs don't have same rights as staff. Stigma plays huge part in institutional abuse (Winterbourne View etc) #OTalk |
| Ruth Hawley @Ruth_Hawley @janetregan3 @Keirwales “Them and us” mentalities a big contributing factor to #stigma and unhelpful in building a productive therapeutic relationship and positive social environment #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT @Keirwales @OTalk_ My goal in my classrooms- I want my students to not only come away from the course knowledge they are supposed to learn, but also realize that I work hard to get to where I am today professionally. In a sense, I want them to reframe about autism narrative. #otalk |
| Teoh Jou Yin @teohjouyin @Keirwales @OTalk_ Impact of stigma on us as OTs you mean? #OTalk |
| Keir Harding @Keirwales @janetregan3 Thats what happens when you send people hundreds of miles from home. Everyone there knew they were out of sight, out of mind. Thats when the awful things happen…. #otalk |
| Keir Harding @Keirwales RT @Incredhead: @Keirwales Also fails to acknowledge the awful things that have happened to many people and once again they experience rejection and are effectively told you are so broken we cannot fix you #otalk |
| Teoh Jou Yin @teohjouyin RT @BillWongOT: Sexual orientation is another one. Sometimes individuals with disabilities are also LGBTQ+. They may experience double doze of stigma from society. #otalk |
| Teoh Jou Yin @teohjouyin RT @janetregan3: @Keirwales Coming from background of supporting ppl with learning disabilities I think stigma leads to "them and us" mentality from support staff. Idea that people with LDs don't have same rights as staff. Stigma plays huge part in institutional abuse (Winterbourne View etc) #OTalk |
| Keir Harding @Keirwales Q4 -Certainly in my early career it meant that I was useless a lot of the time. I was told nothing I could do would help someone and I believed it. #Otalk |
| KIRSTY OT @KIRSTY_OT Such a litany... So I believe that 'labelling' and negative language has a huge impact and makes staff less willing to work with individuals. When are we going to move away from these insinuations and stop defining people as what they dont want to be! #OTalk @Keirwales |
| Bill Wong, OTD, OTR/L @BillWongOT We don’t need our service users to experience double whammies! #otalk https://t.co/HGWtJQLe6N |
| Bill Wong, OTD, OTR/L @BillWongOT RT @KIRSTY_OT: Such a litany... So I believe that 'labelling' and negative language has a huge impact and makes staff less willing to work with individuals. When are we going to move away from these insinuations and stop defining people as what they dont want to be! #OTalk @Keirwales |
| Somia Jan @SomiaOT @Keirwales @OTalk_ It can be difficult to get service users to trust clinicians which can make providing treatment/ interventions challenging. This can also be timely whilst the trust is built, but I’ve found the outcome to be positive once we have that break through with service users 1/2 #OTalk |
| Carolina C 🏳️🌈 @colourful_ot @Keirwales @OTalk_ I find it harder to trust/get along with other health professionals who I hear talking about people in a way that perpetuates stigma; I could see that making teamwork a lot more difficult #OTalk |
| Keir Harding @Keirwales @Ruth_Hawley @janetregan3 You have to wonder if the them and us divide is what attracts some people into the profession. It’s great to feel powerful! #otalk |
| Susan Griffiths @SusanGriffiths5 @Keirwales @OTalk_ For me personally I get very frustrated as it can be hard to challenge or change the culture #OTalk |
| Keir Harding @Keirwales RT @BillWongOT: @Keirwales @OTalk_ My goal in my classrooms- I want my students to not only come away from the course knowledge they are supposed to learn, but also realize that I work hard to get to where I am today professionally. In a sense, I want them to reframe about autism narrative. #otalk |
| #OTalk @OTalk_ 15 minutes left guys!! #otalk https://t.co/dnuyQLzjgT |
| Jo Collier @MassDecoration @Keirwales @OTalk_ I think that challenging practice that supports rather than challenges stigma can be stressful and lonely #Otalk |
| Keir Harding @Keirwales @teohjouyin @OTalk_ OTs or individuals #otalk |
| Claire Murphy @DrClaireMurphy @KnightonStar @Ruth_Hawley @Keirwales Great quote. Definitely worth remembering this #otalk |
| Teoh Jou Yin @teohjouyin @Keirwales Oooh so that is what you mean. #OTalk |
| Ruth Hawley @Ruth_Hawley @Keirwales @OTalk_ Sadly. #Stigma can lead to cynicism, lack of compassion, mistrust, lack of hope, difficult therapeutic relationships and unhelpful attitudes amongst staff. #OTalk Possibly even contributes to staff burnout as focus all wrong and staff get frustrated? |
| Kate Tudor @OT_KateT @MassDecoration @Keirwales The picture is soooooo blurry in drugs/ psychosis and since drug and alcohol services have been outsourced in most areas I've worked, joined up care is really hard. #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @MassDecoration: @Keirwales @OTalk_ I think that challenging practice that supports rather than challenges stigma can be stressful and lonely #Otalk |
| Somia Jan @SomiaOT @Keirwales @OTalk_ I think having services users achieve their goals is the best reward, they often want to give back by volunteering and continuing supporting us break that stigma! 2/2 #OTalk |
| Keir Harding @Keirwales RT @KIRSTY_OT: Such a litany... So I believe that 'labelling' and negative language has a huge impact and makes staff less willing to work with individuals. When are we going to move away from these insinuations and stop defining people as what they dont want to be! #OTalk @Keirwales |
| Bill Wong, OTD, OTR/L @BillWongOT RT @SomiaOT: @Keirwales @OTalk_ It can be difficult to get service users to trust clinicians which can make providing treatment/ interventions challenging. This can also be timely whilst the trust is built, but I’ve found the outcome to be positive once we have that break through with service users 1/2 #OTalk |
| Teoh Jou Yin @teohjouyin What a great answer! #OTalk |
| Keir Harding @Keirwales @colourful_ot @OTalk_ What’s your response Carolina? #otalk |
| #OTalk @OTalk_ RT @Ruth_Hawley: @Keirwales @OTalk_ Sadly. #Stigma can lead to cynicism, lack of compassion, mistrust, lack of hope, difficult therapeutic relationships and unhelpful attitudes amongst staff. #OTalk Possibly even contributes to staff burnout as focus all wrong and staff get frustrated? |
| Keir Harding @Keirwales RT @SusanGriffiths5: @Keirwales @OTalk_ For me personally I get very frustrated as it can be hard to challenge or change the culture #OTalk |
| Tori the OT @Tori_Doll_ @Keirwales @OTalk_ 1/2 Just have to role model, role model, role model ... try to explore/challenge staff perceptions through group supervision, formulation & indivisible supervision. Identify & advocate pts strengths. #OTalk |
| Keir Harding @Keirwales RT @MassDecoration: @Keirwales @OTalk_ I think that challenging practice that supports rather than challenges stigma can be stressful and lonely #Otalk |
| Bill Wong, OTD, OTR/L @BillWongOT @SomiaOT @Keirwales @OTalk_ I know there are times when I comment about OT to autistic adults, they were wondering which side am I on? #otalk https://t.co/a3o5Fndtmi |
| Ruth Hawley @Ruth_Hawley @Keirwales Often limiting. Can ignite a fighting spirit but more often contributes to the challenges to be overcome. #OTalk |
 | Dr Carolynne White OT @Carolynne_OT @Keirwales As an example, weight stigma is socially produced by the way that certain bodies are idealised in our society, while larger bodies are disparaged in the media, and medicalised by health professionals and systems. Weight stigma is normalised, making it hard to challenge. #OTalk |
| Jo Collier @MassDecoration @OT_KateT @Keirwales The lack of joined up care and collaboration between services is an issue which perhaps affects marginalised groups more than others. Before tonight I hadn't considered its potental relationship with stigma #Otalk |
| Keir Harding @Keirwales So sometimes challenging stigma is challenging the entire organisational culture. That is HARD! (And you wont get much thanks!) #otalk |
| Tori the OT @Tori_Doll_ @Keirwales @OTalk_ 2/2 This can be draining don’t get me wrong, but our unique contribution as OTs in this is that we focus & build on individuals strengths & focus on recovery! We need to shout about this! #OTalk |
| Keir Harding @Keirwales RT @OT_KateT: @MassDecoration @Keirwales The picture is soooooo blurry in drugs/ psychosis and since drug and alcohol services have been outsourced in most areas I've worked, joined up care is really hard. #OTalk |
| Somia Jan @SomiaOT @BillWongOT @Keirwales @OTalk_ This can be difficult! I’m finding if they’ve had previous bad experiences all clinicians are the same which adds to both sides of frustration #OTalk |
| Teoh Jou Yin @teohjouyin @SomiaOT @Keirwales @OTalk_ Yes! Stigma makes the ppl we ought to serve not want to work with us! @AbdMydin and I are doing clinical ethics research on this! #OTalk |
| Janet @janetregan3 @Keirwales Yep, and I think that the reason that those people were (and many people, sadly, still are) sent so far away from home comes back around to stigma. Society somehow feels that it is OK to treat some groups of people like that. That is why challenging stigma is so vital #OTalk |
| Keir Harding @Keirwales @OT_KateT @MassDecoration As if peoples problems are compartmentalised, rather than all impacting on each other. #otalk |
| Kate Tudor @OT_KateT @MassDecoration @Keirwales Ditto! #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT @SomiaOT @Keirwales @OTalk_ ABA is actually a hot button issue in the autism community, for example. Many people are against it! #otalk |
| Keir Harding @Keirwales Last One!!! 5 How do we adapt the social environment to facilitate optimal functioning? How do we challenge stigma?Is this a core part of our role? #Otalk |
| Teoh Jou Yin @teohjouyin @SomiaOT @Keirwales @OTalk_ @AbdMydin Many patients and their families default because they don't appreciation the stigmatization #OTalk |
| Keir Harding @Keirwales RT @SomiaOT: @BillWongOT @Keirwales @OTalk_ This can be difficult! I’m finding if they’ve had previous bad experiences all clinicians are the same which adds to both sides of frustration #OTalk |
| Ruth Hawley @Ruth_Hawley @SophieMaynard8 @Keirwales True. Only have to think of recent news article re stress in pregnancy and personality disorder. Also true for many other experiences too, not just isolated to mental health or personality disorder. #OTalk |
| #OTalk @OTalk_ Question 5 #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT @SomiaOT @Keirwales @OTalk_ Applied behavior analysis #otalk |
| Teoh Jou Yin @teohjouyin @SomiaOT @Keirwales @OTalk_ @AbdMydin When I come across these incidences, I go "what's the point? Why be a health professional in the first place?" #OTalk |
| Rachel OT @_rachelOT @Keirwales @OTalk_ In addition to all of the relevant points made by others here.. it stops us from growing and developing as professionals - when we stop exploring what is "just behaviour" we stop being interested, striving to 'help' and working creatively (pt1) #otalk |
| Keir Harding @Keirwales RT @_rachelOT: @Keirwales @OTalk_ In addition to all of the relevant points made by others here.. it stops us from growing and developing as professionals - when we stop exploring what is "just behaviour" we stop being interested, striving to 'help' and working creatively (pt1) #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT @Keirwales I think I challenge stigma every day when I step into the OT classroom as an instructor. #otalk |
| Teoh Jou Yin @teohjouyin @Keirwales Start with ourselves so that we can role model to others! #OTalk |
| Somia Jan @SomiaOT @BillWongOT @Keirwales @OTalk_ Ahhhh thank you! I am useless with abbreviations! How do you overcome this or do you change your approach? #OTalk |
 | Mary O'Kane @Mpmok Just spotted that #Otalk tweet chat is on #stigma. Looking forward to catching up on it |
| Claire Murphy @DrClaireMurphy @GemstoneLass @Keirwales I've heard of people being told they did not meet the criteria for DBT or were not being prioritised as well with no other options being offered. #otalk |
| Keir Harding @Keirwales So one thing we can do is pounce on use of language. Dont let any “It’s just….” go by without challenge. Amazing how quickly these opinions crumble when light is shined on them #otalk |
 | Doctor Who(da) @SameiHuda RT @OT_KateT: @Keirwales Labels can be helpful when used wisely. Lots of people want a diagnosis and find it reassuring, even with a big mental health uncertainty caveat However, as an OT, diagnosis does not define the occupational needs and is only one piece of information in my work with someone #OTalk |
| #OTalk @OTalk_ 5 Minute warning to the end of the official #OTalk hour... What are you take away thoughts? CPD action plans? https://t.co/sbiAQcePJX |
| Bill Wong, OTD, OTR/L @BillWongOT @SomiaOT @Keirwales @OTalk_ I never experienced it. So I personally don’t want to join in the bandwagon until I know the facts and have experience with it. #otalk |
| Keir Harding @Keirwales RT @BillWongOT: @Keirwales I think I challenge stigma every day when I step into the OT classroom as an instructor. #otalk |
| K-OT (she, her) 💙 @kalessandram @Keirwales Yes if people feel more confident can have an impact but equally if feel will make an impact will increase confidence #otalk |
| Teoh Jou Yin @teohjouyin @Keirwales @OTalk_ The discussion today made me very angry hahaha #OTalk |
| Keir Harding @Keirwales So we can role model. We can be the change we want to see in the world. #Otalk |
| Dr Carolynne White OT @Carolynne_OT @Tori_Doll_ @Ruth_Hawley @Keirwales This is especially true for weight stigma where people with larger bodies are reprimanded for not exercising enough, but when they do, they face barriers in restricted clothing sizes and often face judgement and mocking, which is a deterrent to being active in public. #OTalk |
| KIRSTY OT @KIRSTY_OT @Keirwales @OTalk_ Can be really hard in the prison setting when some staff see you as 'pink & fluffy' and like to remind you that the men are 'prisoners'. Always try to promote #valueofOT and reaffirm the difference OT can make - our mutual goal here should be to reduce recidivism #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT @SomiaOT @Keirwales @OTalk_ As an OT, I don’t want to jump into bandwagons too quickly in autism community goes. I don’t think that looks good on me. #otalk |
| Ruth Hawley @Ruth_Hawley @Keirwales Love this question, #OTalk so future and positive focused. Think doing all we can to create and facilities communities of trust, openess, compassion and respect. This can include highlighting and fighting against injustice. |
| Keir Harding @Keirwales @teohjouyin @OTalk_ Success!! #otalk |
| Keir Harding @Keirwales RT @Carolynne_OT: @Tori_Doll_ @Ruth_Hawley @Keirwales This is especially true for weight stigma where people with larger bodies are reprimanded for not exercising enough, but when they do, they face barriers in restricted clothing sizes and often face judgement and mocking, which is a deterrent to being active in public. #OTalk |
| Claire Murphy @DrClaireMurphy RT @teohjouyin: @Keirwales Start with ourselves so that we can role model to others! #OTalk |
| Claire Murphy @DrClaireMurphy RT @Ruth_Hawley: @Keirwales Love this question, #OTalk so future and positive focused. Think doing all we can to create and facilities communities of trust, openess, compassion and respect. This can include highlighting and fighting against injustice. |
| #OTalk @OTalk_ Don’t forget that # in all your tweets so that people can see what you’re saying. #otalk |
 | Susan Madigan OT @SusanMadigan3 RT @Incredhead: @Ruth_Hawley @Keirwales I've recently joined a cmht and was shocked at the way people with diagnosis of a personality disorder were spoken about. And that exact phrase is regularly used. Within mental health service this group of people seem stigmatised by the service itself #otalk |
| Teoh Jou Yin @teohjouyin Nice! #OTalk instead of just accepting our own perception / misconception, seek to better understand the phenomenon |
| Keir Harding @Keirwales @KIRSTY_OT @OTalk_ With the implication that they should be treated badly! That always makes me feel more valued and less angry. #otalk. |
| Kate Tudor @OT_KateT @Keirwales @MassDecoration 😂😂😂 Here's my depression box ◼ here's my 'behaviour' box 🔷️ here's my alcohol box 🔶️ here's my physical health box 💠 Let alone my finances box, social networks box, housing box, work box, etc etc etc #OTalk |
| Somia Jan @SomiaOT @Keirwales Persistence, keep chipping away at professionals, friends, family we have to get people talking about stigmas! It’s not easy but I think it’s so important and it’s everyone’s role! Education is key for me #OTalk |
| Keir Harding @Keirwales RT @Ruth_Hawley: @Keirwales Love this question, #OTalk so future and positive focused. Think doing all we can to create and facilities communities of trust, openess, compassion and respect. This can include highlighting and fighting against injustice. |
| tricia long🦋🌹💙 @TrishaL8 RT @Keirwales: So one thing we can do is pounce on use of language. Dont let any “It’s just….” go by without challenge. Amazing how quickly these opinions crumble when light is shined on them #otalk |
| Keir Harding @Keirwales RT @OT_KateT: @Keirwales @MassDecoration 😂😂😂 Here's my depression box ◼ here's my 'behaviour' box 🔷️ here's my alcohol box 🔶️ here's my physical health box 💠 Let alone my finances box, social networks box, housing box, work box, etc etc etc #OTalk |
| Keir Harding @Keirwales @OT_KateT @MassDecoration Holistic practice anyone? #otalk |
| Susan Griffiths @SusanGriffiths5 @Keirwales Challenging stigma should be part of everyone role regardless of what profession we are or where we work. #OTalk |
| tricia long🦋🌹💙 @TrishaL8 RT @janetregan3: @Keirwales Coming from background of supporting ppl with learning disabilities I think stigma leads to "them and us" mentality from support staff. Idea that people with LDs don't have same rights as staff. Stigma plays huge part in institutional abuse (Winterbourne View etc) #OTalk |
| Susan Madigan OT @SusanMadigan3 RT @Incredhead: @Keirwales People may be discharged because no axis 1 diagnosis. No current DBT service so told the cmht cannot offer any intervention. Burnout among staff members. Frustration understandably from service users. Lack of hope for some. Often trauma informed care is absent #otalk |
| Ruth Hawley @Ruth_Hawley @Keirwales Also found it fascinating when studied aspects of stigma during my MSc that often the ways we try and protect ourselves from personal #stigma eg by keeping things private and not disclosing are part of the mechanisms that keep public stigma entrenched. #OTalk |
| Teoh Jou Yin @teohjouyin @Carolynne_OT @Tori_Doll_ @Ruth_Hawley @Keirwales Yes I worked a lot with people with these issues. A huge part of my success I believe was that my interactions showed I didn't judge #OTalk |
| Carolina C 🏳️🌈 @colourful_ot @Keirwales I think we can change the social environment by being involved in social justice causes outside of occupational therapy (which is why my Twitter feed is a bit of a mixture of OT-specific stuff and LGBT rights/disability rights stuff) #OTalk |
| Rachel OT @_rachelOT @Keirwales @OTalk_ pt2 I have worked with people who don't communicate verbally & spent a lot of time dissecting behaviour to provide better support. When we work with people who can communicate clearly about how they think & feel, I don't know why we don't just ask questions more often #otalk |
| Teoh Jou Yin @teohjouyin @Carolynne_OT @Tori_Doll_ @Ruth_Hawley @Keirwales Actions speak louder than words. Even if a clinician claims "they treat everybody equally the same" via body language etc ppl know #OTalk |
| KIRSTY OT @KIRSTY_OT @Keirwales @OTalk_ Good way to look at it :) #OTalk |
| Keir Harding @Keirwales I like to remind people of the Shining Lights document produced by mind where people with the diagnosis of personality disorder said they hated the term. I preface a lot of training with saying that we’re going to listen to what they told us. #otalk |
| Dr Carolynne White OT @Carolynne_OT @Keirwales We can begin challenging stigma by reflecting on our biases and assumptions and where they come from. As a humanistic profession, OTs can uphold the inherent worth of all people we work with and ensure they are treated with dignity and respect. #OTalk |
| K-OT (she, her) 💙 @kalessandram @Keirwales We need to challenge, reflect and question and not assume. Cant do this as an isolated voice but collectively. Need to think about our impact and assumptions as part of this #otalk |
| #OTalk @OTalk_ Can We all thank @Keirwales for hosting this evenings #OTalk an excellent topic and some really helpful comments... much to reflect on. So why not do that using our reflections logs? https://t.co/Lqc3VPeI2H |
| Susan Griffiths @SusanGriffiths5 @Keirwales Education, training, supervision, role modelling, keeping up to date with EBP, always engaging in open discussion like this #OTalk |
| #OTalk @OTalk_ #OTalk 24th Sep 2019 – Spatial Inattention https://t.co/t8hW5nkiKt |
| #OTalk @OTalk_ That’s the 'official hour' for #OTalk is up, this is @OT_rach signing off the account, the transcript from this chat will be added to the blog later this week for you to download as CPD evidence. https://t.co/YBXt9a0TdI |
| #OTalk @OTalk_ Thank you for joining in tonight’s chat, Have you got 3 minutes to help us improve the #OTalk website? https://t.co/wWfzeKpyFy… |
| Keir Harding @Keirwales Maybe especially for us though? Experts in environmental adaption and all that…#otalk |
 | Raja Adnan Ahmed @drraja_ RT @Keirwales: I like to remind people of the Shining Lights document produced by mind where people with the diagnosis of personality disorder said they hated the term. I preface a lot of training with saying that we’re going to listen to what they told us. #otalk |
| Teoh Jou Yin @teohjouyin @goodfig73_g @Keirwales Yes fear is often a reason for stigmatising behaviour #OTalk |
| Teoh Jou Yin @teohjouyin Fear is often a reason for stigmatising behaviour #OTalk |
| Keir Harding @Keirwales “It’s time to talk about mental health” - but not mine. Only the people who are ill. #otalk |
| #OTalk @OTalk_ How can I just say well done to everyone for remembering the hashtag! Hardly anybody is on my naughty step! #otalk. - great chat! https://t.co/PCzHYxPKs1 |
| Keir Harding @Keirwales RT @colourful_ot: @Keirwales I think we can change the social environment by being involved in social justice causes outside of occupational therapy (which is why my Twitter feed is a bit of a mixture of OT-specific stuff and LGBT rights/disability rights stuff) #OTalk |
| Claire Murphy @DrClaireMurphy @GemstoneLass @Keirwales That is not an acceptable way to be treated but unfortunately your not alone in you're experience. Hope you got the support you needed in the end #otalk |
| Keir Harding @Keirwales RT @teohjouyin: @Carolynne_OT @Tori_Doll_ @Ruth_Hawley @Keirwales Actions speak louder than words. Even if a clinician claims "they treat everybody equally the same" via body language etc ppl know #OTalk |
| Jo Collier @MassDecoration @OTalk_ @Keirwales Cheers! Really thought provoking chat. Glad I semi-lurked!! #Otalk |
| Keir Harding @Keirwales @Carolynne_OT So that’s us as individuals…what can we do more broadly? #otalk |
| Ruth Hawley @Ruth_Hawley @Keirwales Them and us, strikes again #OTalk |
| Teoh Jou Yin @teohjouyin @colourful_ot @Keirwales But those *should* be part of occupational therapy. Otherwise it is an incomplete social justice we are practicing. #Otalk |
| Keir Harding @Keirwales @OTalk_ I played a perfect game! #otalk |
| #OTalk @OTalk_ The transcript of tonight‘s conversation will be added to the blog in the next few days! So watch this space and download it as a piece of CPD evidence! #otalk |
| Sarah P. Hancock, MS, CRC ♿ @PsychRecovery @Ruth_Hawley @Keirwales #OT can challenge #stigma by insisting of helping create a #RecoveryEnvironment through language choice & role modeling appropriate interactions w/ those who may be different. Treating all people w/ compassionate humanity. For more on Language use: https://t.co/KN16ozcCsF #Otalk https://t.co/myhLo1ql5s |
| Teoh Jou Yin @teohjouyin @colourful_ot @Keirwales Quizzed an OT student who told me "we learn a lot about social justice", she learnt *some* abt disability rights, that's not enough #OTalk |
| Dr Carolynne White OT @Carolynne_OT @Keirwales I agree. Our models look at the social, cultural and institutional environments, but often we only focus on the physical environment. Our training in occupational science incorporates knowledge from sociology. OT is well placed to address stigma via the social environment. #OTalk |
| Keir Harding @Keirwales Plenty more discussion like this at the study day in 2 weeks. Do come along. #otalk https://t.co/t0xUa4fIGh |
| Keir Harding @Keirwales RT @Carolynne_OT: @Keirwales I agree. Our models look at the social, cultural and institutional environments, but often we only focus on the physical environment. Our training in occupational science incorporates knowledge from sociology. OT is well placed to address stigma via the social environment. #OTalk |
| Ruth Hawley @Ruth_Hawley @Keirwales Challenging #stigma should definitely be core part of #OccupationalTherapy role #OTalk |
| #OTalk @OTalk_ See you next week on Tuesday 8pm with Ailie Turton and Louise Clark who will be hosting the chat from the @RCOT_NP account (RCOT Specialist session for Neurologic Practice.) Here’s what they have to say, #otalk |
| Teoh Jou Yin @teohjouyin @OTalk_ Thank you @Keirwales for the very engaging session! #OTalk |
| Keir Harding @Keirwales Thank you so much everyone. Catch you next time :-) #otalk |
| Keir Harding @Keirwales RT @Ruth_Hawley: @Keirwales Challenging #stigma should definitely be core part of #OccupationalTherapy role #OTalk |
| Carolina C 🏳️🌈 @colourful_ot @teohjouyin @Keirwales You're totally right - I suppose what I meant by being involved in things "outside of" OT was that people should be dedicated to social justice in their free time and in situations where it isn't obviously related to their practice. But it's all connected to OT! #OTalk |
 | Mary Booth @MaryBoothOT RT @OTalk_: The transcript of tonight‘s conversation will be added to the blog in the next few days! So watch this space and download it as a piece of CPD evidence! #otalk |
| Mary Booth @MaryBoothOT RT @OTalk_: How can I just say well done to everyone for remembering the hashtag! Hardly anybody is on my naughty step! #otalk. - great chat! https://t.co/PCzHYxPKs1 |
| Mary Booth @MaryBoothOT RT @OTalk_: That’s the 'official hour' for #OTalk is up, this is @OT_rach signing off the account, the transcript from this chat will be added to the blog later this week for you to download as CPD evidence. https://t.co/YBXt9a0TdI |
| Mary Booth @MaryBoothOT RT @OTalk_: #OTalk 24th Sep 2019 – Spatial Inattention https://t.co/t8hW5nkiKt |
| Keir Harding @Keirwales This is useful for challenging some stigma..... #otalk https://t.co/vIvPBGw5su |
| Mary Booth @MaryBoothOT RT @OTalk_: Can We all thank @Keirwales for hosting this evenings #OTalk an excellent topic and some really helpful comments... much to reflect on. So why not do that using our reflections logs? https://t.co/Lqc3VPeI2H |
| Ruth Hawley @Ruth_Hawley @PsychRecovery @Keirwales Language choice SO important in challenging or maintaining #stigma. Thanks for reminding us of such a crucial aspect #OTalk |
| Teoh Jou Yin @teohjouyin @colourful_ot @Keirwales Right. Makes sense! Many OTs still like to "keep politics out of OT" without realising the personal is political #OTalk |
| Janet @janetregan3 @OTalk_ @Keirwales Loved tonight's #OTalk. Thank you. It even provoked me out of lurking and into commenting! |
| Keir Harding @Keirwales Theres a lot here that's helpful too....#otalk https://t.co/gAAy6Ex2H7 |
| Keir Harding @Keirwales @teohjouyin @OTalk_ thanks for coming! #otalk |
| Keir Harding @Keirwales RT @colourful_ot: @teohjouyin @Keirwales You're totally right - I suppose what I meant by being involved in things "outside of" OT was that people should be dedicated to social justice in their free time and in situations where it isn't obviously related to their practice. But it's all connected to OT! #OTalk |
| Keir Harding @Keirwales RT @Ruth_Hawley: @PsychRecovery @Keirwales Language choice SO important in challenging or maintaining #stigma. Thanks for reminding us of such a crucial aspect #OTalk |
| Teoh Jou Yin @teohjouyin @Keirwales @OTalk_ I was absolutely knackered and now I feel awake! Hahaha #OTalk |
| Mary O'Kane @Mpmok RT @PsychRecovery: @Ruth_Hawley @Keirwales #OT can challenge #stigma by insisting of helping create a #RecoveryEnvironment through language choice & role modeling appropriate interactions w/ those who may be different. Treating all people w/ compassionate humanity. For more on Language use: https://t.co/KN16ozcCsF #Otalk https://t.co/myhLo1ql5s |
| Keir Harding @Keirwales If we ignore the political environment than we might as well give up any pretence of claiming expertise in how the world around people effects them #otalk |
| Keir Harding @Keirwales @janetregan3 @OTalk_ Thats how it starts…you’ll be hosting one next year. #otalk |
| Ruth Hawley @Ruth_Hawley @Keirwales @Carolynne_OT Links strongly with #occupationaljustice. Be prepared to highlight, campaign and fight against injustice at more than an individual level. Being prepared to invest our time and efforts into things at strategic and corporate levels can be useful #OTalk |
| Keir Harding @Keirwales RT @Ruth_Hawley: @Keirwales @Carolynne_OT Links strongly with #occupationaljustice. Be prepared to highlight, campaign and fight against injustice at more than an individual level. Being prepared to invest our time and efforts into things at strategic and corporate levels can be useful #OTalk |
 | szikratigris @szikratigris RT @OT_rach: I was at a event last week where the key note speaker referred to ‘service users’ as ‘treatment resistant’? This in itself stigmatises people! Are people treatment resistant? Or have we just not found the right treatment? #otalk @salbod1985 (tonight’s #otalk might interest you) |
| Teoh Jou Yin @teohjouyin See, #occupationaltherapists who "want to keep politics out of professional discussion"?? #OTalk angry lol. |
| Dr Carolynne White OT @Carolynne_OT @Keirwales Lots! We can challenge the structures that maintain stigma. In my work on weight stigma, we have trained staff, revised policies, recommended better seating & equipment, ensured positive representation of larger people in flyers and wrote a submission to senate committee. #OTalk |
| Teoh Jou Yin @teohjouyin @Keirwales @Carolynne_OT Like seriously, OT programmes, don't just pay lip service to it in the curriculum bcz WFOT said so! 1/2 #OTalk |
| Rachel OT @_rachelOT @OTalk_ @Keirwales @SophieMaynard8 Haha it is appreciated #otalk - I've been on my best behaviour 😇 |
| Teoh Jou Yin @teohjouyin @Keirwales @Carolynne_OT It could incorporated into all the topics we cover throughout the programme #OTalk pretty much all clients face some form of stigma |
| Ruth Hawley @Ruth_Hawley @teohjouyin @Carolynne_OT @Tori_Doll_ @Keirwales Non judgmental very important. #OTalk |
| Teoh Jou Yin @teohjouyin @AbdMydin kan? Great discussions so relevant to our project #jouyinreadlater |
| Teoh Jou Yin @teohjouyin @janetregan3 @OTalk_ @Keirwales Well done! #OTalk |
 | Venus Madden @TheVenusMadden @Tori_Doll_ @Keirwales That sounds great. Our services are due to receive the basic training soon. Just wonder anyone out there got an outcome measure or survey etc to check how staff feel before and after please? Or just via discussions and reflections? Thanks #OTalk |
| Teoh Jou Yin @teohjouyin @Incredhead @Keirwales Sometimes ppl take "talk more about mental health issues" as a license to perpetuate stigma #OTalk |
| Teoh Jou Yin @teohjouyin @Ruth_Hawley @Carolynne_OT @Tori_Doll_ @Keirwales Yes but it actually has to show in actions and not just lip service. Too many health professionals claim non-judgement but don't show #OTalk |
| Ruth Hawley @Ruth_Hawley @teohjouyin @Carolynne_OT @Tori_Doll_ @Keirwales Exactly why reflection, supervision, education and discussions with an open mind to become aware of and challenge our own unconscious bias, #stigma and prejudices are important #OTalk |
| Teoh Jou Yin @teohjouyin @Ruth_Hawley @Carolynne_OT @Tori_Doll_ @Keirwales It is these sorts of ppl who claim but don't show which make me most angry btw bcz hypocrisy! #Otalk |
| Tori the OT @Tori_Doll_ @TheVenusMadden @Keirwales I’m not sure Venus, but I can find out. There is a huge focus on this in HSS, it has been rolled out initially on induction and then training for existing staff. I’ll find out & let you know. #OTalk |
| Teoh Jou Yin @teohjouyin @Ruth_Hawley @Carolynne_OT @Tori_Doll_ @Keirwales So hard when we may point out the prejudice of others, then they say we are prejudiced against them though #OTalk |
| Ruth Hawley @Ruth_Hawley @teohjouyin @Carolynne_OT @Tori_Doll_ @Keirwales And why important to be open to receiving constructive feedback from others who can see things in us we can’t always see ourselves #johariwindow #OTalk |
| Teoh Jou Yin @teohjouyin @Ruth_Hawley @Carolynne_OT @Tori_Doll_ @Keirwales I.e. "my religion does not accept a certain type of people - if you force me to accept then you aren't respecting my religion!" #Otalk |
 | Only Us @OnlyUsCampaign RT @Keirwales: I like to remind people of the Shining Lights document produced by mind where people with the diagnosis of personality disorder said they hated the term. I preface a lot of training with saying that we’re going to listen to what they told us. #otalk |
| Keir Harding @Keirwales RT @pixiegirle: @MassDecoration @Keirwales I agree - it’s more a ‘theoretical’ thing. We are ‘doers’ & like to be practical. We can’t always ‘do’ something immediately about stigma, neoliberalism etc & maybe that’s why we shy away from it? #otalk |
| Keir Harding @Keirwales RT @_rachelOT: @Keirwales To me, stigma creates the atmosphere in an environment.. it guides our preconceptions, attempts to understand or rationalise and forward planning. I have thought about this more as a concept of being a part of the environment since attending the training that you provided #otalk |
| Keir Harding @Keirwales RT @teohjouyin: @pixiegirle @Keirwales I do feel an understanding of stigma is essential to do proper #occupationaltherapy work, given the sort of clients we all work with #OTalk |
 | Samuel Richards @SamuelOftenSam This👇🏼100% (Although from an OT perspective it applies across all fields and disciplines). |
| Teoh Jou Yin @teohjouyin @Ruth_Hawley @Carolynne_OT @Tori_Doll_ @Keirwales I have a big problem when people say "I am a follower of my religion 1st, a health professional 2nd". #OTalk |
 | Chelsea @Chelsea_Fawcett RT @Keirwales: This is useful for challenging some stigma..... #otalk https://t.co/vIvPBGw5su |
| Teoh Jou Yin @teohjouyin @Ruth_Hawley @Carolynne_OT @Tori_Doll_ @Keirwales But I am honestly not sure how to address this. Esp when I don't belong to that religion. #OTalk |
| Keir Harding @Keirwales @OTalk_ An example...the infantilisation and "doing to" of people. Not involving them in their care at all then pathologising their response. Often reenacted every ward round when they come in to hear what has been decided on their behalf. #otalk |
| Teoh Jou Yin @teohjouyin @Ruth_Hawley @Carolynne_OT @Tori_Doll_ @Keirwales In situations where religion is used as a justification, it's no longer unconscious bias. It's deliberate. #OTalk |
| Keir Harding @Keirwales @colourful_ot So perhaps we dont intervene because it migh exclude us? #OTalk |
| OT_Expert♥️ @OT_Expert Absolutely! _____ #OTalk #Stigma #OccupationalTherapy |
| OT_Expert♥️ @OT_Expert RT @Ruth_Hawley: @Keirwales @Carolynne_OT Links strongly with #occupationaljustice. Be prepared to highlight, campaign and fight against injustice at more than an individual level. Being prepared to invest our time and efforts into things at strategic and corporate levels can be useful #OTalk |
| Teoh Jou Yin @teohjouyin @Carolynne_OT @Keirwales Exactly why I think social justice in OT should be taught as a whole and not just disability rights alone which it can get reduced to #OTalk |
| Keir Harding @Keirwales RT @MassDecoration: @Keirwales @pixiegirle I think we do definitely. I think we have also ignored the occupation of protest and pushing for wider change. Perhaps by emphasising our pragmatic side that encourages adaption over change #OTalk |
| Carolina C 🏳️🌈 @colourful_ot @Keirwales @OTalk_ (sorry, missed this!) To be honest, I haven't done a great job of responding to stigmatising language in practice because I've felt limited as a student - hoping to be a bit more outspoken now that I'm qualified! #OTalk |
| Keir Harding @Keirwales RT @OT_KateT: @Keirwales There's so many layers of stigma within mental health - general population's understanding of any MH; diagnosis specific labels and their interpretation; the word "traits"; the judgement issued on anyone with drug/alcohol issues etc etc etc #OTalk |
| Teoh Jou Yin @teohjouyin #MedEd #HPE #medtwitter #medtweetmy #FOAMed |
| Keir Harding @Keirwales #OTalk |
| Carolina C 🏳️🌈 @colourful_ot RT @teohjouyin: @colourful_ot @Keirwales Right. Makes sense! Many OTs still like to "keep politics out of OT" without realising the personal is political #OTalk |
| OT_Expert♥️ @OT_Expert Agreed My Twitter feed is a mixture too, of #OccupationalTherapy and all kinds of other things... Social justice, human rights, disability rights ..... It's all related anyway #OTalk |
| OT_Expert♥️ @OT_Expert RT @teohjouyin: @colourful_ot @Keirwales But those *should* be part of occupational therapy. Otherwise it is an incomplete social justice we are practicing. #Otalk |
| OT_Expert♥️ @OT_Expert RT @colourful_ot: @teohjouyin @Keirwales You're totally right - I suppose what I meant by being involved in things "outside of" OT was that people should be dedicated to social justice in their free time and in situations where it isn't obviously related to their practice. But it's all connected to OT! #OTalk |
| OT_Expert♥️ @OT_Expert RT @teohjouyin: @colourful_ot @Keirwales Right. Makes sense! Many OTs still like to "keep politics out of OT" without realising the personal is political #OTalk |
| Keir Harding @Keirwales #OTalk |
| Keir Harding @Keirwales RT @Ruth_Hawley: @Keirwales Another good question. In my opinion, others available, OT’s with our OT lens often pay more attention to functioning than diagnosis which I think is helpful and more person centred. Labels can also be positive source of information and access point to support/ resources #OTalk |
| Keir Harding @Keirwales #OTalk |
| Dr Carolynne White OT @Carolynne_OT RT @Ruth_Hawley: @Keirwales @Carolynne_OT Links strongly with #occupationaljustice. Be prepared to highlight, campaign and fight against injustice at more than an individual level. Being prepared to invest our time and efforts into things at strategic and corporate levels can be useful #OTalk |
| Keir Harding @Keirwales RT @_rachelOT: @Keirwales @OTalk_ pt2 I have worked with people who don't communicate verbally & spent a lot of time dissecting behaviour to provide better support. When we work with people who can communicate clearly about how they think & feel, I don't know why we don't just ask questions more often #otalk |
| Ruth Hawley @Ruth_Hawley @Keirwales @Daisysorbet1 @colourful_ot Back to language being so important. In my opinion, again others are available, “disorder” has far too many negative associations, #stigma, is judgmental and inaccurate. Individuals have responses and experiences, not disorders. #OTalk |
| Keir Harding @Keirwales RT @PsychRecovery: @Ruth_Hawley @Keirwales #OT can challenge #stigma by insisting of helping create a #RecoveryEnvironment through language choice & role modeling appropriate interactions w/ those who may be different. Treating all people w/ compassionate humanity. For more on Language use: https://t.co/KN16ozcCsF #Otalk https://t.co/myhLo1ql5s |
| Keir Harding @Keirwales RT @Carolynne_OT: @Keirwales Lots! We can challenge the structures that maintain stigma. In my work on weight stigma, we have trained staff, revised policies, recommended better seating & equipment, ensured positive representation of larger people in flyers and wrote a submission to senate committee. #OTalk |
| Claire Murphy @DrClaireMurphy @OTalk_ @Keirwales Interesting distraction from the work I had actually planned to do this evening! #otalk |
 | Rupert Leslie 🏴 @hoffiOT @OTalk_ @Keirwales Sorry I missed this one tonight Keir. Unexpected visit from my brother. Looking forward to reading through the #OTalk thread |
| OT_Expert♥️ @OT_Expert RT @Keirwales: I like to remind people of the Shining Lights document produced by mind where people with the diagnosis of personality disorder said they hated the term. I preface a lot of training with saying that we’re going to listen to what they told us. #otalk |
 | Hannah Spencer (they/them) @hspenceruk @OTalk_ @Keirwales Lurked amongst this evening's #OTalk, thank you. Lots of food for thought. "Invisible space" is absolutely our concern. Looking forward to rereading when the transcript is up. |
 | Kwaku Agyemang @KwakuOT Missed @OTalk_ Tonight! Looks Like It Was A Good One From @Keirwales ...Will Have A Read Through The Transcript. Really Interesting Topic #OTalk |
 | John-Barry @JohnBWaldron This is useful for anyone working in a mental health setting #empathy |
| OT_Expert♥️ @OT_Expert RT @OT_rach: I was at a event last week where the key note speaker referred to ‘service users’ as ‘treatment resistant’? This in itself stigmatises people! Are people treatment resistant? Or have we just not found the right treatment? #otalk @salbod1985 (tonight’s #otalk might interest you) |
| Ms Rachel Booth-Gardiner 💚 @OT_rach RT @GeekyOT: Thank you for all your super helpful responses to our @OTalk_ survey! Loving the suggestions, keep them coming & please RT! 🙏https://t.co/ZxVncgydmO #OTalk @theRCOT |
| Keir Harding @Keirwales RT @KwakuOT: Missed @OTalk_ Tonight! Looks Like It Was A Good One From @Keirwales ...Will Have A Read Through The Transcript. Really Interesting Topic #OTalk |
| Sarah P. Hancock, MS, CRC ♿ @PsychRecovery @Ruth_Hawley @Keirwales You're welcome. Language's important. Correct Dx also extremely important. Reason I was deemed "Tx resistant schizoaffective disorder bipolar type" was bc Drs misdiagnosed #HepaticEncephalopathy. OT can act as #PTsafety advocate by noting & reporting Dx/Bx inconsistencies #Otalk |
 | Hannah @hannahSchl RT @Ruth_Hawley: @Keirwales Another good question. In my opinion, others available, OT’s with our OT lens often pay more attention to functioning than diagnosis which I think is helpful and more person centred. Labels can also be positive source of information and access point to support/ resources #OTalk |
| Pixiegirle #StopSIM 🏴🇪🇺 @pixiegirle #OT’s #OccupationalTherapists working in mental health should check this event out! By @Keirwales 👇🏻 |
| Keir Harding @Keirwales RT @pixiegirle: #OT’s #OccupationalTherapists working in mental health should check this event out! By @Keirwales 👇🏻 |
| OT_Expert♥️ @OT_Expert RT @pixiegirle: #OT’s #OccupationalTherapists working in mental health should check this event out! By @Keirwales 👇🏻 |
 | Ålyn @n_y__l_a RT @KIRSTY_OT: Such a litany... So I believe that 'labelling' and negative language has a huge impact and makes staff less willing to work with individuals. When are we going to move away from these insinuations and stop defining people as what they dont want to be! #OTalk @Keirwales |
| Ålyn @n_y__l_a RT @PsychRecovery: @Ruth_Hawley @Keirwales #Stigma is but a kind name for #Discrimination against those who live w/ Sx of #mentalillness. It's entirely social & environmental. It's worse among #MentalHealth professionals working in acute care situations bc they only get to see ppl at their worst. #Otalk |
| OT_Expert♥️ @OT_Expert RT @BillWongOT: Stigma can also prevent people who need help seek help! #OTalk |
| OT_Expert♥️ @OT_Expert Thanks to the whole @OTalk_ team You all do a brilliant job holding and facilitating these twitter discussions ___ #OTalk #OccupationalTherapy @NHS #CPD #ValueOfOT #OT365 |
 | Lindsey Martin @LindseyDMartin RT @Keirwales: This is useful for challenging some stigma..... #otalk https://t.co/vIvPBGw5su |
| Doctor Who(da) @SameiHuda RT @pixiegirle: #OT’s #OccupationalTherapists working in mental health should check this event out! By @Keirwales 👇🏻 |
 | OTMargaret @margaret_ot @sarahwilsonOT @OTalk_ @Keirwales @MadelineWarwick #OTalk yes I used it last week, I'd recommend it to all of us. |
 | Dr Jenny Preston MBE @preston_jenny @Helen_OTUK @dianecox61 @theRCOT @ShelaghOTandAHP @Rehab_Research @SuzanneRastrick @HazelWinning3 It certainly was an amazing day. #OTalk even got a mention in my citation 👍 |
| RuralOT @OtRural RT @Keirwales: Last One!!! 5 How do we adapt the social environment to facilitate optimal functioning? How do we challenge stigma?Is this a core part of our role? #Otalk |
| OT_Expert♥️ @OT_Expert RT @Keirwales: And with that prompt… 1 What do we think of the idea that Stigma is part of the social environment? (Or racism, or neoliberalism). Is this part of our thinking and decision making? #Otalk |
| OT_Expert♥️ @OT_Expert RT @Keirwales: Question 2 How do we see Stigma played out in our work environment? What is done? What isn’t done? What gets said? #Otalk |
| OT_Expert♥️ @OT_Expert RT @Keirwales: Question 3- What is the impact of stigma on those we are supposed to care for? #Otalk |
| OT_Expert♥️ @OT_Expert RT @Keirwales: Question 4 - What is the impact on us and the staff we work with? #Otalk @OTalk_ |
| OT_Expert♥️ @OT_Expert RT @Keirwales: Last One!!! 5 How do we adapt the social environment to facilitate optimal functioning? How do we challenge stigma?Is this a core part of our role? #Otalk |
 | Ayla @AylaOT Will be tuning in for this one whilst having my hair done! #OTalk |
| Ayla @AylaOT RT @OTalk_: #OTalk 24th Sep 2019 – Spatial Inattention https://t.co/t8hW5nkiKt |
 | @UClanOT @uclanot RT @OTalk_: See you next week on Tuesday 8pm with Ailie Turton and Louise Clark who will be hosting the chat from the @RCOT_NP account (RCOT Specialist session for Neurologic Practice.) Here’s what they have to say, #otalk |
 | Sam Pywell @smileyfacehalo RT @OTalk_: See you next week on Tuesday 8pm with Ailie Turton and Louise Clark who will be hosting the chat from the @RCOT_NP account (RCOT Specialist session for Neurologic Practice.) Here’s what they have to say, #otalk |
| Sam Pywell @smileyfacehalo RT @OTalk_: #OTalk 24th Sep 2019 – Spatial Inattention https://t.co/t8hW5nkiKt |
 | Jo @J0j01977B RT @Keirwales: For a long time i didn’t notice the stigma in the environments I was working in. It was just normal. But when you see it it can’t be unseen…#otalk |
 | Sophie Bartrum 💙 @BartrumSophie RT @OTalk_: Can We all thank @Keirwales for hosting this evenings #OTalk an excellent topic and some really helpful comments... much to reflect on. So why not do that using our reflections logs? https://t.co/Lqc3VPeI2H |
 | Rosa Mendes @PortoKiwi RT @OTalk_: #OTalk 24th Sep 2019 – Spatial Inattention https://t.co/t8hW5nkiKt |
 | Gordon Heath @GordonHeath3 Can anyone tell me if an OT has to be SI trained to diagnose SPD? Or is carrying out an assessment and identified significant sensory difficulties enough? #OTalk @RCOT_IP |
 | Alice Hortop @LaughingOT @Keirwales And alcohol and drug use are usually a symptom in my experience of a deeper need. #OTalk Apparently alcohol dependency is more demonised that drug use by society, I've witnessed that. X |
| Ruth Hawley @Ruth_Hawley @Keirwales Missed this one in the business of last nights #OTalk and is good question. Hard to answer well within challenges of twitter but I’ll give it a go in the thread below. |
| Alice Hortop @LaughingOT @Keirwales Further even discussing your own or supporting someone through distress or alcohol dependency makes some people feel uncomfortable. Noone would bat an eyelid talking about their broken arm but people squirm when depression, alcohol use etc is raised like its contagious. X #OTalk |
| Ruth Hawley @Ruth_Hawley @Keirwales At the time, when I challenged it and questioned it, it was described to me as differentiating between "serious mental illness” psychoses classification where there is an “illness” and the neuroses classification without an “illness” but in response to life events. #OTalk |
| Ruth Hawley @Ruth_Hawley @Keirwales In my opinion, this has potential to contribute to #stigma and offence in multiple ways. Both from being told there is or isn’t an “illness” component dependent on your beliefs re causation for mental health difficulties and by labelling some as serious and others less so. #OTalk |
| Alice Hortop @LaughingOT @BillWongOT Or even sharing their experiences to help others. #OTalk or even just talking openly about their lives. Or even just explaining why they do things differently so people embrace diversity. X |
| Alice Hortop @LaughingOT @Ruth_Hawley @Keirwales #OTalk it is a core part of our role. We need to stop talking in third person but engage our diversity and our experiences to create change. I've been sharing my depression and stigmatisatin through involuntary childlessness, it's been uncomfortable but I feel necessary to lead x |
| Alice Hortop @LaughingOT @Ruth_Hawley @Keirwales #OTalk My worst experiences so far have been through the #adoptionprocess It's been the most #dehumanising, subjective & judgemental experience of my life. Lots of labelling, assumptions, judgements, violation of #gdpr rights, lack of empathy and care. #lifechanging #learning |
 | Nuwan Dissanayaka @nuwandiss Happens in hospitals too. How do we get past these artificial distinctions? “No evidence of mental illness” is a poor excuse. Equally ridiculous and judgemental approach to substance use in mental health services in my opinion |
 | Santchi @SantchiWeb RT @LaughingOT: @Ruth_Hawley @Keirwales #OTalk My worst experiences so far have been through the #adoptionprocess It's been the most #dehumanising, subjective & judgemental experience of my life. Lots of labelling, assumptions, judgements, violation of #gdpr rights, lack of empathy and care. #lifechanging #learning |
| Alice Hortop @LaughingOT @Ruth_Hawley @Keirwales Otherwise it will always be uncomfortable for everyone #OTalk x |
 | It's Not Rocket Science @trewvs RT @Keirwales: Question 2 How do we see Stigma played out in our work environment? What is done? What isn’t done? What gets said? #Otalk |
 | Dr Gary Lamph @gazlamph RT @Keirwales: For a long time i didn’t notice the stigma in the environments I was working in. It was just normal. But when you see it it can’t be unseen…#otalk |
 | punkyDeb @schizoschismism RT @Keirwales: This is useful for challenging some stigma..... #otalk https://t.co/vIvPBGw5su |
 | Solidarity is our only hope @Freedom71573997 RT @Incredhead: @Ruth_Hawley @Keirwales I've recently joined a cmht and was shocked at the way people with diagnosis of a personality disorder were spoken about. And that exact phrase is regularly used. Within mental health service this group of people seem stigmatised by the service itself #otalk |
 | Victoria Roberts 💙 @TorRob19 RT @Keirwales: This is useful for challenging some stigma..... #otalk https://t.co/vIvPBGw5su |
| OT_Expert♥️ @OT_Expert RT @OTalk_: That’s the 'official hour' for #OTalk is up, this is @OT_rach signing off the account, the transcript from this chat will be added to the blog later this week for you to download as CPD evidence. https://t.co/YBXt9a0TdI |
 | Royal College of Occupational Therapists @theRCOT RT @OTalk_: We only have one free slot left this year (10th Dec) and we are fully booked in Jan 2020, now taking bookings to host chats in 2020 so get your thinking cap on and fill in our application form. #otalk https://t.co/Kf8nFtq4Zi |
 | CompassionateMH @CompassionMH RT @Incredhead: @Ruth_Hawley @Keirwales I've recently joined a cmht and was shocked at the way people with diagnosis of a personality disorder were spoken about. And that exact phrase is regularly used. Within mental health service this group of people seem stigmatised by the service itself #otalk |
 | AspieZ @AutismMH RT @Incredhead: @Ruth_Hawley @Keirwales I've recently joined a cmht and was shocked at the way people with diagnosis of a personality disorder were spoken about. And that exact phrase is regularly used. Within mental health service this group of people seem stigmatised by the service itself #otalk |
 | Colleen Beck @TheOTtoolbox What time zone is this, please? |
 | ACN @allencognitive RT @OTalk_: We only have one free slot left this year (10th Dec) and we are fully booked in Jan 2020, now taking bookings to host chats in 2020 so get your thinking cap on and fill in our application form. #otalk https://t.co/Kf8nFtq4Zi |
 | andrea malizia @andreamalizia1 RT @Incredhead: @Ruth_Hawley @Keirwales I've recently joined a cmht and was shocked at the way people with diagnosis of a personality disorder were spoken about. And that exact phrase is regularly used. Within mental health service this group of people seem stigmatised by the service itself #otalk |
| Keir Harding @Keirwales RT @LaughingOT: @Ruth_Hawley @Keirwales #OTalk it is a core part of our role. We need to stop talking in third person but engage our diversity and our experiences to create change. I've been sharing my depression and stigmatisatin through involuntary childlessness, it's been uncomfortable but I feel necessary to lead x |
| Keir Harding @Keirwales RT @LaughingOT: @Ruth_Hawley @Keirwales Otherwise it will always be uncomfortable for everyone #OTalk x |
| Keir Harding @Keirwales @Ruth_Hawley I wonder if it also meant that one person was less important or less deserving? #otalk (Thank you for saying all the questions are good!) 🙂 |
 | Camille ♡ @I_am_an_OT RT @BillWongOT: Stigma can also prevent people who need help seek help! #OTalk |
| Camille ♡ @I_am_an_OT RT @LaughingOT: @BillWongOT Or even sharing their experiences to help others. #OTalk or even just talking openly about their lives. Or even just explaining why they do things differently so people embrace diversity. X |
| Ruth Hawley @Ruth_Hawley @Keirwales Oh it definitely had that connotation too. And therein lies the problem. #OTalk |
#OTalk content from Twitter.