A survey of occupational therapy in Australian work practice

While the prevention and management of work-related injuries are major areas of practice for Australian occupational therapists, there has been little research on occupational therapy's contribution in these areas. This study examined the characteristics of current Australian occupational therapy practice in the work arena. A postal questionnaire was sent to 355 occupational therapists employed in work practice from six of the eight state or territory Occupational Therapy Associations. The questionnaire enquired about demographic details, service provision in the prevention, assessment and rehabilitation areas and further education needs in these areas. The responses of 125 (35%) therapists were analysed and show the services commonly offered in prevention, assessment and rehabilitation. The most commonly offered services included job analyses, workplace assessment and suitable duties programs. The results also indicate high levels of service provision in the workplace. In presenting the findings of the survey, current trends in international and Australian occupational therapy work practice are discussed along with suggestions for directions in future education, practice and research.     

Application cards: A classroom technique for teaching social work practice

This paper describes the use and evaluation of application cards as a teaching tool designed to enhance students' abilities to apply knowledge learned in social work practice classes. Strengths and limitations of this tool as a means for enhancing students' application skills are discussed, based on qualitative and quantitative evaluative data.     

Examination by triangulation: A model for practice teaching

Problems in measuring students' practice abilities are briefly described. A model of examining the competence of students on placements is described. A brief example of how the model might work in practice is offered.     

Functional capacity evaluation: An essential component of South African occupational therapy work practice services

South African occupational therapists have been involved in the delivery of work practice services since the inception of the profession in this country. Initial development in this area of practice appeared slow but following the acceptance of South Africa's first democratic Constitution in 1996, many opportunities for service delivery were facilitated by the implementation of disability equity legislation. One of the key services offered by practitioners is Functional Capacity Evaluation (FCE). Although the outcomes of FCE are many, the process in essentially the same. This entails: referral, the initial interview, evaluation of performance components and ADL, vocational evaluation, obtaining collateral and the closure interview, the work visit, hypothesis testing and reporting. This article reports on the Functional Capacity Evaluation process as followed by South African occupational therapists in various contexts.     

Adult learning styles: Implications for practice teaching in social work

This paper focuses on the current aspiration to further the process of continuing professional development in social work. It contends that knowledge from the field of adult learning theory may be helpful in sign-posting some tangible ways forward here. The particular emphasis is on critically assessing the usefulness of identifying learning styles as indicators of preferred ways of learning. Knowledge of learning styles is explored as one way of promoting students' learning on practice placements. A small-scale qualitative research study with a group of practice teachers and their students is presented as a vehicle for exploring this new terrain in social work. The findings of this research build on key themes identified by the current literature in this area. The author's findings suggest that information about learning styles has direct practical application in the social work practice teaching arena. The data points to the potential value of using such information to guide students' learning on practice placements and has relevance to considerations of their continuing professional development. Suggestions are put forward to highlight how practice teaching and Diploma in Social Work programmes could facilitate this process. The paper stresses the over-riding need to view students as actors in a broader social context, however, and highlights how information regarding learning styles needs to be utilised in this context.     

HIV/AIDS and work: The implications for occupational therapy

Improvements in preventive and rehabilitative care have transformed many cases of Human Immunodeficiency Virus (HIV) from being an absolute fatal disease to a chronic, expensive illness. As survival rates and life expectancy increase for people with HIV/AIDS, work plays a more central role in improving their quality of life [5]. Persons with HIV/AIDS face numerous physical challenges in maintaining employment. Signs and symptoms of HIV infection and related opportunistic infections include fatigue, muscle weakness, neuropathy and decreased sensation, bowel and bladder incontinence, persistent cough, weight loss, decreased range of motion and coordination, limited endurance, cardiac problems and vision loss. Occupational therapy practitioners must identify the unique impact they can make on a client's quality of life by addressing work-related issues faced by the HIV/AIDS population.     

Islamic perspectives in social work education: Implications for teaching and practice

In the field of further education, social work is beginning to be accepted as an academic and vocational discipline in many countries across the world. Indigenous practice has greatly contributed to a plurality of perspectives adding to diversity of social work knowledge and adding new facets to traditional social work values and interventions. The authors predict that the current dearth of academic material on Islamic perspectives in social work will be more fully addressed in the near future. In the meantime, a personal viewpoint of the dilemmas and ambiguity in social work education in the Islamic context of Malaysia is offered.     

Developing a framework for anti-discriminatory practice teaching on social work courses

This article suggests that recognition of mental health issues in social work is a generic requirement. It considers the parameters of a mental health perspective in social work, examines the obstacles to its integration into practice, and outlines the contribution that social work training can make to the competence of individual workers. It recognises, however, the tension between individual and structural solutions, and locates mental health awareness within its organisational context.     

A cognitive-sociobehavioral model of clinical social work practice and evaluation

Clinical Social Work Journal - In this article the author draws from the empirical work done in clinical psychology, counseling, social work, social psychology, and behavior modification to...     

Long-arm practice teaching for the diploma in social work: the views of students and practice teachers

This article draws on my current and past memories, on some of the literature around post-graduate research and study in higher education, and on some of the literature linked to the subject of the PhD. It begins by outlining the process of study and indicates some of the benefits and drawbacks of returning to the student role. There follows some discussion of my marginal and shifting position in theoretical terms and how, in a number of ways, this mirrored the position of those I was researching. The article addresses some of the dilemmas that arose during the research, particularly in relation to age and sexuality, including problems of a restricted, adult perspective and the difficulties of involving children or young people in research. My impact as a researcher, and the influence of my appearance, use of language and background as a social worker are also considered. The article suggests that what the PhD was really about was jumping through a series of hoops, particularly those created by myself. It concludes that personal reflection, particularly reflection on my own insecurities throughout the process, may continue to influence my personal and professional development.     

Object relations family therapy as a model for practice

This paper provides an introduction to a new approach to the practice of family therapy called object relations family therapy. It is viewed as especially appropriate for social work practice due to its ability to combine individual, couple and family modalities. In addition it permits work on multiple levels of latent and manifest content. Its derivatives in the work of the objects relations theorists, Klein, Fairbairn, Guntrip, Winnicott and Bion are described. Illustrative case examples are provided.     

A therapeutic social work team in practice

In 1996, as a result of interagency collaboration between social services and health, Leeds Social Services Department brought together three groups of social workers undertaking therapeutic work into a centrally managed team. Continued inter-agency working together has ensured that the Therapeutic Social Work Team has become an established service for children and families. This paper describes the work of the team by focusing on four areas: the context of interagency collaboration, therapeutic work in the child protection process, managing different theoretical approaches in one team, and evaluating practice.     

Teaching social work is teaching to ask questions: an inter-subjective approach to social work practice

Abstract

This paper sets out to provide examples of how quotations from literature can come to and work on a therapist's mind when engaged with clients. A consideration of Sylvia Plath's poetry and writings provide a number of examples of how some knowledge and understanding of her material has contributed to and enhanced work with distressed and disturbed clients. Work with a woman who had made allegations of Satanist abuse is then discussed with particular reference to the relevance of Hamlet to the work. Examples from a therapeutic group are provided which illustrate how literature can function as a communicator of feeling at an unconscious level. Consideration is then given to the wider social and political relevance of subjective feeling with reference to the work of Franz Kafka. There is also acknowledgement of how recourse to literature could be used as a defence against painful material rather than contributing to an understanding of it. The paper concludes with an attempt to understand why it is that claims are made for the healing value of literature and the arts and how these healing processes can operate in the therapeutic encounter.     

Cognitive therapy: a training model for advanced practice nurses

1. Mental health needs exist in medically underserved areas and can be addressed in nurse-managed, community-based health centers. 2. Cognitive therapy techniques can be used in community-based health centers to intervene and alleviate patients' distress and improve their adherence to treatment. 3. A training program in cognitive therapy can help advanced practice nurses and other health care providers implement the techniques needed to address many behavioral and mental health problems.     

Interdisciplinary staff perceptions of an occupational therapy return to work program for people living with AIDS

The purpose of this qualitative study was to identify the perception of interdisciplinary staff members regarding the impact of a model work and independent living oriented program for residents in supportive living facilities. This study used focus groups and individual interviews to collect these perceptions. Staff members identified four areas of impact: utilization of a holistic and process-oriented approach, an ability to identify and work with the strengths of clients, emphasis on the learning of practical skills, and creating an intersection for all aspects of services. These findings point to the fact that staff members found the value that occupational therapy has to offer their overall programming by improving participation of clients with HIV in learning practical skills for use in their daily lives and in developing work related skills.     

A team approach to practice teaching

The ideas presented in this paper were originally generated in a workshop at an NSPCC conference on Practice Teaching in March 1996. In this article we wish to develop some of these ideas further and explore the idea of a team approach to practice teaching. This is not some radical new notion, but an acknowledgement of the reality of many placements. Although a student will be allocated a practice teacher (and possibly an off-site practice teacher) he or she will not function by themselves but will be part of an organisation. It is this wider structure and its effects on the student that we feel needs closer scrutiny. Firstly, we believe that not enough attention has been given to the power that organisations can have over an individual (particularly one whose stay is only short-term and possibly part-time). Secondly, we believe students can obtain benefits from the wealth of knowledge existing in any team, drawing on the skills and expertise of all team members. When team learning works well we feel that it provides benefits for all parties - the student, the practice teacher, the team and service users.     

Reiki. A complementary therapy for nursing practice

1. Reiki is an ancient healing art involving the gentle laying on of hands. It can be practiced anytime and anywhere. 2. Reiki can be used as a complementary treatment to medical protocols. 3. Hand positions customarily correspond to the body's endocrine and lymphatic systems and major organs, focusing on seven main chakras. 4. More research investigating the effects of Reiki on persons with psychiatric and medical disorders is necessary.