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In this issue: this In hanges to state to state hanges • Legislative Update n AOTA on update • Important Update iscover how Brad • Clinical Spotlight Alejandra about ead • Student Voice March/ agencies on Page on 3. agencies C Pageon 12. Health, Mental Quality States’ in Therapy Occupational including law a new Federal A Page on 10.teacher have himas a shaped Egan’sexperiences field D Page 14. Center on at Hamdard fieldwork Bednarz’s Hali & Ruffa La Gina and Academy Page on 8 Health Allied Urban the Villanueva’s work with R CRORcommuniqué Illinois Association Therapy Occupational W H onsidered o till sed orses his hroughout were ome were ccur during s Europe. did nd resurrect Although earts Horse” arious heound soldiers ajor in hat ilitary and during the nimals played the re Horses, and f e he animals. heroes Many over therapists Occupational implanted en. acing ver en o rates rmed S have ours fghanistan this hen five nd alid in time ess ertain Iraq Veterans no not

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ILOTA Board The Communiqué The Illinois Occupational Therapy Association of Illinois is the official The mission of the Communiqué is to inform Illinois Occupational Therapy representation of the OT professionals in the Association (ILOTA) members of current issues, trends and events affecting the practice of State of Illinois. Occupational Therapy. The ILOTA publishes this newsletter quarterly. ILOTA acknowledges and promotes professional excellence through a proactive, ILOTA does not sanction or promote one philosophy, procedure, or technique over organized collaboration with OT personnel, another. Unless otherwise stated, the material published does not receive the endorsement the health care community, governmental or reflect the official position of the ILOTA. The Illinois Occupational Therapy Association agencies and consumers. hereby disclaims any liability or responsibility for the accuracy of material accepted for publication and techniques described. President Peggy Nelson Deadlines and Information President-elect Lisa Mahaffey Articles and ads must be submitted by the last day of the month prior to the month of Bylaws: Position Open publication. Contact the ILOTA office for more information and advertising submission forms:

Officeadvanced Manager Jennifer Dang P.O. Box 4520 Secretary Lisle, IL 60532 Lisa Iffland Phone: 708-452-7640 Archives: Ashley Stoffel & Fax (866) 459-4099 Kathy Priessner Website: www.ilota.org Research Director of Finance Lisa Mahaffey ILOTA Newsletter Editorial Committee Continuing Education Co-Chairs Catherine Brady and Kim Bryze Carrie Nutter • Mara Sonkin • LaVonne St. Amand CE Approval Chairs Katie Polo & Mark Kovic Newsletter design by Holly DeMark Neumann Reimbursement Chair Nancy Richman Conference Coordinator ADVERTISING RATES Anne Kiraly-Alvarez Janet Adcox Vendor ads Professional Development Coordinator Lisa Castle Full page ...... $535 Half page ...... $425 1/4 page ...... $315 1/16 page ...... $205 Director of Advocacy Robin Jones Public Policy Coordinator Employment Ads Position Open Full page ...... $480 Half page ...... $370 Director of Membership 1/4 page ...... $260 1/16 page ...... $150 Kylene Canham Retention Coordinator Susan Quinn Continuing Education Ads Activation Coordinator Position Open Full page ...... $260 Half page ...... $205 Recruitment Coordinator 1/4 page ...... $150 1/16 page ...... $ 95 Position Open

Director of Communication Typesetting Fees Carolyn Calamia Website Coordinator Full page ...... $100 Half page ...... $ 60 Position Open 1/4 page ...... $ 35 1/16 page ...... $ 15 Newsletter Coordinator Carrie Nutter Networking Coordinator Don’t forget to renew your membership online at Position Open AOTA Representative www.ilota.org! Rachel Dargatz Page 2 OctoberAugust / November / September / December • Issue • 3Issue • 2008 4 • 2013 President’s Address: Redefining the Future Peggy Nelson This year’s annual ILOTA settings such as community reintegration, and the growing conference was another great success importance of occupational therapy involvement in mental with over 300 attendees from all health. This is right in line with the goals of our updated over the state. Despite having a practicet ac that will go into effect in 2014 to guide us into firen i the original hotel planned the next ten years. for conference three weeks before Another highlight of the conference was the the event, the conference team discussion around the occupational therapy rules within overcame huge hurdles to create a Illinois. The rules are currently being reviewed for approval seamless experience for our attendees in s 2014 a well to ensure the current language supports and vendors at a new location—the updateso t educational requirements, accuracy of modality Peoria Civic Center. Many thanks to expectations within the state, and addition of components Anne Kiraly-Alvarez, Jennifer Dang, to incorporate utilization of technology in practice as Janet Adcox, and the ILOTA Executive Board for countless appropriate. We continue to welcome feedback from hours of planning to ensure everything fell into place. practitioners across the state on these important topics. Feel “Obstacles don’t have to stop you. If you run into freeo t contact us at [email protected] if you are interested in a wall, don’t turn around and give up. Figure out how to being involved. climb it, go through it, or work around it.” ~Michael Jordan We also announced our newly elected board Our theme “Coloring Outside the Lines… members. Congratulations and welcome to our newest Redefining Practice” was brought to light with our keynote Executive Board Members: addressy b Dan Brown, Senior Policy Analyst from AOTA. Lisa Mahaffey, President Elect He shared insight into future opportunities for occupational Kylene Canham, Director of Membership therapy practitioners with the Affordable Care Act, Robin Jones, Director of Advocacy including occupational therapy presence in primary care, enhanced focus on occupational therapy in non-traditional …Continued on Page 8

Maureen Mulhall Legislative Update: Change is Coming ILOTA Lobbyist Sometimes it seems that the only constant in life individual waivers in hopes of is change. I realize that is a cliché’, and yet it seems ap- reconciling service gaps across propriate with the current state of health care. In the the waivers and to unify ser- casef o occupational therapy, HB 2996, the bill that ex- vice definitions in order to tends the Occupational Therapy Licensing Act for 10 meet the needs of multiple more years, has many changes in it beginning with the populations. The waivers in- very definition of occupational therapy. The changes in cluded in this proposal are: the Act are designed to respond to changes in health care deliverys a a result of the Affordable Care Act. And of Children and Young Adults course once the ACA begins to be implemented in 2014 with Developmental Disabili- we will really begin to notice changes – changes in who ties Support Waiver (DHS- gets care, how much care is delivered and who pays for DDD) the n care. I Illinois we will also experience the expansion Children and Young Adults with Developmental Dis- of Medicaid to new populations as well as the continuing abilities Residential Waiver (DHS-DDD) changef o converting more Medicaid clients to managed Children that are Technology Dependent/Medically care. Fragile (UIC) Yet more changes are on the horizon with some- Persons with Disabilities (DHS-DRS) thing called the 1115 Waiver. This is a new initiative of Persons with Brain Injuries (DHS-DRS) Governor Quinn and will impact several state agencies. Adults with Developmental Disabilities (DHS-DDD) Within the Department of Human Services, the divi- Persons who are Elderly (DOA) sionsf o Developmental Disabilities, Mental Health, Al- Persons with HIV or AIDS (DHS-DRS) cohol and Substance Abuse and Rehabilitation Services Supportive Living Facilities (HFS-BLTC) are involved. The Departments of Aging and Health- care and Family Services are also engaged in this waiver proposal. The Governor is proposing to combine several …Continued on Page 11

Page 3 Why I help people: The animal perspective

This e issue, w are doing our photo opinion column a bit differently. We feature animals who inspire others by educating, advocating and promoting the healing power of the human-animal bond.

Bringing happiness to others

Hi. My name is Dr. Jake. I am a very energetic 9 yr. old retired racing Greyhound. I live in North Riverside with my Opinions Photo Photo “Sister” Ellie Mae Bones. We love our family very much; we especially love when we go in the car to various K-9 events. I think our favorite is when we go to Mays Lake for our Therapy visits.e W love it because we know that we have brought some happiness into the lives of some humans who need a little TLC from us. Additionally I am a retired K-9 blood donor. I am very f proud o the fact that my blood was used to save the lives of f some o my fellow K-9’s. My sister Ellie still donates blood and Mom and Dad let me come along for moral support for Ellie, and I also get a treat there as well which is nice. Dr. Jake

The jolly retiree

My s name i Ellie Mae Bones I live in North Riverside IL. y with m “Pack Brother” Dr. Jake. Since I left the race game, I have had a very active RETIREMENT. My mom and dad take Jake and me to help find homes for retiring Greyhounds at something they call a Meet and Greet. For us,ts i i just a chance for humans to lavish us with attention, whiche w really love. I also go to a veterinary clinic in the city where I donate blood to help other dogs who are sick get better again. But my favorite thing is to go to Mays Lake ink Oa Brook for what my mom calls a Pet Therapy visit. Mays s Lake i a big home for retired humans, and they sure are o glad t see me. They seem to like my brother Jake too, which puzzles me since I am clearly the star. I liked my life at the track but I LOVE my RETIRED Life now! Student Voice Ellie Mae Bones If you would like to be featured in a Reseaerch Update or know someone who would, please contact Carrie Nutter at [email protected]

Page 4 Why I help people: Photo The animal perspective Opinions

This e issue, w are doing our photo opinion column a bit differently. We feature animals who inspire others by educating, advocating and promoting the healing power of the human-animal bond.

Making healing fun

Hi.m I a TigerLily. I believe in second chances. I think you are never too old or scarred to love again. I started out as an unwanted street underdog, but I have come full circle, showing complete love & forgiveness for all humans - especially those people with special needs who others tend to treat as underdogs as well.

TigerLily

Making healing fun

Hi. I’m Simon and I participate in the hippotherapy and therapeutic riding programs at Freedom Woods Equestrian Centern i Morton Grove, Illinois. I enjoy helping children, adolescents and adults reach their goals. I help promote the human-animal bond and am happy to report that during sessions with me (and with my equine buddies) the participants forget they are in therapy as they are having so much fun!

Simon Photo Opinions Freedom Woods Equestrian Center If you would like to be featured in Photo Opin- ions or know someone who would, please contact Carrie Nutter at [email protected]

Page 5 Communiqué

Warriors and Wolves (continued from page 1) programe w understand veterans’ needs and we are flexible ment, the veterans and the wolves help heal each other to with their schedules so that they don’t miss their medical ap- heal. pointments, physical The Warriors and Wolves program has seen many therapy, and mental veterans transitioning health sessions. In backo t society after addition, because we gaining the confidence run a program that and job skills they need requires the veteran to secure full-time em- to maintain his or ploymentt a veterinary her sobriety we regu- hospitals, humane societ- larlyo d drug testing ies, and boarding facili- and offer peer-to- ties. Many have reunited peer counseling and with their families and fellowship meetings have become husbands regularly. and fathers again. Nala kisses Matt Chompers and Nala One thing we hear Co-founders often is: “I’m not sure if of the program, psychologist Lorin Lindner, PhD and her I’m a husband or a war- combat veteran husband Matthew Simmons, hire as many rior,f i I should look for work or just go back to the military. veterans as they can afford to hire. Grants have been provid- I’m not sure where I belong.” edy b the Disabled American Veterans Charitable Services One of the unique healing mechanisms of the War- Trust and the Mary Jo riors and Wolves program at LARC is that the animals and Hank Greenberg are experiencing a similar dilemma – they “get” each oth- Animal Welfare Foun- er. f All o the wolves were once pets relinquished because dation, but with more their “owners” could not maintain them in a home setting. funds more veterans These animals are not sure if they are wild creatures or can have a chance in house pets. They want to this unusual blending be with humans but they of mutual healing. • are not dogs and they do not o want t be told what to do. Our veterans make a connection with them not only because they re- Lorin and Harmony lateo t each other due to this “personality split” but For more information: also because it gives the veteran another chance to www.lockwoodarc.org save a living being – many www.warriorsandwolves.org of these animals would have been destroyed if they hadn’t been rescued by our vets. In this therapeutic work environ- Save the date!

2014 ILOTA Annual Conference October 23-25 Hilton Lisle/Naperville

Page 6 October / November / December • Issue 4 • 2013

Animals in the Military (continued from page 1)

Although some were brought back to the tripped over her; this individual was a states, sadly some were left to a life of labor quick thinker and responded that he was in a foreign land. A famous Canadian on a special mission to locate the division’s horsen i World War I was Morning Glory. mascoto wh had disappeared. His story She o went t war with her guardian Lt.- was believed and The stray quickly was Col. George Harold Baker, and although welcomed into the military. In 1918 Rags human and horse were separated during was blinded and gassed but survived when the war, they were reunited in 1918 when his handler did not and was adopted by a f friend o Lt.-Col. Baker’s bought and an ex-military major for civilian life. returned Morning Glory back to Quebec The movie and tv show, “Rin Tin to her guardian. Another famous horse Tin”s i based on a German Shepherd in battle was Comanche. He was the only Morning Glory puppy, found in Lorraine, France on survivor of The Battle of Little Bighorn. September 15, 1918 by Captain Lee Duncan. f One o the most famous war dogs is Stubby, a pit bull After the war Duncan developed “Rinty” into the first breed. Stubby showed up at Yale Field in Connecticut where animal actor to achieve wide public acclaim. soldiers were training and made friends with Corporal During World War II, Fido became famous. In Robert Convoy. When Convoy was deployed to fight in Novemberf o 1941 a brick worker on his way home from France, Stubby went along. He served the infantry in France workn i Florence, Italy found the dog lying injured in a in trenches for 18 months. He was able to detect sound and roadside ditch. After nursed back to health, Fido followed smell from an incredible his rescuer Carlo Soriani to the bus stop daily and watched distance and able to him board for work. Fido returned to the bus stop every locate and comfort dayo t greet his guardian when he returned from after work wounded soldiers, too. Even after his guardian’s death, Fido was faithful and separated from the for fourteen years returned to the bus stop. Fido came to group.n O one occasion symbolize loyalty which may explain why the name was very he captured a German popular for dogs. He passed away on June 8, 1958 (Other spyn i the Argonne. He dogs famous for showing loyalty to one person include provided morale-lifting Hachiko, Shep and Greyfairs Bobby). visitso t soldiers. After Other famous dogs during World War II include General the war, he marched Patton’s dog, Willie, Chips, the hero of the K-9 Corps and in parades, met US Smoky, the Yorkie Doodle Dandy. Willie, an English Bull presidents, was named Terrier, had his own dog tags. His statue resides in the the official mascot of the General Patton Memorial Museum. Georgetown Hoyas, and Chips, a German Shepherd –Collie-Husky mix helped Stubby made a lifetime member capture4 1 enemy soldier s in Sicily. After seven months of the American Legion, homee h sadly died from wounds. Smoky, a Yorkshire terrier the Red Cross and the YMCA. Sadly, Stubby passed away was n found i a foxhole in New Guinea in the jungle. She in t 1926 a age 9 or 10. His body is on display at The Price of persevered through 18 months of combat. At one time when Freedom: Americans at War Exhibit at the Smithsonian. a taxistrip had to be crossed by Dogs had actually been used in the military previous a communication cable which to the First World War and continue to be used to this day. required that a culvert be dug Canines were in the Civil War as companions to soldiers. up, she helped by pulling During the Spanish-American War Jack Brutus was the string with wires attached mascotf o Company K and a famous dog during that time through eight inches of pipe period. Sadly, Jack Brutus died of spinal difficulties in under the runway. Animal 1898. During the Civil War Sallie, a brindle Staffordshire Planet considered her to be terrier, watched over many soldiers’ bodies. In 1865 she was the first official documented unfortunately shot by a mullet and killed instantly. Years therapy dog for her work at later survivors of the war built a monument of a sleeping dog the 233rd Infantry Hospital that looked like her to honor her. in New Guinea. She lived During World War I Rags, a cairn terrier was the mascot until 1957. of the 1st Infantry Division. She was found by Private James Vietnam dog heroes Donovan when he had overstayed his leave in Montmere and include Kaiser, of Company Smoky was spotted by a police officer and Donovon accidentally D, the first Marine Scout Dog

…Continued on Page 9 Page 7 Communiqué Alejandra Villanueva, OTS My Path as an Occupational University of Illinois Therapy Student and Fellow at Chicago (UIC) As a second year student completing a syndrome once a week for the spring and Mastersn i the occupational therapy program summer math tutoring session. Through the at the University of Illinois at Chicago (UIC), tutoring sessions I learned the importance of Imn a a active member of the Urban Allied collaborating with a family member, as the Health Academy (UAHA). UAHA is a child’s mother was able to provide me with program through the College of Applied Health many o tips t increase his attention span, such Sciences with the mission to provide health care as using a visual schedule and incorporating students the opportunity to gain experience in Mickey Mouse into every lesson plan. I also an urban diverse environment and learn about learned the value of being client centered and cultural differences and health disparities. usingn a occupation based model to increase As a fellow I completed 40 volunteer hours, participation and motivation from my 5-year- prepared a project for the old client. facility where I volunteered, In the tutoring sessions we and also attended 3 lectures, practice math skills, such as

Voice seminars, or films per number recognition, learning semester with a focus on shapes, and counting. We also

Student health disparities, cultural practice other skills such as differences, or social justice. increasing his attention span and Through UAHA, fine y motor b counting with pegs I have the opportunity and Numericons. Overall I have to volunteer at Gigi’s seen improvements in his math Playhouse in Chicago, skills,n a increased attention whichs i a non-profit span, and improved fine motor organization that provides skills.s A our final tutoring day free services for children approaches I am working on my with Down syndrome final project of creating a binder and their caregivers from of visuals aids for tutors at Gigi’s diverse backgrounds. As a playhouseo t create a custom volunteer, I have been a part of the open play visual schedule for their client. program, a math tutor, and participated in the I believe the UAHA program is unique in Disability Pride Parade. I have been able to allowing fellows the opportunity to incorporate learn o how t apply my classroom knowledge classroom knowledge into practice. I have throughy m volunteer experience by using my gained experience in working with children therapeutic use of self, cultural awareness, being with Down syndrome and have learned about client centered, administrating an assessment, several issues affecting our healthcare system and using developmental milestones and through lectures and seminars. Through volitiono t prepare my lesson plan for the day UAHA I have been able to spread awareness with collaboration from caregivers. of the value and importance of occupational I have completed 40 volunteer hours by therapyy b working with other volunteers, mainly tutoring a 5-year-old boy with Down staff, and caregivers.

President’s Address (continued from page 3) Student Voice Additionally, in order to continue to please consider how you can work with us to serve the practitioners throughout Illinois, we strengthen our organization throughout the If you would like to be continueo t recruit volunteers to help us achieve state. featured in Student Voice our organizational goals. We hosted our first Visit our website today at www.ilota.org, or know someone who ever ILOTA orientation program on February or s contact u at [email protected] for additional would, please contact 16, t 2013 a the Rehab Institute of Chicago resources,n a up to date listing of opportunities Carrie Nutter at for current and incoming board/committee relatedo t open positions on the ILOTA board, [email protected] members. We repeated this orientation or ideas about how you can participate in the programt a our state conference to provide association. You make all the difference! ongoing support for members interested in servingn i a committee or board position. As Peggy Nelson, President of ILOTA you reflect on your profession for the year,

Page 8 October / November / December • Issue 4 • 2013 Animals in the Military (continued from page 7)

killedn i action in the Republic of Vietnam; Kelly, a fire for four days. In addition, they were also receiving fire dedicated member of the 173rd Airborne Brigade, 39th from the allied troops who did not realize they were there Scout Dog Platoon; and Nemo, who despite his injuries and that they were actually shooting at their own group. including losing an eye in the line of duty, is credited for A f series o messenger pigeons were released; unfortunately saving his handler’s life. Nemo was returned to the states as two pigeons were shot and killed immediately but Cher the first sentry dog officially retired from active service. He Ami escaped. At one point he was passed away from natural causes in 1972. In 2004 an Iraqi shotn i the chest and fell to the born German Shepherd named Fluffy was rehabilitated and ground but he regained flight trainedy b a US soldier and allowed to come home with him and t made i back to his division to n retire. I 2007 Lex, a German Shepherd was discharged headquarters. Cher Ami forom service after her handler Corporal Dustin Lee passed delivered a note indicating that away. Lex was so faithful and refused to leave her handler the soldier’s own artillery and even when medics were providing treatment. Sirius was allied forces were inadvertently the only dog to lose his life in the search and rescue work shootingt a them so the message following the 911 terrorist attacks. Sirius was interred at the enabled the division to relay a Cher Ami Hartsdale Pet Cemetery in conjunction with the 2002 War messageo t the troops to stop firing. This saved hundreds Dog Memorial Celebration. of lives. Although Cher Ami was blinded in one eye and Cats also played a role during wartimes. Sam, a black onef o his legs was held on by a tendon only, army medics and white tuxedo feline served on the Bismarck, a German workedo t save his life. He survived but lost a leg. He was ship and was one of only 116 (115 humans and one feline) fitted n with a orthotic ( carved wooden leg). He became survivors.e H was found floating on a board by a British the f mascot o the US Department of Service until his death ship and provided his new crew of the Cossack with morale on June 13, 1919, from the wounds he received in battle. support. Sam survived an explosion that occurred on that Hisy bod was mounted by a taxidermist and enshrined in ship and was transferred to the Royal. In 1941 the Royal the Smithsonian Institution. Kaiser was a famous pigeon sunk but “Unsinkable Sam”, as he was called, was rescued. and the only one to serve in both world wars. He lived to He was called Unsinkable Sam as age 33. Other famous pigeons include Commando, Paddy, he survived destruction of three William of Orange and Mary of Exeter. major vessels. Sam’s military Besides affection and informal gratitude, formal ways career ended but he lived happily have been implemented to thank animals for service. The until 1951. Dickin Medal, the highest war honor, was begun during Pooli was born in 1944 at World War II. This honor has been bestowed upon three Pearl Harbor. When the battle horses, one cat, 18 dogs and 32 pigeons. There is now a station would sound its sirens, memorial for war animals and many cities are raising funds Pooli would curl up and hide in to erect their own memorial tributes to the animal war Pooli mail sacks. Pooli provided the heroes. soldiers with unconditional love. The bond between humans and animals is strong. The The favor was returned when an around the clock guard above are just a few of the wonderful stories of animals who was provided for this beloved tabby after one soldier, risked their own lives to help humans. This proves that no anxious and inpatient for his home voyage, contemplated matter the species involved, teamwork rules and the bond tossing her overboard for fear of quarantine when heading prevails. • home for San Francisco. Happily, she docked with the other soldiers without incident. She had a uniform made for her References with three service ribbons and four battle stars. She proudly wore n this o occasion when posing for photos and articles, www.petvr,com//index.php/pages/mostfamousdogs.html including one in 1959 in the LA Times, chronicling her http://listverse.com/2012/08/08/top-20-world-famous- 15th birthday, until she passed away as a teenager. Simon animals/ was a famous cat who protected military food from rats http://www.ct.gov/mil/cwp/view.asp?a=1351&q=257892 during the Chinese Civil war in 1949. http://www.cbc.ca/news/canada/story/2012/11/08/f-war- Pigeons have played an important part in the history horse-harry-baker-langan.html of war; they were used as military messengers due to their http:www.horse-canada/com/horses-and-history/the- homing ability, speed and flying altitude. Cher Ami was unsung-heroes-who-had-no-choice-the-war-horses-of-wwi/ onef o the pigeons used to deliver messages in a small http://framework.latimes.com/2012/11/09/world-war-ii- depressionn i the Forest of Argonne behind German enemy cat-turns-15/ linesn i October of 1918. The soldiers ran out of food and http://www.historylearningsite.co.uk/horses_in_world_ ammunition and were at a strong disadvantage as they were war_one.html attackedy b grenades, flame throwers and waves of sniper

Page 9 Brad Egan, OTD, MA, OTR/L Assistant Professor of OT Clinical Spotlight Midwestern University m I a Brad Egan, OTD, MA, OTR/L, interfere with occupational performance and Assistant Professor of Occupational Therapy at the therapeutic value of client narratives. Midwestern University. In addition, I provide My passion for working in the community consultation to Alexian was fueled even more in my Brothers Housing and doctoral fieldwork at PFLAG- Health Alliance, Thresholds, Denver. and Erin Anderson & ts I i a privilege to be an Associates, LLC. I have occupational therapist and recently became the editor of having a role in training AOTA’s MHSIS Quarterly. future occupational therapists After graduating from is very rewarding to me. It is Creighton University in 2002 particularly satisfying to hear I started working in SNFs from past students who are (Skilled Nursing Facility) now enjoying their careers. Spotlight in Chicago and nearby Teaching also comes with suburbs. I became a rehab many challenges. It has been manager quickly at the end humblingo t experience the Clinical ofy m first year of practice difference between practicing and eventually managed OT and teaching OT. With several rehab departments on the Northside of hopesf o being a more effective educator and Chicago. Next, I began working at Alexian gaining a better understanding of how people Brothers Bonaventure House, a transitional learn, I decided to pursue a PhD in Education. living facility for homeless individuals living I o hope t be done in early 2015. In addition, I withIV H and substance use disorders. My am completing my CADC (Certified Alcohol enjoyment and pleasure with students lead me and Other Drug Abuse Counselor) and plan to supervise over 30 Level II fieldwork students on applying for AOTA’s Board Certification in at Bonaventure House. Mental Health. My current work primarily involves Our ability to remain a strong and teaching, administration, leadership, and important service will be determined by program development coursework and our ability to hold tight to our bread and supervising students during their Level I butter—occupation. We have to do more psychosocial fieldwork at Thresholds. In that than just talk about occupations—we have to role, I have the privilege of collaborating with treat with occupations. This is my wish for an Assertive Community Treatment (ACT) all practitioners in all settings. Moreover, I team s that i providing services to individuals think that OTs have to keep their focus on with a mental illness who have moved out whyeo w d versus what we do and how we of the nursing homes and back into the do. External audiences will have no trouble community. Once a week, an OT student recognizing the value of occupational therapy and I visit members in their apartments and servicesfe i w concentrate on sharing our belief provide opportunities to practice IADL, that all persons have the right to be engaged in leisure, and social participation occupations. life. Too often, however, we focus the message I found occupational therapy somewhat on e what w do and how we do it and risk serendipitously. Honestly, I had not heard of it being compared to other professions. beforey m mother, a rehab nurse, told me that f Both o my brothers are currently studying I reminded her of the therapists she worked occupational therapy and will be graduating Clinical Spotlight with. After shadowing an OTR in Columbia, in a year. I tell them regularly that it is crucial South Carolina, I knew that I wanted to be for o them t realize we provide a very skilled If you would like to be a f part o this profession. I was impressed by service. Before we can expect others to value featured in Clinical Spot- his creativity and positivity and saw firsthand OT,e w have to make sure that we assign light or know someone how much his clients were benefitting from adequate value to our services. It was very who would, please con- doing everyday tasks. disheartening in my role as a manager to see tact Carrie Nutter at My interest in working in community- so many OTs who did not advocate for many [email protected] based practice started after a Level I fieldwork of the same benefits that their allied health in a community center in Omaha. I owe a colleagues negotiated. We need to be strong loto t Amy Lamb, OTD, OTR/L, my clinical advocates for ourselves and our profession if we instructor, who helped me understand the desire and expect others to see the importance extento t which psychosocial barriers can of what we contribute. •

Page 10 On behalf of the Illinois Occupational Therapy Association and your Communique team:

Erika Muether BS, OTDS Student of Occupational Therapy Research on School Transitions Belmont University

I am in my second year of OT school at Belmont University and in our last semester of the third year we have a residency project. I am interested in school-based transitions. My research idea is to gather information from school-based OTs on their current level of knowledge in post-secondary transitions. I wanted to conduct interviews with OTs in Illinois in order to gain an understanding of s what i already being done. I am still in the process of putting together the project but I wanted to create some sort of resource for transitions from secondary to adulthood. Request for feedback and interest: I am open to suggestions and any help would be greatly appreciated. If you feel that your school district would benefit from something similar to this, please let me know. Research will begin in January of 2015. Contact: [email protected].

Legislative Address (continued from page 3)

One of the topics currently being discussed as a workforce issues. The plan calls for a reinstatement of partf o the 1115 Waiver is behavioral health. The goal is the State Loan Repayment program, creation of more to create and integrate a behavioral health program that primary care providers especially in underserved areas provides appropriate preventive, transitional and crisis and the creation of more providers trained in team- serviceso t meet the unique needs of multiple popula- based, patient-centered care. tionsn i various settings. The Governor has a commit- The 1115 Waiver proposal is still in the fairly mento t strengthening the Home and Community Based early stage of development, although there is a rather ag- Services waiver system. Part of vision of the 1115 Waiver gressive time table for it. The Governor hopes to have a iso t increase flexibility and choice for the clients and to proposal ready to send to CMS in January or February. support the development and expansion of community Once CMS receives it negotiations with the State will based options, while at the same time reducing the wait- begin and could continue for several months. At this ing lists for waiver services. timets i i hard to guess if the 1115 Waiver will be ap- In addition to addressing Home and Commu- provedn i time for implementation during the next state nity Based Services, the 1115 Waiver is designed to also fiscal year (July 1, 2014 – June 30, 2015). It is safe to address population health. The plan is to invest in pre- say though, that if this waiver is approved it will change vention and wellness focused strategies such as tobacco service delivery for these populations for years to come. cessation, diabetes and asthma self management and fall prevention. The 1115 Waiver is also expected to address

Page 11 Communiqué Stephanie Yamkovenko Federal Law States Quality Mental AOTA Web editor Health Includes Occupational Therapy

This article originally appeared on the American resultedn i some fraudulent practices. CMS decided to Occupational Therapy Association’s website on develop a core set of health and safety requirements for 11/4/2013. It has been reprinted here with permission all community mental health centers receiving Medicare from AOTA. funding. “It’s ultimately based on individualized client needs, but Occupational therapy had an advocacy victory when it the rule says that community mental health centers should was included in new federal regulation as a mental health evaluate whether a client needs to receive occupational service that should be a part of quality community mental therapy,” says Parsons. “For community mental health centers health.n I late October, the Centers for Medicare & Medicaid to o qualify t participate, they have to provide occupational Services (CMS) released therapy services.” their final conditions of In fact, community mental participation for community health centers should be providing mental health centers occupational therapy to all clients, providing Medicare partial not just Medicare beneficiaries. hospitalization services. The When the draft rule was first rule included occupational released, the American Occupational therapys a a service that Therapy Association wrote a letter must be available in these to CMS supporting the inclusion of participating community occupational therapy. mental health centers. s “This i a victory because federal Nationwide, nearly 100 regulations now says that providing community health centers occupational therapy is what quality participate in Medicare mental health looks like,” says Parsons. partial hospitalization. “As policymakers continue to define quality mental health, “Our understanding is that this could be bigger than this rule could be the guideline that is used going forward.” just Medicare partial hospitalization,” says Heather Parsons, Do you work as an occupational therapy practitioner in a AOTA’s director of legislative advocacy. “It’s the first time community mental health center? AOTA would like to hear in decades that the federal government has defined what from you—email AOTA’s Federal Affairs Division at fad@ quality community mental health should look like, and aota.org. occupational therapy is included.” o Prior t the rule, there was limited federal guidance See more at: for community mental health centers participating in the Medicare partial hospitalization programs, and licensing http://www.aota.org/Advocacy-Policy/Federal-Reg-Affairs/ requirements were left up to state regulations. Some states News/2013/Community-MH-Centers.aspx#sthash. did not have regulations for these types of facilities in place, yEnRcI1i.dpuf which the Office of the Inspector General concluded had Notes from the field: Anxiety Jennifer Matern OTR/L Anxietys i often an impairment that affects performance in both the pediatric and adult OT population. I often work with children who have sensory processing disorder, but the most apparent impairment is anxiety. Anxiety can come from a neurological response but it is often psychologically based. I try to address what the underlying root of anxiety is and then come up with practical solutions for families to address the anxiety. These solutions often are sensory strategies that help calm the nervous system. Both parents and kids benefit from these solutions.

Page 12 October / November / December • Issue 4 • 2013 ILOTA 2013 Conference Review Anne Kiraly-Alvarez Thank you to everyone who attended conference and o thanks t everyone listed below on who were a part of the conference committee!

This year was the first time ILOTA has hosted a conferencen i Peoria, IL. Despite a fire at the original conference location three weeks before conference, the 2013 conference was a huge success!

Over 320 attendees registered for conference, which included over 35 workshops and short courses, a poster session, SIS roundtable discussions, and a keynote addressy b Dan Brown, AOTA’s Senior State Policy ILOTA Conference Committee Analyst. Conference Chair – Anne Kiraly-Alvarez Conference Co-Chair – Janet Adcox This year also featured the 11th Annual Illinois Exhibitor Chair – Lisa Castle Commission on Education Fieldwork Institute, which Registration Chair – Kathy Preissner was co-sponsored by the Chicago Area Council of Silent Auction Coordinator – Mary Bettlach Occupational Therapy Directors and the Illinois Student Event Coordinator – Mary McCollum Academic Fieldwork Coordinators Consortium. Proposal Reviewers – Janet Adcox; De Dickerson; Timothy Dionne; Clare Giuffrida; M. Bill Hellyer; Attendees also supported the IOTPAC at a wine Joy Hyzny; Lisa Mahaffey; Lauren Milton; Kathy tasting event and students had the opportunity to meet up Preissner; Moira Priven; Nancy Richman; Divya at the student networking dinner. Overall, occupational Sood; & Marie-Claude Touchette therapy practitioners, educators, and students had positive feedback about this year’s conference! We’d also like to thank the ILOTA Office Manager, Jennifer Dang, for all of her hard work to make this conference a success. Many thanks also go to the ILOTA Executive Board, the on-site conference volunteers, and the t staff a the Peoria Civic Center, Holiday Inn & Suites, and the Four Points by Sheraton.

Finally, save the date for the 2014 ILOTA Annual Conference which will be held October 23-25t a the Hilton Lisle/Naperville. Hopeo t see you there!

We also celebrated our award-winners: Bev Myers, OT of the Year Ruth Bixby, Award of Merit

Page 13 Communiqué Gina La Ruffa & Hali Bednarz Hamdard Center Rush University As students from Rush University, we we had downtime to had the opportunity to complete our third complete occupational Level 1 fieldwork at Hamdard Center in profiles with the Chicago. seniors.e W found out Hamdard Center is a multilingual, about their lives, many multicultural, social and health service of whom traveled agencyn i the heart of Chicago’s north from all over the city side neighborhood of Rogers Park. The to reach Hamdard center provides a variety of programs to Center. Former immigrantsn i the community, specifically doctors, diplomats Bosnian, Middle-Eastern and South and housewives shared Asian.e Th programming includes the their background, adult day services for seniors program, occupations, and goals with us. We which provides the opportunity for older also were able to implement quantitative adultso t gather in assessments such as the an environment Timedp U and Go (TUG) Voice that reminds them We as OT’s need to infuse assessment for fall risk in of home. They older adults. This measure

Student enjoy one another’s ourselves within these allowedso u t collect pre and company, celebrate community centers post results before and after holidays they would the implementation of our back home, and are“ groups.n I addition to the transported to and TUG,e w performed pre and from the center. They are served typical post f tests o grip and pinch. The clients ethnic dishes for lunch and watch TV were excited to be introduced to these new from their country of origin as well as are assessments and were eager to learn ways provided basic medical checkups including to be”come stronger. This data can be used blood pressure and blood sugar readings to validate the effectiveness of OT services by a registered nurse. at Hamdard Center. As students we were able to run groups During our time at Hamdard Center for the clients at the Hamdard Center, we encountered a variety of cultural which primarily focused on increasing phenomenon that we wouldn’t have upper extremity strength. Without encountered elsewhere: middle eastern many resources, we men praying in the computer lab, dances neededo t be creative being taught for the holiday of Diwali, in designing groups traditional washing of hands and feet at that would benefit prayer n time i the Hindu culture, and men these seniors as well as being accustomed to playing chess day in provide a fun time for and day out, just to name a few. them that they didn’t This fieldwork placement taught us to views a “work”. We be resourceful, patient, forward, culturally implemented groups aware, and flexible. We were challenged to involving seated upper work with clients whom often spoke little extremity exercises, too n English, had never done exercise or chair yoga, soup- knewf o OT, and were new to the idea of can weight groups as participating in groups with others. The Student Voice wells a various other fine motor focused prospectf o bringing OT to this population groups. While some clients would simply has a bright future. If you would like to be refuse, others became regulars that would s We a OT’s need to infuse ourselves featured in Student Voice actually schedule their visits to Hamdard within these community centers, as it is or know someone who around our groups. With sometimes two the perfect opportunity for OT to become would, please contact translators (Bosnian and Hindi) in the involved. With a centennial vision of Carrie Nutter at same group, different music interests and becoming a “globally connected and [email protected] cultural norms, it often made for a very diverse workforce”, this fieldwork allows interesting and dynamic group session. RushT O students to work toward that In addition to these structured groups, vision. •

Page 14 October / November / December • Issue 4 • 2013 ILOTA is proud to present our next continuing education opportunity: Physical Agent Modalities Modalities 2 Day Course January 25 & 26, 2014 with Susanne Higgins and Dana Lingle Loyola University Medical Center Physical Agent Modalities 15 Contact hours Meets IDFPR Modalities Requirements ILOTA Members: $325 **Non Members $425 Course Description Incorporating thermal and electrical modalities as an adjunct to a treatment plan can enhance patient outcomes. This comprehensive course will emphasize the application and theory behind the use of both thermal and electrical modalitiess a they apply to a variety of patient diagnoses. The course will be based on current evidence and will develop critical thinking skills to enable practitioners to select and use thermal and electrical modalities as they apply to current practice. Topics covered are: principles and methods of application for a variety of superficial heat and cold modalities, Ultrasound, and Electrical modalities: Transcutaneous Electrical Nerve Stimulation (TENS), Iontophoresis, Neuromuscular Electrical Stimulation (NMES), and High Volt Pulsed Stimulation, and Biofeedback. It will include evaluation principles, indications, precautions and contraindications, with a brief review of upper quarter anatomy pertainingo t the use of physical agent modalities. Ethics, documentation and economics of physical agent modalities will be discussed. Through lecture, demonstration, considerable lab practice, and numerous case studies participants will be able to apply the information learned and skills practiced directly to their practice settings. This course will provide 15 hours of didactic training and laboratory experience necessary to meet the standards of the state of Illinois Occupational Therapy Practice Act. for use of physical agent modalities.

January 25th 8:00-5:00 January 26th 8:00-4:00 Introductions & Course Overview Electrical Stimulation Case Studies and Laboratory Practice in Small Groups followed by Discussion • Upper Quarter Anatomy Review • Evaluation Principles & Documentation Pertinent to Superficial Thermal Agents Physical Agent Modalities • Heat Modalities • Principles of Electrical Stimulation **Application: Moist Heat Packs, Fluidotherapy, • Neuromuscular Electrical Stimulation (NMES) Paraffin Wax **Laboratory: Introduction to E-Stim. & electrode • Cold Modalities & Hydrotherapy placement; NMES **Application: Cold Pack, Ice Massage, Hydrotherapy, • Transcutaneous Electrical Nerve Stimulation (TENS) Contrast Bath **Laboratory: Thermal Agents & Interferential (IFC) • High Volt Pulsed Current (HVPC) Deep Thermal Agents **Laboratory: practice TENS, IFC, and HVPC • Ultrasound • Iontophoresis (IO) **Laboratory: Iontophoresis **Laboratory: Ultrasound • Questions and Wrap-Up • Case Studies in small groups followed by discussion • Questions, post-test, turn in Course Evaluation

Class size is limited. Register today! Click here for the on-line registration form. Registration ends Jan 22, 2013!

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ILOTA MEMBERSHIP APPLICATION

MEMBER OF AOTA? Please return membership Illinois Occupational Therapy Association, Inc.  Yes  No form to: P.O. Box 4520 AOTA #: Lisle, IL 60532 E-Mail: [email protected] Expiration Date: Fax: (866) 459-4099 Questions? Call us at: (708) 452-7640

FULL NAME & TITLE: CURRENT ILOTA MEMBER (CIRCLE ONE) YES NO DUES: ILOTA MEMBERSHIP NUMBER IF APPLICABLE: ______AOTA MEMBER: NON AOTA MEMBER  OT: $70.00  OT: $75.00 Last Name: First: Initial: Maiden:  OTA: $50.00  OTA: $55.00 Title:  Student: $20.00  Student: $25.00

Home Address: Street: Apt. /Suite: City: School: ______

65+/ Retired/ Disability State: Zip:  OT: $30.00  OTA: $30.00

Associate Member Phone: Email:  $75.00

EMPLOYER/SCHOOL NAME: (PLEASE PRINT) Corporate Member  $130.00

Address: Street: Apt. /Suite: City: Sustaining Member  $75.00 State: Zip: Total Dues: $______Work Phone: Work Fax:

2ND STATE MEMBERSHIP ONLY Work Email:  OT $48.00*  OTA $32.00*  Student $20.00*

PREFERRED MAILING ADDRESS:  HOME  WORK State: Member # Exp:

Special Contact Instructions: School:

Please check Yes or No for the following: CONTRIBUTIONS   Yes No I permit ILOTA to share my email address with other ILOTA ILOTA Research Fund: $______members. ILOTA Scholarship Fund: $______ Yes  No I permit use of my name in the membership directory. ILOTPAC (Political Action): $______

CURRENT AREA OF PRACTICE AND SPECIAL INTEREST SECTION: (CHECK ALL THE APPLY) PAYMENT INFORMATION

 Administration  Physical Disabilities  Assistive Technology  Work Programs Total-Dues/Contributions: $  Education  Gerontology Pediatrics: Check/Money Order #:  Home Health  Clinical/Out-Patient  Mental Health  Schools  Visa  MasterCard  Other: ______Credit Card #:

I AM INTERESTED IN VOLUNTEERING FOR: Expiration Date:

 Membership  General  Hold Office  My District  Licensure  Conference Signature:  By-Laws  Continuing Ed  Advocacy  Communiqué  Public Affairs  Reimbursement  Archives  Legislative

Page 16 CommuniquéCommuniqué We want you!

Enjoy writing? Passionate about proofreading? Like suggesting and learning about new and innovative topics?

Please consider joining the Communique. We are looking for individuals who are interested in helping with the Communique newsletter. Tasks can include suggesting ideas for topics, connecting potential authors with ILOTA, soliciting articles, proofing issues and writing articles. Let us know your ideas!

If you can’t commit to being on the committee, please consider sharing your knowledge by submitting an article to the Communique. We are interested in both traditional and alternative topics. Submit Articles to the Communiqué We want your articles! Each issue of the Communique seeks to highlight areas of Occupational Therapy Practice. We appreciate our readers’ wide-ranging experiences. Each issue features a different theme:

Jan/ Feb/March: Education, Research, Pediatrics April/May/June: Gerontology, Home Health, Low Vision July/Aug/Sept: Physical Disabilities, Hand Therapy, Driving Rehabilitation, Assistive Technology Oct/Nov/Dec: Mental Health, Work Hardening, Ergonomics

Do you have an article that does not fit the themes already listed? Send it. We welcome articles from diverse and novel perspectives.

Article Guidelines:

• Articles should contain title, introduction, body, summary, and references when appropriate. • Theme articles might include photos and/or graphics. • Articles should be approximately 300-1000 words. • Authors are requested to submit a professional biography, maximum 35 words. • Passport type photos are recommended for author photo. • All work should be original work. If work submitted is not original, one must have written permission from the original author to place specific item in Communique publication. Please use quotes when quoting others and give credit to original authors. • Please give credit to individuals who collaborated to complete article (e.g.- those helping with research, providing background information, helping write article,etc.). • For the next issue, articles should be submitted by February 15!

SUBMIT ARTICLES TO: [email protected] The Communiqué editorial committee reserves the right to edit any material submitted.

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