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Rehabilitation Therapists
Roles and Relationships with Case Managers, Health Professionals
and Treatment Teams
PRESENTER: Arden McGregor, M.A., C. Psych. Assoc., CBIT, Executive Director, Brainworks Corporation
TreatmenTreatment Teamt Team
ClientFamilyCase ManagerVarious ProfessionalsRehabilitation Therapist
RehabilitatiRehabilitation Therapiston Therapist
Unregulated ProfessionTitle UnprotectedVast Differences
Rehabilitation Rehabilitation TherapistTherapist
Life Skills CoachLife Skills Coach
Rehabilitation Rehabilitation CounsellorCounsellor
Therapy Therapy Support WorkerSupport Worker
Rehabilitation Rehabilitation AssistantAssistant
Rehabilitation Rehabilitation CoachCoach
Rehabilitation Rehabilitation Support WorkerSupport Worker
Rehabilitation Rehabilitation WorkerWorker
Definition of a Definition of a Rehabilitation Rehabilitation
TherapistTherapist
Characteristics
Hands-onFront-lineGeneralists
Definition of a Definition of a Rehabilitation Rehabilitation
TherapistTherapist
Relationship with treating professionals
Translate <> Implement
Prescribed goals, intervention tools & clinical directionInto practical, meaningful integrated treatment protocols
Definition of a Definition of a Rehabilitation Rehabilitation
TherapistTherapist
RT’s Must Be:
FacilitatorsMotivatorsCommunicatorsIntegratorsChameleons
Core Skills of an Core Skills of an EffectiveEffective
Rehabilitation Rehabilitation TherapistTherapist
Interpersonal Skills
Engaging Therapeutically Allied Focused & Positive
Core Skills of an Core Skills of an EffectiveEffective
Rehabilitation Rehabilitation TherapistTherapist
Approach
FlexibleClient-centeredIndividualizedTeam-player
Core Skills of an Core Skills of an EffectiveEffective
Rehabilitation Rehabilitation TherapistTherapist
Confidence
Needs confidence to instill confidenceTrust in therapeutic processRT is supported
Core Skills of an Core Skills of an EffectiveEffective
Rehabilitation Rehabilitation TherapistTherapist
The “Match”
Important Factors that mean nothing to teame.g. Gender? Heritage? Hair colour? Age?
Qualifications of Qualifications of an Effectivean Effective
Rehabilitation Rehabilitation TherapistTherapist
Education
Wide varietyCollege or University
Qualifications of Qualifications of an Effectivean Effective
Rehabilitation Rehabilitation TherapistTherapist
Professional Experience
Wide varietyBroad experience helpful
Qualifications of Qualifications of an Effectivean Effective
Rehabilitation Rehabilitation TherapistTherapist
Relevant Knowledge / Skills
Cognitive, Behavioural, Psychosocial & PhysicalDisability CharacteristicsKnow Why, not just HowMentoring / Workshops / Conferences
What is the RoleWhat is the Roleof aof a
Rehabilitation Rehabilitation TherapistTherapist
Implement Prescribed Treatment
“Creativity”… or not
What is the RoleWhat is the Roleof aof a
Rehabilitation Rehabilitation TherapistTherapist
Facilitate Independence
SchoolWorkHomeCommunity
What is the RoleWhat is the Roleof aof a
Rehabilitation Rehabilitation TherapistTherapist
Integrate Goals
Into sessionsInto meaningful activities
What is the RoleWhat is the Roleof aof a
Rehabilitation Rehabilitation TherapistTherapist
Communicate
ObjectiveObservations / DataProgress & BarriersCommunication Protocols
What is the RoleWhat is the Roleof aof a
Rehabilitation Rehabilitation TherapistTherapist
Observe
“Eyes & Ears” of team Detail-oriented Real-life, In Context Advocate for Client
Chameleon
Typical Day for Typical Day for ananRTRT
Varied Day-to-Day Activities
7:00 am – FarmerMorning RoutineFeed AnimalsManaging FrustrationEquipment Repair
Typical Day for Typical Day for ananRTRT
Varied Day-to-Day Activities
10:30 am – ApartmentIndependent LivingLabeling CupboardsRoutine with answering machine
Typical Day for Typical Day for ananRTRT
Varied Day-to-Day Activities
1:00 pm - School Impulse ControlUse of railsSafety at recess
Clients VaryClients Vary
Male / FemaleAcross the LifespanAll Disability Groups
So What !?So What !?
Costs / BenefitsMost Effective UsePitfalls to Avoid
Costs & benefitsCosts & benefits
Costs
Between $50 - $78/hrAuto InsurersPrivate Payers
Costs & BenefitsCosts & Benefits
Benefits
Revolving Door
Costs & BenefitsCosts & Benefits
Sessions Occur in Context
Relevant to ClientReal-LifeBroader PerspectiveGeneralization
Costs & BenefitsCosts & Benefits
Therapy Activities
Integrated Alternated
Tolerance for TherapyAddress Various Goals through Same TaskImproves Interest
Costs & BenefitsCosts & Benefits
Strong Behavioural Emphasis
Observe & Address concerns in various contexts/settings/levels of structureConsistency with Approach
How can RT’s be How can RT’s be used Effectively?used Effectively?
Pick the Right OneProvide Specific GoalsBe Clear on ExpectationsFacilitate Communication
Pitfalls to AvoidPitfalls to Avoid
Boundary ViolationsProfessional GuidelinesProfessional Support
Dependency IssuesPlan for “Discharge” on Day #1
Questions / Questions / CommentsComments
