Florence ClarkPutting OT in HD

Susan Nguyen, Sara Devoe, Linda Vena, Heather Schuler

Bio

Born in 1946 in Brooklyn, NY

BA in English and Drama SUNY Albany

MSOT from SUNY Buffalo

PhD in Education from USC

Professor and Associate Dean at USC

OT in the 70’s

Medical model still pervasive

Education for the Handicapped Act (EHA)

Research becomes central issue to OT

A. Jean Ayres opens Sensory Integration clinic

Accomplishments Charter member of the Academy of Research of the American

Occupational Therapy Association

Served as special consultant to the United States Army Surgeon General

Served on the board of the National Center for Medical Rehabilitation Research

Books: Lifestyle redesign: Implementing the Well Elderly Program. Occupational science: The evolving discipline.

More Accomplishments

Recipient of the Eleanor Clarke Slagle Lectureship 1993

In 1999 the American Occupational Therapy Association honored her with its Award of Merit

Established the Center for Occupation and Lifestyle Redesign

Current president of AOTA

Occupational Science

OTPF: Interdisciplinary academic discipline in the social and behavioral sciences dedicated to the study of the form, the function, and the meaning of human occupations

Evolved to incorporate conceptual and practical biological sciences

Facilitate application or translation of new knowledge and theory into solutions to real-world problems.

Occupational Science VS Occupational Therapy

Occupational science is a vehicle through which the profession is becoming more science-driven and evidence-based

Occupational therapy is the integration of this evidence into practice

Research Interests

Lifestyle redesign– Well Elderly Studies– health promotion in the elderly

Development and dysfunction of sensory integration in children

Maternal role behavior

Acquisition of independent living skills among adolescents with disabilities

Spinal cord injury

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Lifestyle Redesign

Developed through research in Well Elderly Studies

Process of acquiring health-promoting habits and routines in your daily life

Improve health and wellness by preventing and managing chronic conditions through building healthier lifestyles

Redesign high-risk lifestyles into healthier ones

Well Elderly Studies

Study 1: conducted at USC from 1994-1996

Study 2: conducted at USC from 2004-2009

Purpose: Experimental test of a preventive occupational therapy intervention designed to enhance the health and psychosocial well-being of community dwelling older adults

Well Elderly Studies

Participants aged 60 years and older; Ethnically diverse sample

Community-dwelling Assigned to 1 of 3 conditions:

– (1) 9 months of OT focused on lifestyle redesign

– (2) Non-professionally led social activities– (3) No treatment

Well Elderly Studies

OT intervention and lifestyle redesign– Didactic presentation – Peer exchange – Direct experience– Personal exploration results

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Results Participants who received OT had greater gains and

fewer declines in physical health, physical functioning, social functioning, vitality, mentalhealth, and life satisfaction

Preventive OT intervention slows decline associated with aging

Improved quality of life

Reduced health risks

Cost-effective

Lifestyle Redesign Today

Lifestyle Redesign Center USC

Weight-management

Diabetes

Pain Management

College Student Optimal Living for MSLife Coaching, Lifestyle Risk Assessment & Executive Health

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Activity - How Lifestyle Redesign Can Help

What are the ways that stress affects you?

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Putting OT in HD

“By the year 2017, we envision that occupational therapy is a powerful, widely recognized, science-driven, and evidence-based profession with a globally connected and diverse work force meeting society's occupational needs" (AOTA, 2007, p. 613).

Florence Clark and Advocacy

How AOTA plans to do this:

1. Image-building campaign

2. Advocacy to ensure funding

3. Linkages between research, education, and practice

4. Research agenda

5. Model curriculum

6. Outcomes database

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“A lot of professions lack substance but have visibility, but for occupational therapy it is the opposite. We have substance, but lack visibility,”Florence Clark

Our only problem: Fuzziness Create awareness so all have access to

our services What we do - in simple terms

– Find your way to easily explain

OT

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What does this mean for us?

Florence Clark’s vision:– Each OT is his/her own pixel, change starts with us– Public awareness, advocacy, and research– Make your voice heard - get involved in advocacy

– Make our scope of practice and what we do with clients clear

– Tell our stories

http://otconnections.aota.org/blogs/aota_presidential_blog/default.aspx

References American Occupational Therapy Association. (2007). AOTA's Centennial Vision and

executive summary. American Journal of Occupational Therapy, 61, 613-614. American Occupational Therapy Association (2008). Occupational therapy practice

Framework: Domain and process (2nd ed.) American Journal of Occupational Therapy, 62, 625-683.

Clark, F. (2010). High-definition occupational therapy: HD OT (Inaugural Presidential Address). American Journal of Occupational Therapy, 64, 848-854. doi: 10.5014/ajot.2010.64602

Clark, F. (1997). Reflections on the human as an occupational being: biological need, tempo and temporality. Journal of Occupational Science: Australia, 4, 86-92.

Clark, F. A., Carlson, M., Jackson, J., & Mandel, D. (2003). Lifestyle redesign improves health and is cost-effective. AOTA: OT Practice online. Retrieved from http://www.aota.org/Pubs/OTP/1997-2007/Features/2003/f- 012703_1.aspx.

Clark, F. A., Jackson, J., Carlson, M. (2004). Occupational science, occupational therapy and evidence-based practice: What the well elderly study has taught us. In M. Molineux (Ed.), Occupation for occupational therapists (200-218). Malden, MA: Blackwell Publishing.

Jackson, J., Carlson, M., Mandel, D., Zemke, R., & Clark, F. (1998). Occupation in lifestyle redesign: The well elderly study occupational therapy program. The American Journal of Occupational Therapy, 52, 326-336.

References

Public Law 94-142 - Education of All Handicapped Children Act. (1999). Seattle

Community Network. Retrieved from http://www.scn.org/~bk269/94-142.htm Redesigning Lives. (n.d.). USC Division of Occupational Science and Occupational

Therapy. Retrieved from http://ot.usc.edu/faculty/directory/Florence_Clark/ Sensory Integration International – The Ayres Clinic. (2011). Autism Link.

http://www.autismlink.com/listing/sensory_integration_international_the_ayres_clinic

University of Southern California (2011). Lifestyle redesign programs. Retrieved from

http://www.doctorsofusc.com/services/medical-services/lifestyle- redesign-programs.

Waite, A. (July, 2011). Well elderly 2 study: Evidence that occupational therapy helps prevent decline in seniors. OT Practice, 16(13), 8-10.

What is OT? (2011). The Mumbai Branch of All India Occupational Therapist’s

Association. Retrieved from http://mbaiota.com/whatisot.html

Pictures

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