Apr 26, 2017, in General News
Amy Lamb OTD, OT/L, FAOTA, president of the American Occupational Therapy Association and an occupational therapy faculty member at Eastern Michigan University, will deliver the keynote address at the USC Chan Division’s 75th annual commencement ceremony on May 12.
Lamb has a valuable combination of frontline clinical practice and health care policy experience at the state and federal levels. Her areas of expertise include health care policy, health care reform, prevention and wellness and women’s roles in leadership positions.
She first became involved with public policy working with the health policy committee in the Minnesota House of Representatives. She was the paid lobbyist of the Nebraska Occupational Therapy Association from 2000 to 2008.
Her clinical experience spans school-based pediatrics, acute care and geriatrics. She also operates a private practice focused on program development and intervention in prevention and wellness.
Lamb received the 2011 AOTA Lindy Boggs Award for her advocacy and political action efforts in support of the profession. In 2012 she was selected to the AOTA Roster of Fellows, an award recognizing occupational therapists who have made a significant contribution to the continuing education and professional development of association members.
In 2012 she was elected AOTA vice president and in 2015 she was elected AOTA president-elect and began her three-year presidential term in 2016.
As AOTA president, Lamb works to enact the association’s agenda while educating occupational therapy professionals about the association’s roles within broader health care landscapes. She coordinates with AOTA staff to organize grassroots advocacy activities, inform association members about its ongoing activities and work with members of Congress and their staffers to advance the association’s interests on Capitol Hill.
Nearly 250 degrees, including nearly 70 doctorate of occupational therapy degrees and 2 PhD degrees in occupational science, will be conferred during this year’s satellite commencement ceremony which is preceded by the university’s main commencement ceremony at 9 a.m. in Alumni Park on USC’s University Park Campus.
Learn more about commencement at calendar.usc.edu/event/2017_chan_commencement.
Apr 20, 2017, in General News
Newly funded study aims to improve primary health care encounters of autistic adults
During his first visit to the doctor’s office, Bobby fled from the waiting room, ran outside the building and hid in the parking lot.
During his second visit, the 22-year-old’s anxiety was just as palpable. Bobby began jumping in place, repeating dialogue from his favorite TV show and complaining that the office’s bright, buzzing fluorescent lights hurt his eyes and ears. Because he refused to allow any care providers to touch his body, his initial physical examination again had to be postponed.
Bobby — who is diagnosed with Pervasive Developmental Disorder-Not Otherwise Specified, a subtype of autism that has since been folded under the umbrella diagnosis of autism spectrum disorder — is one example of how seemingly straightforward primary care medical visits can pose complex and challenging experiences for adults with ASD.
What helps and hurts the office experience
“Adults with autism spectrum disorder face unique challenges to receiving optimal medical care due to a number of factors,” said Leah Stein Duker, assistant professor of research at the USC Chan Division of Occupational Science and Occupational Therapy.
These factors include difficulties with communication, challenges making health care decisions, overstimulation within the clinic environment and a lack of ASD-specific training for providers, she said. Some physicians interviewed in a 2013 survey, for example, erroneously considered autism as only a childhood disorder.
“There is a limited research detailing the specific needs of adults with ASD during primary care health encounters, and even fewer evidence-based strategies to facilitate these experiences,” Duker said. “They are often fraught with serious difficulties for the patients, their caregivers and their practitioners — this means that the quality of their medical care is not what it could be or what it should be.”
Awareness and acceptance
April is National Autism Awareness Month, an annual public service campaign for increasing awareness, acceptance and celebration of people on the autism spectrum. But unfortunately, there are no professional standards or agreed-upon best practices for primary care encounters with autistic adults. This is a population that will only continue growing as the wave of children who were diagnosed with autism beginning in the early 1990s — and which grew exponentially throughout the ’90s and ’00s — comes of age.
Duker hopes to change that with a new research grant she recently received from the American Occupational Therapy Foundation. The grant will fund Duker’s study, “Environmental Barriers and Facilitators for Adults with ASD during Primary Care Health Encounters,” in which she and her team will conduct interviews with adults with ASD, their caregivers and their providers to better understand the types of problems they face during primary care. The interviews will form the basis for a preliminary intervention plan which will likely include target strategies such as physician education, caregiver training, tips for promoting patient–provider communication and decision-making strategies for patients and caregivers.
“My objective is to improve health care services for adults with ASD, which can ultimately enhance both short- and long-term outcomes for this vulnerable and underserved population,” Duker said.
What about Bobby?
At a presentation during last month’s annual conference of the American Occupational Therapy Association, Duker and her colleague Beth Pfeiffer, associate professor at Temple University’s College of Public Health, highlighted Bobby’s case to demonstrate how occupational therapy successfully helped Bobby’s primary care providers improve his overall care access and experience.
His occupational therapist and the medical office nursing staff developed a verbal and visual “picture schedule” for each phase of subsequent office visits in order to help Bobby know what to expect. To reduce his anxiety, Bobby’s family reviewed the picture schedule and did role-playing with him during the week prior to each visit.
The occupational therapist worked with office staff to section off a “quiet area” of the waiting room with dimmed lighting, a sound machine to muffle office noises and walls painted a soothing light blue color.
In-service training was given to the physicians and staff about strategies to support successful visits, including the value of visual cues and alternative methods of communication. The office also established a scheduling policy to ensure that patients with developmental and sensory needs like Bobby can book appointments when the clinic is not as busy, enabling extra time to complete exams and work with families and caregivers.
These are seemingly simple tips that can go a long way toward improving the total primary care experience for adults with ASD.
“Truly patient-centered care is respectful and responsive to individual patients, whatever their specific preferences and needs might be,” Duker said. “I see a future in which our medical system delivers exactly that.”
Fellowship to support writing new book on stigma
Professor Cheryl Mattingly has been honored with a 2017 Guggenheim Fellowship, one of only three USC faculty members to receive the prestigious award. She joins a diverse cohort of 173 scholars, artists and scientists from across North America selected from a pool of almost 3,000 applicants by the John Simon Guggenheim Memorial Foundation on the basis of prior achievement and exceptional promise.
Mattingly, who holds a joint appointment in the Department of Anthropology at the USC Dornsife College of Letters, Arts and Sciences, is a medical and psychological anthropologist who is inspired by phenomenology, the philosophy of ethics and narrative theory.
Her research — including Boundary Crossings, a longitudinal study of health care trajectories in 30 African-American children with illnesses and/or disabilities, their families and the practitioners who serve them — has focused on the experience of disability, family care and health disparities for minority populations. Throughout her work, she has aimed to document more than large-scale forces of social injustice.
The Guggenheim Fellowship will enable her to concentrate on her new book, Category Trouble: Stigma as Moral Experience. The book will explore recent attention to “moral striving” in anthropology that has highlighted how people struggle to transform or exceed the lives they inhabit — aspirations that can sometimes increase suffering. The writing will be more experimental than in her previous works, she said.
“Can I write compelling nonfiction short stories that also have a certain theoretical, even existential, resonance? Can my stories help us rethink stigma as a painful and personal lived experience, as a social marker of marginalized groups and also as a feature of the human condition?”
Since its establishment in 1925, the Guggenheim Foundation has granted more than $350 million in Fellowships to more than 18,000 individuals including scores of Nobel laureates, Pulitzer Prize winners, poets laureate, and members of the various national academies. The program remains an especially significant source of support for scholars in the humanities and social sciences.
Mattingly said she was stunned at the news she had won a Guggenheim, but added that she felt a special connection to the honor.
“There is deep significance for me in receiving a Guggenheim because of the program’s long history as a supporter of innovation and creativity, especially in the arts and humanities,” Mattingly said.
“Although anthropology is generally classified as a social science, I have always been a humanities-oriented type. One reason I gravitated toward anthropology as a discipline was because its research approach and methods encouraged us to listen carefully to the stories people told us and to record those stories ‘in their own words.’”
Mattingly is perhaps best known to occupational therapists for her scholarship, beginning in the 1980s, on the clinical reasoning of occupational therapy practitioners. Along with Maureen Fleming, Mattingly’s 1991 articles published in the American Journal of Occupational Therapy as well as their 1994 book, Clinical Reasoning: Forms of Inquiry in a Therapeutic Practice, are considered seminal works on the topic of occupational therapists’ clinical reasoning and actions during patient care encounters.
Projects aim to improve health status of vulnerable L.A. populations
Erin Malia Sako MA ’18 and Allie Schmiesing MA ’18, first-year students in the division’s entry-level occupational therapy professional program, have been selected to the 2017-2018 class of Los Angeles Albert Schweitzer Fellows.
The Albert Schweitzer Fellowship supports university graduate students who conceive and implement projects designed to improve the health and well-being of vulnerable populations. Schweitzer Fellows partner with area organizations to identify an unmet health need, design a 200-hour service project with demonstrable impact, and usher the project from conception to implementation.
Sako will conduct her fellowship at the Painted Brain where she will serve people in Central Los Angeles County who are labeled with mental illness and address the need for accessible, affordable community-based programs that focus on managing stress and reducing stigma. With a community space located in Los Angeles’ Koreatown district, Painted Brain aims to provide sustainable community-based programs and solutions using arts, advocacy and enterprise for people living with mental health challenges.
Schmiesing has designed a program for older adults living in the greater Los Angeles community based upon research in the gerontology and occupational science literature that supports the use of reminiscence and inter-generational programs to improve quality of life among older adults. In conjunction with partners Front Porch and LifeBio, Schmiesing will facilitate participants’ reflection and storytelling to improve positive self-concept and quality of life across a variety of measures.
Mar 28, 2017, in General News
By Kristina Han/Painted Brain
This past week, the Painted Brain (PB) joined USC’s Mrs. T.H. Chan Division of Occupational Science and Occupational Therapy (OT) in an art workshop hosted by Asian Pacific Graduate Student Association (APGSA) for students pursuing to become healthcare professionals. Anna Yena Kim, an OT intern at the PB, introduced the art of Suminagashi, a Japanese marbling technique. The group grew quickly engaged and enticed by this free flowing, cathartic form of art. Although it seems to be a simple technique, requiring only droplets of paint and breath onto water, the resulting piece can range from simple to highly complex variants of pattern, ripple, and shape. Regardless, it was evident that every participant had an enjoyable experience while experimenting and expressing through this relaxing form of art.
Read the full article at Painted Brain.