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USC Chan Division of Occupational Science and Occupational Therapy
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Externship project — The experience of spiritual participation among people with intellectual disabilities in an evangelical church in Hong Kong ⟩
September 15, 2021, by Global Initiatives Team

Diversity Externships International

By Rebecca Ka Ki Tam
Post-Professional Master’s student

This externship project was inspired by the concept of occupational justice. I worked as a pediatric occupational therapist in preschool settings in Hong Kong before studying at USC. During those days, I had little knowledge about occupational justice. My studies at USC have expanded my understanding of occupational justice and greatly inspired my belief that occupational therapists can advocate for everyone’s right to participate in everyday occupations regardless of age, ability, gender, social class, or other differences (American Occupational Therapy Association, 2020; Nilsson & Townsend, 2010, p. 58). This concept has allowed me to reflect on my experience volunteering in a church in Hong Kong that pioneered spiritual participation among people with intellectual disabilities (ID). I experienced the joy among people with intellectual disabilities in their Sunday services. I wondered, however, whether spirituality is vital to their well-being. This population is one of the most controversial populations to serve in churches since many people believe that individuals with ID cannot fully understand the concept of faith. Thus, I became curious to know more about spirituality in this population — what is their experience in this occupation? How important is faith among people with ID? As revealed in my full article, I started this externship project to explore spiritual participation among people with intellectual disabilities. I conducted interviews in a church that pioneered spiritual participation among people with intellectual disabilities in Hong Kong. I interviewed a participant with severe ID, the participant’s caregiver, a volunteer, and two pastors. I also interviewed Professor Sarah Shea, who is involved in research relating to practical theology and theologies of disabilities and who ministered to marginalized populations at Hong Kong Baptist Theological Seminary.

Participants were participating a Sunday Service

Participants were participating a Sunday Service in an evangelical church that pioneered the facilitation of spiritual participation among people with intellectual disabilities in Hong Kong

One memorable experience during this project was my interview with Anna (pseudonym), who has a severe ID. During the interview, she prayed for me, sang me a gospel song, and joyfully asked me to accompany her to church. Anna revealed how much she loves church life. I was very touched by her warm welcome and explicit love. Her caregiver shared with me that spiritual activities were unique in that they have helped Anna understand more about life and death, and overcome loneliness.

Anna initially was not comfortable talking to me during the interview. At first, she frequently walked away and ignored my questions. I then tried to talk in simple sentences and treated her as a friend. She gradually became more relaxed, sat down, and chatted with me. It reminded me of a pastor’s sharing that it is always important to be “present” — “Take your time, no rush. Be there with them, despite their circumstances, and treat them genuinely as true friends.”

In this project, I further reflected on how the arbitrary binary of “typical” or “atypical” classifications has inevitably become a barrier to genuine communication. Despite differences, we can always treat each other as true friends, learn from each other, and accept support and help from each other. I used to have a misconception that people with different intelligence might have different needs. Thus, it might be suitable to segregate people into various groups according to their needs. However, I realized this misconception was a barrier that had obstructed my genuine interaction and friendship with people diagnosed with intellectual disability. There should not be hierarchies in interaction, but we should celebrate our diversity. In an interview, a pastor shared that occupational justice probably does not merely focus on enabling people to participate in a particular occupation but also emphasizes the meaningful interaction among different people within that context. I envision that the concept of occupational justice will be more widespread someday, and I hope this article will motivate the public to advocate for occupational justice among people with intellectual disabilities.

Participants, no matter with disabilities or not, were leading worship

Participants, no matter with disabilities or not, were leading worship

References

American Occupational Therapy Association. (2020). Occupational therapy practice framework: Domain and process (4th ed.). American Journal of Occupational Therapy, 68(Suppl. 1). S1-S48.

Nilsson, I., & Townsend, E. (2010). Occupational justice — Bridging theory and practice. Scandinavian Journal of Occupational Therapy, 17, 57–63. https://doi.org/10.3109/11038120903287182

Tam, R. K. K. (2021, July 15). The experience of spiritual participation among people with intellectual disabilities in an evangelical church in Hong Kong

Vivir Con Diabetes ⟩
May 25, 2021, by Global Initiatives Team

Diversity Fieldwork Getting Involved

By Stephanie Gomez-Rubalcava and Liz Rivera
Professional Master’s students

Vivir Con Diabetes (in English: “Living With Diabetes”) is a community service project that we have been hosting as a part of the Albert Schweitzer Fellowship. This fellowship requires students to collaborate with a community site and create a project that caters to the needs of an underserved population. Our project was tailored to service individuals in the local, Spanish-speaking community of Boyle Heights who have been diagnosed with prediabetes or Type II diabetes. We believe that there is an increased need for healthcare providers who can implement culturally-sensitive interventions.

This program was started in 2018 by an occupational therapy student in the Chan Division, David Saldana. It was then continued the following year by Daniel Padilla Vega and Cecilia Garcia. We began as volunteers for the program in 2019 and were awarded the Schweitzer Fellowship in 2020. With USC OT students receiving this fellowship for the third year, it provided us the opportunity to continue expanding this amazing work. Our sessions covered topics related to lifestyle modifications to improve diabetes management such as: stress management, mental health, sleep hygiene, and increasing understanding of what it means to be diagnosed with diabetes. We really wanted to focus on prevention for those diagnosed with prediabetes and on modifying the habits and routines of those diagnosed with diabetes. In previous years, these sessions were hosted in person at our project site, the LAC+USC Wellness Center, but due to the global pandemic, we had to host the sessions virtually.

Although over the last year we faced several challenges in delivering the diabetes management content via Zoom, there were some great benefits to conducting this program virtually. Some of the challenges included making the program accessible for our target population, participant difficulties navigating Zoom, and internet connectivity issues. The silver lining to all of these challenges was that over the weeks, we created a family-like, virtual community and provided participants with space to reflect on their health goals. Many of them mentioned that our Saturday sessions were the only time they dedicated to themselves, and so we decided to incorporate at least 10 minutes of mindfulness/yoga activities to each session. We also provided every participant with at least one free, at-home hemoglobin A1c test to screen for diabetes.

Although a couple of weeks ago we celebrated our final Vivir Con Diabetes session, we are truly grateful for the opportunity to learn with and from our participants. As soon-to-be Latina graduates of occupational therapy, we are excited to continue working with our Latinx community in our future careers and helping them bring about positive and meaningful change in their lives. Lastly, Stephanie Perez, a previous volunteer of Vivir Con Diabetes, has recently been awarded a 2021-2022 Albert Schweitzer Fellowship (see contact information below). We are excited for her to bring innovative ideas to the program, and we encourage current or incoming students to contact her for an opportunity to volunteer with her project during the Fall and Spring semesters. Thank you to our mentor Dr. Jesus Diaz, Daniel, Cecilia, and all of our 2020-2021 student volunteers for making this program possible. Fight on Trojans!

Stephanie Perez, OTS: .(JavaScript must be enabled to view this email address)

A photo from one of our nutrition/healthy eating sessions.

A photo from one of our nutrition/healthy eating sessions. We prepared overnight oats with some of the participants via Zoom.

Daniel

Hola, Yo Soy un Terapeuta Ocupacional (Hello, I Am an OT) ⟩
May 11, 2021, by Daniel

Diversity First-Gen What are OS/OT?

“Hola, yo soy un terapeuta ocupacional . . .” (Hello, I am an occupational therapist). This is part of my weekly introduction with Spanish-speaking clients. It is also a reminder of the reason I pursued this profession, as well as the sacrifices my family and I have made over the last three years. Walking into a room or simply calling a new client and starting a conversation in Spanish puts a smile on my face. Every time I speak to one of my clients, I picture my mom and dad. It feels incredible to be able to advocate for people who come from a similar background as mine.

During my time at USC, I have shared many personal things with you all. I understand the privilege of being able to write and freely express myself on this platform. Not everyone gets this opportunity, so I wanted to show that my experience as an undocumented student is as valid as anyone’s. That it is okay for those reading to feel proud of their language, culture, and history. That you belong in this program and profession.

Today I write to you just a couple of days away from walking the stage for my doctoral program. It feels really strange to say that; I think it’s the impostor syndrome that lingers. My family and friends still need to remind me that this is a huge accomplishment and to take a moment to celebrate. But those who know me pretty well know that I think this is just another step in what’s to come. First-generation, undocumented students are capable of so much, and for me, it’s time to capitalize on that. This is the end of one journey but the beginning of a new one.

This grad school journey has not been easy at all. Some semesters I wasn’t even sure I would be back given the financial limitations and ongoing immigration rhetoric surrounding DACA. The people around me made it possible to pursue this dream. There are so many who helped me along the way, and I want to acknowledge them as best as possible.

Mi familia, gracias por todo, I love you so much. My parents are the most courageous people I know. Growing up, they always told my sister and me to study hard because we would end up like them if we didn’t. But as I grow older, all I want to do is be like them. Thank you to my sister and my girlfriend for always being there for me. The sleepless nights studying and finishing assignments was all for them.

Daniel with his family

The CSUN Dream Center, I am forever grateful for your mentorship and for giving me the confidence to even apply to USC. You made me believe that I could accomplish my goals despite my undocumented status.

Daniel at CSUN Dream Center

Thank you to the Chan Division, Norman Topping Family, Latino Alumni Association, and Immigranted for supporting me when I had no idea how I would pay for OT school. You all made this moment possible.

Group photo of USC students

Thank you to the LRCC Research Lab and the Student Ambassadors team; it has been an honor to work with two outstanding teams. During the pandemic, these two teams faced many obstacles, adjusted, and we got things done! I have worked with two of the best bosses in the Chan Division, Kim Kho and Dr. Beth Pyatak.

Daniel with LRCC team, and with student ambassadors

Thank you to all my classmates who challenged me and helped me grow. A special thank you to Katie Bui and Marilyn Rodriguez, two people who always had my back since day one.

Group photo of Daniel with classmates

Lastly, a special thank you to Dr. Celso Delgado (el profe). You became a mentor to me throughout this entire OT experience. You reminded me that I belong in these spaces, that a Latinx kid from Van Nuys could make it.

Daniel with Dr. Celso Delgado

So, this it! I have never been good at saying goodbye; I tend to simply move on and take on whatever is next. I want to take a final moment to honor my ancestors and the generational sacrifices that it took for me to get to this point. This right here is what our parents believed in as they decided to migrate. But I don’t want to be remembered as “the successful immigrant” because all immigrants, undocumented people, etc. deserve the same level of respect and acknowledgment as the “educated ones.” I had different opportunities and circumstances. Para toda mi gente Latinx y indocumentada, este logro es por todos ustedes, nosotros seguiremos luchando y echandole ganas. Although I don’t know for certain what my future looks like in this country, I do know one thing, that I will always continue to Fight On! No one can ever take away what I’ve accomplished these past years and my soon-to-be title, Dr. Daniel Padilla Vega.

Daniel by Tommy Trojan in graduation robes

Lamoni

Not All Goodbyes Are Bitter ⟩
May 10, 2021, by Lamoni

Beginnings and Endings Diversity What are OS/OT?

I cannot believe graduation is this week! We often view goodbyes as a gloomy moment, but it does not have to be that way. Some goodbyes are actually good! For me, this goodbye means that it is time to close one chapter as I transition to another. But it does not necessarily mean that I am parting ways. Everything that I have gained will stay with me — the friends, memories, experiences, knowledge, professional relationships. I will cherish them no less than I do now.

Whitecoat Ceremony

Faces of OT

Here was August of 2019 at our whitecoat ceremony. That was an extra special day because we defeated the treacherous (I mean, “intensive”) first summer! We were glowing because we finally got some rest. After putting on that whitecoat, my OT journey officially began. I stood next to some pretty Rockstar people too! Knowing that I would enter a career field with them was comforting. I have found that It is the people around you that truly make your experiences great.

To all of my friends (within the program and outside of it), thank you for being by my side, thank you for understanding when I missed your call, thank you for staying on the phone with me for 3+ hours when I returned your call, thank you for sending me housewarming gifts when I first moved to California, thank you for sending me words of encouragement while I studied for the GRE, thank you for studying at Norris Library with me and creating bizarre mnemonics, thank you for going to the flower district with me and helping me become a plant mother, thank you for game nights and movie nights. Thank you for being my friend.

My dad (aka my heart) and I

My dad (aka my heart) and I

My mom (aka my soul) and I

My mom (aka my soul) and I

Not to be dramatic with the picture captions but, my parents are my Day 1’s! My biggest supporters! My everything! Thank you to my mom and dad for all that you have done and continue to do. Though neither of you pursued college and thus, do not have first hand experience about the challenges, you have done everything in your power to support my higher education (even if that meant accepting that I would move 2k miles away TWICE). No matter how far, I have always felt your warmth. I am so incredibly thankful to have parents like you. Nothing I can say or do will accurately show how much I love you.

2020-2021 ambassador team

Your favorite squad

To my team: We did not know exactly what we were signing up for. Chan has never had a set of ambassadors through a COVID pandemic. But, we did that! Along with LOTS of help from Kim Kho (the most caring supervisor ever), we figured it out. Thank you all for being so helpful, collaborative, and fun! It has been a pleasure to work with you, share a group chat with you, and share a meal with you. This experience would not be the same without you. 

I will admit, my eyes watered a bit while reflecting and writing out my thank you’s. But, it was happy tears! I just feel so incredibly grateful to have such amazing people in my life. My experience as a USC Chan Master’s student was phenomenal because of YOU! Thank you to everyone that has read my blogs, left comments, and written emails. It has been so special to connect with you all in this way. Keep on fighting on!

With all my love,
Lamoni

Yna

I Don’t Say This Every Day But . . . ⟩
May 7, 2021, by Yna

Beginnings and Endings Classes Diversity International

We spent how many hours on Zoom every day for 9 months, yet it wasn’t until the last day of classes when I realized just how much I’m going to miss my MA1 classmates. What we thought was only going to be a temporary virtual learning setup has been stretched to a whole academic year. Even though this was surely nothing close to how we imagined going through graduate school, still, for some reason, it went our way because we are finishing in A WEEK! It just weirdly feels a little short. I’m still at a loss for words, just like how I was when I was trying to write my very first blog. What words could possibly capture how great of an adventure it has been?

A couple of months ago we were all just a bunch of strangers trying to find a place in this new world. It’s one thing to find acceptance; but feeling a sense of belongingness and a feeling of home is a whole different story — one that I’ve found in this wonderful group of people. I have hoped for companionship but what I’ve found is so much more: teamwork, diversity, and nothing but love and support for one another. I’m really so proud of us and all I can think of is — what a time to be in to witness these individuals succeed through challenges! We really embodied that “Fight On!” Trojan spirit, didn’t we? Truly, my experience thus far has been nothing short of amazing because of all the people on the other end of my computer screen. I’m sure you know, but it bears repeating.

Here are some of the unforgettable memories we had in the past year 😊

MA1 Virtual White Coat Ceremony

MA1 Virtual White Coat Ceremony

MA1s at the beach

MA1s at the beach

MA1s at the museum

MA1s at the museum

MA1s having KBBQ

MA1s having Korean BBQ . . . Jisu was not impressed with the food :( LOL 😆

MA1s in class at Chan

Just happy to have an in-person class!

MA1s proudly posing in front of the Chan Division!

Proudly posing in front of the Chan Division

Of course, my USC Chan experience has been greatly enriched by working with the amazing team of student ambassadors and our supervisor, Kim Kho, who constantly encouraged me to do my best work and really contributed a lot to my growth. I learned A LOT from each and every one of you and I’m so thankful to have been a part of this team!! I also want to thank my dearest family and friends without whom I wouldn’t be where I am today. And to all the readers, it has been a pleasure to be able to share this crazy adventure with you all through my blogs and videos.

Now, I shall go back to studying for my comprehensive exams. After graduation, I will be working with Dr. Daniel Park for the Summer OT Immersion program that is happening on July, so I hope to see some of you there! What’s next after that — I don’t quite know yet; but as always, we Fight On Forever!

All the love and well wishes,
Yna <3

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