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Lamoni

Being Black in OT: The Impact On My Future Black Clients ⟩
April 7, 2021, by Lamoni

Diversity

Two weeks ago, I attended a livestream event by the Summit Performance Indianapolis called “Black Voices in OT.” It consisted of a play that highlighted common experiences of Black occupational therapy students and practitioners. Many of these experiences were negative. It was filled with micro-aggressions, insensitive statements, and harmful actions by peers, professors, and bosses. The structure of the play was interesting because it took place over a zoom call; It was two OT practitioners and one OT student having a casual check-in to release all of their frustrations regarding the racism that they experienced during work and at school. The purpose of the play was to bring attention to the fact that Black OTs have to navigate racism all while trying to balance the demands of being a graduate student, care for clients to their full capacity, maintain relationships with peers and coworkers, and remain in a positive attitude. It requires a lot of energy and it can feel even more depleting when there is not a shoulder to lean on or an ear to listen.

As I watched the play and heard the compilation of several upsetting stories which were extracted from actual surveys taken by Black OTs and OT students, I did find relief in the fact that they had each other. Between their sighs and head shakes were also moments of laughter. It reminded me of my own conversations with my family and Black friends. To be amongst people with a shared identity and shared experiences can be very therapeutic. It can be a source of reassurance and confidence. It can be the difference between getting knocked down and staying down or choosing to stand up again.

USC Chan’s incoming class of 2023 is the most racially diverse class yet. I can only hope that an increase in diversity is true for several other occupational therapy programs across the nation because we need it. I believe more representation in the field would decrease the number of negative experiences highlighted in the play. Besides that, I think being Black in OT comes with many positives for Black clients. Currently, and rightfully, the Black community has a lot of mistrust towards the healthcare system. This is due to a long history of medical abuse, neglect, and exploitation. As more Black people enter healthcare professions, trust can be restored. With trust comes more buy in; clients may be more likely to fully participate during sessions and to listen to the OT’s recommendations. This can translate to greater improvements in their condition, fewer hospital re-admissions, etc.

As a Black OT, you will be a practitioner that your Black clients can relate to. Being of the same culture typically means that there will be several shared experiences, maybe similar upbringings, or interests. This is another way to build rapport and establish a strong, trusting relationship. Additionally, you can be a source of emotional healing. We typically think of healing in terms of health conditions, but we have to remember that occupational therapy is holistic and takes into account emotional health. Racial injustices are constantly taking place around us and this undoubtedly takes a toll on Black clients’ wellbeing. If you are working in an inpatient rehab facility and your Black client does not have friends or family around to talk about what they may have recently watched on the news (for example, Black Lives Matter marches), your presence and the assumption that you understand racial trauma can promote healing. Even without speaking, you may be a source of comfort.

I will be graduating next month and while I am simply excited to soon enter the workforce in this amazing profession, I am equally excited to serve my community. I think about the general mistrust towards the healthcare system and how extra doubt may be present towards a field like OT. Many people do not know what occupational therapy is and what occupational therapists do, thus, mistrust may be amplified. Having someone from your background explain the profession, become your practitioner, and lead your interventions is not only beneficial for Black clients but for the occupational therapy profession overall. Yes, we may experience some negative moments, but I am hopeful that the good will outweigh the bad. I am also hopeful that the number of Black OT students and practitioners will rise and, in return, cause the number of unpleasant moments to fall. Continue to push towards diversOT, it benefits us all and can only make our profession better.

Transforming Western Perspectives — Continued ⟩
April 2, 2021, by Global Initiatives Team

Diversity International

Joana Nana Serwaa Akrofi, OT
Post-Professional Master’s student, University of Ghana Graduate, Newsletter Editor for the Occupational Therapy Africa Regional Group

By Michelle Plevack
Entry-Level Professional Master’s student

In collaboration with Brittany Inouye
Entry-Level Professional Master’s student, Global Initiatives Student Worker

Joana Nana Serwaa Akrofi, OT

Joana Nana Serwaa Akrofi, OT

In February 2021, Global Initiatives had the pleasure of hosting a Global Brown Bag Seminar featuring a variety of international occupational therapy perspectives (Transforming Western Perspectives: Lessons Learned from International OT). We are excited to highlight one of the panelists, our very own Joana Nana Serwaa Akrofi, OT, and her work as an occupational therapist in Ghana.

While Joana is currently residing in Los Angeles for the Chan Division’s Post-Professional Master’s (MA-1) program, she was born in Ghana and has worked there as an OT across a variety of settings. Before becoming an OT, Joana was an advocate for feminism and spirituality, and expresses that she has always felt she was “born to be an activist.” This mindset has translated into a sense of advocacy for occupational therapy in Ghana, where individuals with disabilities are frequently stigmatized. Following schooling, Ghanaians who complete a higher education are required to work in their field for one year in an unpaid government position. With a strong interest in pediatrics and in particular, children with autism, she spent this unpaid year working at a community-based institution where she educated teachers and students about the developmental needs of students with disabilities. This kickstarted her interest in Sensory Integration strategies for this population. While there is presently no Sensory Integration certification in Ghana, Joana hopes to pioneer SI practice using the available resources in her home country.

Multidisciplinary developmental team at a hospital Joana worked at

Multidisciplinary developmental team at a hospital Joana worked at

Although Joana’s academic journey with USC has taken place amidst a global pandemic, her positive outlook highlights the collaborative, inclusive, and diverse nature of the Chan community. She describes how communities such as Global Initiatives “helped us celebrate our roots and makes me proud to be Ghanaian.” She has felt enlightened by her experience at USC in that she had previously believed Westerners to have a negative, single narrative about the people of Ghana. Having now interacted and worked with not only Americans, but a wealth of diverse individuals in the MA-I cohort, Joana has become reassured by the solidarity within her classrooms and the Division as a whole. She described feeling inspired by both her professors and classmates’ experiences, which I in turn relate to, feeling inspired by Joana’s confidence and resolve.

Joana’s voice holds great fortitude and passion while envisioning her hopes for occupational therapy in Africa. She describes the profession as going through a phase, and dreams of establishing occupational therapy in Ghana in a way that is relevant to Ghanaians. In contrast to the United States, in Ghana, interdependence within the local community is valued and ‘needing help’ is less taboo. It is not strange for extended families and friends to want to help nurture each other during times of need. She hopes to integrate these values into her practice as an OT. While Western viewpoints focus on independence in activities of daily living (ADLs), decolonizing that perspective would mean realizing that group facilitation of these same ADLs can actually bring community members together in a healing way.

If she could give one word of advice for anyone interested in working in Africa or abroad in general, it is to “go in trying to learn rather than trying to teach,” which is ironic in that while Joana is here at USC to learn, she has subsequently taught us so much.

Bubble activity used to engage children with Autism Spectrum Disorder (ASD) before beginning sessions

Bubble activity used to engage children with Autism Spectrum Disorder (ASD) before beginning sessions

Daniel

Mixed Status Families ⟩
March 29, 2021, by Daniel

Admissions Classes Diversity Fieldwork Life Hacks

According to the National Immigration Law Center, “a mixed-status family is a family whose members include people with different citizenship or immigration statuses. One example of a mixed-status family is one in which the parents are undocumented, and the children are U.S. born citizens”. The state of California has the largest number of U.S. citizens in mixed status families filing taxes, at 1.5 million people. This is a topic I would like to bring more attention to because many people may come from or know someone from a mixed status family, this includes students at USC and clients seen during fieldwork or residency, and this may not be something that is often brought up in the classroom. Personally, I live in a mixed status family, which includes DACA recipients and people without any documentation, with some extended family having other statuses as well.

Source: Migration Policy Institute, “Mixed-Status Families Ineligible for CARES Act Federal Pandemic Stimulus Checks” (May 2020), migrationpolicy.org/content/mixed-status-families-ineligible-pandemic-stimulus-checks

Source: Migration Policy Institute, “Vulnerable to COVID-19 and in Frontline Jobs, Immigrants Are Mostly Shut Out of U.S. Relief” (April 24, 2020) migrationpolicy.org/article/covid19-immigrants-shut-out-federal-relief

This past year has been really tough financially for my family and me. The multiple stimulus packages that were passed came with a lot of limitations for mixed status families. For example, as a USC student who is undocumented with DACA status, I was unable to apply to the CARES Act financial assistance for college students. After doing some research and waiting for the final relief bills to be amended and passed, I was fortunate to receive the stimulus check because I have a temporary work permit via DACA. However, not all undocumented students are DACA recipients, and many undocumented people did not qualify for anything, even though they pay taxes every year with an Individual Taxpayer Identification Number (ITIN) number. In the last year, I saw many people be excluded from federal assistance simply because of their immigration status, personally at home, with friends, and at residency. My parents and many of my clients in primary care were impacted by the exclusions in the COVID-19 relief bills, including the most recent under the Biden administration.

During this time, many families continue to rely on food banks, are behind on rent, and are surviving on the little help they can get. For example, I helped my parents and some of my clients apply to local and state specific relief programs which provided some financial assistance, but not nearly enough. And for many it’s not an easy process due to technology access, literacy levels, social support, etc. Last fall, I helped my parents write a letter and email it to a rent relief program that provided $500. I was appreciative that non-profit organizations and certain school departments took it upon themselves to be more inclusive and provide some type of financial assistance for students that may have not qualified for the CARES Act. As a current student, I was able to apply for the USC Ostrow Emergency Fund, the USC Graduate Student Government Emergency Assistance, and Immigranted (non-profit organization) for financial assistance to get through the year. Most of that assistance and my stimulus checks went to home expenses that my parents were simply unable to cover.

I believe this is an important discussion we need to have or at least consider in the academic setting and occupational therapy world. As I stated earlier, this impacts students at USC and in the OT programs, as well as clients being seen by occupational therapists/residents and/or fieldwork students. It’s important to consider how students may be navigating their own experience within a mixed-status family or perhaps have family/friends, clients, or colleagues that are experiencing this. As the Chan Division continues to push for more diversity and students from different backgrounds come in, it’s important to consider how prepared we are to support their education and clinical experience within the context discussed above.

No matter your political views, from an occupational therapy lens, we all have a responsibility to promote occupational engagement and occupational justice. This may include supporting clients navigating access to resources. As I found myself doing with my family and clients in primary care, I was that person that supported their own resource seeking as a means for survival during the pandemic. The reality is that not everyone has access to OT services or a family member who can help them seek resources. This is a very complex topic and there are many layers to it, perhaps many terms you may not be familiar with. I am always available for any questions (.(JavaScript must be enabled to view this email address)). I ask you to be open minded and encourage you to have these uncomfortable conversations. It is never too late to start learning and getting involved in the discussion. The COVID-19 pandemic revealed and exacerbated many of the disparities and social inequalities that have been there for many people in the United States, especially the undocumented population. I want to leave you with the questions below to reflect on:

  1. As a current or future occupational therapist, how are you going to support clients experiencing occupational injustices due to their immigration status?
  2. How are the needs of students within mixed-status families being met? How can we best support them in reaching their educational and professional goals?

References

Chishti, M., & Bolter, J. (2020, December 11). Vulnerable to COVID-19 and in Frontline Jobs, Immigrants Are Mostly Shut Out of U.S. Relief. Migrationpolicy.Org. https://migrationpolicy.org/article/covid19-immigrants-shut-out-federal-relief

Fact Sheet: Mixed Status Families and COVID-19 Economic Relief. (2020, August 13). National Immigration Forum. https://immigrationforum.org/article/mixed-status-families-and-covid-19-economic-relief

Mixed-Status Families Ineligible for CARES Act Federal Pandemic Stimulus Checks. (2020, December 9). Migrationpolicy.Org. https://migrationpolicy.org/content/mixed-status-families-ineligible-pandemic-stimulus-checks

The Affordable Care Act & Mixed-Status Families. (2017, October 20). National Immigration Law Center. https://nilc.org/issues/health-care/aca_mixedstatusfams

Yna

What Made You Decide To Study Abroad? ⟩
March 19, 2021, by Yna

Diversity International

Years ago, when I was still trying to decide whether to stay in my home country or go abroad to pursue a Master’s degree, I employed the usual technique of listing down the pros and cons of each option that I had. It did help a little bit, but what ultimately led me to arrive at a decision was after I asked myself: “What is my goal? What do I want to get out of this?” That’s when I realized that what I was really looking for was something more—an experience that will further strengthen my knowledge and expertise in my chosen field. This is not to say that my education in the Philippines was lacking in any way; I had so much to learn from my university’s rigorous undergraduate program and all its brilliant professors which provided me with the necessary foundations and honed me to be the person that I am. But it is also for this very reason that I found myself with a desire to learn more about how I can apply this knowledge into practice in a manner that will really produce a significant impact to my clients’ lives and even to the larger community.

I was a newly licensed occupational therapist then, barely even worked a year, when I was presented with the opportunity to go to the US. I welcomed the news with both excitement and apprehension, as I was already starting out my career and had all my future plans set out—or so I thought. Making a decision definitely wasn’t an easy feat, with the thought of being separated from my loved ones holding me back the most. Nevertheless, all of my family members and friends were (and still are) very supportive of whatever decision I make—something that I truly appreciate and am very thankful for to this date. As you can tell, I ended up deciding to leave behind the comfortable life that I had for something that’s entirely out of my comfort zone—studying abroad. After performing extensive research about USC Chan and its Post-Professional Master’s program, reading student blogs, consulting various people, I determined that pursuing this road would bring me towards my goal of gaining life experiences that are worthwhile and would add value to my future practice. I felt terrified but at the same time thrilled by the many opportunities that I had imagined this decision would open up for me.

True enough, throughout the time that I have been in the program, I have found myself being the recipient of unique opportunities that I never would have earned in any other place: studying in the #1 ranked OT program in the US, learning from exceptional professors who worked closely with the very people who pioneered OT practice areas such as Sensory Integration and Lifestyle Redesign®, witnessing various breakthroughs in research by many renowned faculty, being part of a supportive community who puts great value in rich perspectives that its diverse students bring to the table, and working as a student ambassador which allowed me to further expand my professional network and enhance a lot of my skills. I put great value in these experiences which is why I feel very satisfied with the choice that I had made back then.

To anyone who is trying to come to a decision on whether to study abroad or not, I unfortunately do not have the answer, but I do have a question for you: What is your goal? I invite you to ask yourself that question that only you could answer, by finding out what you think is worthwhile and in line with what you want to achieve in life.

Yna

Dear MA1 Students, ⟩
February 25, 2021, by Yna

Classes Diversity Getting Involved International Life Hacks

How we were able to create an environment filled with nothing but love and support for each other with the challenges of distant learning is something that I don’t know but I sure am thankful of. It is truly amazing to think about it: how a lot of us haven’t even met each other in person — with some of us even having classes from across the globe — and yet, we are able to touch each other’s lives and share this journey together through shared Spotify playlists, after-class study sessions over Zoom, little fun facts about us that we share with each other, random comments over private chat, or even that simple “we got this, guys!” really goes a long way. Every once in a while, we find pleasant surprises from our little interactions with each other that gradually connect us altogether and make our experience nothing short of amazing. Today, here’s a surprise that would hopefully help you get through stressful times 😊

  • “Dear MA1 Students — I was asked to provide some words of motivation for you, but I would like to THANK YOU for motivating and inspiring me! I’m so impressed by the perseverance, creativity, and determination that you have demonstrated as post-professional master’s students. You have accomplished so much already, and I’m confident you will continue to succeed both in the master’s program and beyond. Remember to take some time to celebrate your achievements and use that as motivation to continue the hard work on your journey.”
    Dr. Emily Ochi
  • “When I was a graduate student, I found this quote that spoke to me and where I was at, at that time . . . in the midst of late-night study sessions, in-between messy relationships, or wrestling with self-doubt. The quote said: “Today my anthro professor said something kind of beautiful:
    ‘You all have a little bit of ‘I want to save the world’ in you, that’s why you’re here, in college. I want you to know that it’s okay if you only save one person, and it’s okay if that person is you.’
    I share this quote to give you permission (if you needed it today) to remember to take care of yourself at this time. Of course, we have big dreams for you and I deeply believe in this cohort. Each one of you are incredibly hard workers and I always appreciate the perspectives you bring to class, the work you put into being present (on a screen none-the-less!), and the ways you share your understandings of the class content . . . But! I will not encourage you to compromise yourself, in order to “save the world”. Let’s get rid of that notion. You matter, and let’s start there. So please take time for yourself, especially in the middle of the semester like we find ourselves in now, and let us know if or when you need support or just extra kindness that day. You are doing an extraordinary thing, having the bravery to study in a new place and challenging yourself with multiple courses. That is more than enough, and I hope this message finds you on a day where you are believing that you are more than enough too. “Again, we believe in you and are behind you today!”
    — Dr. Kelcie Kadowaki
  • “HI MA1! I know graduate school can be overwhelming but remember, you know more than you think you know and you are exactly where you are supposed to be at this moment in time. Give yourselves a pat on the back for all the hard work you are putting into your growth. Enjoy the process. Lean on each other for support. Be confident. Take a break and of course, stay safe. 😊”
    — Macy Peralta
  • “Dear MA 1 students — It has been such an honor to be your instructor this semester. I look forward to our class because I can sense your intrinsic interest in the material and the ways that you support one another. I love hearing your perspectives as we read qualitative research together! Karin Saric, our librarian, was also very impressed by your thoughtful questions and skillful database searching. I have been deeply impressed with your resilience, your ability to not only adapt to the remote learning environment but also thrive in this environment. When you had challenges with google drive, you viewed it as an opportunity to learn and grow. 😊 I love that. I hope I can embody this same resilience and adaptability in my own life as well. Thank you for being a part of this class as we learn and grow together.”
    Dr. Tessa Milman
  • “Do not underestimate a deep breath of fresh air from a place of serenity like from under your favorite tree or feeling the sense of comfort from having a warm bowl of your favorite soup. These kinds of simple activities, when feeling under a lot pressure can allow space for our minds to take a break and maybe even a chance to reinstate a positive attitude. Remember, sí se puede and that your Chan faculty believe in you!”
    Dr. Celso Delgado
  • “Life often gets overwhelming with so many things to do and so many situations out of our control - especially this year! When I get overwhelmed, I sometimes find it helpful to pause, take some deep breaths, and think about a few things I am grateful for and try to think of a things that I can control, even if it’s something as small as what to eat for dinner or watch on Netflix. And then, when I feel overwhelmed again, even if it’s just 5 minutes later, I try not to just acknowledge that sometimes, situations really are overwhelming! (And, around this time in spring semester is usually one of those times, pandemic or not!). As your professors, we want you to know that we are so proud of each one of you for taking the big step of being in this program, engaging and showing up for your classes, and doing your best during this hard time so that you can ultimate be the best OTs and help others as much as possible. We hope you take time to take care of yourselves, and hang in there — it will get better. 😊”
    Dr. Sook-Lei Liew
  • “Sometimes, it helps to remember that in the end, we write our own stories.  We can be crushed by some unfairness or a failure, or consider these to be the building blocks for future success, as opportunities to overcome, grow, and inspire others.  And if it is our reactions to our circumstances that define us, then any circumstance met with optimism, gratitude, and humility becomes a success story.  We are living through a time when our lives and occupations are especially disrupted.  Maybe this trial by fire could be what forges you into a uniquely exceptional generation of OTs, and one that is looked up to well into the future!”
    Dr. Christopher Laine
  • “I have not failed. I’ve just found 10,000 ways that won’t work.” — Thomas Edison; “The expert in anything was once a beginner.” — Helen Hayes; “You don’t always get what you wish for, you get what you work for.” — Anonymous; “Some people dream of great accomplishments, while others stay awake and do them.” — Anonymous
    Dr. Sharon Cermak
  • “You’ve all worked so hard to get to this point! Think of all the steps you took to get to this program, including for some of you moving to a whole new country! Keep up the great work and when the road ahead looks difficult, don’t forget to look back and marvel at the road traveled to get here!”
    — Ty Kim

While these quotes are directed to MA1 students, I’m sure anyone who find themselves in need of a little bit of motivation could use these too. I hope you enjoyed, and as always, Fight On!

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