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University of Southern California
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USC Chan Division of Occupational Science and Occupational Therapy
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Arianna

Can’t Sleep? Count Sheep! ⟩
June 4, 2021, by Arianna

Life Hacks

Although Mental Health Awareness month is over, I wanted to write about something I struggle with that many of you may experience as well: sleeplessness. Don’t get me wrong; I love sleeping. I love having vivid and nonsensical dreams that linger in my mind all day, and I love being able to rest and recuperate with an occupation as restorative as sleep. The one thing I don’t love is the “simple” process of falling asleep.

My typical night goes as follows: I get into bed, lay on my side curled up in a fetal position, close my eyes, and think about the day. Pretty soon, I start to think about some embarrassing thing I did in high school. Then, I think about grad-school, and worry about how I’m supposed to pay for that. Next, I think about having to wake up before seven in the morning to commute to classes if I decide to live at home in 2022. Before you know it, my heart is racing, my blood pressure is up, and my entire sympathetic nervous system is ready for action! This can go on for thirty minutes to an hour.

Once my brain is too tired to think, my body takes over. I suddenly have the urge to pee, but when I walk to the bathroom, the urge disappears. Pretty soon, I can feel every fold and wrinkle in my pajamas, and the idea of sleeping in lumpy clothing forces me to get up and reposition myself. Next, I can see a tiny beam of light peeking through the blinds, which of course, bothers me. And last but not least, my baby hairs start to tickle my face. AGHHH!!! By now, I’ve been in bed for two hours, and I have to be up in six.

Now I forget about my body and I am only filled with frustration, for I have just wasted 2 hours of sleep! This sequence of events used to happen every single night, but I’ve picked up a few tricks to help me overcome my sleeplessness.

1. Melatonin tablets
Over the past year, my best friend has become melatonin tablets! Taking 10 mg of melatonin an hour before bedtime helps me feel sleepy. Melatonin has also helped me establish a more regular sleep cycle! Oh, but I do NOT recommend getting the “Natrol Strawberry Melatonin Gummies” because they taste better than most candies, which is dangerous if you have a sweet-tooth like me.

2. No phone in bed!!!
Oh boy, I wish I had the willpower to do this every night. Sometimes when I feel extra motivated to get a good night’s sleep, I charge my phone on my dresser to prevent me from using it in bed. Although the eternal scrolling can be comforting by helping me take my mind off of external stressors, it prevents me from winding down effectively.

3. Mental exercises
I’m not sure if this is considered an exercise, but when my thoughts are overwhelming, I repeat this phrase in my head over and over: “What are you thinking about? Nothing. What are you thinking about? Nothing”. Sometimes I actually fall asleep doing this! I also find counting sheep to be helpful. Although it seems silly, sometimes if I imagine velvet sheep walking across a velvet couch in a velvet room, I become extra relaxed.

4. Deep breaths
Last but not least, never underestimate the power of three deep breaths. Slowly breathing in air, holding it, and exhaling, noticeably slows down my racing heart. I need to remember to practice mindful breathing more often, as it proves time and time again to be beneficial.

These tips have all helped me get better sleep, but of course they don’t work perfectly. Some nights, my brain refuses to sleep no matter how hard I try, and I just have to accept that. If you struggle with sleeplessness, I hope this blog was relatable and comforting. I also hope you were able to gain useful tips to help you get a better night’s rest! We must never forget that sleep is an occupation that everyone deserves to partake in.

Daniel

A Week in the Life: OTD Residency Edition ⟩
April 30, 2021, by Daniel

Classes Fieldwork Life Hacks Videos

As I prepare to go into the last semester of my OTD Residency, I wanted to share with you all what a typical week looks like for me. Completing my residency at the LAC+USC Primary Care Adult West Clinic has been one of the most rewarding experiences I’ve had as a student, and now licensed occupational therapist.

I hope you find this vlog helpful and enjoy it!!!

If you have any questions, feel free to reach out to me at .(JavaScript must be enabled to view this email address) or .(JavaScript must be enabled to view this email address).

Savi

Finding your A-teams ⟩
April 23, 2021, by Savi

Classes Getting Involved Life Hacks

When you get to graduate school, you will quickly realize that you cannot succeed alone. You will gravitate towards and lean on all types of people throughout your two years and you will form long-lasting friendships. As graduation soon approaches, I have had to face the fact that I will no longer be blessed with the opportunity to work with all these wonderful people on a daily basis. I have formed a variety of different teams depending on the class, club, job, or activity I’m in and I wanted to thank all the people who have helped me succeed as a student, friend, classmate, and practitioner. Below I have included some pictures of my various teams. This is most definitely NOT a comprehensive list, because there are so many more wonderful people who have helped me along the way that are not pictured below. To those who are not pictured . . . you know who you are . . . I appreciate you all!

  1. To those who got me through my first summer semester: I truly do not know how I would have made it through without ya’ll. Whether you were a friendly face to me on the first day (shout out to Lamoni for being the kindest to me when we were seated next to each other on the first day of class), a late-night study partner in Currie Hall, or a lab partner who tolerated me asking too many questions and talking everything out loud, you made the transition into graduate school a little less stressful.
  2. To the MANY group project teams: Thank you for helping me expand my creativity. Time and time again I found myself researching topics I would have never come up with on my own. Whether that was focusing on the effectiveness of the sequential oral sensory approach with children who are diagnosed with Autism Spectrum Disorder in OT 518 Quantitative Reasoning, or developing a wellness program for undergraduate college students in OT 537 Occupation for Community, I got the opportunity to surround myself by people with varying interests and skillsets which allowed me to grow as a practitioner.
  3. My cohort: Shoutout to cohort B for being the best cohort I could EVER ask for. Your knowledge about and passion for OT inspired me daily and I couldn’t have asked for a better group of people to hang out with all day every day.
  4. My roommates: These people have seen it all! Shoutout to these gals for dealing with me at my best and my worst, for always being a shoulder to lean on, and for listening to all my crazy rants. I appreciate you both for making the little parts of life fun, for being my “OT practice patients” during this pandemic, and for supporting me always. I couldn’t have done these two years without you!
  5. To my ambassador team: You all are my rocks. Thank you for having faith in my capabilities, for always stepping up to the plate, and for helping me out when you can see that I am stressed. You all always know the right thing to do and say, and it has been an honor working with and learning from all of you.
  6. To the adventure buddies: Thank you for taking my mind off the craziness that is graduate school and helping me re-focus on my energy on meaningful occupations. You are the silent heroes in my life. Thank you for supporting me both inside and outside of the classroom. You are able to read me like a book by this point and understand when I need to take a break and just enjoy the outdoors. You are the ones to text me a funny joke when you know I am having a hard workday or to organize an event when it is time to celebrate even the smallest success. Thank you for pushing me outside of my comfort zone, surrounding me with love and celebration, and for being there through the tough times.
  7. To my family . . . my lifelong team: There are not enough thank you’s to show how grateful I am for you three. To my sister, life mentor, and OT guide, I do not know where I would be without your wisdom and guidance. You always know the right thing to say and do and I will forever be thankful for you. Mom and Dad – you are my biggest support system. Without out you none of this success would have been possible. You are my biggest cheerleaders and I know that you two are what motivate me to push harder every day.

Ambassador Savi and friends

My friends and I taking a break from school and relaxing on the beach.

Savi and friends in quantitative reasoning competition

My friends and I winning a fun and friendly competition in preparation for a quantitative reasoning exam.

Savi and friends hiking

My adventure buddies out on a hike.

Savi's quantitative reasoning group

My quantitative reasoning team posing in front of our poster on the effectiveness of the sequential oral sensory approach.

Savi's family

My lovely mom, dad, and sister <3.

Savi and roommates

Me and my roommates at our White Coat Ceremony.

Cohort B class of 2021

Cohort B posing with Professor Delgado after completing our first semester in Mental Health.

Savi

Preparing for Graduate School ⟩
March 31, 2021, by Savi

Admissions Life Hacks

As an ambassador, I have had the privilege of communicating with a large group of admitted Entry-Level Master’s students over the past few weeks. These students have expressed that they are both excited and nervous about what is to come. I definitely shared the same kind of emotions back when I was admitted. As an admitted student, you don’t know exactly what the future holds. For that reason, I have been receiving a lot of questions regarding how to best prepare for graduate school.

My biggest piece of advice is to forget about the idea of “preparing yourself” for the program in the typical way you may imagine.

Do not try to cram in as much reading about anatomy and physiology as possible before you enter into your summer session like I did. I promise you that it is not necessary (really . . . I’m not lying to you)! All I did by studying that material in my free time was tire myself out before I even sat down for my first day of class. Your professors have designed each course to cater to a wide range of prior knowledge levels, so don’t focus your time on studying material that will either be reviewed or is unnecessary to know.

Instead, take the next few months (or whatever time you have remaining before the start of the program) and relax as much as you can. Enjoy and appreciate every aspect of the life you are currently living and use the remaining hours you have in the day to participate in restorative occupations. Read that book you’ve always wanted to read, go on that hike you’ve been eyeing on the All Trails app, or watch that movie you’ve had saved on “your list” on Netflix because soon your life will become a lot busier. A lot of the free time you may have after work, on the weekends, or in between undergraduate classes will soon turn into time focused on finishing your homework, reviewing textbook readings, completing an essay or group project, or studying for the exam you have the next week.

The best way to prepare yourself for what is to come is by focusing on doing things you enjoy in your free time and acknowledging that the routine you are currently following will be drastically changed in a few short months.

So to all the admitted students out there reading this blog . . . know that it is OK to use this time to focus on taking care of yourself in order to be energized and mentally ready to take on whatever the next two years have in store for you. After you sit down for your first day of OT school, you can never go back to the place you are right now in your life. Take a deep breath and know that you will be able to tackle anything and overcome any hurdle that may come your way . . . but only if you focus on taking care of yourself before you start! I promise you’ll thank me later 😉

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

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