Enable Professional 2018

Forget can’t - think can!

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OTS BEHIND BARS

2018

professional

The vital work OTs are doing in the prison system

Taking kids therapy

Outside the box Discover new techniques and methods supporting childhood development

PROFESSIONAL DEVELOPMENT

Hit the books to advance your career

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22/11/2018 15:45

“The Motability Scheme has been life-changing; it has allowed me to care for my husband and also continue my voluntary work.�

Angela

Making a difference to the lives of disabled people

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Insurance Breakdown assistance Servicing and repairs Tyres and battery replacement

Today, over 600,000 disabled people and their families benefit from the freedom and independence provided through the Motability Scheme, people like Angela (pictured above), who was able to apply to Motability for a charitable grant which paid towards a Drive-from-Wheelchair vehicle that met her needs.

How Motability can help Motability is a national charity which oversees the Motability Scheme and may be able to provide charitable grants to disabled people towards their Scheme vehicle.

We provide charitable grants for:

Do you have clients that could be eligible to join the Motability Scheme?

Car adaptations which help make travelling as comfortable and safe as possible Vehicle Advance Payments for larger, more expensive vehicles Driving lessons, to ensure disabled people have access to driving tuition in specially adapted cars

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Motability is a Registered Charity in England and Wales (No.299745) and is authorised and regulated by the Financial Conduct Authority (Reference No. 736309). The Motability Scheme is operated by Motability Operations Limited under contract to Motability. Motability Operations Limited is authorised and regulated by the Financial Conduct Authority (Reference No.735390).

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Welcome

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Prepare to propel your career in new directions with Enable Professional 2018!

We’re very excited for you to read this issue and get the lowdown on the latest techniques, methods, and products that are taking occupational therapy by storm.

When it comes to children, we learn how karate can help develop physical and mental wellbeing to advance progression. This issue also looks at the different ways you can help patients remain independent, a feeling that everyone is entitled to.

We also discover innovative CPD courses, and what it’s like to work as an OT in the prison system.

We love hearing what you think of the magazine, and what you would like to see more of. Please let us know by emailing editor@dcpublishing.co.uk

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Until next time,

DON’T MISS…

Lorne Gillies, Assistant Editor

PUBLISHER Denise Connelly denise@dcpublishing.co.uk

Keep up to date with the latest from Enable at www.enable magazine.co.uk

ASSISTANT EDITOR Lorne Gillies lorne.gillies@dcpublishing.co.uk STAFF WRITER Emma Storr emma.storr@dcpublishing.co.uk Saskia Harper saskia.harper@dcpublishing.co.uk DESIGN AND PRODUCTION Lucy Baillie lucy.baillie@dcpublishing.co.uk PRODUCTION ASSISTANT Lisa McCabe lisa.mccabe@dcpublishing.co.uk SALES Marian Mathieson marian.mathieson@dcpublishing.co.uk

What’s 5 23 29 30

ENABLE MAGAZINE www.enablemagazine.co.uk

DC Publishing Ltd, 198 Bath Street, Glasgow, G2 4HG Tel: 0844 249 9007

©DC Publishing Ltd 2018. All rights reserved. No part of this publication may be reproduced or used in any way without prior written permission from the publisher. The views expressed in this magazine are not necessarily those of DC Publishing Ltd. The publisher takes no responsibility for claims made by advertisers within the publication.

Every effort has been made to ensure that information is accurate; while dates and prices are correct at time of going to print, DC Publishing Ltd takes no responsibility for omissions and errors.

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on the job

THERAPY OUTSIDE THE BOX From karate to arts and crafts, there are many benefits to alternative therapy.

THE IMPORTANCE OF OTS BEHIND BARS Occupational therapy within the prison system is imperative for prisoner support.

THE DIARY Dates to add to your diary for the latest training events, talks, and courses being held.

VOICE OF AN OT One neurological occupational therapist shares her experience on the job.

on the road

HITTING THE HIGHWAY Motoring to help your clients go further.

professional development

GET EDUCATED WITH CPD We spotlight the must attend professional development courses in the classroom and online to boost your CV.

patient support

FOR COMPLEX 8 CARING NEEDS Get in the know on

how to care for a patient with complex additional needs and palliative care.

INDEPENDENT 11 REMAINING The skills and knowledge imperative to ensure your clients can remain independent, or regain their independence, and how to overcome barriers.

VISUAL 14 UNDERSTANDING IMPAIRMENTS

Many OTs feel underequipped when it comes to visual impairments. We find out why.

at home

ADAPTABLE HOME 16 THE Making a house a home with dedicated, state-of-the-art adaptations for each room.

products

ROUNDUP 20 PRODUCT An overview of the latest

products on offer to support your clients. From children right through to adults, there is a product for every need.

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ON THE JOB

Therapy outside the box

Getting kids involved in any task comes down to creative, engaging and exciting tasks.

There are many new techniques available and we take a look at the treatment methods, not only providing therapy, but fun and freedom, too

O

ccupational therapy can help improve many different aspects of children’s lives, from self-care and education, to play and leisure. OTs across the country are continually developing new approaches and incorporating different hobbies changing therapy as something to be endured, into something to be enjoyed and celebrated for personal development.

Arts and crafts Getting crafty can have major benefits for children, especially those with dyspraxia or other problems with dexterity. Using creative means to exercise the hand muscles, rather than less stimulating exercises such as squeezing a ball, or practicing handwriting, can be beneficial in a number of ways.

Working with different colours, shapes and materials promotes selfexpression, flexibility, problem solving and critical thinking in children, making them more resilient and, of course, more creative. This method can also have calming properties, and can be the perfect way of winding down after school or at the weekend, all while

helping with assessment and recording patient progression.

It’s not only children that can benefit from alternative methods of therapy: you can also gain from it, with the added creativity, thinking on your feet and physical exercise having an overwhelmingly positive impact on job satisfaction and mental health.

OTs are experts of thinking outside the box, which makes them perfect for working with children. So, if you’re trying to come up with something a bit different for your paediatric patients, look no further than your own passions and hobbies, and get creative turning it into therapy. You never know who you might inspire.

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ON THE JOB

Horse riding The benefits of animal therapy are well-documented. One company has taken a different approach, developing hippotherapy as a therapy method for children. Despite what the name may suggest, it actually explores the bond between child and horse.

Rhona Harkness works with the Riding for the Disabled Association (RDA), to develop the role of occupational therapy within the company. A qualified OT since 2002, and specialising in neurodevelopmental conditions, Rhona refers patients to the RDA for therapy, and provides advice to the RDA. “Working in collaboration with horses and their environment is a fast-growing therapeutic approach within the UK, and indeed worldwide for occupational therapists,” explains Rhona.

Horse riding has numerous physical benefits, making it the perfect alternative method of therapy. Not only does it exercise muscles throughout the body, but riding improves balance and coordination, builds strength and stamina, and improves flexibility and posture, too.

“Research has found that the three-

dimensional movement provided by the horse during a walk in a hippotherapy session replicates that of a walking pattern in the human pelvis,” Rhona adds.

The emotional benefits of hippotherapy have also been researched in depth. Benefits include improved mood and better management of negative feelings; higher self-esteem, and more confidence in social interactions.

The bond between horse and human increases responsibility, empathy and concentration, making it perfect for children on the autistic spectrum, or those with ADHD. “Working with and caring for the horses provides a vast range of transferable life skills,” says Rhona.

“The horse’s personality and unique characteristics can be skilfully used to support individuals to develop selfawareness and insight.”

Research by the RDA shows that after just 12 weeks of hippotherapy, 65 per cent of riders showed greater willingness and ability to communicate, and 74 per cent of participants showed physical improvements.

Karate One of the most innovative and unique methods gaining traction comes in the form of martial arts. Karate combines many of the key aims of occupational therapy, including improving motor skills, coordination, balance, and upper body strength, making it a wonderful form of physical therapy.

Charlotte O’Reilly is the director and founder of OT Play, a company providing karate therapy for children with special needs. Charlotte started going to karate classes at eight years old, and qualified as an OT in 2013. It was after this that she decided to combine her two passions and develop karate as a form of therapy.

“It started when I volunteered to teach karate at the after-school club of the special needs school I was working at,” explains Charlotte. “Through my degree I knew that you use a lot of the same skills as an OT as you do in karate teaching; the two actually complement each other really well. The kids found it so much fun and they weren’t even really paying attention to the fact that it was actually

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therapy.”

Marital arts not only has physical benefits, but also teaches self-discipline, leadership skills, improves selfconfidence, team work and listening skills, therefore having an effect on mental and emotional wellbeing.

Encompassing a wide range of needs, karate can be used to treat not only those with a physical disability, but children and young people on the autistic spectrum or with learning disabilities and sensory processing disabilities, too.

“It’s a lot of fun and it’s a safe space for the kids as well,” says Charlotte.

“They have a sense of belonging here that they might not often get in other places. The social aspect of being with friends is great, but it’s also about improving existing skills and learning new ones. The most important thing is making karate more accessible to those with special needs – the classes are completely centred around the kids and their abilities.”

Charlotte with a client

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FIND OUT MORE

OT Play www.otplay.co.uk The Riding for the Disabled Association www.rda.org.uk

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CARING FOR COMPLEX NEEDS As an occupational therapist caring for people of all ages and needs is an integral part of your role. Patients who have complex needs may require additional support and guidance in their care and each service has its own methods of ensuring a high quality of life 8

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PATIENT SUPPORT

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eople may require the assistance of an occupational therapist for a variety of different reasons. From acquiring a disability, growing older, illness or injury: it is your role to adapt routines and daily activities to help administer a sense of independence.

Supporting patients with pain, getting in and out of the bath, coping with patient anxiety and negative feelings, to demonstrating to carers how to assist with practical tasks, and understanding how to use adaptive equipment and technology – the work of an OT is integral for many people across the UK. And there are many forms of care that you can provide when working with patients who have complex health needs.

PALLIATIVE CARE

End of life or hospice care is a sensitive yet vital necessity of occupational therapy. Caring for a child, adult or elderly patient can be emotionally demanding, but rewarding and fulfilling at the same time. Working within a hospice environment you will be responsible for the care of many patients with varied and complex needs.

St Joseph’s Hospice in London provides specialist palliative care to more than 4,000 terminally or life limiting illness patients and their families on a yearly basis, Phuong Quach is one of the occupational therapists working with patients. After seeing end of life care when two family members were diagnosed with cancer, it was this experience that spurred Phuong to pursue working in palliative care – it gave her a purpose.

From working with patients who experience debilitating fatigue from their illness to people living with MS, Phuong connects with patients to learn more about the goals they want to achieve and how this can be done around their condition. Working with fears and anxieties, hopes and determination of patients Phuong has seen first-hand the benefits of working in palliative care.

“Loss and grief is often experienced by people with progressive advancing illness. The need to gain some sense of control, dignity and normality that often comes with being independent. I have joy in supporting and enabling them to feel independent, even just for a day or a

goal means learning what barriers they brief moment,” enthuses Phuong. “They face and how you can work together to are in that moment able to fulfil their break them down. It is the same when wish.” working with younger patients.

Unfortunately, due to the nature of an illness, Phuong has experienced CARING FOR CHILDREN the challenging and at times upsetting On the other end of the spectrum, aspects of palliative care. caring for children can also see OTs “Not everybody wants to live,” she meeting children or young adults with explains. “We see patients who have complex needs. From learning disability gone through so much with their illness, to physical, sensory, or mental health experienced so much suffering and pain, conditions, there are many reasons and they feel they have lost their integrity an OT can be required to assist with or their control.” But, she enthuses that adolescents. working in a hospice or for people going In an educational setting, you into palliative care, times are changing. could find yourself working in “People feel supported, being specialist schools helping listened to and recognised to develop functional that hospice is not just daily life skills, self-care the place to die: they Even for a day, skills, and getting are there to live, and the most out of their have the potential to or a moment, school work and play. return home. It’s about you can help Some students may enabling people to someone feel have severe learning achieve their priorities independent disabilities, extremely and live life to the limited mobility, be on fullest,” emphasises the autistic spectrum or Phuong. have other complex needs.

ELDERLY CARE By observing a student, you As more of us worldwide live longer can determine the best method of – which is fantastic news showing treatment, care, and progression plans medical advancements are working to help develop and nurture their skills and the general health of older people and talents. is improving – the need for OTs has Through therapy sessions, group also peaked. Working alongside older sessions, classroom programmes, clients can come in many different to providing assistive and modified environments including their own home, products and equipment there are in a nursing facility, in a care home or many ways to support students, young in the hospital. The main goal for OTs is adults, and children advance in their to keep elderly people in the comfort of education. For some young people, you their own home – mainly by providing may come across them in the hospital adaptations to help them navigate environment. easier.

There are many thrilling yet A rising elderly population over the challenging aspects to caring for a age of 85, which is suggested to increase patient or client with complex health in the upcoming 20 years, and more needs. As your experience with a person people being diagnosed with symptoms develops, so will your relationship and such as dementia, the demand for your understanding of what techniques elderly care OTs is quickly mounting. do and do not work for their specific Elderly patients come with a host needs. of complex needs. Misunderstanding of diagnosis, limited awareness and mobility, location, and sources available. i FIND OUT MORE Similar to Phuong’s experiences in Hospice UK palliative care, the essence of working www.hospiceuk.org with the elderly is problem solving to regain independence. Having supported Royal College of a woman with MS to transition onto her Occupational Therapists toilet without aid, Phuong explains that www.rcot.co.uk finding solutions to someone’s personal

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PATIENT SUPPORT

REMAINING

INDEPENDENT We all appreciate our own time, space and independence.

Part of an OTs work is identifying and removing barriers to independence. We speak to one occupational therapist about helping clients to remain independent

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ndependence may seem like a given for a lot of us, but it can be a luxury for people living with a disability or impairment. Jennifer McShane has almost 20 years’ experience as an OT working for the NHS and within the private sector working with children and young adults. “I work across health and social care with regards to equipment provision to facilitate independence and enable access to their occupations,” explains Jennifer. She also works with adults to make recommendations for adaptations within their home to help facilitate their independence.

From personal hygiene to housing, independence is valuable to everyone regardless of disability or circumstance, and can play a large part in someone’s happiness. “Independence is so important; OTs play a vital role in helping people of all ages overcome their disability to enable them to carry out essential everyday tasks,” adds Jennifer.

Removing the barriers to independence isn’t always simple and often requires creative thinking.

“I think you need to be adaptable and often think outside the box as to new and innovative ways to facilitate independence,” says Jennifer. What constitutes independence and its meaning is unique to each individual, so it is likely the methods used to remain

independent will be different for every patient or client in your care.

COMMUNICATION

No matter what the issue is, setting a goal is the first step to helping a client remain independent, or even regain their independence. “It is essential that an OT works jointly with the client, their carer and their family to identify what goals they would like to achieve in order to facilitate independence,” explains Jennifer. “Whether that is through treatment programmes, equipment provision or adaptations.”

It is important to understand all aspects of a client’s care and needs before deciding on a set goal Jennifer adds: “As an OT we work holistically when assessing a client to ensure independence can be achieved where possible, whether it is at home, school, work or socially.”

A good relationship with your client, their family, and carers is essential. Having a good relationship will encourage an open line of communication. It is important to have the full picture before carrying out an assessment. “Open and honest communication is what I find to be the best solution to overcome these barriers. Talking through goals and recommendations,” encourages Jennifer.

If something isn’t working then I would problem solve to try and find a solution to any difficulties

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PATIENT SUPPORT

BARRIERS

Having a direct line of communication to all parties will allow you to easily identify what barriers to independence exist and how these can be removed.

Barriers could include something small and simple or could be more serious, but it is crucial to remember that these could be equally important to your client’s happiness. “I enable clients to function at an optimal level despite barriers,” says Jennifer. “This can be access to essential daily tasks such as self-care, play or leisure activities.”

Barriers are identified through assessment, followed by recommendations of what can be done to improve a situation. “A typical day would generally involve assessment of functional needs, recommendation of equipment, adaptation, treatment sessions, modification of activities, advice to parents, carers, clients, and liaison with a wide range of professionals,” explains Jennifer.

The assessment process should take in to account the needs of everyone involved rather than what is the best or easiest option in your professional opinion. “When making any recommendations I ensure that I consider my own professional suggestions, but also need to consider the client, the carers, the environment and the purpose for the recommendation I have made,” says Jennifer.

ATTITUDES

While the process mainly involves functional assessment of a client’s situation and surroundings, attitudes can also be a barrier to independence.

“A big barrier is acceptance and coming to terms with the difficulties,” adds Jennifer. Your client accepting the need for change can often be difficult.

Being patient and explaining why a barrier is preventing a higher level of independence can be equally important

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as removing it.

As well as accepting that some aspects of their home or situation may need to change, clients may have prior expectations of what will work, but this might not be the case. “Other barriers include expectations and what people want over what they need,” says Jennifer.

“To facilitate independence, we need to ensure what we recommend is necessary and appropriate to meet the needs of my clients. This can cause barriers if I am unable to recommend what a client wants.”

REVIEW

After recommendations and a possible solution has been implemented, it is integral to ensure it is working for your client Jennifer adds: “I want to ensure what I have recommended to overcome barriers identified meets the client’s and carers’ needs along with ensuring it does facilitate independence.”

If a problem arises or the recommendation doesn’t allow the client to have more independence then a further assessment may be required.

“If something isn’t working then I would problem solve to try and find a solution to any difficulties that have been identified,” explains Jennifer. A review could take place the next day, week, month or even six months later. Each individual case will require a different review period due to the unique nature of each client’s needs.

Helping a client remain independent could involve a simple solution or a major adaption, but good communication, patience and an understanding of their needs is essential in every situation. i

FIND OUT MORE

For more information on how to help your client remain independent visit www.independentliving.co.uk

Open and honest communication is what I find to be the best solution to overcome barriers

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22/11/2018 10:29

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PATIENT SUPPORT

Across the UK it is estimated that two million people are living with sight loss. Despite being one of the ten most common disabilities in the UK, it remains significantly underfunded and under researched, but professional changes are being made to facilitate education and understanding of our eyes

Understanding

VISUAL IMPAIRMENTS I

TECHNOLOGY Virtual reality (VR) is one of the leading new methods of treatment. The systems fill the user’s field of vision, using a combination of near-eye displays and high-colour contrast, meaning people living with low vision can see more clearly when wearing a headset.

Using technology to treat visual impairments doesn’t have to be CONFIDENCE expensive or complex – in fact, GET APPY From adding extra lighting, apps are being used more Many apps are removing any tripping frequently in treatment, making available on all hazards, or reorganising care accessible to all who have Android and Apple rooms, an OT is responsible a smartphone. services for assisting patients with Apps such as Blind Square sight loss. Despite their (www.blindsquare.com) can be important roles, only two extremely useful as an OT. It uses percent of graduates say they feel GPS and describes the surrounding confident assessing visual impairments, and environment, nearby points of interest and a third of qualified OTs feel their education streets. Once it has determined where the has not prepared them with knowledge on user is, it can guide people on where they sight loss, according to a study by Coventry need to go, and enable those with little to University. no vision to go outside independently.

To tackle lowering confidence amongst Similar apps providing vital treatment OTs working with eyes, there are plenty of and support include iDentifi, which resources out there to ease you into treating describes photographs; Light Detector, an vision impairments. From technology to app that transforms artificial light sources training courses, there is a service on hand into sound to let users know where light to help you and your patients thrive. fixtures and windows are in a room; Be My n the classroom, 95 per cent of universities admit sight loss is only partially addressed in their curriculum, and 63 per cent say it is a low teaching priority. Working in the field, occupational therapists can work with visually impaired individuals to determine how their sight loss has impacted on daily tasks.

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Eyes which matches visually impaired users to sighted volunteers to describe what they see, and Audible, the audiobook app.

FURTHER STUDY Partnering advancements in technology with continued learning can be the key to build confidence with visual impairments.

Birmingham City University provides the Rehabilitation Work (Visual Impairment) FdSc course, focusing on the impact visual impairments have on all aspects of life, training students to enable those with sight loss to become independent in their daily lives.

The world of visual impairments can be daunting, especially if you feel your education has not adequately prepared you.

But, there are resources out there to assist you to help the community to get the care and treatment they need and deserve. i

MORE INFORMATION

RNIB www.rnib.org.uk

Birmingham City University www.bcu.ac.uk

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The

Adaptable Home

Home is where the heart is, and the location where we spend the majority of our time. Having a disability shouldn’t mean compromising on comfort or style, and there are plenty of adaptations on offer to make a house a home

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f a client is unable to move to accessible housing or they want to stay in their own home, there are plenty of adaptations you can make to a space suitable for everyone. While some people may require structural change to make their home accessible, there are also small changes that can make a big difference to someone’s life.

KITCHEN

The kitchen is often the family hub of a home – making it one of the most important rooms in the house. There are plenty of adaptations that can make the kitchen more accessible. The oven and hob can cause a host of accessibility issues and hazards.

Installing an oven with a side opening door can give easy access and avoid having to lean over the open door for long periods of time.

It is advised to avoid gas hobs to lower the risk of accidents in the kitchen. Open flames increase the likelihood of burns in the kitchen. Electric hobs are safer and more modern, induction hobs are especially good for people who are at a higher risk of accidents in the kitchen. Induction hobs will only heat up when a pan is placed on them, decreasing the risk of burns if the hob is touched accidentally when turned on.

KBSA (www.kbsa.org.uk) provide a wealth of information and tips on how to make the kitchen accessible.

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AT HOME

Accessibility should encompass the whole home BATHROOM

Adaptations in the bathroom can often be the most extensive, requiring structural change and likely a lot of money. While there is financial help available for those who need this level of change, there are many alternative adaptation solutions to make a bathroom shine.

Bath and shower seats are an essential addition to the bathroom for people who cannot stand for prolonged periods of time. These allow water to drain through and can be built-in into the bath or shower, or portable. Some portable bath seats also have a swivel function to allow easy transportation into the bath without the need to climb over the side.

Grab rails can make getting out of the bath easier and avoid slips and falls. These allow a person to pull themselves up without putting full weight on the legs. Permanent grab rails can be installed on to walls or portable rails, attached by suction cups, can be used in the bathroom or around the house and are more cost-effective.

Homeability (www.homeability.com) have created a helpful beginners guide to accessible bathrooms.

LIVING ROOM

The living room is where people spend most of their time, whether it is catching up with family, watching TV or just reading a book. That means it can also be the biggest burden if it doesn’t suit a person’s needs.

Having the right chair to help with posture and pain can go a long way to making the home a more accessible and comfortable place. Riser recliners look like and work as a normal recliner but also assist the user with rising from a seated position by lifting off the ground. Riser recliners can be purchased from specialist stores or high street shops like Argos (www.argos.co.uk). If a recliner is too expensive, foot and back rests can also help with pain management and posture for a more affordable price.

Wireless TV listeners can be a great addition to any living room. Simply plug the device into the television and sound will be amplified through a pair of wireless headphones, diminishing the use of subtitles for those who are hard of hearing.

BEDROOM

It is thought that we spend around a third of our lifetime sleeping – that makes the bedroom a priority when it comes to accessibility and adaptations. Like riser recliners, riser beds allow easy descent from the bed to standing. This can be especially helpful for people who have a poor range of motion in their arms or legs, or struggle to sit up. Bed rails can also assist with sitting up from lying down or getting out of bed with ease.

For people who spend large portions of time in bed, over-bed tables can help balance food at meal times or hold possessions that are used often: like a phone or books. Over-bed tables are often fixed on a swivel bottom so that they can easily be moved away without being dragged or pushed across the floor.

AROUND THE HOUSE

Adapting individual rooms in the house can make a huge difference to the life of someone with a disability, but accessibility should encompass the whole home. Stairs can be a massive barrier to having an accessible home.

If one or two steps are causing a problem, then installing a ramp could be the best solution. This is often one of the most cost-effective solutions to stairs such as those found at the front door. For spaces with more stairs, a stair lift could be the perfect fit. Stair lifts come in a range of different forms and can take you from one floor to the next, around corners and can be chosen to be used seated or standing.

When choosing a stair lift it is always best to contact suppliers and ask to attend a product demonstration prior to purchase.

Modifying the door handles around the house can help people who struggle to grip thin objects or push down on regular handles, too. Pull handles can be easier to operate and positioned at any height on the door. If more extensive change is possible, changing regular frames to sliding doors can help people with a disability when operating doors. i

FIND OUT MORE

For advice on how to apply for funding to make home adaptations talk to the Money Advice Service on 0800 138 7777 or visit www.moneyadviceservice.org.uk

www.enablemagazine.co.uk

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22/11/2018 15:10

ON THE ROAD

HITTING THE HIGHWAY G

One of the key ways for people to maintain or regain their independence is through motoring. It is for this reason that having access to a car is essential and there are many organisations on hand aiding people to get on the road

etting on the road is one of the most liberating parts of any adult life, and a skill that many young people get excited to learn. For the disabled community, driving can hold an even greater sentiment: one of independence. Playing such an important role in the lives of disabled people, it is critical to know all there is about motoring.

MOTABILITY

BLUE BADGE SCHEME

The Blue Badge allows disabled people to park in designated areas that are closer to entrances or other areas of support. Summer of this year saw the UK Government roll out the Blue Badge Scheme for people living with hidden disabilities, including autism and mental health conditions, further removing barriers to travel that some people may face. If you are helping your client to apply for the Scheme make sure that they’ve got a digital signed photo, National Insurance Number, proof of identification and residency to apply for or renew their Blue Badge.

More information and how to apply for the Blue Badge Scheme www.gov.uk/apply-blue-badge

The Government-funded mobility allowance helps disabled people to lease a new car, Wheelchair Accessible Vehicles (WAVs), scooter, or powered wheelchair.

Through exchanging their mobility allowance with the Motability Scheme, which allow the disabled community to get back on the road and travel from A to B with ease. The service is all–inclusive In some instances, disabled people are meaning Motability arrange eligible for vehicle excise duty (VED), also insurance, breakdown assistance, known as car tax, exemption for one servicing and maintenance, which car. You can nominate a client is all covered in the total price to get a free tax disc if they to be paid.

BLUE receive: high rate DLA mobility It’s simple and BADGE PARKING component, enhanced rate affordable, people will be PIP mobility component, driving with ease in no For free, worldwide and similar benefits. People information on disabled time. Learn more about parking areas visit who receive the standard the scheme and how bluebadge rate mobility component of you or your client can get parking.com PIP may be entitled to 50 per involved by visiting cent off their VED. www.motability.co.uk

FREE TAX DISC

18

ADAPTATIONS

Many vehicles can support adaptations or specialist equipment to make it more accessible and suitable for their needs. Driving Mobility and Research Institute for Disabled Consumers (RiDC) are just two services which can provide impartial advice on the adaptations that can be made to vehicles. Providing cars with the right controls and support, Driving Mobility centres can help your clients learn more about modifications on offer, or even assist them in getting back on the road again.

Similarly, RiDC is an expert charity with over 50 years of experience in providing unbiased speciality mobility aids, including online searches for car adaptations for older and disabled drivers. The open road is closer than people think.

i

FIND OUT MORE

Disabled Motoring UK

www.disabledmotoring.org 01508 489 449

Scope

www.scope.org.uk

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22/11/2018 15:14

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Product

Discover products and adaptations suitable for kids and adults in your care

KIDS The latest adapted products and eyecatching tools suitable for children and young adults

PENGUIN BATHING SUPPORT

Essential Aids, £383.99 inc VAT (www.essentialaids.com, 01273 719 889) Bathing children is a lot easier thanks to the Penguin bathing support from Essential Aids. The design of the support means children are supported at a safe level within the bath to allow for cleaning, meaning longer, more productive bathing sessions can occur as children are secure but still able to move their limbs freely. A number of suction cups at the bottom of the support also allows a sense of security whilst bathing.

TUM TUM WEIGHTED CUTLERY SET

Tum Tum Tots, £16 (www.tumtumtots.com) This cutlery set is ideal for children or young adults learning how to eat independently, or for people with unsteady hands or spasms who may find eating with weighted cutlery easier. Unwanted movements can be suppressed due to the additional weight, and the product is ideal for children with mild cerebral palsy.

XBOX ADAPTIVE CONTROLLER

Xbox, £74.99 (www.xbox.com) Game your way with the Xbox adaptive controller, designed to help people with limited mobility escape to the world of gaming. Working with a range of devices to create custom controllers regardless of ability, the controller connects to external devices including buttons, mounts and joysticks, with inputs controlled by similar assistive devices.

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SKWITCH

Skoogmusic LTD, £44.95 (skoogmusic.com, 0131 554 2838) Skoogmusic is an assistive music product, that provides musical therapy to people of all abilities. After the success of Skoog, Skwitch is the new musical instrument from Skoog Music; perfect for children, young adults, and even grown-ups to release their creativity and produce new sounds. The Skwitch is a pocket size version of the Skoog, clipping easily onto any iPhone so users can play around and experiment with music, code instruments, and connect to a range of apps.

www.enablemagazine.co.uk

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PRODUCTS

ADULTS Moving and handling, to bathing, we bring you the latest products to help adults in their daily life

SECURE TURN PATIENT TURNER

Orbital, £407.95 (www.uksmobility. co.uk, 0161 452 7570) Reduce physical strain when moving and handling clients with mobility problems. The patient turner allows you to help move people from one seating position into another.

With multiple handholds and soft-touch, latex free rubber grips, you and your patient will feel secure and comfortable with the transition. The non-slip footplate allows users to feel additional support, too.

NUSTEP T4R RECUMBENT CROSS TRAINER NuStep, £5,628 inc VAT (www.themobilityaidscentre.co.uk, 08082 749848) Patients with limited mobility or in rehabilitation can get their physical strength back with the help of this cross trainer. Engaging participants in a totalbody workout, the smooth and natural movement makes it easy on joints and build strength. The leading choice of cross fit trainer by OTs for their patients the cross fit is ideal for a professional clinic or in-home use.

COOLING WHEELCHAIR BACKREST

wheelAIR £780, inc VAT (www.wheelair.co.uk, 0141 432 0425) Bring comfort and design to any wheelchair with the latest product from the acclaimed wheelchair company, wheelAIR. Carefully created with the input of Paralympians, the backrest is cooling and supportive.

With four cooling settings, USB chargeable and with up to 20 hours of battery life, the cushion cools the back in minutes and heavily reduces the effects of overheating.

MONITORING AND ALERT SYSTEM

BED GRAB RAIL

Complete Care Shop, £46.74 inc VAT (www.completecareshop.co.uk, 03330 160 000) Allow patients in your care to enter and leave their bed with independence and confidence thanks to the bed grab rail. Providing stability aids, the secure rails can be positioned with any divan style bed and are suitable for any user.

Resting on the floor, the two legs and the frame is entirely secure making for minimal movement when being used.

Similarly, the rail can be assembled with ease.

TEC-Angel, POA (www.tec-angel.co.uk, 01245 860252) TEC-Angel is a standalone, monitoring and alert system enabling vulnerable adults, to live at home keeping their independence, dignity and privacy while giving those who care for them peace of mind. Discreet sensors communicate with the hub, monitoring door and room movements sending an alert text should something unusual occur.

www.enablemagazine.co.uk

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ON THE JOB

THE IMPORTANCE OF

OTs behind bars Our prison system is vastly changing and growing. With inmates serving longer stretches of time, the need for occupational therapists within the prison service is imperative to their health and rehabilitation

G

overnment figures reveal there is an estimated 83,169 prisoners serving custodial time across the UK. Regardless of offence it is part of our basic human rights to receive medical treatment when and where necessary. As the over 60s continue to become the most prominent prisoners serving time, health conditions start to appear.

Physical conditions and mental ill health is prominent within the confinements of prison, for this reason the requirement of occupational therapists is integral to ensure prisoners have some level of comfort in their surroundings. Not to mention, increasing chances of rehabilitation and reduced offending when time serving has been completed.

THERAPY

Heather Lockley and Alexandra Meakin are both specialist occupational therapists working within the prison sector, and both have experienced the limitations of the prison regime in their therapies and understand the importance of thinking creatively to provide the best care possible to incarcerated patients.

Having worked in a variety of mental health settings for 20 years, Heather saw the opportunities and challenges of working in a prison mental health team to support people with complex mental health needs. For Alexandra, it was a keen interest in the prison environment and rehabilitation of offenders that saw her drawn to her current role based

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22/11/2018 15:22

ON THE JOB Due to the nature of the environment we have to review risks regularly and plan for therapeutic intervention in advance

GUIDANCE

Heather says: “We feel that as OTs we have particular skills in developing self-esteem, generating hope and improving function; we focus on supporting our patients to find meaning and purpose in their lives. OTs are problem solvers and due to our training, we can view a problem from a variety of theoretical frameworks which enhances the multi-disciplinary approach.”

As an OT, the integral role you have within the prison system is to help offenders have meaningful and enriching lives. No matter if you have never set foot in a prison before, we’ve all seen prisons on documentaries and understand the limited home comforts on offer. This is another driving force for OTs to help prisoners, as Alexandra adds: “Prisons tend to be occupationally and sensory deprived environments therefore we have a pivotal role in supporting patients to manage this and to develop change in culture within our prisons.”

Despite their importance, many OTs working with prisoners can face limitations and stumbling blocks when completing their therapy.

24

LIMITATIONS

Working around the prison regime, an OT will only have access to patients at certain times on certain days, this can present challenges for people with complex needs who need additional support. But, as many OTs will know, problem solving and working outside the norm is an integral aspect of the job.

“Due to the nature of the environment we have to review risks regularly and plan for therapeutic intervention in advance. For example all participants in a group need to be reviewed by security as does any equipment and resource being brought into the prison,” adds Heather. “As care and compassion is central to our approach to patients we are, at times, in conflict with the behavioural and disciplinary approach of the prison system.”

Alexandra agrees: “The environment itself can pose a challenge as it is not designed to be therapeutic, particularly in some of our older prisons… Many of the interventions we provide have to be creatively managed as our access to materials can be restricted as are the activities we do with the patients.”

There are positives, however, to working in tandem with the prison regime as the environment may actually support some offenders within their therapy. Many patients within the prison system have already led chaotic and, at times, traumatic lifestyles with little to no stability. Figures from the Prison Reform Trust revealed that 2.2 per cent of offenders have a learning disability, with 20 per cent of prisoners also living with a hidden disability – the need for OTs in the prison systems is crucial. Not least to stop reoffending in the future.

FUTURE

There are many health needs to consider when working with offenders as Heather explains: “Patients serving long sentences include young offenders as well as adults; as we work in young adult, adult

THE UK HAS 79,334 MALE PRISONERS AND 3,835 FEMALE PRISONERS male and adult female establishments we are presented with a vast range of health needs that cross the life span.

For example, first episode psychosis, eating disorders, personality disorders and dementia. Some of our patients have come from poor socio-economic backgrounds, which impact their health needs.

“We treat a variety of substance misuse issues which contribute to long term physical and mental health difficulties.

Within the prison environment we see a high frequency and severity of self-harm and suicidal behaviours. Prolonged use of self-harm may impact on physical health in the long term.”

In the knowledge of health issues that prisoners can face whilst serving, and after, the support provided by OTs can allow them to understand and manage their mental health and function within their local community. Although unable to provide support to offenders after their release, Heather and Alexandra are dedicated to signposting their patients when they are reintegrated into society.

The work of OTs is crucial for prisoners serving time. Thinking beyond traditional therapies, working on limited bases and using your own professional skills and experiences, will hold an OT in good stead for helping to rehabilitate and support prisoners.

FIGURES OBTAINED FROM GOVERNMENT POPULATION AND CAPACITY BRIEFING FOR FRIDAY 2ND NOVEMBER 2018

at HMP Oakwood, Featherstone and Brinsford.

“I wanted to be able to offer therapeutic interventions to those with complex needs therefore, it seemed a logical step to move into the prison setting due to the high percentage of patients with personality disorder,” explains Alexandra.

“Many people in custody have experienced traumatic and abusive life experiences and this may contribute to their mental health and perception of the world.”

The support provided by OTs within prison is critical for offenders to understand their bodies and learn more about their mental wellbeing and how past experiences have impacted on their current situation.

www.enablemagazine.co.uk

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26/11/2018 12:53

Get educated with

CPD

As techniques and theories adapt and progress, it is important that you, too, stay informed. That is where continued professional development (CPD) courses are vital. We bring you the latest courses on offer to excel in your field and learn more

Full time and part time MSc OCCUPATIONAL THERAPY

Cardiff University Starting September 2019 www.cardiff.ac.uk Cardiff’s postgraduate course in occupational therapy is ranked number one in the UK. Classes aim to develop innovative ideas in the field by combining practical learning and theory. Independent research plays a large part in the course, offering a chance to decide on unique dissertation topics and choose from a wide range of modules, including neurorehabilitation, patient safety, and ethics.

Taking 18 months to complete, this course is a fantastic way to further your professional development in an academic setting.

MA DANCE MOVEMENT PSYCHOTHERAPY

University of Derby Starting September 2019 www.derby.ac.uk This course is accredited by the Association for Dance Movement Psychotherapy UK, ensuring you are learning the most up-to-date content, and allowing you to register as a qualified dance movement psychotherapist upon completion. Dance is well-known for being a great stress-reliever, and can be a fantastic way of exploring people’s emotions.

This course will equip you with the skills necessary to utilise dance to help your clients, while also encouraging creativity and selfexpression. Not only can dance be used as a psychotherapy, but as a form of physical therapy, too, if you’re interested, apply for the course online.

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PROFESSIONAL DEVELOPMENT Distance learning MA PRACTICE BASED PLAY THERAPY

Leeds Beckett University Starting January/September 2019 www.leedsbeckett.ac.uk Taking time out of your career to study may not be feasible for everyone. This course takes that into account, and is done though distance learning, meaning participants can continue working alongside obtaining their degree and take control of their own learning.

The course teaches the latest theories and techniques in the sector, and explores the change from traditional methods of therapy to more modern techniques. Students will also be able to choose an area of speciality and develop a proposal for play-based therapy research. The university recommends allocating ten hours per week to studying each module, plus five for extra reading and completing assignments. A PGDip can also be studied part time.

MSc PROFESSIONAL DEVELOPMENT IN OCCUPATIONAL THERAPY

Ulster University Starting September 2019 www.ulster.ac.uk Ulster University offers this eLearning course, which is taken completely online and can be done full-time (over one year) or part-time (within three years). It aims to improve global employability in students by taking advantage of new teaching approaches and developments in research, industry and the profession.

Modules include practical work, developing leadership skills, research, health science and longterm conditions. With a variety of digital learning tools, this course will allow you to study on your own terms and doesn’t confine you to a classroom or lecture hall, but ensures you can continue developing at your own pace.

Online courses

Short courses

CARE EXPERT WEBINAR SERIES

MASTERCLASS: SEATING AND POSTURE

Online 8pm 11 December 2018 www.jwebb.co.uk/webinar This 30-minute session run by Jacqueline Webb, the UK’s number one cost rehab consultancy, brings the opportunity of advancing your skills and understanding from the comfort of your own home – and not at the expense of your free time either.

The first module covers the role and duties of care experts, and who they can help. There will be the opportunity to ask questions throughout the presentation, with an informal question and answer session at the end. The next scheduled four webinars begin on 11 December, however you can join mid-series at an earlier date. For more information or to book a space, head to the website.

ONLINE SI MODULE 1: FOUNDATIONS AND NEUROSCIENCE

Online 14 January 2019 www.sensoryintegration.org.uk These sessions, run by Sensory Integration, teaches an understanding of current neuroscience and relevant theories, concepts and practices. Designed for qualified occupational therapists, physiotherapists and speech therapists, the first module will allow you to identify behaviours and challenges that are likely to have a sensory underpinning. The course aims to teach an understanding of why people with typical sensory processing respond in the ways they do. Bookings close on 14 December, so make sure you visit the website and secure your place in plenty of time.

Royal College of Occupational Therapists, London 28 November 2018 www.rcot.co.uk Delivered by Fiona Collins, who has over 30 years of experience as an occupational therapist, this masterclass is aimed at professionals who want to develop their practice and knowledge of seating and posture, which is integral to good physical health and support. The interactive session will allow participants to identify unusual sitting posture, learn how to conduct a postural assessment of clients, and understand how to determine the factors relating to the development of pressure injury when seated.

The class is well-suited for occupational therapists working with both adults or children.

OCCUPATIONAL THERAPY FOR CHILDREN WITH HANDWRITING DIFFICULTIES

Royal Derby Hospital 4 December – 6 December 2018 www.ncore.org.uk This three-day workshop is ideal for occupational therapists working in schools, or with children who have issues with dexterity. Handwriting can have an impact on academic performance and self-esteem, and it is important that occupational therapists working with children can manage this effectively.

The course will give up-to-date information on how to improve handwriting in children, and will equip participants with the ability to outline a framework for a successful handwriting intervention programme through direct therapy and monitoring. To sign up for the course, email dhft.ncore@nhs.net or visit the website.

www.enablemagazine.co.uk

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22/11/2018 10:35

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ON THE JOB

THE

DIARY DATES THROUGHOUT 2019

LOOK BEFORE YOU LEAP

5 DECEMBER 2018

Royal College of Occupational Therapists, London www.rcotss-ip.org.uk The training courses from RCoT are essential for any OTs looking to go independent. Whether you are thinking about moving to, or are new to, independent practice, these popular business start-up sessions are invaluable. Learn the basics of business start-ups from people who have done it before to succeed in your transition.

OCCUPATIONAL THERAPY ADAPTATION CONFERENCE

pton Hilton Hotel Ageas Bowl, Southam www.otac.org.uk latest This free conference showcases the to aid you ance guid n tatio adap and nt equipme be a range will e in your day to day practice. Ther seminars.

12 with g alon of exhibitors on the day topics, of ty varie a re featu will Seminar topics to 24-hour r care le sing a for d stan to sit including be missed to not is postural care. The conference for OT professionals.

DATES THROUGHOUT 2019

KIDZ TO ADULTZ

Locations across the UK www.kidzexhibitions.co.uk The Kidz to Adultz exhibitions are back for 2019. Held by Disabled Living, the free conferences are an essential day out for anyone interested in young people with a disability.

Each event will have over 100 exhibitors offering advice and information on funding, mobility, communication, education and more. A full seminar programme will also run at each event, the perfect opportunity to fit in some CPD.

17-19 JUNE 2019

RCOT ANNUAL CONFERENCE AND EXHIBITION

ICC Birmingham www.rcotannualconference.org.uk The only annual conference organised by the RCOT, this premier CPD experience is not to be missed.

Research findings from the last year will be presented in a celebration of the successes of occupational therapy. There will also be talks on the health and social care developments that will impact on the profession of occupational therapy in the future.

Over 100 presenters are expected to attend the event alongside exhibitors and 80 CPD sessions.

22-23 JULY 2019

14TH WORLD CONGRESS ON HEALTHCARE AND TECHNOLOGIES

London europe.healthconferences.org The healthcare summit 2019 brings together health professionals, primary care providers, professors and students from all areas of healthcare and technologies. Focusing on the theme of innovative strategies to improve healthcare and emerging technologies, the conference will feature speakers discussing the most recent techniques, developments and updates in healthcare and technologies. The all-inclusive nature of this event allows you to exchange knowledge with other healthcare professionals in different specialties from around the world.

26-27 MARCH 2019

NAIDEX

NEC, Birmingham www.naidex.co.uk Naidex is Europe’s largest trade, professional and public event dedicated to the care, rehabilitation and lifestyle of people with a learning or physical disability. Returning for the 45th year, Naidex 2019 will focus on the future of inclusion, accessibility, empowerment and efficiency. The exhibition will feature 350 exhibitors, 250 seminars, live demos and more all under one roof. Free to attend, Naidex is an essential event for all OTs and other healthcare professionals.

www.enablemagazine.co.uk

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ON THE JOB

After growing up in South Africa, and studying at Stellenbosch University in the Western Cape, Natasha Taper moved to the UK to start her career in neurological occupational therapy. We sat down with her to chat about what ignited her passion for OT

Voice of anOT

W

hat made you shopping, accessing Having had such a successful career, the community, using decide to pursue a what do you think working as an OT career as an OT? public transport, sourcing has taught you as a person?

I was in high school and I employment, leisure It’s taught me so many things: patience; needed to make decisions activities, support with the importance of listening to clients on which courses to apply managing finances or and planning their treatment around budgeting. It’s mainly about for at university. After seeing their own personal wishes; never to getting people to engage a careers advisor, three underestimate anybody’s power of in everyday activities and professions were identified achievement and to be open and honest supporting them to progress that I could do well in: with clients from the beginning and to be their independence over occupational therapy, clear about expectations. time. physiotherapy and speech and language therapy.

What advice would you give any OTs Natasha What have been some of I then spent time with who are currently training or newly the highlights throughout professionals from each qualified to have a thriving career in sector and interestingly, your career? the industry? the occupational Travelling to Guyana (in Take your time to move up the ladder, You need to be therapist I saw worked South America) as part enjoy the junior rotations, make the in paediatrics and this of a multi-disciplinary most of them by soaking up as much patient, systematic, swayed me towards a team to support knowledge and skills as possible. Focus adjustable and think career in occupational local stroke services, on each individual client as a complete outside of the box therapy. travelling to Qatar to separate entity and focus your treatment treat an overseas client, on what they want to achieve. to really make a As the owner of your and starting up my own You need to be patient, systematic, difference own practice, what business. Working in so adjustable and think outside of the box does a typical day at many different parts of to really make a difference. Remember, work look like for you?

England and meeting great a team works better than an individual Currently I am a self-employed clients and colleagues over the when it comes to treating clients in occupational therapist. My job involves years has been wonderful, too. health. travelling as all my clients are seen in their own homes or in the local i FIND OUT MORE community. Each client has different goals, therefore each treatment session is For more information on Natasha’s services, visit her website at customised to their specific needs. www.neuro-occupational-therapy.com or email ntaper@neuro-ot.co.uk Sessions may involve cooking, 30

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