Connections Summer 2024 by Occupational Therapy Australia

Supporting all people to engage in activities they find meaningful

SUMMER 2024 | VOL 21 ISSUE 4

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Tina Champagne Webinar Series 2025 80 Years Strong: Celebrating the Collective Force of Occupational Therapy From Melbourne to Manipal and back: Enhancing occupational therapy education through an international student mobility program DISCOVER STORIES FROM YOUR PEERS

Mental Health Foundations Supporting the development of foundational capabilities in mental health practice

or visit bit.ly/3YxjteK

Mental Health Foundations by OTA delivers comprehensive learning and development resources to assist with the development of foundational mental health capabilities. Developed by OTs for OTs, the foundational learning and development modules are grounded in the OTA mental health capability framework and support the pathway to mental health endorsement.

NEW MODULE

Working with Others, Health Professionals, Carers and Families

Mental Health Assessment and Planning

Mental Health Systems, Diagnoses and Co-occurring Factors

Mental Health Sensory Modulation

Mental Health Occupation-Focused Interventions and Therapeutic Strategies

Mental Health Structured Therapeutic Interventions

Mental Health Client-Centred Practice and Continuous Clinical Improvement

CONTENTS

ABOUT CONNECTIONS

Connections is a publication of Occupational Therapy Australia (OTA), the peak body representing occupational therapy in Australia. CONTACT US

Occupational Therapy Australia ARBN 007 510 287 ABN 27 025 075 008 5/340 Gore St, Fitzroy, VIC 3065 T: 1300 682 878 E: info@otaus.com.au W: www.otaus.com.au CONTRIBUTIONS

Connections welcomes article submissions, email communications@otaus.com.au Attention: Connections Editor DEADLINES FOR SUBMISSIONS

Autumn 2024: 29 January 2024

NEWS

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This newsletter is published as an information service and without assuming a duty of care. It contains general information only and, as such, it is recommended that detailed advice be sought before acting in any particular matter. The materials included in this newsletter by third parties are not attributable to Occupational Therapy Australia, and are not an expression of Occupational Therapy Australia’s views. Occupational Therapy Australia is not responsible for any printed expressions or views in any third parties’ inclusions. Any enquiries regarding inserts, advertisements or articles placed by these third parties should be directed to them.

FEATURES

President’s Report

Tina Champagne Webinar Series 2025

CEO’s Report

Quarterly Update – Member News

80 Years Strong: Celebrating the Collective Force of Occupational Therapy

WFOT Update

From Melbourne to Manipal and Back: Enhancing occupational therapy education through an international student mobility program

Supporting Children with Paediatric Acute-Onset Neuropsychiatric Syndrome (PANS): What OTs need to know

A Toolbox Refilled: Why OTA’s CPD Empower Events Will Change the Game for Occupational Therapists

Mental Health OT – The year at OTA so far

A clinical snapshot of mental health OT

Top Risks For Advice Based Professionals

HR Health Check! 6 HR Hotspots for OT Practice Owners to Review

Occupational Therapy Australia respectfully acknowledge the Traditional Custodians of the country on which we live, learn and work.

CONNECTIONS SUMMER 2024 3

PRESIDENT’S REPORT

President’s Report Priscilla Ennals | OTA President

elcome to the final edition of Connections for 2024. OTA has been a hectic few months as we paused to look back, celebrating 80 years of Australian occupational therapists connecting through clubs and associations. This was a chance to talk with members and hear about what is going on in their roles, lives, areas of practice, and regions. Members spoke of the many great things they are doing, achieving, and hoping to do, and some of the challenges they face in shifting policies and funding arrangements. The beautiful venues I visited in Hobart and Melbourne were full of the energetic buzz created by passionate OTs, talking about OT and valuing being with others who share their passion. Historical displays in Melbourne highlighted how far we have come as a National Association. They reminded us of those OTs who built the foundations of our profession, whose shoulders we continue to stand on. We have also been busy preparing the ground for the next stage of our future, consulting with members and governance experts to develop a more contemporary constitution. This was accepted through a member vote at our recent AGM and sets the new rules for how we function as a legal entity and national memberbased association. This is the first phase in our revised governance arrangements, with further work coming to review our bylaws to ensure they meet our needs and align with current best practices. In 2025, all members can look forward to seeing the early benefits of our new strategic directions, enhanced diversity in our Board makeup, and digital strategy.

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“OTA has delivered many opportunities to learn and grow professionally and seized chances to shape how communities, policymakers, and funders understand what we do.”

Another big step in 2024 was appointing a Chief Occupational Therapist for OTA. Michelle Oliver will draw on her depth of experience in understanding members’ issues, professional expertise, and strategic acumen as our inaugural Chief OT. You can expect to see much of Michelle in our future as we drive to connect practice, strategy, and advocacy for the benefit of all members and the profession.

welcome Emma George to the Board and her term as Australia’s WFOT delegate. Emma has been familiarising herself with the WFOT role as the first alternate delegate over the past four years. She has recently connected with international colleagues in Sapporo, Japan, at the Asia Pacific Occupational Therapy Conference. Emma will bring new perspectives and energy to the board, and we look forward to working with her.

November saw changes to our Board makeup. Adam Lo has completed his fouryear term as a WFOT delegate and thus ends his term as an OTA Board Director. Adam, we congratulate and thank you for your outstanding service in this role. You have strengthened OTAs connection with our international colleagues, particularly in Asia. Adam will continue as the second alternate WFOT delegate for the next 4 years. Completing this four-year cycle also sends us a huge thank you to Lynette McKenzie as she concludes her mammoth 12 years of contribution to WFOT and OTA. Lynette has continued to be highly active with WFOT in the role of research. The Board is excited to

I want to thank everyone who has contributed to the work of OTA this year in paid and voluntary capacities. OTA has delivered many opportunities to learn and grow professionally and seized chances to shape how communities, policymakers, and funders understand what we do. Importantly, we have continued to be a central point for connection, garnering the power of numbers and a unified voice for the profession. I hope you have opportunities over the summer to spend time with people you love and to engage in occupations that give you joy, purpose, and well-being. I look forward to connecting again in 2025.

CEO’S REPORT

CEO’s Report Samantha Hunter | OTA CEO

s I approach the close of another year and look forward to some fun with family and friends, it’s an opportunity to reflect on the challenges, changes, growth, and engagement we’ve encountered over the past 12 months. Undoubtedly, the front of mind for many will be the disruption of the NDIS and the concern that this has caused for the sector, not only for the profession but also for the participants it was designed to support. The pace of change and reform across all of our major services and funding streams has stretched the resilience of the profession as we continue through a time of uncertainty and change. In the public sector, high vacancies and budget constraints have challenged our profession working in those settings, and in aged care, the frustrations of reform continue to be felt. Regardless of the area of practice, a career in allied health faces many complex system challenges. However, despite a year of political and policy change, it is important for us to take the time to reflect on and celebrate our individual, team, and professional successes. It is not just an act of reflection and recognition—it’s an essential component of professional and personal well-being.

Recognising and celebrating success, in its many forms, can serve as a cornerstone for building optimism. It reminds us of our capabilities and propels us toward future achievements. Whether it’s the small victories achieved with a client, the completion of a new project, or milestones in our professional development, celebrating success reaffirms our purpose and fosters a sense of accomplishment vital in sustaining the energy required for our work. And celebrating success is more than just a pause for congratulation—it’s a practice that enriches us all – individuals, teams, and the broader occupational therapy profession. And I will admit that I am not always great at it. Sometimes, I am a great Chief cheerleader; however, I am also prone to looking forward rather than looking back (Looking Forward, Looking Back, great Slim Dusty song for your County Drive playlist) and can miss the opportunity to really reflect and savour and celebrate our achievements which are many. This is something I need to work on to improve next year – to take the time to reflect regularly on successes, the small and the big. Especially because, as I look back on this year, I really do have much to celebrate, personally and professionally. I am proud of the enormous amount of work and the commitment to

“Recognising and celebrating success, in its many forms, can serve as a cornerstone for building optimism. It reminds us of our capabilities and propels us toward future achievements.”

our members by our team at Occupational Therapy Australia this year. I am grateful for the opportunities to learn and celebrate with our members throughout this year, and I am hugely optimistic for the year ahead. Optimism is a trait that helps foster a growth mindset, essential for adapting to the complexities of our operating environment and the pace and unpredictability of change. Optimism encourages us to view setbacks as temporary and solvable (problem-solving, big OT vibes) rather than insurmountable. I’m not talking about a Polly Anna kind of optimism but one that approaches challenges with the belief that solutions are attainable and that we are confident in our professional identity and values. Moreover, optimism is contagious. Your clients and teams may often look to you for hope and encouragement, and an optimistic perspective can create an environment where clients feel empowered to set and pursue meaningful goals. Similarly, optimism among colleagues can nurture a workplace culture that values shared successes and is collaborative, supportive, and resilient. As we wrap up this year, let’s embrace the opportunity to celebrate our accomplishments, both big and small. In doing so, we build a foundation of optimism that will carry us into the year ahead. By acknowledging our successes, we not only honour the work we’ve done but also equip ourselves to continue making a meaningful impact in the lives of those we serve. Here’s to a new year filled with hope, growth, and the joy of celebrating each step along the way.

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MEMBER NEWS

Quarterly Update – Member News Policy, advocacy and representation: what we’ve been doing for members Policy and advocacy on behalf of members Over the past three months the team has continued to advocate to further the interests of occupational therapists, with a particular focus on advancing issues that sit within our key strategic areas. The team would like to extend a grateful thanks to all the members that have supported these advocacy efforts, by sharing their experience and perspectives with us through Divisional Councils, National Reference Groups, completing surveys and contacting OTA Members Services to provide feedback.

Upcoming Federal Election A Federal Election is likely in the first half of 2025 and OTA has been busy working on a strategy to ensure OT issues are heard. On 30 October OTA held a Federal Election Forum, during which members heard about OTA’s Election Strategy and gave feedback on OTA’s draft Federal Election Statement. The Statement outlines the key issues and asks for the 2025 Federal Election, with a focus on securing essential funding and support for occupational therapists across Australia. The draft Statement was developed using input from our National Reference Groups, OTA submissions, known government platforms, and the invaluable feedback

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“OTA has been at the forefront of mental health advocacy, working alongside leading Australian organisations to push for critical reforms.”

Disability

NDIS Bill The National Disability Insurance Scheme Amendment (Getting the NDIS Back on Track No. 1) Act 2024 took effect on 3 October 2024. OTA provided several submissions during the legislative process, appeared before the Senate Community Affairs Legislation Committee, and wrote to key Members of Parliament to advocate for improvements to the legislation.

NDIS Minister Retires Minister for the NDIS, Bill Shorten resigned from federal politics on 5 September. He will remain the MP for the seat of Maribyrnong and the Minister for NDIS until February 2025, when he will take up a role as vicechancellor of University of Canberra. We anticipate further announcements on the NDIS portfolio as we head into the federal election. The Government has also indicated its intention to release a joint federal and state response to the NDIS Independent Review in early December.

The new legislation introduces significant changes to the NDIS, particularly regarding needs assessment and planning. Starting from 3 October, new NDIS budgets and funding periods were implemented. Participants now receive a total budget amount for all supports in their plan, transitioning from a line-by-line breakdown to a clear overall budget. This change clarifies the total funding available in a participant’s plan, ensuring they cannot exceed the allocated amount. All new plans created after 3 October 2024 will have a

many members provided through the recent Advocacy and Policy Agenda survey. The Statement was refined using feedback obtained during the forum. Thank you to those members that attended, their input is instrumental in shaping the final Statement and our messaging to political candidates.

MEMBER NEWS

standard duration of 12 months, with the potential for longer plans in the future. NDIS Supports As of 3 October, new guidance was introduced to clarify which supports are eligible for NDIS funding. It also includes guidance on a number of supports that NDIS funds cannot be spent on. This temporary legislative guidance will remain in effect until the NDIA establishes a formal Rule. Scan the QRs to read the new guidance and NDIS supports funding:

OTA remains concerned about the absence of specific references to occupational therapist provided assessment and prescription in some categories. NDIA has subsequently clarified that the list of allowable NDIS supports is not exhaustive, meaning it does not exclude items that are not specifically listed, and the purpose of the list is to clarify the types of supports that fall under the overarching description. A new explanatory statement has also been published which provides additional detail and clarification. Read the explanation by scanning the QR code below:

OTA has been actively seeking clarification from NDIA on the interpretation of the new list and is committed to supporting members. We are providing feedback to NDIA which will be considered during the development of the forthcoming NDIA Rule. OTA submitted feedback on the draft list of supports in August, advocating for clearer definitions, inclusion of specific references to occupational therapy services, and the removal of certain banned items. The final list reflects several of OTA’s recommendations. Participants have been given a 12-month grace period to adjust to the new list, with assurances that they will not face penalties for purchasing non-NDIS supports valued under $1,500. Occupational therapy services are eligible under a range of categories including early childhood intervention funding, as well as provisions for assistive products, home modifications, therapeutic supports, specialised driver assessment and vehicle modifications.

Navigating new NDIS changes The NDIA has launched a hotline for participants and providers to address specific questions about the new legislation. The hotline operates from 8 am to 8 pm AEST and can be reached on 1800 800 110 or via enquiries@ndis.gov.au. Further guidance on the legislative changes has also been published on the NDIA website: https:// www.ndis.gov.au/changes-ndis-legislation NDIS 2024 Pricing OTA has been actively advocating regarding NDIS pricing following outcome of the NDIA’s 2024 annual pricing review, which kept therapy supports at the same rate for the fifth consecutive year. In response to this decision, OTA wrote to NDIA CEO Rebecca Falkingham, and NDIS Minister Bill Shorten, emphasising our disappointment and highlighting the significant risk of OTs

exiting the market due to ongoing financial pressures. Representatives from OTA also met with the office of Michael Sukkar, Shadow Minister for the NDIS, in Canberra. This meeting served as a platform to further communicate OTA’s concerns regarding the price freeze and its implications for OTs working within the NDIS framework. OTA has aligned its advocacy efforts with AHPA to bolster cross-sector advocacy initiatives within the allied health and disability sector. This collaboration aims to amplify the collective voice of professionals advocating for necessary changes in NDIS pricing. We are supporting the 4aBetterNDIS campaign led by AHPA and National Disability Services, urging an urgent review of the recent NDIS pricing decision. OTA would like to thank members who participated in our July NDIS Provider pulse survey. Responses have provided invaluable insights into how the 2024 NDIA pricing decision may affect future NDIS service provision, which will further inform our advocacy efforts. IHACPA NDIS Pricing Review IHACPA has commenced its review of the NDIS pricing approach, following Recommendation 11 of the NDIS Review Final Report. This review will initiate work in 2024-25 to explore opportunities for future reforms to NDIS pricing. It is important to note that this review will not influence the 2024-25 NDIA pricing decision but will inform subsequent pricing policy development. OTA is actively engaging with IHACPA to convey the unique role that therapists play within the NDIS framework, and the complexities of service delivery, and the necessity for a tailored cost model that reflects the true services costs and addresses existing financial pressures. NDIS Registration The NDIS Worker and Provider Registration Taskforce issued its final

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MEMBER NEWS

Quarterly Update – Member News continued report to the Government, having been tasked with providing further advice on the recommendation to implement a mandatory registration scheme for all NDIS providers. OTA contributed to this process by submitting feedback to the Taskforce and sat on the Taskforce’s Provider Advisory Group. Throughout these engagements, OTA underscored the regulatory burden currently faced by OTs, the duplication of regulatory requirements between the NDIS and Australian Health Practitioner Regulation Agency (AHPRA), and the potential risks of market exit if mandatory registration were to be introduced. Pleasingly the Taskforce’s final recommendations to government called for reduced regulatory duplication across NDIS and AHPRA, and did not support mandatory registration for unregistered providers, and instead called for self-managed participants to be able to utilise unregistered providers under a framework where the participant registers within the scheme. In October, the Federal Government announced that it would begin consultations on key elements of a future NDIS registration system. The initial focus will be on requiring all platform providers, support coordinators, and Supported Independent Living (SIL) providers to be registered through changes to NDIS Rules. Additionally, the Government indicated plans to consult on design elements for a broader NDIS registration model, which may include definitions of selfdirected supports and NDIS providers. As a result, there have been no immediate changes regarding unregistered therapy support providers. OTA remains committed to closely monitoring these developments and actively engaging in consultation opportunities to ensure that OTs do not incur any additional regulatory burdens when delivering NDIS services. Members will be kept informed of any future changes to NDIS registration as they arise.

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Foundational Supports In September, the Government announced the opening of consultations regarding General Foundational Supports. The consultation period concluded on 30 November, during which feedback was sought on a discussion paper that was released for public review. OTA engaged with our relevant NRGs and allied health stakeholders to prepare a comprehensive submission based on the insights gathered. We also actively participated in one of the online consultation sessions hosted by the DSS. This session included a range of participants, such as providers, peak bodies, consumer organisations, and individuals. Attendees engaged in discussions about the accessibility of information for people with disabilities and their families, identifying additional resources to facilitate access to necessary information. The Department’s consultants indicated that this marked the first phase of the consultation process, with further consultations on targeted foundational supports anticipated in the future. OTA remained attentive to these developments as the consultation period progressed. Psychosocial Supports The NDIA provided an update on the Psychosocial Stream of the NDIS during the NDIA’s National Mental Health Sector Reference Group meeting in September. They confirmed that extensive consultations are taking place with individuals who have lived experience to ensure the Psychosocial Early Intervention Program is appropriately designed and effective. Importantly, no current participants will be moved to early intervention without prior consultation, as participation will remain voluntary. Referrals to this program will only occur with the consent of participants, ensuring that it is in their best interest. As the program is still under development, its implementation is expected to be some time away.

New Administrative Review Tribunal The new Administrative Review Tribunal (ART) officially commenced on 14 October 2024, replacing the Administrative Appeals Tribunal (AAT) as part of the Government’s reforms to the federal administrative review system. The ART is established under the Administrative Review Tribunal Act 2024 and includes several key enhancements aimed at improving its functionality. The ART features improved powers and procedures to adapt to changing caseloads, a transparent selection process for its members, and clearly defined roles for leadership positions. The ART will cover the same jurisdiction as the former AAT regarding reviews of decisions made by the Commissioner under the NDIS Act, including those related to provider registration. Ongoing AAT matters will automatically transfer to the ART without the need for applicants to take additional action. However, if the AAT has issued a final decision on a matter before the transition, applicants cannot seek further review from the ART.

Workforce CAHO OTA is pleased to report a number of significant workforce-related advocacy activities this quarter. We welcomed the appointment of Ms. Anita Hobson-Powell as the National Chief Allied Health Officer (CAHO). The role, which had been vacant since August 2023, is critical for advancing the allied health agenda at a national level, particularly the development of the National Allied Health Workforce Strategy. Ms. Hobson-Powell’s leadership provides a timely opportunity to ensure that this strategy reflects the needs of the broader allied health profession, including OTs. OTA met with Ms. HobsonPowell to discuss the ongoing workforce development project, the workforce

strategy, and key recommendations stemming from Kruk’s review. National Allied Health Workforce Strategy OTA has provided feedback on the draft outline for a future National Strategy, identifying areas where it can better address key challenges in the occupational therapy sector. The federal government has committed to refining the strategy, with further consultation opportunities expected once a full draft is released later in 2024. Rural Generalist and Workforce Incentive Programs Additionally, OTA worked with AHPA to gather input from members on the Rural Generalist and Workforce Incentive Programs through a survey. Feedback has helped gauge the impact of these government-funded initiatives, including the Allied Health Rural Generalist Training Program and the Workforce Incentive Program – Practice Stream, which supports general practices in employing allied health professionals. Insights from the survey have informed OTA’s contributions to the National Allied Health Workforce Strategy. Commonwealth Practical Placement Program OTA has also been actively calling for inclusion of OT students in the Commonwealth Practical Placement Program. In September OTA provided a submission and appeared before the Senate Education and Employment Legislation Committee, advocating for the inclusion of OT students in the Program, after the Committee was tasked with examining legislation which will enable the new payments. Michelle Oliver, appeared for OTA and urged the expansion of financial support for OT students in clinical placements to reduce barriers to entry into the profession, and address workforce shortages. Whilst the legislation has now been passed, it was amended to require a future review, including a specific focus on expanding financial support for students in allied health disciplines.

Workforce data OTA has been engaged with the Department of Health and Aged Care regarding workforce data. We are pleased that occupational therapy has been identified as a key profession for a detailed supply and demand analysis in the coming months, which will aid in future workforce planning. OTA has offered to assist the Department in understanding the demand for OT services across the country. Business Names Registration Determination 2015 Finally, OTA continued to advocate for clarity and fairness in occupational therapy business names. Unfortunately, Treasury decided not to amend the Business Names Registration Determination 2015. OTA encourages members to explore trademark registration to protect their intellectual property.

Aged Care Aged Care Registration Program In aged care, OTA successfully advocated for AHPRA-registered health professionals, including OTs, to be exempt from the worker screening component of the new aged care registration program, which begins in July 2025. This outcome follows OTA’s efforts in multiple submissions and collaboration with AHPA. Under the new system, OTs and other registered health professionals will be able to work in riskassessed roles with AHPRA registration or alternative worker screening checks. AN-ACC OTA has also been engaged with key stakeholders in aged care reforms, particularly related to the progress of the Royal Commission’s recommendations. OTA facilitated a roundtable discussion with the Interim Inspector-General of Aged Care, where consumers and allied health clinicians contributed to consultations on the impact of policies, such as the AN-ACC funding model. The report highlighted significant

Photo: © Getty Images/DMP

MEMBER NEWS

concerns, including the reduction of allied health services in residential aged care, and recommended further reviews to ensure the Royal Commission’s intent is realised. Aged Care Working Group In August, OTA representatives joined AHPA and the Aged Care Working Group for several meetings in Canberra, advocating for a care model that embeds allied health services into residential aged care. These discussions were met with strong recognition of the importance of allied health, with further engagement planned to build on this momentum. NACA Additionally, OTA participated in the National Aged Care Alliance (NACA) meetings in Canberra in August, where government representatives emphasised the importance of a human rights-based approach in the new Aged Care Act and the need for a stronger allied health presence in aged care. Aged Care Bill The new Aged Care Bill was introduced to Parliament in September, and includes important reforms, such as governmentfunded clinical care (including OT services) in residential care and Support at Home. While OTA welcomed this move, we are CONNECTIONS SUMMER 2024 9

MEMBER NEWS

Quarterly Update – Member News continued seeking further clarification to ensure the full scope of OT services is covered under “clinical care”. We also welcome the proposed reforms to the Support at Home program, which will offer expanded access to home modifications, aids and equipment, and short-term restorative care.

Australian, State, and Territory Governments to bridge the significant gap between primary care and acute services. Four key areas were identified for intergovernmental agreement: system reform, psychosocial supports, workforce development, and services for infants, children, and youth.

OTA will continue to monitor developments, including the Senate Community Affairs Legislation Committee’s inquiry into the Aged Care Bill. We have made submissions advocating for the inclusion of reablement, enforceable rights for older Australians, and needs-based assessments conducted by qualified clinicians.

Analysis of Unmet Need for Psychosocial Support Outside the NDIS Following the meeting, the Analysis of Unmet Need for Psychosocial Support Outside the NDIS was released, revealing that over 230,000 people with severe mental illness, and 263,000 with moderate illness, are not receiving the support they need. OTA will continue advocating for the critical role of OTs in addressing this gap and ensuring people living with mental illness have access to appropriate care.

Rules to support the new Bill are being released in a phased approach. The draft rules on the Services List for residential and home care services was released in October. We are working with AHPA and other allied health associations to identify concerns and ensure services meet the needs of older Australians requiring aged care services IHACPA The Independent Health and Aged Care Pricing Authority (IHACPA) has been tasked with providing the Government with advice for pricing for home based aged care services. OTA is working with AHPA on submissions for the IHACPA consultation. We are committed to ensuring allied health, particularly OT services, are fully integrated into aged care policy and funding frameworks to improve outcomes for older Australians.

Mental Health Health and Mental Health Ministers meeting OTA has been at the forefront of mental health advocacy, working alongside leading Australian organisations to push for critical reforms. In August, OTA supported a Statement of Priorities at the Health and Mental Health Ministers meeting, urging

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Mental Health Sector Expo In October, OTA participated in the Mental Health Sector Expo in Canberra, where General Managers Alissa Fotiades and Michelle Oliver represented the profession and advocated for key changes to support OTs in mental health.

Veterans Royal Commission into Defence and Veteran Suicide OTA welcomed the release of the final report from the Royal Commission into Defence and Veteran Suicide on 9 September 2024. Spanning seven volumes and offering 122 recommendations, the report aims to address leadership and cultural challenges within the armed services and reduce psychosocial stress throughout military life—from recruitment to overseas deployment and, ultimately, transition to civilian life. A key focus of the report is improving access to essential mental health and wellbeing services for veterans. OTA was one of over 6,000 organisations and individuals who provided submissions

to the Royal Commission, advocating for better access to health services and supports for veterans. We are very pleased that the Commission has recommended changes to expedite veterans’ access to critical healthcare services, and the specific recommendation to align provider fees with those of other government schemes, such as the NDIS. You can read OTA’s full statement on the Royal Commission’s final report by scanning the QR below:

As part of our continued advocacy, in October OTA met with representatives from the office of the Hon. Matt Keogh, Minister for Veterans’ Affairs, to reinforce the importance of increasing DVA fee rates to attract and retain occupational therapists under the scheme. Following these discussions, the DVA reached out to OTA to schedule a follow-up meeting. During this meeting we provided further advice on the costof-service provision for OTs, which will inform the Government’s response to the Royal Commission’s recommendations. OTA remains committed to ensuring that veterans receive timely, highquality healthcare services, with fair compensation for occupational therapists delivering these services.

Compensation Schemes Throughout the last quarter, OTA remained dedicated to supporting occupational therapists across the complex compensation schemes and continued to advocate for fair pay and reasonable working conditions.

MEMBER NEWS

Queensland In Queensland, the Workers’ Compensation and Other Legislation Amendment Act 2024 was passed in August, incorporating key changes that expand the coverage for certain work-related conditions. OTA played a crucial role in informing the Queensland Government’s response to the independent review of the workers’ compensation scheme, helping to shape these new laws. Victoria In Victoria, OTA engaged with WorkSafe Victoria to advocate for increased fees for Activities of Daily Living (ADL) assessments. While we welcomed recent policy updates that allow OTs to assess household help needs, we have called for a review of the ADL fee structure to ensure it supports access to essential services. OTA also pushed for legislative amendments to allow occupational therapists to issue certificates of capacity, a change that could streamline processes for injured workers. We received correspondence from WorkSafe Victoria acknowledging our

recommendations along with an invitation to discuss these in more detail. We continue to liaise with WorkSafe on these matters. South Australia OTA’s efforts continued in South Australia, where Return to Work South Australia (RTWSA) conducted their annual fee review. While our request to extend the billing time for ADL assessments was not granted, additional time can now be approved on a case-by-case basis. OTA continues to work closely with RTWSA to ensure OTs are fairly compensated for their services. New South Wales Across New South Wales, OTA addressed concerns regarding icare’s guidelines for ADL assessments. We clarified that while the guidelines are designed to standardise service delivery, they are not enforceable. icare has reassured OTA that OTs can adjust their assessment processes according to individual client needs. We will continue our discussions with icare to ensure these guidelines do not unduly impact the profession and encourage members who experience unreasonable refusals from icare to reach out to us at policy@otaus.com.au. TAC Finally, in Victoria, last year OTA provided a substantial submission to the Transport Accident Commission (TAC) review of its registration and credentialling model for OTs. Based on member feedback, we advocated for a more equitable credentialling process and fair compensation. The TAC has since acknowledged the need for reform, and their partnership with the Statewide Equipment Program (SWEP) ended in September. OTA has met with the TAC and will continue working closely with them to shape the future OT service models under the scheme.

Photo: © Getty Images/jasonbennee

Western Australia In Western Australia, the Workers Compensation Fees Order was updated, effective 1 July 2024. These changes stemmed from amendments under the new Worker’s Compensation and Injury Management Act 2023. OTA successfully opposed a reduction in fees for consultations over one hour, though a lower travel fee and a flat report fee were introduced. WorkCover WA has advised that members may request higher travel remuneration from the relevant insurer on a case-bycase basis if they find that the current rate does not adequately cover travel costs. OTA encourages members who experience unreasonable refusals from insurers to reach out to us at policy@otaus.com.au. OTA has since met with WorkCover’s CEO, Chris White, to further advocate for a fairer fee structure for reports. WorkCover WA has agreed to consider report fees as part of the 2025 fee indexation cycle. OTA will continue to work with WorkCover WA on this matter.

October and the Queensland (QLD) election on 26 October, OTA actively engaged with key decision-makers in these jurisdictions, urging policy reforms and investments to strengthen the profession. Over the last quarter OTA reached out to Government Ministers and Opposition Shadow Ministers in these jurisdictions outlining the challenges facing occupational therapists and calling for targeted actions to address workforce shortages and improve access to services. Our key advocacy priorities included: financial support for students and graduates; funding for clinical supervision and student placements; improved working conditions and career pathways; and investments in public health roles and early childhood services. OTA also engaged directly with local representatives. Ahead of the ACT election, we met with the office of Minister Emma Davidson to discuss workforce issues and the need for immediate solutions. We are grateful for the support of our Divisional Council members in both states, who played a vital role in shaping these advocacy efforts. We will continue to keep members updated on our work in, and changes within, the policy and advocacy space. For the latest updates scan the QR code:

State Elections – NT, ACT, QLD In the lead-up to the Northern Territory (NT) election on 24 August, the Australian Capital Territory (ACT) election on 19 CONNECTIONS SUMMER 2024 11

F E AT U R E

Tina Champagne Webinar Series 2025

Introducing the Tina Champagne Sensory Modulation Webinar Series: A 7-Part Webinar Series Starting February 2025

fter the resounding success of her sold-out Australian tour earlier this year, Dr. Tina Champagne returns with a fresh and accessible format that promises to build on the momentum she created. Her recent masterclasses and workshops, which took place in June 2024 as part of the Tina Champagne Tour, left practitioners eager for more. Responding to that demand, Occupational Therapy Australia is excited to announce a new 7-part webinar series featuring Tina’s renowned Sensory Modulation Program. This new series will provide seven onehour webinars, delivered online and scheduled to run from late February to early September 2025. Each session is a stand-alone learning opportunity, but together they form a comprehensive journey into the heart of Tina’s sensory modulation principles. These webinars will build your knowledge through real-world applications, offering unique insights that occupational therapists can immediately incorporate into their daily practice. Recognising the diverse levels of experience within the OT community, the series is particularly geared towards those with intermediate and advanced understanding of sensory modulation. However, practitioners at all levels will find the material enriching and applicable. Feedback from Tina’s soldout tour highlighted a strong demand for

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deeper and more specific guidance, and this series is designed to meet that need. “Tina was very knowledgeable... it was an absolute privilege to learn from her. The content was great and very informative.” What makes this series stand out is its interactive nature. Tina will lead the sessions with time allocated for participant questions, allowing for direct engagement and real-time discussion of key concepts and challenges. This approach ensures that attendees can tailor their learning experience to their own needs and share insights with fellow practitioners.

“Tina was very knowledgeable... it was an absolute privilege to learn from her. The content was great and very informative.”

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Webinar Schedule and Topics Here are the topics and their scheduled dates:

Therapeutic Use of Self and Assessment 9:30 am AEDT, Tuesday, 25 February 2025 Sensorimotor Activities with Individuals 9:30 am AEDT, Tuesday, 25 March 2025 Sensorimotor Activities & Group Work 9:30 am AEST, Tuesday, 29 April 2025 Sensory-based Modalities 9:30 am AEST, Tuesday, 20 May 2025 Creation and Use of Sensory Diets 9:30 am AEST, Tuesday, 1 July 2025 Environmental Enhancements: Sensory Spaces, Sensory Rooms & Sensory Gardens 9:30 am AEST, Tuesday, 5 August 2025 Environmental Enhancements: Sensory Kits & Carts 9:30 am AEST, Tuesday, 9 September 2025 For more details on the webinar topics, learning outcomes, pricing (including bundling) and to secure your spot, scan the QR code. See you online in February 2025!

About Dr Tina Champagne, OTD, OTD, OTR, FAOTA Dr. Tina Champagne is the CEO of Cutchins Programs for Children and Families and an international consultant for Champagne Conferences & Consultation. She has specific expertise in the areas of trauma, attachment, sensory and trauma informed approaches, and organisational change. In 2003, she became the first OT to present with the U.S. National Office of Technical Assistance on sensory approaches, trauma informed care and restraint reduction, where her work became part of the Six Core Strategies. She has numerous publications, including two books, numerous book chapters, continuing education and research articles, and she is a reviewer for OT and nursing journals. She has received many awards for her work including the 2023 Award of Merit, the highest honour from the American Occupational Therapy Association.

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80 Years Strong Celebrating the Collective Force of Occupational Therapy

his OT Week marked a significant milestone: 80 years since the founding of Australia’s first OT club. Practitioners from across the country gathered in Hobart, Adelaide, Melbourne, and Darwin to celebrate the progress, resilience, and adaptability of a profession that has come a long way from its origins. This milestone not only honours the legacy of our profession but also reflects the dedication, compassion, and innovation that occupational therapists have brought to the lives of countless individuals over the decades. These events were more than a commemoration of time passed —they were celebrations and reflections of the shared experiences, professional pride, and evolution of OT as a foundational part of Australia’s healthcare landscape.

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“Seeing the room full of dedicated OTs from across Australia filled my cup and made it run over! There’s something incredibly special about witnessing a profession that supports so many people, come together with such pride and purpose.” – Sam Hunter, CEO

The gatherings were filled with conversations that revealed the profession’s diversity, both in area of practice and the unique approach of each OT. But a common thread united them all: a commitment to adapting, advancing, and contributing to a collective framework that strengthens occupational therapy in Australia. Samantha Hunter, CEO of Occupational Therapy Australia, described the experience as profoundly fulfilling. “Seeing the

room full of dedicated OTs from across Australia filled my cup and made it run over! There’s something incredibly special about witnessing a profession that supports so many people, come together with such pride and purpose,” she reflected in a post-event message.

Stories that Speak to the Profession’s Growth

Throughout the celebrations, practitioners shared stories that demonstrated the evolution of OT in real terms. Genevieve Pepin, who has spent years in mental health, recalled a moment that captured the essence of her work. “What I love most about occupational therapy is that

even a tiny contribution can have lasting effects,” she said. She shared a story of working with a young woman with schizophrenia who wanted something simple: a key to her own space. Together, they made her a key to a small cupboard in her hospital ward—a gesture that symbolised a step towards independence. Years later, Genevieve encountered the same client, now with the keys to her own apartment. “That’s the power of what we do,” she reflected. Her story highlighted how a single intervention can catalyse lasting change and how OTs often play a quiet, pivotal role in helping clients gain control over their lives.

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80 Years Strong – continued For Ryan, a specialist in psychosocial disability, OT is about helping clients reshape their narratives in a way that feels authentic to them. “Mental health OT is about helping people tell their story, often for the first time,” he explained. In his practice, success is not always about big, visible milestones. “Sometimes it’s as simple as a client saying, ‘I got out of bed today,’” he said. These are the quiet but profound victories that OTs understand deeply. Ryan’s approach reflects the patience and persistence that defines mental health work—where each small step forward is celebrated as part of a larger journey.

Diverse Specialisations, Shared Goals

OT’s reach has expanded into many areas, as demonstrated by the mix of practitioners who came together. Kathryn, working in women’s health, noted the rapid growth in this area, where OTs can support clients through significant life transitions. “There’s such scope in OT here,” she observed. Kathryn shared how her work in women’s health supports clients through complex changes, from postnatal care to menopause.

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“We help women adapt through periods of major transition, and it’s rewarding to see OT play a role in this kind of support,” she added. Her work is part of the profession’s adaptability, which continues to expand in response to emerging health needs. For Mary, a paediatric OT, advocacy has become an integral part of her role. She recounted a recent experience in which

she advocated for a child with Down syndrome, helping secure the right learning support in a school environment. “It’s all about getting the right supports in place,” she said, a sentiment echoed by her colleagues across various settings. Stories like Mary’s showed how OTs are not only practitioners but advocates, breaking down barriers to access and inclusion.

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Reflecting on the range of stories shared, Hunter remarked, “The individual impact of OT is immense, but together, we create something even more powerful. Listening to these stories reminded us that every small intervention OTs make carries forward, leaving an imprint on lives and communities.”

Looking Ahead: Reinforcing the Collective Framework

Each event location offered a different perspective on the future of OT. Rural and remote practitioners discussed the creativity required in their work, while others noted the impact of recent recognition for allied health in mental health settings. Lorrae Miner, an OT who’s worked internationally and now focuses on research, shared her optimism about the profession’s growth. “I’m excited to see how our services expand and our role is increasingly recognised,” she remarked, citing recent support for OT in mental health settings as a promising development.

and grown to meet complex challenges, without losing sight of its core purpose.

Celebrating a Collective Legacy

As the events ended, OTs took a moment to acknowledge the significance of the milestone. The 80-year mark represents a profession that has been built collectively, through the work and dedication of countless practitioners. Each OT’s experience and practice adds dimension to a shared framework that continues to support and empower people across Australia. From Hobart to Darwin, these celebrations highlighted a profession that’s constantly evolving yet steadfast in its purpose. With

each new specialisation, each story, and each practitioner’s unique contribution, OT’s collective framework grows stronger. The profession’s future is bright, powered by a community of practitioners ready to continue building on 80 years of impact. Looking ahead, Hunter shared her optimism for the profession’s growth. “There’s an energy among OTs that’s hard to describe—it’s an energy that builds, one story, one practice, one breakthrough at a time,” she said. “We’re only just beginning to realise the full potential of OT in Australia. The future is bright because we have this incredible community of practitioners to carry it forward.”

The anniversary also provided a chance to reflect on OT’s evolution. Displays at the Melbourne event juxtaposed black-andwhite photos from the 1940s—showing OTs working with returned servicemen— with modern images capturing today’s diverse practice areas. The juxtaposition was a reminder of how OT has adapted CONNECTIONS SUMMER 2024 17

WFOT REPORT

A Reflection:

From Rio to Tokyo to Paris? Actually, it was from Cape Town to Paris to Hamilton! Dr Adam Lo OAM WFOT Delegate

erving as the Australian Delegate for the World Federation of Occupational Therapists (WFOT) has been one of the most rewarding and transformative experiences of my professional life. Elected by fellow Occupational Therapy Australia (OTA) members as the 1st Alternate Delegate in 2016 (when the Rio Olympics captivated the world), I could not have anticipated the journey ahead. However, I always knew I would give my best effort in representing my fellow occupational therapists in Australia and contributing to the global growth of our profession across various domains—research, education, practice, and our collective standing and recognition as a unique health profession

that offers so much to individuals, families, and communities across the globe. Building on my prior years of service as part of the Queensland Divisional Council for OTA, it felt like a natural progression to ‘take on the world’—or at least, the world of occupational therapists—and support the WFOT Delegate for Australia at the time, Lynette MacKenzie (with Lee Zakrzewski as the 2nd Alternate Delegate). In 2020, a year marked by the global challenges of the COVID-19 pandemic and the postponement of the Tokyo Olympics, I stepped into the role of Delegate. Now, as I conclude my term in 2024, coinciding with the Paris Olympics, I reflect on these years with

immense gratitude, purpose, and pride in our profession. I will continue to serve as the 2nd Alternate Delegate, supporting Emma George as she steps into the role of Delegate at the OTA Annual General Meeting later this year. I am confident that Emma will excel in her role, having already established strong relationships with various WFOT Delegates and member organisations across the world. These connections will no doubt continue to grow and flourish under her leadership. Over the past eight years, I have had the privilege of attending the WFOT Congress* and Council Meetings, including the 2018 meeting in South Africa as the 1st Alternate Delegate. After becoming the OTA Delegate in 2020, the global pandemic brought novel challenges, leading to the 2020 Hong Kong Council Meeting being held online. Yet, in these virtual spaces, our global connections deepened as we supported one another and overcame adversities together, hand in hand (or, as should I say, “hand sanitisers in hand”). Around this time, I was also elected Secretary of the WFOT Asia Pacific Occupational Therapy Regional Group (APOTRG), another important voluntary yet rewarding role that allowed me to represent and collaborate with our neighbouring countries in the region. *The WFOT Congress is held every four years and the WFOT Council meeting is held every two years and always in the year that the Congresses are being held.

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WFOT REPORT

The WFOT Congress in Cape Town, South Africa in 2018.

In 2022, I attended my first face-to-face meeting with other WFOT delegates as the Australian Delegate in Paris, where the city’s Olympic spirit was just beginning to blossom. New bonds were formed with our international colleagues, and existing relationships were strengthened. We welcomed new members/countries into the

“Together with the talented and dedicated OTA team, including CEO Samantha Hunter, we promoted innovation and ensured the best service, support, and advocacy for our members.” WFOT family and discussed key issues such as justice, equity, diversity, and inclusion, as well as education, human resources, and governance for occupational therapists.

Emma George and Adam Lo in Paris

This year’s WFOT Council Meeting in Hamilton, Bermuda, was a powerful reminder that impactful growth can occur even in the smallest settings. This is not only a reference to how the archipelago of 181 islands has a land area of just 54 square kilometres, but also to the fact that Bermuda has only 30 registered occupational therapists. The Bermuda meeting was pivotal, as new directions were forged CONNECTIONS SUMMER 2024 19

WFOT REPORT

A Reflection – continued through the renewal of constitutions and the establishment of innovative strategies to guide the organisation into the future. Despite limited resources, the passion and dedication of Bermudian occupational therapists highlighted how the profession can thrive and evolve, inspiring global efforts to support and uplift emerging and smaller occupational therapy communities, such as those in the Maldives and Madagascar.

“I am immensely proud of our pioneers – Australian occupational therapists who, along with representatives from nine other countries, inaugurated the WFOT in 1952.”

Adam with other WFOT Delegates in Bermuda

As a member of the Board of Occupational Therapy Australia (OTA) over the past four years, a role that complemented my position as WFOT Delegate, I was able to contribute to shaping our profession domestically. Together with the talented and dedicated OTA team, including CEO Samantha Hunter, we promoted innovation and ensured the best service, support, and advocacy for our members. My role as Chair of the WFOT Programme Accreditation Committee also allowed me to collaborate with a voluntary

panel of dedicated academics, ensuring that Australian occupational therapy programs met the rigorous standards required for WFOT accreditation.

Adam with the OTA CEO and Board in 2024

As my term draws to a close, I am filled with hope for the future. The global landscape of occupational therapy is shifting, embracing new perspectives and cultures while holding

onto the core values and traditions that define us. I look forward to witnessing the continued evolution of our profession, confident that the connections we have built will guide us through the challenges ahead. I am immensely proud of our pioneers – Australian occupational therapists who, along with representatives from nine other countries (Canada, Denmark, India, Israel, New Zealand, South Africa, Sweden, the United Kingdom, and the United States), inaugurated the WFOT in 1952. Thank you so much for their vision and contribution in building our foundations. This year, as we celebrate our 80th anniversary, OTA stands as one of the oldest occupational therapy professional associations in the world. I am proud to be a small part of its history. Let us continue to strive for a future where occupational therapy contributes to global health and wellbeing, fostering collaboration and unity within our profession, just as the Olympic spirit seeks to promote peace and solidarity through sport. Together, we can build a more harmonious world, one that values inclusivity, understanding, and a shared commitment to improving lives.

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Walking: A Key to Social Connection and Better Health

t the Heart Foundation, we believe that good health is not just about physical and emotional health—social health plays a crucial role too. Social health refers to the well-being we derive from our social connections, often impacting physical and mental health. It is an important part of maintaining a healthy lifestyle.

The importance of social connection for older adults Many older Australians face challenges in maintaining social connections. Life changes like retirement, relocation, or the loss of a spouse can lead to social isolation. In fact, around 20% of older adults in Australia are socially isolated. We know that occupational therapists play a key role in helping people stay engaged, and we see walking as a simple and effective way to foster social connection while improving physical health.

The link between social health and physical health

The Added Benefits of Walking in Nature

Walking outdoors, especially in green spaces, provides a sense of calm and connection with the environment, which can boost overall well-being. Research from the University of Sydney shows that people who live near parks or have easy access to nature are less likely to feel lonely. Encouraging your clients to walk in nature can be a powerful way to enhance both their physical and social health.

Heart Foundation Walking: A Resource for Your Clients

The Heart Foundation Walking program is one of Australia’s largest free walking networks, with over 350,000 registered walkers and more than 700 walking groups nationwide. We’ve seen firsthand how participating in walking groups can transform lives.

Loneliness and social isolation affect emotional well-being and can significantly impact physical health. Social isolation has been linked to higher risks of dementia, stroke, and heart disease. Helping your clients maintain and build social connections can make a real difference in reducing these risks. Encouraging walking, especially in groups, is an accessible and effective way to enhance both social and physical health.

A great example is Beverley Morrissey, who leads a Heart Foundation Walking group in Point Cook, Melbourne. After retiring and moving to a new area, she started the group to meet new people and stay active. The group has grown into a supportive community where members not only improve their physical health but also help each other overcome challenges like social isolation and depression.

Walking: A Simple, Effective Way to Boost Health

How You Can Support Your Clients

Walking is a free, low-impact activity with multiple health benefits. Walking regularly can reduce the risk of heart disease and help protect against mental health challenges like depression. Walking groups offer a unique opportunity for older Australians to connect with others while staying physically active. As occupational therapists, you can support your clients by integrating walking into their routines. This could involve recommending local walking groups or helping them track their progress using simple walking plans.

We invite you to encourage your clients to join a Heart Foundation Walking group or even start their own. Walking groups provide a structured, supportive environment that helps participants stay motivated, active, and connected. We offer a Personal Walking Plan for clients who prefer to walk independently. This free, tailored plan provides expert advice to help them meet national physical activity guidelines in just six weeks. To learn more or help your clients get started, visit walking.heartfoundation.org.au or scan the QR code:

About Us

For over 30 years, Heart Foundation Walking has supported Australians in walking for a healthy mind, body, and heart. Free and easy to join, Heart Foundation Walking helps individuals and community-led groups start and stay walking anytime, anywhere. Walkers can access tips, tools, and support to help them stay on track and get the most out of walking. They’ll also become part of an inspiring and passionate community. 22 otaus.com.au

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From Melbourne to Manipal and Back

Enhancing occupational therapy education through an international student mobility program Nikki Lyons1,2, Shashank Mehrotra4, Danielle Hitch1,3

ccupational therapy is a growing health profession globally. The World Federation of Occupational Therapists (WFOT) mandates that all students will undertake 1000 hours of professional practice. Clinical placements are therefore integral to occupational therapy education, providing students with an opportunity to apply theory to practice (World Federation of Occupational Therapists, 2018). Furthermore, international placements are recognised for providing students with opportunities to develop crucial skills associated with global citizenship. Engaging professionally in diverse communities and cultures facilitates important knowledge about cultural competency and global health. In recognition of the value of such international experiences, a student mobility program was established between Manipal Academy of Higher Education (MAHE) in India and Deakin University in Australia. The program operated 2019 and 2020, recommencing in 2023 after a period of COVID pandemic related shut down.

Program structure

The program is founded on mutual opportunities for international experience and exchange. Internship occupational therapy students from MAHE can apply to enrol in a Deakin University unit linked to

“The first and most evident difference I noticed was how clientcentred practice is here…” a 4-week clinical placement in Geelong, Australia. In turn, third year Deakin University undergraduate occupational therapy students can apply to attend a 3-week clinical placement at the Manipal Academy of Higher Education (MAHE) in Manipal, India. Students experience learning by immersion and have opportunities to practice their occupational therapy skills with patients and families in a different cultural and healthcare environment, in collaboration with local healthcare teams. Students also gain exposure to a variety of health and occupational issues less commonly found in their home countries. For example, students from India have developed skills in working with people with eating disorders, while students from Australia have gained experience in working with people with rare disabilities. Both Australians students completing placement in Manipal and Indian students completing placement in Australia completed a Placement Evaluation survey. A selection of free text quotes from the survey are included in the article to highlight the valuable learnings afforded by international healthcare placements.

The Australian student experience

Australian students are supported to participate in the program by New Colombo Plan (NCP) grants. The New Colombo Plan (Australian Government Department of Foreign Affairs and Trade, n.d.) aims to enhance knowledge of the Indo-Pacific region in Australia by providing funding to universities to support Australian undergraduates studying and undertaking placements in the region. Given the recent international travel bans during the COVID-19 pandemic, there was significant interest from the student cohort about this opportunity to complete an international placement. The Australian students travelled with a Deakin staff member from the occupational therapy program who supported their orientation and first week of the placement program. “….that first week (support) was crucial for us in getting settled there, as many had not travelled to India before and two of us, including myself, had not ever travelled overseas.” (Australian student)

Deakin University, 2Barwon Health, 3Western Health, 4Manipal Academy of Higher Education (MAHE)

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From Melbourne to Manipal and back – continued in cross-cultural learning experiences. Living and working in a different country enables students to develop a deeper understanding of differences in healthcare delivery, patient perceptions, and societal attitudes towards disability and occupation. The students’ reflections on the social, familial, and legislative differences of the contrasting health systems are highlighted.

Australian student participating in an ADL Cooking Group in mental health institution in India

The students also received one week of orientation within the MAHE teaching hospital, known as Kasturba Hospital, under the supervision of senior occupational therapists in dual academic and clinical roles. The students could choose a clinical caseload based on their personal interests and learning goals. The areas included Neurological Rehabilitation, Hand Rehabilitation (Orthopaedics/ Plastics), Mental Health and Psychosocial Rehabilitation, Paediatrics, and Community Health. Supervision and mentorship were provided by experienced senior occupational therapists and post graduate students from both India and other countries, which ensured the Australian students received valuable guidance and support throughout their placements. “I had the opportunity to learn from so many different students and OTs. The experience of seeing India was incredible.” (Australian student)

The diverse learning opportunities provided by this experience also built student knowledge and understanding of the similarities, differences, enablers 24 otaus.com.au

and barriers for occupational therapy practice from a global context.

The Indian student experience.

The Indian students are generally placed in a large regional public health network and allocated to either an acute or subacute bed-based setting. The Indian students were self-funded and had the same access to the Deakin student services as a permanently enrolled student. Each student was allocated an onsite clinical occupational therapy supervisor/s and a Deakin University Practice Education Facilitator (DPEF) for additional support. “I came into this placement thinking that we would only be observing for the 4 weeks but was excited when we actually got to try out various roles and assessments under supervision.” (Indian student)

One Indian student after their Australian placement and subsequent graduation, secured a new graduate occupational therapy position in Australia.

Cross-cultural learning

One of the key features of the program was the opportunity for students to engage

“…a big difference that I believe shapes our goal for patients is social support. Compared to back home, I noticed that unfortunately not a lot of people have family who can support them when they get out of hospital or rehab, leading to them living in facilities who can attend to their medical needs or going home and getting readmitted to the hospital. In India as a whole, it is very common for people to live with their families their whole life, sometimes many families living together. And while this may sound crowded and a bit chaotic, it often means that someone is always around to support the person in need. Families and sometimes even friends/ neighbours are often a far bigger part of the person’s recovery than the medical and allied health team.” (Indian student)

“I was able to learn so much from experiencing how another health system works.” (Australian student)

The clinical placement exposure impacted both academic and cultural knowledge, as the students shifted from a focus on health care to a broader perspective on social and occupational justice issues. This exposure fostered greater cultural sensitivity and an increased capacity to deliver client-centred care in diverse contexts.

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“…..the practice we observed did match theory….(despite) cultural & systematic differences.” (Australian student)

“The first and most evident difference I noticed was how clientcentred practice is here…” (Indian student)

Other mutually beneficial outcomes

The student mobility program yielded many other positive outcomes for the students. Students spoke about building confidence from pushing themselves outside of their comfort zones and allowing themselves to immerse themselves in another countries healthcare system. In addition, the opportunity to develop personal and professional international networks which could potentially facilitate collaboration and career opportunities in the future was another benefit. “…through conversation with other students I was able to further my learning and understanding from the guidance of them.” (Australian student)

“…this has been a massive learning experience, and I know I will be taking a lot of new information with me to share with my OT family back home.” (Indian student)

The program has also facilitated academic collaboration between MAHE and Deakin University faculty members. The teams have jointly identified opportunities for research projects and partnerships for the future.

Australian students often discussed and considered accessibility issues in India

Sustaining this collaborative relationship will offer a multitude of opportunities to promote inter-cultural knowledge sharing, innovation, and the exchange of best practices in occupational therapy education and practice. The student mobility program between MAHE and Deakin University has provided a successful and innovative way of enhancing occupational therapy education through international collaboration and crosscultural learning. By providing students with diverse practice experiences and cultural immersion opportunities, the program has contributed to the development of competent and globally minded OT

undergraduates and new graduates. The program is now being offered to Deakin first year students for the first time in 2024 to directly align with the first-year curriculum focus of occupational justice and social determinants of health. References References for this article can be viewed online – scan the QR code:

Assistant Professor – Selection Grade Shashank Mehrotra Shashank Mehrotra currently works at the Department of Occupational Therapy, Manipal Academy of Higher Education (MAHE). Shashank research and educational interests include Health Promotion, Rehabilitation Medicine, Public Health and Ageing.

Associate Professor Dani Hitch A/Prof Danielle Hitch holds a joint position with Western Health and Deakin University. Her research and educational interests include social and occupational justice, complex conditions and the impacts of the COVID-19 pandemic. Nikki Lyons Nikki Lyons is the Practice Education Coordinator in Occupational Therapy at Deakin University and also has a role as Clinical Educator for the Centre for Education & Training (CET) at Barwon Health. Her research and educational interests include the performance of students and supervisors involved with placement, interprofessional education and improving clinical communication skills for safe, quality healthcare.

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Supporting Children with Paediatric Acute-Onset Neuropsychiatric Syndrome (PANS): What OTs Need to Know By Michelle Newby, BHSc(OT), MSc, PhD Candidate

magine a child who is developing typically, then catches something as common as a cold or strep throat, and suddenly, overnight, they’re struggling to function— overwhelmed by sensory sensitivities, displaying obsessive behaviours, unable to write legibly or refusing to eat. This is the reality for children with Paediatric AcuteOnset Neuropsychiatric Syndrome (PANS), a condition that can change a child’s ability

to engage in everyday activities almost overnight (Calaprice et al, 2017; Tona et al, 2017). As occupational therapists, we are often on the front line, alongside doctors and psychologists, helping children with PANS manage dramatic functional changes. But how can we best support them when their abilities can vary so much with the natural fluctuations of the condition?

In my 25 years as a paediatric occupational therapist, I’ve worked with children in various countries, supporting their developmental needs. Since 2018, through my PhD, I’ve been focused on researching how PANS affects children’s occupational performance and sensory processing, particularly as they move through phases of exacerbation and remission. Through this research, I’ve learned valuable lessons that I believe can help occupational therapists better support children with PANS in clinical practice.

What is PANS?

PANS is a condition that causes sudden and severe changes in a child’s behaviour and functional capacity. It can lead to obsessivecompulsive behaviours, extreme sensory sensitivities, eating restrictions, motor issues, and developmental regression. These changes can happen quickly, and the condition tends to fluctuate between periods of exacerbation and remission, making it especially challenging to treat. For occupational therapists, PANS presents a unique set of challenges. A child may be fully independent and performing at an age-appropriate level one day, only to suddenly struggle with tasks like attending school, writing legibly, dressing, managing personal hygiene, or even wetting their pants or bed despite being previously toilet trained. Socialising and following 26 otaus.com.au

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routines can also become difficult, as well as maintaining attention and managing higher-level executive functions (Tona et al, 2017). While many children gradually return to their baseline level of function, some do not fully recover and continue to experience persistent symptoms (Gromark et al, 2022). This unpredictability makes it challenging to determine the best approach for assessment and intervention.

Research Focus

The focus of my PhD research at the University of Newcastle has been to understand how these fluctuations impact children’s ability to perform everyday tasks and process sensory input. I wanted to explore the specific changes in occupational performance and sensory processing that occur during exacerbation and remission phases, with the goal of helping occupational therapists tailor their assessments and interventions more effectively to support these children. To achieve this, my research team and I conducted studies with children with PANS worldwide, using norm-referenced tools to accurately compare their occupational performance and sensory processing during exacerbations and remissions. Parents provided reports on their children’s abilities in both phases, giving us a comprehensive view of how PANS affects their functioning.

Key Findings: What Occupational Therapists Need to Know The findings of my research have highlighted a few key things that every occupational therapist should know when working with children with PANS:

1. Occupational Performance Fluctuates Children with PANS experience significant declines in daily living skills and social participation during exacerbations (Newby et al, 2024b). For example, a child who can dress themselves or write legibly during remission may suddenly struggle with these tasks when their symptoms worsen. As occupational therapists, we need to be aware of these fluctuations and plan our interventions accordingly. 2. Sensory Reactivity Plays a Big Role Heightened sensory sensitivities can make things even harder for children during exacerbations. My research showed that these children often experience significant sensory reactivity during flare-ups, affecting their ability to participate in daily tasks (Newby et al, 2024a). These sensory changes are also associated with a deterioration in children’s daily living skills and communication abilities (Newby et al, 2024c). Even during remission, many children still show some sensory differences compared to other typically developing children their age, so it’s important to consider this in our assessments and intervention (Newby et al, 2024a). 3. Assessments Should Be Flexible One of the biggest takeaways from my research is that static, one-time assessments don’t tell the full story for children with PANS (Newby et al, 2024a; Newby et al 2024b). These children’s abilities can change drastically depending on whether they are in an exacerbation or remission phase. Occupational therapists need to take a more flexible, ongoing approach to assessment, adapting our understanding of the child’s needs as their condition fluctuates.

“For occupational therapists working with children who have PANS, it’s important to approach each child with an open mind and be prepared to adapt.”

4. Tailored Interventions Are Key Because children with PANS experience such varied abilities between exacerbations and remissions, our interventions need to be equally flexible. During exacerbations, it may be necessary to focus more on accommodations, adaptations and sensory regulation strategies to help children manage their symptoms. As the child starts to recover and in remission phases, we can work on building their skills and fostering independence. By tailoring our interventions to where the child is in their cycle, we can provide much more effective support (Tona et al, 2017).

What This Means for Occupational Therapy Practice

For occupational therapists working with children who have PANS, it’s important to approach each child with an open mind and be prepared to adapt. This condition is unpredictable, and what works one day might not work the next. However, by taking a flexible approach and focusing on both their sensory and functional needs, we can make a real difference in their ability to engage in everyday life. Occupational therapists also play a key role in supporting parents and caregivers to adjust their approach in response to the fluctuating nature of PANS. By offering CONNECTIONS SUMMER 2024 27

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Supporting Children with Paediatric Acute-Onset Neuropsychiatric Syndrome (PANS) – continued practical strategies that families can use during both exacerbations and remissions, we can empower them to better support their child’s changing needs. It’s also important to guide parents in finding medical professionals who understand PANS and can prescribe treatments like anti-inflammatories and antibiotics, which are important for managing the condition and promoting faster recovery.

Looking Ahead

As I continue my research, I’m excited to share these findings with the broader occupational therapy community, including at the American Occupational Therapy Association INSPIRE 2025 Annual Conference & Expo in Philadelphia. I hope that raising

About the Author

awareness about PANS will help more occupational therapists feel confident in supporting children with this condition. There’s still much more to learn about how PANS affects children’s occupational performance and how occupational therapists can provide more effective interventions. Future research should focus on developing more specific interventions for children with PANS, especially strategies that can help during the most challenging times of exacerbation. By continuing to explore these issues, we can make sure that occupational therapy remains at the forefront of providing effective, evidencebased support for children with PANS, ultimately improving their quality of life.

Michelle Newby is a paediatric occupational therapist with over 25 years of experience supporting children and families worldwide. She is the founder of Stepping Stones Therapy for Children, a private paediatric occupational therapy practice in Newcastle, NSW. References References to this article can be viewed online – scan the QR code:

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A Toolbox Refilled:

Why OTA’s CPD Empower Events Will Change the Game for Occupational Therapists “I walked into the workshop with questions and left with confidence,” shares one attendee of Occupational Therapy Australia’s CPD program. “The information I gained has completely refilled my toolbox.” For occupational therapists, professional growth is not just a career milestone— it’s a commitment to those we serve. Every assessment, intervention, and strategy shapes lives, making it essential to continually sharpen our skills and expand our knowledge. But with packed schedules and ever-changing demands, finding a meaningful opportunity for growth can be a challenge.

This is where OTA’s inaugural CPD Empower Events shine. Launching in February in Melbourne and followed by Sydney in May, these events are more than just workshops; they are immersive experiences designed to reignite your passion for the profession while equipping you with the tools to meet complex clinical challenges.

More Than a Workshop: A Story of Transformation

For many occupational therapists, CPD workshops have been transformative. “I feel much more confident,” reflects another participant. “The course gave me a solid foundation to pivot into working with children.” Others have shared how OTA’s workshops have reshaped their approach: “It totally changed my whole lens of viewing cognitive strategies, assessment, and intervention planning.”

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A Toolbox Refilled – continued At the heart of these stories is a commitment to connection—connection with the latest research, with highly skilled presenters, and with peers who bring their own insights and experiences to the table. These testimonials from past programs highlight the value CPD Empower aims to deliver.

4. Acquired Brain Injury – The Occupational Therapist’s role in an individualised, client directed approach to rehabilitation: Gain valuable tools for working with this complex area, presented by Nadine Holgate. (2 days)

A New Way to Learn Together – the Inaugural CPD Empower Lineup

5. Facilitation Fundamentals: Building Confidence in Group Work with Participants with Psychosocial Goals: Learn innovative techniques for leading groups with Sonya Vargas Stagg, Jo Rouse, and Rachel D’Souza. (1 day)

1. Untangling Dementia for Occupational Therapists: Build essential practice skills and expand your dementia toolkit with Laine Bradley and Rebecca Heine. (2 days)

6. Occupational therapy approaches for longstanding eating disorders: transitioning from symptom reduction to functional recovery: Delve into essential skills for supporting clients with eating disorders, led by Rachel Knight, Genevieve Pepin, and Jasmin Watson. (1 day)

The 2025 CPD Empower Events bring together a stellar lineup of sessions designed to meet diverse learning needs:

2. Leadership Development: Develop a deeper understanding of supervision with Michelle Bihary. (2 days)

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3. Fetal Alcohol Spectrum Disorder: Explore practical strategies and key insights with Rebecca Ball and the National Organisation of FASD. (2 days)

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“At the heart of these stories is a commitment to connection— connection with the latest research, with highly skilled presenters, and with peers who bring their own insights and experiences to the table.”

With a focus on collaboration, each session is capped at 30 participants, ensuring space for deep dives, interactive discussions, and practical applications. But what sets CPD Empower apart is the atmosphere. Held in gorgeous venues to nurture and inspire, the events are carefully curated to foster both professional growth and personal renewal. Networking breaks and an evening event provide time to recharge, connect, and share stories with fellow OTs.

Changing the Lens of Practice

One of the most impactful aspects of CPD Empower will be the opportunity to shift perspectives. As a past participant of OTA workshops shared: “It’s not just a new tool—it’s a new lens. I see cognitive strategies in a whole new way now.” For those who attended sessions on moral injury, the takeaway was different but equally profound: “Such a beautiful reminder that we are a community of OTs and are in this together.”

These testimonials are more than feedback; they’re evidence of how CPD can empower therapists to return to practice with renewed energy and a clearer vision.

Be Part of the Story

This February and May, OTA invites you to join the first chapter of CPD Empower—a growing community of learners, innovators, and practitioners. Come to gain knowledge, share experiences, and leave inspired to elevate your practice. After all, every OT has a story—and these events just might shape the next chapter in yours. For details on sessions, venues, and how to book, visit otaus.com.au/cpd-and-events.

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Mental Health OT – The year at OTA so far

Get to know Catherine Daly – Mental Health Professional Practice Adviser at OTA Catherine Daly

t has been an incredibly busy year for mental health occupational therapy in OTA, and for me personally. I was delighted to recently join the team here in the Mental Health Professional Practice Adviser role. In this role, I am mindful of the many Mental Health OTs who have pioneered, worked tirelessly, and advocated for OT within the mental health workforce and wider systems. As a profession, we are an essential part of Australia’s mental health system, holding a sense of hope for our clients and their families, in their evolving health care stories. We know that there is much to do in advocacy, investment of mental health services, and in supporting workforce development. However, I felt it was important to pause and reflect on the year, thus far. As I reflect on this, I thought I would share a conversation I recently had with an Educator. This wonderful Educator discussed her student’s ability to ‘quietly’ show depth and understanding in their learning. For many days afterwards, it was the ‘quiet’ comment that resonated with me following this conversation. I wondered about the constancy and quiet of mental health OT. Could there be a way through this to show the depth of our clinical skill? In many ways, Occupational Therapy, as a profession holds to this value of being constant, containing, holding the potential of others, as we quietly support our clients within health and care systems.

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How we do this?

Our Connection to Story As mental health occupational therapists we have an enduring story and legacy within our profession. It has been my focus over this year to continue this by engaging with members to showcase the rich tapestry of experience and skill, to create a stronger voice in mental health. To progress OTA’s Mental Health Strategy (Occupational Therapy Australia – Mental Health otaus.com. au), we have developed the following: • Occupational Therapy Australia – Mental Health Capability Framework (otaus.com.au) • Occupational Therapy Australia – Mental Health Endorsement (otaus.com.au) • Occupational Therapy Australia – Mental Health Foundations (otaus.com.au). On a practical level, there has been several resources in development for clinical guidance and implementation including: • Mental Health OT consumer and referrer handouts for members to utilise in clinical practice • A Clinical Snapshot of MH OT (see Connections Magazine) • Resources to support the application process for mental health endorsement such as Occupational Therapy Australia – Mental Health Endorsement FAQs (otaus.com.au), and support of the ongoing mental health

Catherine Daly

endorsement auditing process • A focus on specific areas of practice through resource guides and articles • Learning & Development focusing on further skill development in mental health – see our CPD Library for a full list of offerings – Occupational Therapy Australia – Search for CPD (otaus.com.au). Sharing our Story At OTA we have engaged with government at all levels to represent mental health. We have been involved in several consultations with key stakeholders, engaged in submissions to position the role of mental health OT, and represented mental health

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OT at key opportunities. Many may be familiar with OTA’s work in the NDIS area, however, here are some other consultation opportunities in recent months: • Consultation to inform National Mental Health Pathways to Practice Program Pilot • Consultation on the Digital Navigation solutions to support health seekers navigating the mental health system conducted by SANE and commissioned by the Department of Health and Aged Care • Consultation on the NSW Young Persons’ Strategy for Health and Wellbeing • Consultation on Expert Advisory Group for the development of ‘Guidelines for the management of co-occurring alcohol and other drug use and use disorders for the mental health workforce’ • Consultation for the Development of National Standard for Counsellors and Psychotherapists • Consultation to the Autism Roadmap for the health and mental health of Autistic people • The Review into Best Practice in Early Childhood Intervention – PRECI, DSS and Uni of Melbourne • Consultation and endorsement of the Psychotropic Medicines in Cognitive Disability or Impairment Clinical Care Standard – released May this year.

Professor Barry Carpenter (OBE and CBE) – Professor in Mental Health in Education and Author with Catherine Daly.

“As a profession, we are an essential part of Australia’s mental health system, holding a sense of hope for our clients and their families, in their evolving health care stories.” Our Continuing Story and Identity In mental health, it is important to develop emerging, innovative, and meaningful clinical practice that meets the needs of the individuals we work with. There is a need to share the clinical breath of the work we do every day to highlight mental health service, advocate and plan, recognise the mental health skill set. Consequently, we are interested in hearing about your mental health stories, particularly, in the lead up to Federal Election.

In the months ahead, we have several exciting initiatives which will expand on emerging and innovative clinical practice in mental health occupational therapy including new interest groups, targeted CPD learning offerings, and the continued rollout of the Mental Health Modules. At the heart of mental health OT is our capacity to listen, to provide space and silence, to engage in sharing, to notice the unsaid, to make meaning, to contextualise, and to support the evolving story of the individuals we work with. It is with this quiet energy that I encourage you as mental health OTs to share the breath and skill of your experience, to edify and support each other. There is much, we can learn in sharing our stories.

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A clinical snapshot of mental health OT Catherine Daly – OTA Professional Practice Advisor Mental Health OT and Child & Family Therapist

s mental health occupational therapists, there is a mandate for us to clearly articulate our professional position. Our practicality and integration of psychological theory can sometimes confuse others. My hope is that this clinical practice vignette leads to a wider conversation as a group to share our skills, knowledge base and experience.

What distinguishes us as mental health occupational therapists?

Mental health occupational therapists understand the interplay between mental ill-health, the developmental and functional aspects of life stages, the underpinning psychological process, and an individual’s occupations to enable good functional outcomes. Our practice involves working in partnership with our clients, families, and other specialists to put the individual and their families in the position of experts in their care. In our roles we consider ‘just-right’ interventions holding the client potential, their strengths, and the wider contextual factors in mind to enable meaningful functional outcomes. To demonstrate, let’s consider a parent-infant case example: She sat facing me with the baby placed between us. “I don’t know. I feel like I don’t really know her, at all.” The baby cooed and held out her hand as if to grasp onto something to steady herself and find a sense of herself. As a therapist, I almost felt the need to 34 otaus.com.au

move closer, to grab onto her chubby finger to soothe and settle baby. Something held me back. In my mind, there was a clear need for this mother and baby to connect. Instead, I said: “It is almost as if she is holding out her hand, reaching out to find the edges of you.” There is so much happening in this parentinfant clinical interaction that I felt that moving in too quickly with a strategy might offset the dyad finding each other. It was important to be curious, brave, and gentle as I commented on their interaction. In this moment, I held the following in mind: 1. The dyad goal for connection 2. The parent goal to find her way as mother 3. The child goal to connect with their primary attachment figure. From this example, we can see that the mental health occupational therapist is seamlessly working with both: • The activity analysis of the dyad interaction (promotion of connection,

independence, and development, understanding developmental and activity challenges, exploring grading the activity to help optimise function) • The psychological underpinnings within the occupational formulation (what is driving me as therapist to intervene, what if I hold back, what does the reaching out mean for this baby in this moment, could this be the ‘port of entry’ for dyad connection, what is the infant and the mother thinking, what is the unsaid process happening, what will help a psychological ‘goodness of fit’ between the two).

How does a mental health occupational therapist practice? • In a broad sense, as mental health occupational therapists, we must understand: • Ourselves as therapists, including having a healthy reflection of our limitations and blind spots • The underlying psychological and development theory to make sense of the client story

“My hope is that the more we share about our practice, the more we hold ourselves accountable to our profession, our clients, and the organisations we work for.”

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Adults experiencing mental illness who may be struggling with taking care of oneself (self-care), managing, and adjusting to family roles, socialising with family and friends, contributing to their community, engaging in employment, or volunteering, or taking part in hobbies. Adults may have conditions such as anxiety, depression, post-natal conditions, schizophrenia, and borderline personality disorder.

• The process of therapy • The capacity to sit with pain and distress while holding a clear picture of the fundamental occupational goal and the client story • There is a complexity that we need to be open to, and a curiosity to know that there is more to learn at any given moment • The need to reflect on this within supervision can help unpack our own, the dyad and the organisation processes that impact the therapy space.

Occupational therapists in mental health work with:

Children and young people experiencing emotional and behavioural regulation issues as a result of diagnosed or undiagnosed mental health conditions. Children and young people may present with conditions such as anxiety, depression, post-traumatic stress disorder (PTSD), developmental trauma.

Older adults, including those experiencing the behavioural and psychological symptoms of dementia (BPSD), adjustment and grief reactions to life transitions, depression, and anxiety.

How do I find out more about mental health occupational therapists? To find out more about mental health occupational therapists go to our OTA webpage.

References

References for this article can be viewed online – scan the QR code:

As a mental health occupational therapist, “my role is to provide clients with a safe space to tell their story. This often involves organising a client’s experiences, thinking with them about their intense feelings, and helping them make sense of how they can move forward. As this is happening, I am also sensitively assessing when to offer safe and appropriate strategies” (Daly, 2016). My hope is that the more we share about our practice, the more we hold ourselves accountable to our profession, our clients, and the organisations we work for. There is value in what we do and a need to share more stories of our clinical practice. CONNECTIONS SUMMER 2024 35

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Top Risks For Advice Based Professionals

Common insurance claims from advice/service-based professionals

ou may take out several insurance policies without a second thought, but you probably hope to never have to use any of them. No matter what line of work you’re in though, the possibility of a negligence allegation, or other type of adversity is one that is always present. Unfortunate incidents can occur without any notice, and it’s near impossible to predict exactly what might go wrong. Understanding some of the common risks in your industry can be an effective way to be prepared, take a proactive approach to your risk management and safeguard your business’s financial livelihood. Here are 4 common risks we’ve seen from small businesses, and how insurance may help in each instance.

Breach of confidentiality

If your business holds confidential data of any sort, breach of confidentiality is a risk that can have significant consequences. Examples include accidentally sending an email to the wrong person, receiving an allegation as a result of sharing information without consent. Allegations of a breach of confidentiality can escalate quickly, resulting not only in expensive legal fees but also in some cases settlements to the complainant. Improper handling of sensitive personal information or financial information can lead to serious legal consequences and loss of patient/client trust. Breaches of personal information may also come about as a result of cyber-attacks. Robust record keeping practices and documentation, strict adherence to privacy policies and obtaining clear consent and letters of engagement from all relevant parties involved (such as both parental 36 otaus.com.au

guardians if the client is a child) are some of the ways to mitigate potential confidentiality breaches. Confidentiality breaches can look different, and manifest differently based on your industry, however there is typically a clear line in the sand when it comes to insurance cover and policy response. The policy which may provide insurance cover for legal action taken against you as a result of breach of confidentiality may vary based on how the breach occurs. If you find your business facing an allegation of breach of confidentiality, Professional Indemnity (PI) Insurance may provide cover if the breach was due to professional negligence or an error by you or your employee. In this instance, PI may provide cover for the legal costs, as well as compensation you might be required to pay. However, if personal information was to be compromised as a result of a cyber event or attack, then a separate Cyber Insurance policy may be required. That’s why if your business has a digital footprint, Cyber Insurance may be an important cover to consider. As a professional advice/service-based business, while it might be tempting to think your PI Insurance provides all the cover you need, additional forms of insurance may need to be considered depending on the way your business operates. Here is an example of a claim of an Aon client who was subject to a confidentiality breach allegation, and how insurance helped alleviate the financial consequences of the allegation: Mary1, was a psychologist who worked at a school. She fell subject to a confidentiality

breach allegation when she shared some confidential information about a student with the school. As a result, she was required to respond to the regulatory body in response to the allegation. Legal fees of up to $3,500 were incurred in drafting the response to the regulatory body. Mary held Professional Indemnity Insurance through Aon, and her insurance covered the cost of these legal fees.

Professional misconduct

Professional misconduct can erode trust and credibility in your services, which can impede your business’s growth in the long term. Again, professional misconduct can take many forms depending on the industry you operate in. For accountants, it can include actions such as providing incorrect advice; failure to execute an agreed service, not meeting a deadline, making an error on documents, and fidelity loss. For health professionals however, it can include bias, crossing professional boundaries, not adhering to social media guidelines, providing incorrect advice, or injury as a result of a professional service. These types of professional actions/ allegations may be covered under a Professional Indemnity Insurance policy, however how well the appointed lawyer is able to defend your claim will be impacted by the service, advice and engagement your business is able to substantiate. The detail behind each allegation can vary, and in some cases, there are multiple allegations within the one claim. Regardless of the circumstances surrounding the claim, the requirement of evidence to support your decision making and recommendations

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when a claim or complaint is made is of utmost importance. Whether its clinical notes, general notes/records of interactions, research documentation, consent forms and letters of engagement, without these records the insured will not only lack credibility they will also have very little to support their legal defence in the event of a claim. Bill1 was an accountant who provided tax advice to a variety of clients. He received a notification from a client he’d worked for many years ago alleging that he’d provided incorrect tax advice. The client was taking legal action against Bill, seeking damages of over $30,000. Bill incurred significant legal costs in forming his defence in this legal matter. Because he had Professional Indemnity Insurance, his legal fees, as well as the damages he was awarded to pay were covered under his insurance.

Third party injury & property damage

Slips and falls, damage to your clients’ property or injury as a result of your products, are incidents which may not occur that often, but if they do occur, can have significant financial consequences from the resulting legal action. Even if your business doesn’t manufacture or sell products, these may still be incidental risk from simple actions like you gifting or providing a product. Remember to also consider your client base when reviewing the likelihood of slips and falls occurring on your premises, as some clients may be more vulnerable to slips and falls occurring. Ensuring your business has Public & Products Liability insurance arranged to cover these types of incidents is therefore an important part of protecting your business’s financial livelihood in the event of unfortunate incidents such as slips & falls and property damage.

hazards such as electrical cords • Pathways leading into your business premises that have debris/holes or cracks or other hazards.

Cyber risks

If your business uses digital systems to manage sensitive information such as patient and client data which may include health and financial records, you will need to think about your business’s susceptibility to cyber-crime and cyber-attacks. Some of the commonly faced cyber threats faced by small business include:2 • Ransomware – a type of malicious software that encrypts a victim’s data and computer systems preventing access until a payment or ransom is paid to restore access to the victim. Another method hackers may use is just to steal sensitive data and threaten to release it online unless a ransom is paid. • Theft of funds – involves a criminal hacking into a business’s online banking account or using social engineering techniques to trick employees to send money to the hacker. • Data breaches –hacker stealing data and selling it to the dark web. Philippa Davis, International Cyber Team leader at CFC explains “There’s a common misconception about cyber crime in that it’s only happening to large businesses given

that’s what tends to make the news. But just because smaller businesses tend to be less newsworthy it doesn’t mean they aren’t happening. In fact, Verizon reported 61% of SMEs have experienced a cyber attack.”2 The financial implications of a cyber attack can be substantial. For example, according to CFC data, although ransomware only accounted for 16% of claims notifications, it comprised 71% of total claims paid. These ransomware payments aren’t just the extortion demands, but also the associated costs with system damage and rebuild, business interruption, incident response and forensic costs and notification for data breaches.2 Cyber insurance may play a crucial role in providing financial protection and assist professionals in responding effectively to cyber incidents. When you run your own business, you’re likely to focus on bringing in as much business through the door as you possibly can. Understanding common risks in your industry, and how to help protect your business against them is a worthwhile exercise for any business owner regardless of the industry you operate in. Unfortunate incidents can happen to even the most cautious business owner, and the resulting financial strain can be significant. Having appropriate insurance in place to help protect your business is an important part of risk management.

Name changed to protect privacy

Information quoted from CFC Underwriting – source: (https://www.dropbox.com/scl/fi/q50mxczwujw2g1am9pwmb/

Market-leading-Cyber-Insurance.mp4?rlkey=ykivehp504b098dhh5a8nb5bj&st=vhzluk3d&dl=0) © 2024 Aon Risk Services Australia Limited ABN 17 000 434 720 | AFSL 241141 (Aon) The information contained in this communication is general in nature and should not be relied on as advice (personal or otherwise) because your personal needs, objectives and financial situation have not been considered. Before

Here are some of the ways slips and falls can occur: • Unsecured flooring like mats, slippery floors and uneven steps, or other tripping

deciding whether a particular product is right for you, please consider your personal circumstances, as well as the relevant Product Disclosure Statement (if applicable), Target Market Determination and full policy terms and conditions available from Aon on request. All representations in this communication in relation to the insurance products Aon arranges are subject to full terms and conditions of the relevant policy.

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HR Health Check!

6 HR Hotspots for OT Practice Owners to Review

o ensure compliance, efficiency, and smooth business operations in the year ahead, it’s advisable for occupational therapy practice owners to review their Human Resources practices. Here are 6 HR hotspots for occupational therapy practice owners to review:

1. Position Descriptions (PDs)

Employers commonly conduct regular performance appraisals, which are opportunities for practice owners/managers and employees to discuss performance goals and agree on measurable performance indicators. Accurate, up-to-date PDs are an important tool for supporting the performance appraisal process and providing clarity on the expectations of the employee’s role. Accurate PDs are also an essential when classifying employees under an award.

2. Classifications

Practice owners must ensure that employees and positions are classifying staff correctly. Classification levels under the Health Professionals and Support Services Award 2020 (HPSS Award) determine the pay rates and entitlements based on an individual employee’s skills, qualifications, years of experience, and responsibilities. Paying an employee at an incorrect classification level is a legal and financial liability known as an underpayment and a breach of the award.

3. Pay Rates

It’s important to ensure you are paying employees at least their minimum entitlements. The penalties for underpaying employees have never been higher. Minimum pay rates under the HPSS Award are reviewed annually by the FWC. 38 otaus.com.au

Always refer to the newest pay guide and seek guidance from an experienced employment and industrial relations professional when interpreting an award.

4. Independent Contractor Arrangements

It is important for practice owners to review all employee work arrangements and employment contracts to ensure these agreements are lawful, particularly if you engage independent contractors or you’re considering engaging independent contractors. All independent contractor agreements must comply with the new Closing Loopholes changes which have now come into effect.

5. Leave Balances

Excessive accrued annual leave balances for employees can represent a significant financial liability for practice owners. Not taking accrued annual leave can also be hazardous to the health and safety of employees who may not be getting enough of a break from work to reset and recharge. The HPSS Award allows practice owners to direct their employees to take paid annual leave, however it’s important to note that there is a process that must be followed. Practice owners should also review the employee leave provisions in their employment contracts and the HPSS Award on a regular basis, to ensure they

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are meeting their obligations and keeping up to date with any legislative changes.

6. Workplace Policies

Workplace policies guide various aspects of your practice, including outlining clear expectations and providing a consistent approach to managing workplace issues. Workplace policies should always be kept up to date with current employment laws and tailored to the unique circumstances of your practice, to ensure regulatory compliance and to mitigate risks to your business and staff.

to review in your practice. For assistance conducting an HR health check for your practice, you can contact an HR consultancy that works closely with the allied health sector such as WorkPlacePLUS.

“Workplace policies guide various aspects of your practice, including outlining clear expectations and providing a consistent approach to managing workplace issues”.

To read our Spring edition scan the QR code:

As the national HR and IR partner of Occupational Therapy Australia, WorkPlacePLUS provides support to OTA members on employment matters affecting your practice. For more information, contact Anna Pannuzzo on (03) 9492 0958 or visit www.WorkPlacePLUS.com.au.

The six HR hotspots discussed in this article is not an extensive list of HR areas CONNECTIONS SUMMER 2024 39