Showing posts from February, 2013

A response to Hinojosa's "The Evidence-based paradox."

Jim Hinojosa (2013) wrote an interesting essay in the recent AJOT entitled "The evidence based paradox" which was published in "The Issue Is..." section.  I believe that this is an important article to read and discuss.

I was a little concerned when I was reading the article because although he took some rather specific steps to tread cautiously and he did not go so far as an outright rejection of an evidence-based model there is still danger in propelling our thinking backward when you express the kinds of concerns that he expressed.

Hinojosa outlines barriers to EBP including possible inapplicability of the established levels of evidence given the important qualitative and individualized nature of OT practice.  He correctly references the revised model that Tomlin and Borgetto (2011) presented that has already addressed this concern.  Tomlin and Borgetto (2011) proposed a model of a 'Research Pyramid' that includes and expresses a value for qualitative in…

Open letter to the NYS Early Intervention Program

ACTS wins injunction for early intervention conflict of interest regulation

Something I want every parent to know when they come to see me

For the entire day I have been on cute overload.  Two ridiculously cute infants and then six ridiculously cute toddlers and preschoolers all came through my doors today for OT.  Another therapist saw several ridiculously cute grade school students later in the afternoon. They were all so cute that by the end of the day I was practically giddy.

Then at the very end of the day I saw an older child who we all absolutely love.  He is also ridiculously cute.  He has a severe disability and is nonverbal and for whatever reason he had a full blown crisis and put his foot right through my wall.  That never happened before with him - but of course we have had lots of experiences over the years when kids come in and have behavioral difficulties and become really upset.  Parents sometimes feel embarrassed or sometimes mad or sometimes frustrated and sometimes they feel all those things at the same time.

As my friend settled and the parent readied him to leave I said, "We will see you next …