newsline moran

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Volume 11, No. 10F October 2012

New Denition o Autism

in Updated Psychiatric

Clinical Manual Will Not

Exclude Most Children

with Autism

Arican-American

Youth Exposed to More

Magazine and Television

Alcohol Advertising Than

Youth in General

Conferences & Educational Opportunities Job Opportunities

NEWS-LinePublishing

P.O.Box80736

ValleyForge,PA19484

PresortStdUSPOSTAGEPAID

Permit60ChaddsFord,PA

NEWS-Line or

Occupational Therapists

& COTAs

News, Inomation and Caee Oppotunitiwww.news-line.com

Q&Awith

Lauren Moran, BS, MS,Occupational Therapist

in Broomall, Pennsylvania


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NEWS-Line Publishing, 661 Moore Rd., Suite 100, King o Prussia, PA 19406Pone: 800-634-5463 Fax: 610-337-1049 Advetising: [email protected] Editoial:[email protected]

4wit Lauen Moan, BS, MS,Occupational Teapist inBoomall, Pennsylvania

Lauren Moran is an OT specializing in pediatricne motor, visual motor development and sen-

sory integration at Theraplay, Inc. She has botha BS and MS in occupational therapy rom theUniversity o Scranton in Scranton, Pennsylvania.Lauren has been a member o the Theraplayteam or over two years. In order to be a pediatricOT, she says, You need to have a lot o energy,be innovative, always willing to learn, and be fex-ible and able to work with others.

6 Occupational Teapy News

New Denition o Autism in Updated Psychiatric Clinical

Manual Will Not Exclude Most Children with Autism

Arican-American Youth Exposed to More Magazine and

Television Alcohol Advertising Than Youth in General

10 Coneences & Educational Oppotunities

12 Job Oppotunities

12. Faculty, National and Pennsylvania

13. New York, Pennsylvania and Virginia

14. Florida, Caliornia and Washington

Contents

Q&A

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NEWS-Line o Occupational Therapists & COTAs October 2012 Feature

4

Q&A

with Lauren Moran, BS, MS,Occupational Therapist

in Broomall, PennsylvaniaLauren Moran is an OT specializing in pediatric ne

motor, visual motor development and sensory integra-

tion at Theraplay, Inc. She has both a BS and MS inoccupational therapy rom the University o Scranton

in Scranton, Pennsylvania. Lauren has been a member

o the Theraplay team or over two years. In order to

be a pediatric OT, she says, You need to have a lot o

energy, be innovative, always willing to learn, and be

fexible and able to work with others.

Q&A

Q&A

Q: Wy did you want to become

an occupational teapist?

A: I grew up around my aunt who

had cerebral palsy, and I would

help take care o her with my

mom and my grandparents. I also

spent my teenage years babysit-

ting young children around my

neighborhood. I loved being

around kids and helping others.

My mom pointed me toward the

eld o OT, as she was amiliar

with it rom caring or her sister

and rom talking with riends and

amily. I observed at Theraplay in

Malvern during my high school

senior inquiry, and knew OT

would be a perect t or my per-

sonality and my work ethic.

Q: Can you descibe Teaplay,

its majo ocus, and any spe-

cial sevices oeed?

A: Theraplay in Broomall is a

small (but growing!) outpatient

acility. The major ocus or occu-

pational therapy is to maximize achilds independence in his or her

ability to perorm his or her job(s)

adequately and appropriately

being a student, a playmate, a

riend, and a son or daughter. We

are constantly educating parents

and amilies, and providing them

with ideas to be carried over at

home because we realize that

work and play is happening all

day long or children, not just oneor two hours per week. What we

teach needs to happen and be

practiced daily in order to reach

independence and success, and

we emphasize this to parents. OTs

are like the middle men or help-

ing clients achieve success and

reach a good quality o lie.


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Q&AQ&A

Q: Wen and ow did you stat

ee?

A: I let my job at an Approved

Private School to join the

Theraplay team in March 2010.

I knew Id be working with a

dierent clientele and knew

that Theraplay was a bit more

intensive and based under the

medical model versus the educa-

tional model. I had hopes I would

learn more with my job shit and

become a more seasoned thera-

pist, and I can say that joining the

Theraplay team has certainly met

my expectations.

Q: Typically, wat ae you day-

to-day esponsibilities as an

occupational teapist?

A: I typically have a busy day ull

o hour-long appointments and

single OT treatment sessions, as

well as some co-treatment ses-

sions with a physical therapist or

speech-language pathologist. I

also split up my day each weekand work part time or a contract-

ing agency where I am placed

in an elementary school setting.

I eel lucky I get to work in two

exciting learning environments.

Its nice to have a change in scen-

ery every once in a while, and

especially while doing what I love.

Q: Wat type o diagnoses do

you encounte most equentlywit te pediatic population?

A: Developmental delay, ne

motor delay, children with sen-

sory dysunction and intellectual

disabilities, autism spectrum

disorders, Down syndrome, medi-

cal/genetic disorders, and ADD/

ADHD to name a ew.

Q: Ae tee ote aeas o

inteest o you as an OT,

eite clinically o education-

ally, tat you plan to pusue?

A: I would love to do more with

vision therapy and work closely

with developmental optometrists.

Vision impacts everything our

kids do and it seems to be an

area o rehabilitation that is not

addressed enough.

Q: Wat ae te geatest cal-

lenges you ace in you job?

A: How ast-paced it is at my

company, and how there is not

always enough time to meet all o

our parents constant concerns

with their child (there is hardly

ever just one concern). We only

have one hour or treatment and

parent education, and it seems

to never be enough! Im just

trying to save the world and ix

everyoneis that too much to

expect?!

Q: Wat do you like most

about you job?

A: I like that I see a wide variety

o clients and have the opportu-

nity to bounce ideas back and

orth with the other therapists I

work with (PT, OT, and ST). I also

appreciate that we have so much

equipment here at Theraplay;

were able to come up with end-less activities/crats/games to

treat the kids and gear treatment

toward their speciic interests.

However, I still irmly believe that

one mans trash is another mans

treasurerecycle and save your

trash and turn them into a crat,

experiment or obstacle course

step!

Q: Wat advice do you ave

o otes tinking o ente-

ing occupational teapy?

A: You need to have a lot o

energy, be innovative, always

willing to learn, and be lexible

and able to work with others.

Q: Wat do you eel is o te

geatest concen to occupa-

tional teapists today?

A: The diagnosis o autism is

on the rise, and there doesnt

seem to be enough unding to

support treating these kids,

whether in a clinic setting or

at school. OTs have so much

knowledge about ASD and can

be a great resource or ami-

lies, teachers, and students.

Q: Wat is te most ewad-

ing pat o you job?

A: Its un! I get to play all day

and make kids happy while

they grow and explore newthings.

Q: Wat is te most impo-

tant ting youve leaned so

a as a pediatic occupa-

tional teapist?

A: Gearing treatments toward

childrens interests and preer-

ences are so important! I an

activity is motivating to thechild, then the process (task

demands) will most likely go

much smoother and be more

eective. Furthermore, the

child will be let with a more

lasting memory o the activity.

They may want to do it again,

and practice and repetition =

success! F


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6

News

PArENTS ShOULD NOT worry

that proposed changes to the

medical criteria redeining a

diagnosis o autism will leave

their children excluded and

deemed ineligible or psychiatric

and medical care, says a team o

researchers led by psychologists

at Weill Cornell Medical College.

Their new study, published in the

American Journal o Psychiatry,

is the largest to date that has

tried to unpack the dierences

between the diagnostic crite-

ria or autism spectrum dis-

orders in the ourth edition o

the Diagnostic and Statistical

Manual o Mental Disorders

(DSM-IV) and the proposed revi-

sion in the ith edition (DSM-5),which is expected to be pub-

lished in May 2013. These manu-

als provide diagnostic criteria or

people seeking mental-health-

related medical services.

I know that parents worry,

but I dont believe there is any

substantial reason to ear that

children who need to be diag-

nosed with autism spectrumdisorders, and provided with vital

services, will not be included in

the new criteria in this updated

manual, says the studys senior

investigator, Dr. Catherine Lord,

director o the Center or Autism

and the Developing Brain at

NewYork-Presbyterian Hospitals

Westchester campus, along with

New Defnition o Autism in

Updated Psyciatic Clinical

Manual Will Not Exclude Most

Cilden wit Autism

its ailiated medical schools

Weill Cornell Medical College

and Columbia University College

o Physicians and Surgeons.

At issue is whether DSM-5 will

capture the same individuals

diagnosed with dierent orms

o autism by the DSM-IV. The

DSM-5 proposal redeines autism

as a single categoryautism

spectrum disorder (ASD)

whereas DSM-IVhad multiple

categories and included Autistic

Disorder, Aspergers Disorder,

and Pervasive Developmental

Disorder, Not Otherwise

Speciied (PDD-NOS).

Critics have particularly wor-

ried that among the excludedwill be children now diagnosed

with PPD-NOS and Aspergers

disorder. That isnt the case,

says Dr. Lord, who is also a

DeWitt Wallace Senior Scholar

at Weill Cornell and an attend-

ing psychologist at NewYork-

Presbyterian Hospital. The study,

the largest to date and arguably,

the most rigorous, inds that

when relying on parent report,91% o the 4,453 children in the

sample currently diagnosed with

a DSM-IVautism spectrum dis-

order would be diagnosed with

ASD using DSM-V.

Many o the remaining nine

percent would likely be rein-

cluded once a clinician can

oer input, says Dr. Lord, who is

also a member o the American

Psychiatric Associations DSM-5

Neurodevelopmental Disorders

Work Group.

The study researchers also con-

cluded that DSM-5 has higher

speciicity than DSM-IVin their

study, DSM-5 criteria resulted in

ewer misclassiications.

Improving the Diagnostic Criteria

The study used three large data-

bases to evaluate DSM-5 criteria

in groups o children with DSM-IV

clinical diagnoses. The analysis,

which included a team o inde-

pendent reviewers led by the

studys lead author, Dr. Marisela

Huerta o NewYork-Presbyterian/

Weill Cornell Medical Center,

relied on a standardized 96-item

parent report and a clinician-

based measure o autism spec-

trum disorder impairments.

These two instruments were par-ticularly well-suited or the cur-

rent study because they include

items based on history and cur-

rent behavior, and they take into

account developmental level in

their design, says Dr. Huerta, an

instructor o psychology at Weill

Cornell and a proessional asso-

ciate at NewYork-Presbyterian

Hospital. This is consistent with

DSM-5 criteria, which operation-alize symptoms dierently or

individuals o dierent ages in

order to account or the eect o

development on ASD symptoms.

The changes proposed by

DSM-5 are designed to better

identiy autism spectrum disor-

ders and distinguish them rom


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News

other conditions. According

to Dr. Huerta, The criteria or

DSM-5 are actually more inclu-

sive. For example, while DSM-IV

criteria require evidence o di-

iculties related to autism prior to

age 3, DSM-5 says that a child

has to show examples o unusual

behavior in early childhood, with

the idea that there is nothing

sacrosanct about your third birth-

day.

Other changes proposed by

DSM-5 include deining autism

spectrum disorders by two

sets o core eaturesimpaired

social communication and social

interactions, and restricted and

repetitive behavior and inter-

ests. DSM-5 reorganizes the

symptoms in these domains and

includes those not previously

included in DSM-IV, such as sen-

sory interests and aversions.

The overall issue with DSM-IV

was not that a lot o people

are diagnosed with autism whoshouldnt be, but that there is

a lot o conusion because the

criteria were not very accurate,

says Dr. Lord.

DSM-5 deliberately added and

organized things to try to bring

in and better address the needs

o people with autism spectrum

disorders o all developmental

levels and agesincluding girls,who were not represented as well

as they should be in DSM-IV, Dr.

Lord says. The goal o DSM-5 is

to better describe who has ASD

in a way that matches up with

what we know rom research,

which predicts who has the dis-

order and also relects what clini-

cians are actually looking at.

Because o the newness o the

proposed criteria, only a ew

studies have attempted to com-

pare the criteria between the

two DSMversions. Our study is

much broader, and it is important

to note that we get very similar

results when looking at three

large data sets that were collect-

ed or dierent purposes, with

diverse populations, and or vari-

ous reasons, says Dr. Lord.

The studys other contributing

authors are Dr. Somer L. Bishop

o NewYork-Presbyterian/Weill

Cornell Medical Center, Dr.

Amie Duncan rom Cincinnati

Childrens Hospital Medical

Center, and graduate student

Vanessa Hus rom the University

o Michigan.

The research was supportedby grants rom the National

Institute o Mental Health and the

National Institute o Child Health

and Human Development.

Dr. Catherine Lord was involved

in the development o some

o the instruments used in this

research and receives royalty

income rom the sale o those

instruments.

Source: NewYork-Presbyterian

Hospital/Weill Cornell Medical

Center/Weill Cornell Medical

College


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8

News

AFrICAN-AMErICAN youth

ages 12-20 are seeing more

advertisements or alcohol in

magazines and on TV com-

pared with all youth ages 12-20,

according to a new report rom

the Center on Alcohol Marketing

and Youth (CAMY) at the Johns

Hopkins Bloomberg School o

Public Health. The report is avail-able on CAMYs web site, www.

camy.org.

The report analyzes alcohol

exposure by type and brand

among Arican-American youth

in comparison to all youth. It also

assesses exposure o Arican-

American youth to alcohol

advertising relative to Arican-

American adults across variousmedia venues using the most

recent year(s) o data available.

Alcohol is the most widely used

drug among Arican-American

youth, and is associated with vio-

lence, motor vehicle crashes and

the spread o sexually transmit-

ted diseases. At least 14 studies

have ound that the more young

people are exposed to alcoholadvertising and marketing, the

more likely they are to drink, or

i they are already drinking, to

drink more.

The reports central inding

that Arican-American youth are

being over-exposed to alcohol

advertisingis a result o two key

phenomena, said author David

Jernigan, PhD, the director o

CAMY. First, brands are specii-

cally targeting Arican-American

audiences and, secondly,

Arican-American media habits

make them more vulnerable

to alcohol advertising in gen-

eral because o higher levels omedia consumption. As a result,

there should be a commitment

rom alcohol marketers to cut

exposure to this high-risk popula-

tion.

The report inds certain brands,

channels and ormats overex-

pose Arican-American youth to

alcohol advertisements:

Magazines: African-American

youth saw 32% more alcohol

advertising than all youth in

national magazines during

2008. Five publications with

high Arican-American youth

readership generated at least

twice as much exposure to

Arican-American youth com-

pared to all youth:Jet (440%

more), Essence (435% more),Ebony(426% more), Black

Enterprise (421% more), and

Vibe (328% more). Five brands

o alcohol overexposed Arican-

American youth compared to all

youth and to Arican-American

adults: Seagrams Twisted

Gin, Seagrams Extra Dry Gin,

Aican-Ameican Yout Exposed

to Moe Magazine and Television

Alcool Advetising Tan Yout

in Geneal


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www.news-line.com

News

Jacques Cardin Cognac, 1800

Silver Tequila, and Hennessey

Cognacs.

Television: African-American

youth were exposed to 17%

more advertising per capita

than all youth in 2009, includ-

ing 20% more exposure to

distilled spirits advertising.

Several networks generated at

least twice as much Arican-

American youth exposure to

alcohol advertising than all

youth: TV One (453% more),

BET (344% more), SoapNet

(299% more), CNN (130%

more) and TNT (122% more).

Radio: African-American youth

heard 26% less advertising

in 2009 or alcohol than all

youth on stations with the

most advanced measurement

data available; however, they

heard 32% more radio adver-

tising or distilled spirits. In

these markets, our station

ormats delivered more alco-hol advertising exposure to

Arican-American youth than

to Arican-American adults:

Contemporary Hit/Rhythmic

(104% more), Contemporary

Hit/Pop (14% more), Urban

(13% more) and Hot Adult

Contemporary (43% more).

Alcohol products and imagery

continue to pervade Arican-American youth culture, despite

the well known negative health

consequences, said Denise

Herd, PhD, an associate proessor

with the University o Caliornia

Berkeley School o Public Health

who reviewed the report. The

ndings o this report make clear

immediate action is needed to

protect the health and well-being

o young Arican Americans.

According to the US Centers or

Disease Control and Preventions

Youth Risk Behavior Survey, about

one in three Arican-American high

school students in the US are cur-

rent drinkers, and about 40% o

those who drink report binge drink-

ing. While alcohol use and binge

drinking tend to be less common

among Arican-American adults

than among other racial and ethnic

groups, Arican-American adults

who binge drink tend to do so more

requently and with higher intensity

than non-Arican Americans.

In 2003, trade groups or beer

and distilled spirits committed

to placing alcohol ads in media

venues only when underage youth

comprise 30% o the audience orless. Since that time, a number

o groups and ocials, including

the National Research Council,

the Institute o Medicine and 24

state attorneys general, have

called upon the alcohol industry to

strengthen its standard and meet

a proportional 15% placement

standard, given that the group

most at risk or underage drink-

ing12- to 20-year-oldsis lessthan 15% o the US population.

Source: Johns Hopkins Bloomberg

School o Public Health


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10

Coneences and Educational Oppotunities

Coneences &EducationalOppotunities

2011 MOTA Fall Coneence.

Sponsored by the Missouri Occupational

Therapy Association.

November 4-5, 2012

St. Louis University, St. Louis, MO

Phone: 636-441-4146

Web: www.motamo.net

2012 AOTA/NBCOT National

Student Conclave.

Sponsored by the American Occupational

Therapy Association and National Board or

Certifcation in Occupational Therapy.

November 9-10, 2012

Columbus, OH

Phone: 301-652-2682

Fax: 301-652-7711

Web: www.aota.org/conclave

NYSOTA Coneence 2012.

Sponsored by the New York State

Occupational Therapy Association.

November 9-11, 2012

Radison Hotel Rochester Riverside, Rochester, NY

Phone: 518-462-3717

Fax: 518-432-5902

Email: [email protected]

Web: www.nysota.org

ASrT 3d Biennial Meeting.

Sponsored by the American Society or

Reconstructive Transplantation.

November 15-17, 2012

The Drake Hotel, Chicago, IL

Phone: 312-263-7150

Fax: 312-782-0553Email: [email protected]

Web: www.a-s-r-t.com

2012 AOTA Specialty

Coneence - Stoke.

Sponsored by the American Occupational

Therapy Association.

November 30December 1, 2012

Baltimore, MD

Phone: 301-652-2682

Fax: 301-652-7711

Web: www.aota.org

AAhS 2013 Annual Meeting.

Sponsored by the American Association or

Hand Surgery.

January 9-13, 2013

Naples Grande Resort & Club, Naples, FL

Phone: 978-927-8330

Fax: 978-524-8890

Web: www.handsurgery.org

Sugey and reabilitation of te

hand: Wit Empasis on te Wist.

Sponsored by the Hand Rehabilitation

Foundation.

April 9, 2013

Sheraton Downtown Hotel, Philadelphia, PA

Phone: 610-768-5958

Fax: 610-768-8887

Email: [email protected]

Web: www.handoundation.org

JANUArY2013

APrIL2013

NOVEMBEr2012

Maryland OccupationalTherapy Association

is proud to announce the

32nd AnnualMOTA

ConferenceOctober 26-27, 2012

at Marriott Inner Harbor atCamden Yards, Baltimore, Maryland

Register atwww.mota.memberlodge.org

Florida OccupationalTherapy Association


FOTA 2012Fall ConferenceNovember 2-3, 2012at Nova Southeastern University -

Tampa (NSU) and The Tampa EastPlaza Hotel, Sabal Park, Tampa, Florida

Register at

www.fota.org

Texas OccupationalTherapy Association


TOTA 2012

Mountain CentralConferenceNovember 2-4, 2012

at Renaissance Austin,Austin, Texas

Register at

www.tota.org


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12

Faculty, National and Pennsylvania

Job

Opp

ortunities


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www.news-line.com

New Yok, Pennsylvania and Viginia

Philadelphia,

Pennsylvania

Occupational Teapist

New Licensed GraduatesAccepted

Elwyn has been providing services topeople with special needs or 160 years,through partnerships with amilies,communities, and government.

We have an immediate opportunity or afull-time Occupational Therapist tojoin our team and work in our PreschoolEarly Intervention Program providingservices in the Philadelphia community.

Must be able to maintain eective andconsistent communication and productiveworking relationships. Candidates musthave a MS in Occupational Therapy;current PA License. Preschool/EarlyIntervention experience, working withyoung children 3-5 is preerred.

Location in Philadelphia; SEEDS-preschool early intervention program.

To apply go to:www.elwyn.org/careers

Join us at theYaldeinu School!

Brooklyn, New York

Occupational TherapistSchool-Based Full-Time

Join us at theYaldeinu School!We are looking or an Occupational

Therapist to become part o our

multidisciplinary team. The Yaldeinu

School sets itsel apart by merging

behavioral, developmental and sensory

integration theory and practice into a

program that is geared towards the

intricately unique needs o each child.

The hallmark o our Occupational

Therapy Program ocuses on the sensory

processing needs o our students. The

Yaldeinu School oers comprehensive

occupational therapy services or our

children and eatures a ully-equipped,

state-o-the-art sensory gym. We help

the children reach their ull potential or

unctional independence in school, at

home and in the community.

I you are energetic, motivated to learn,

and are looking or an environment lled

with dedicated proessionals please apply

or this job!

Benets include Health insurance,

continuing education and much more!

CHECK US OUT AT YALDEINU.NET

For immediate consideration please

contact: Bluma Bar-Horin

YALDEINU SChOOL1600 63rd St, Brooklyn, NY 11204

Phone: 718-851-0123 Fax: 718-851-0455Email: [email protected]

Theraplay, a pediatric sensorygym located on the Upper East

Side of Manhattan, is lookingfor fun and energetic PTs andOTs to join our team. Pediatricexperience is preferred but notrequired. New graduates are

welcome to apply.

www.TheraplayNYC.com

E-mail: [email protected]: (212) 288-1450

Fairax, Virginia

Occupational TeapistHome Health PRN Per Diem

The Virginian, a Continuing Care Retirement

Community, is seeking a well qualifed

experienced Home HealthCare OT toprovide services on a PRN per diem basis.

This is a unique opportunity to join a quality

driven team providing excellent patient

care. The selected OT will deliver home

services ensuring individualized treatment

o assigned patients and prioritize, plan,

communicate with team members such as

nurses, therapists, physicians and/or home

care assistants.

Candidate must have proven experience

in Home HealthCare. Virginia OT license

required.

Rates are negotiable dependent upon

experience. I interested in joining our team,

please email resume to Lynn Rountree,

Human Resources Director, at

[email protected]

or ax to 703-385-0161.

Te Viginian9229 Arlington Blvd. Fairax, VA 22031

Phone: 703-277-7245


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14

Floida, Calionia and Wasington

Tampa,

Florida

OccupationalTherapists

Home CareFull-time and per diem positions

available in Florida or OT with homehealth experience.

Email resume to Donna Russo at

[email protected]

or call 954-834-2222

Ocoee, Florida

PediaticOccupational

Teapist

Immediate opportunity or energetic

Pediatric OT in busy privatepractice. Enjoy ull or part-time

schedule, amily atmosphere and

nice working environment with

private treatment room.

MUST LOVE KIDS!

For immediate consideration,

please contact Sherri:

[email protected]

Phone: 407-295-2956

Fax: 407-295-5808

Vero Beach, Florida

OccupationalTherapists

healtSout Teasue Coast

reabilitation is a 90-bed acute

care rehabilitation hospital. We

are currently hiring Occupational

Therapists to join our team.

To learn more about

healtSout Teasue Coast

or to apply or a position,

please visit our website

www.ealtsoutteasuecoast.com

Tacoma, Washington area

Immediate opportunity to work oraward-winning MultiCare Health

System in the beautiul Puget Sound

region o WA State!

MultiCare is in the top 2% in the

nation or our EPIC electronic

medical record, and in the top 5%

in the country scally. Our CEO is

one o 5 women RNs in the country

who run a health care system!

She knows what great health care

is about, and values our 10,000

employees with excellent working

conditions and ull benets!

Full time - home healt

Occupational Teapist

Work in our well established Home

Health department providing

Occupational Therapy treatment

to varying ages o outpatients with

a variety o diagnoses, according

to the principles and practices

o evidence-based Occupational

Therapy.

Will maintain current and timelytreatment documentation and

charges or services using

system-wide EPIC electronic

medical records. Will consistently

demonstrate and model behaviors

consistent with MultiCares

Behavioral Competencies o

excellence, service, quality, respect,

and kindness.

The successul candidate will have

a minimum o one year experience

as an OT. Experience in Medicare

Certied Home Health preerred.

Position requires valid and current

Washington State OT License. Must

have valid WA State drivers license.

Please contact senior recruiter,

[email protected]

or more inormation, or apply at

www.multicaejobs.og


15/16


16/16

newsline moran

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