Commentary

By Kathryn Lambert, Molly Beauregard, & Nathalie Klinger


A central component of occupational therapy (OT) education is the opportunity for students to apply their knowledge and skills on clinical placements. Students typically participate in several placements, each under the full-time supervision of an occupational therapist. Approximately 5%  of placements in Canada are classified as role-emerging placements (REPs) (1). In REPs, the placement setting is an organization that does not have an occupational therapist on staff. Two students work together to independently carve out a role for occupational therapy for the organization’s clientele over the course of the placement. While this role varies according to the nature of the organization, common components include the development of group treatment programs, the creation of educational resources, and the administration of equipment assessments, such as assessing a client with mobility needs for a walker. A professional employee of the  organization supervises the students on-site, while a registered occupational therapist outside of  the organization provides around eight hours of mentorship per a week.

REPs provide a range of potential benefits to students, the target organization, and the profession of OT as a whole. Through REPs, students and professors are able to initiate placement opportunities that facilitate student development of unique and timely skills. By definition, these placements fill healthcare gaps by providing OT services to clients who would otherwise have limited or no access to the profession (1,2). The increased use of REPs has led to an increase in both student willingness to work in non-traditional settings such as not-for-profit organizations and has also added to a number of new job opportunities in such settings (2). Successful REPs through the University of Alberta have resulted in the establishment of permanent OT services at both the Bissell Centre, a not-for-profit organization that supports low-income and homeless Edmontonians, and Henwood Treatment Centre, a residential addictions treatment centre in Edmonton (1).

Two women are included in this photo. They are in a clinical setting, with one woman taking notes as they discuss.

V. Armineh Babikian

Armineh Babikian, an occupational therapist (OT) from New York City, discusses her 2017 volunteer experience in Armenia providing OT services in rural villages and engaging in capacity-building for newly mandated inclusive education. As a current PhD student, Babikian reflects on her approach using a critical social lens and discusses the implications of her North American training in Armenia.

Stephanie Reischl & Rochelle Furtado

Patient-reported outcome measures (PROMs) capture treatment progress from the patient’s perspective. While patients should be involved in their development, often they are not. This article addresses benefits and barriers towards patient engagement, designing PROMs for capturing pain, and strategies on including patients in studies…all directly from a patient partner’s experience!

Natasha Benn

Within media platforms, healthcare, and social circles, the negative consequences of falls are emphasized and elicit a fear of falling (FOF). A study showed that older adults view fall-awareness media campaigns as detrimental and exacerbated their fear. If instead patient education was focused on independence and balance interventions, it could prevent the development of FOF.

Jessica Otoo-Appiah, Lizzie Houlding, Lauren Humphrey & Anonymous

When healthcare workers discuss the intersection of health and work, rehabilitation therapists are often not at the forefront of these conversations. However, unsafe workplaces affect our patients and communities. This article discusses the impact of precarious work on health and the rehabilitation sector’s role in changing it.