Digital Commons Network^™

State Agency Promising Practice: Connecticut Showcases Creative Jobs With “Employment Idol”, Monica Cox, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

In 2007, the State of Connecticut’s Department of Developmental Services (DDS) partnered with the self-advocacy group People First of Connecticut to develop Employment Idol, an innovative project for promoting employment as the preferred outcome for individuals with intellectual/developmental disabilities (ID/DD) in the state. Spinning off the concept of the popular television show American Idol, Connecticut’s Employment Idol showcases the employment success stories of a select group of individuals with ID/DD.

State Agency Promising Practice: Delaware’S Early Start To Supported Employment Pilot Project, Suzzanne Freeze, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

The Early Start to Supported Employment (ESSE) pilot started in 2005 with the goal of providing a more seamless transition for students who would benefit from supported employment services when leaving school and entering the adult workforce. An interagency project team was established to guide the pilot work and ensure all required parties knew their role and shared information and equal responsibility within the project.

State Agency Promising Practice: Pennsylvania’S Employment Newsletter - A Communication Strategy To Promote Employment, Jennifer Bose, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

The State of Pennsylvania’s Office of Developmental Programs (ODP) created a monthly newsletter called The Employment Update, which covers state- and nationwide news about the employment of people with disabilities, including intellectual/developmental disabilities. The Employment Update is sent via email to state agency contacts and a large stakeholder community, including individuals with disabilities, service providers, state associations, employers, advocacy groups, family members, representatives from academia and others. The Employment Update contains information about employment trends, employment policy, trainings and conferences throughout Pennsylvania and nationwide. The newsletter also contains information about employment grants and project activities, including links to articles covering …

State Agency Promising Practice: Oklahoma’S Outcomes-Based Rate Setting System, Susanne Freeze, Jaimie Ciulla Timmons, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

Oklahoma’s Developmental Disabilities Services Division (DDSD) realized the need for increased attention towards the goal of community-based employment for individuals they served. Initially, rates were based on a vendor’s costs of providing direct services such as job development and job coaching. It became increasingly apparent that claims for vocational services oftentimes reflected staff activities (e.g., job development, client assessment, and service delivery documentation), which may have been occurring without the direct involvement of the service recipient. In some situations, this resulted in long-term job development with little success in actually acquiring a job. In 1995, DDSD elected to focus on …

State Agency Promising Practice: Delaware’S Early Start To Supported Employment Pilot Project, Susanne Freeze, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

The Early Start to Supported Employment (ESSE) pilot started in 2005 with the goal of providing a more seamless transition for students who would benefit from supported employment services when leaving school and entering the adult workforce. An interagency project team was established to guide the pilot work and ensure all required parties knew their role and shared information and equal responsibility within the project.

State Agency Promising Practices: The Maine Employment Curriculum - Delivering Best Practices For Employment Support Professionals, John Butterworth, Jaimie Ciulla Timmons, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

The University of Maine’s Center for Community Inclusion and Disability Studies (CCIDS), along with the Maine Department of Behavioral and Developmental Services (BDS) and the Bureau of Rehabilitation Services, developed the Maine Employment Curriculum (MEC). The comprehensive curriculum fosters best practices in employment supports for people with disabilities statewide by using a cadre of trainers who are supported by the Maine Employment Curriculum project staff. The Maine Employment Curriculum ultimately seeks an increase in the number of integrated, communitybased supports available and builds the capacity of the employment support provider community to achieve this goal.

State Agency Promising Practice: Community Employment Training By And For Individuals With Intellectual And Developmental Disabilities In Tennessee, Jean Winsor, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

Project Income was a joint venture between the Tennessee Microboards Association (statewide organization that supports individual microboards, which procure and oversee supports and services) and People First of Tennessee (a statewide selfadvocacy organization for people with intellectual and developmental disabilities). The focus of the project was to educate people with intellectual and developmental disabilities (ID/DD) and their families about the benefits of and opportunities for community employment.

State Agency Promising Practices: Using Employment Data To Create Area-Specific Employment Goals In Massachusetts, Allison C. Hall, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

In 2002, the Massachusetts Department of Developmental Services (DDS) developed a contractual requirement that employment service provider performance be tracked through outcome measures. As a result, DDS shaped its employment data collection system to focus on what it viewed as key outcomes for measuring success around employment. A confluence of factors including participation in the National Core Indicator project, a new Request for Responses (RFR) for Employment Support Services that emphasized performance measurement, and DDS’s intrinsic commitment to greater community employment supported the development of an employment data system that focused on individual outcomes. Data from this effort is now …

State Agency Promising Practice: Working Together - Collaboration Between Colorado’S Developmental Disabilities Division And Division Of Vocational Rehabilitation, Allison C. Hall, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

In Colorado, counselors from the Division of Vocational Rehabilitation are housed on-site in Community Centered Board1 offices so they can provide direct services to individuals with intellectual and developmental disabilities (ID/DD). The goal of the project was to serve 240 customers with ID/DD and provide 134 successful employment outcomes over a two-year period2. Streamlined services and enhanced communication emerged through a unique collaborative effort between the two entities.

Pelvic Stabilization And Semisitting Position Increase The Specificity Of Back Exercises, Rubens A. Da Silva, Christian Larivière, A. Bertrand Arsenault, Sylvie Nadeau, André Plamondon

Études primaires

No abstract provided.

A Return To Running Program For The Postpartum Client: A Case Report, Jason Brumitt

Faculty Publications - College of Physical Therapy

The purpose of this case report is to present a return to running program for a postpartum client who had delivered via cesarean section. The client, a 29-year-old female health care professional who was 8 months postcesarean section, was referred to physical therapy for a return to running exercise program. The client had three live births during a 30-month time period (February 2004 to August 2006). During her last labor she underwent an emergency cesarean section because of a low fetal heart rate. Since her surgery the client had not participated in an exercise routine. Following an 8-week training program …

Clinical Report: Land-Based Versus Pool-Based Exercise For People Awaiting Joint Replacement Surgery Of The Hip Or Knee: Results Of A Randomized Controlled Trial, C. Rudisile-Smith, M. Loosli, J. Brumitt

Faculty Publications - College of Physical Therapy

Background: Individuals with either knee or hip osteoarthritis are at risk of experiencing pain and developing functional limitations (Bennell 2005). In many cases, to alleviate pain and improve one's quality of life, an individual may require a total joint replacement. Despite advances in surgical technique and joint replacement hardware, surgical procedures are not without risk. Conservative treatments, including therapeutic exercise programmes, may improve a patient's status while avoiding the potential risks associated with surgery (pain, medication utilisation, long bouts of rehabilitation, and/ or death). Researchers have demonstrated that some patients may experience improvements in pain and functional abilities after participating …

Effects Of The Airlift Pttd Brace On Foot Kinematics In Subjects With Stage Ii Posterior Tibial Tendon Dysfunction, Christopher Neville, A. Samuel Flemister, Jeff Houck

Faculty Publications - College of Physical Therapy

Study Design: Experimental laboratory study.

Objectives: To investigate the effect of inflation of the air bladder component of the AirLift PTTD brace on relative foot kinematics in subjects with stage II posterior tibial tendon dysfunction (PTTD).

Background: Orthotic devices are commonly recommended in the conservative management of stage II PTTD to improve foot kinematics.

Methods and Measures: Ten female subjects with stage II PTTD walked in the laboratory wearing the AirLift PTTD brace during 3 testing conditions (air bladder inflation to 0, 4, and 7 PSI [SI equivalent: 0, 27 579, and 48 263 Pa]). Kinematics were recorded from the …

In-Season Rehabilitation Of A Division Iii Female Wrestler After A Glenohumeral Dislocation, Jason Brumitt, Alma Sproul, Philip Lentz, Linda Mcintosh, Richard Rutt

Faculty Publications - College of Physical Therapy

Objective: Wrestling is a popular sport in the United States at both the high school and collegiate levels. Traditionally a men’s sport, participation by female athletes in wrestling is increasing. There exists a paucity of literature regarding injury incidence in women’s wrestling. This lack of information challenges the ability of sports medicine and strength training professionals to design optimal injury prevention programs, training routines, and rehabilitation strategies. The objective of this report is to detail the successful conservative rehabilitation of a female wrestler after an initial glenohumeral dislocation.

Design: Case report

Case description: A 20-year-old female wrestling student–athlete presented to …

A Cognitive Behavioral Approach To Occupational Therapy Hippothearpy [I.E.., Hippotherapy] For Children And Adolescents With Mood Disorders, Abby Heaton, Krista Tangen

Occupational Therapy Capstones

Children and adolescents are increasingly being identified with mood disorders. A growing concern is that children and adolescents are not afforded a wide range of interventions to address the symptoms of mental illness. Cognitive behavioral therapy (CBT) has been identified as a useful treatment method for mood disorders. Hippotherapy has also been utilized in the treatment of mental illness. A literature review was conducted to explore the therapeutic benefits of cognitive behavioral therapy and hippotherapy for children and adolescents diagnosed with mood disorders. Although CBT has been recognized as useful, CBT methods applied to hippotherapy in occupational therapy does not …

Custom-Made Helmet Fabrication For Occupational Therapists Treating Patients With Traumatic Brain Injury, Megan Schill, Michael Shae

Occupational Therapy Capstones

Soldiers within the Veteran's Administration who have sustained a traumatic brain injury (TBI) were the focus of this project. Reports showed a growing number of soldiers have returned from Iraq with head injuries, including cranial and brain defects (Defense and Veterans Brain Injury Center, 2007). Symptoms individuals with TBI commonly exhibit include dizziness, balance problems, sleep problems, excessive fatigue, headaches, and difficulties with cognitive processes. Other symptoms associated with a TBI are blurred vision, ringing in the ears, and bad tastes in the mouth (National Institute of Neurological Disorders and Stroke, 2007). The purpose of this project was to develop …

A Team Approach To Cortical Visual Impairment (Cvi) In Schools, Donna Shaman

Occupational Therapy Capstones

Cortical visual impairment (CVI) is presently the fastest growing cause of visual impairment in children. The influx of children with CVI entering school districts requires Individualized Education Program (IEP) teams to gain expertise about CVI and learn best practices to work with these children. CVI experts agree that a collaborative transdisciplinary team can best serve the complex needs of the children. Written by an occupational therapist, this project designs a CVI manual, A Team Approach to CVI in Schools, which reviews current literature and provides support for client centered, occupational based education for children with CVI. The literature review points …

Sensory Processing Disorder: Raising Awareness, Stephanie Thomas, Karla Emmerich

Occupational Therapy Capstones

It is estimated by Miller (2006) that 1 in 20 children are impacted by Sensory Processing Disorders (SPDs). The Individuals with Disabilities Education Act of 1990 is legislation that places families at the core of the intervention process and acknowledges the importance and the influence families have on a child's development (Cohn, Miller, & Tickle-Degnen, 2000). Cohn et al. stress family-centered practices require therapists to understand and listen to the hopes and outcomes that are most important for the children's families. At STRIDE Learning Center, a developmental preschool in Cheyenne, Wyoming, parents and teachers have requested more information on Sensory …

Focal Acidosis In The Pre-Bötzinger Complex Area Of Awake Goats Induces A Mild Tachypnea, K. L. Krause, Hubert V. Forster, S. E. Davis, T. Kiner, Joshua M. Bonis, Lawrence Pan, B. Qian

Physical Therapy Faculty Research and Publications

There are widespread chemosensitive areas in the brain with varying effects on breathing. In the awake goat, microdialyzing (MD) 50% CO(2) at multiple sites within the medullary raphe increases pulmonary ventilation (Vi), blood pressure, heart rate, and metabolic rate (Vo(2)) (11), while MD in the rostral and caudal cerebellar fastigial nucleus has a stimulating and depressant effect, respectively, on these variables (17). In the anesthetized cat, the pre-Bötzinger complex (preBötzC), a hypothesized respiratory rhythm generator, increases phrenic nerve activity after an acetazolamide-induced acidosis (31, 32). To gain insight into the effects of focal acidosis (FA) within the preBötzC during physiological …

Nonlinear Time Series Analysis Of Knee And Ankle Kinematics During Side By Side Treadmill Walking, Jeff A. Nessler, Charles J. De Leone, Sarah Gilliland

Physical Therapy Faculty Articles and Research

Nonlinear time series analysis was used to estimate maximal Lyapunov exponents of select ankle and knee kinematics during three different conditions of treadmill walking: independent, side by side, and side by side with forced synchronization of stepping. Stride to stride variability was significantly increased for the condition in which individuals walked side by side and synchronized unintentionally when compared to the conditions of forced synchronization and independent walking. In addition, standard deviations of three kinematic variables of lower extremity movement were significantly increased during the condition in which unintentional synchronization occurred. No relationship was found between standard deviation and estimates …

The Effects Of Ultrasound Transducer Velocity On Intramuscular Tissue Temperature Across A Treatment Site, Pamela Liceralde

UNLV Theses, Dissertations, Professional Papers, and Capstones

This purpose of this study was twofold: to determine whether ultrasound transducer velocity affected tissue temperature increase, and whether heating was uniform across the treatment site. Thermocouples were inserted 2.5cm below the skin surface at the center, edge of the ERA, and the edge of the treatment site that was the size of two times the soundhead. Each subject received three 10-minute treatments at each speed, letting tissue temperature return to baseline between treatments.

Repeated measures factorial ANOVA revealed no significant differences in the speed of application and no interaction between speed and location. However, the location of the thermocouples …

A Narrative Analysis Of The Experiences Of Living With Hiv For Heterosexual Men, Tanya Millard

Theses : Honours

The number of heterosexual men presenting with Human Immunodeficiency Virus (HIV) is steadily increasing in Australia. A paucity of literature currently exists surrounding the experience of living with HIV for heterosexual men, with most information targeted towards gay men, injecting drug users (IDUs) and women. This narrative literature review examines the body of knowledge concerning the experiences of heterosexual men living with HIV. The findings of this review indicate that for heterosexual men, HIV significantly impacts on their physical, psychological and social well being. In particular, they struggle with social and intimate relationships, negotiating disclosure, managing their stigmatised identity, and …

Balancing Multiple Roles: A Pilot Study Exploring The Complexity Of Role Balance In Working Mothers With Primary School Aged Children, Katherine Prince

Theses : Honours

For working mothers, maintaining a balance between work and parenting roles is a challenge. Each role presents its own set of physical, mental and temporal demands which frequently compete for the limited personal and environmental resources available to the mother. These competing demands can create conflict and stress, which prompts a coping response. The coping response initiated is a physiological reaction to the mother's appraisal of her situational conflict, and follows a process of appraisal. Firstly the working mother appraises the conflict itself. This is followed by the appraisal of the personal and environmental resources, constraints and demands. Finally, a …

Ot Cultural Competence Website, Kelly Bjoralt, Kristy Henson

Occupational Therapy Capstones

Cultural competence, in health care, is becoming increasingly important as minority populations continue to grow in the United States. Although it is clear that cultural sensitive, client-centered care directly effects treatment outcomes, students and clinicians may not know where or how to access cultural resources. Culturally competent care is vital to the field of occupational therapy as client-centered care is viewed as a means of providing the best outcomes and quality of care.

A literature review was conducted to identify current cultural resources available. Based on the findings, an adult learning theory was used in conjunction with effective website design …

An Occupational Therapist's Manual For Animal Assisted Therapy With Emotionally Distrubed Adolescents, Ann Marie. Bilek, Hannah Osborne

Occupational Therapy Capstones

According to the comprehensive literature review, animals are currently being used as an effective tool during therapy and have been reported to promote improvement with communication, behaviors, quality of life, and self esteem of different treatment populations. Since emotionally disturbed adolescents often lack appropriate skills in the areas of communication, social interactions, self-esteem, independence, and boundaries, it can be challenging for occupational therapists to provide opportunities for development of these skills. Animal assisted therapy may be a tool that can assist in bridging the gap between the adult therapist and emotionally disturbed adolescents and provide a medium to promote skill …

An Occupational Therapists' Guide To Guillain-Barré Syndrome, Kelsey Hewitt, Stephanie White

Occupational Therapy Capstones

Guillain-Barre syndrome (GBS) is a rare polyneuropathy that affects 2,720 people per year in the United States (NIH, The National Women’s Health Centre, 2004). Guillain-Barre syndrome has a rapid onset that causes the patient to lose sensation and muscle strength within 48-72 hours. This project provides a resource for occupational therapists treating Guillain-Barre Syndrome (GBS) to access information regarding the etiology, incidence/prognosis, assessments, and course of medical treatment. The Occupational Adaptation model serves as a foundation for treatment of the product-a guide for occupational therapy intervention. Interventions are organized to be compatible with the Occupational Therapy Practice Framework (American Occupational …

At Options With Children With Autism, Melissa Stevens, Megan Neppl

Occupational Therapy Capstones

According to information from the Center for Disease Control Prevention (2007) it is estimated that autism affects 1 in 150 births. The Autism Society of America (2007) reports that the prevalence of autism is expected to increase by 10-17 % per year. It has been shown through research that assistive technology can benefit or increase performance in children with autism spectrum disorder. It also can address performance areas limited in children with autism, such as communication, cognition, self-care, leisure, social/play, productivity, and sensorimotor (Reed, 2002). Assistive technology can aid these children in various contexts such as school, home, and play. …

Bridging Job Skills To The Future For Students With Disabilities, Trista Aaberg, Jessica Mcwilliams

Occupational Therapy Capstones

It is estimated that 83% of students, who received special education services, are unemployed following graduation (White & Weiner, 2004). The problem is that often there is no training program to assist the job coaches in the evaluation process to create a successful fit between the student and the job placement. The literature supports the creation of a protocol and training program to address the needs identified of the student.

This scholarly project focuses on the Natrona Country School District in Casper, Wyoming which has implemented the Kelly Walsh Work Study Program. A review of the program's needs assessment and …

Gaining Cultural Competency For The Occupational Therapy Student & Clinician On The Lesbian, Gay, Bisexual & Transgender (Lgbt) Population, Lindsey Belzer, Jessa Hulteng

Occupational Therapy Capstones

When considering cultural groups, people in the lesbian, gay, bisexual, and transgender (LGBT) population are rarely considered or discussed as a cultural group. For many people, discussion about the LGBT community and sexuality is uncomfortable or often deemed private in order to avoid discussion. Therapists often state "well it's none of my business," but as Harrison (2001) states, it is our job as health professionals to provide therapy settings that are safe for all individuals to openly express themselves. The challenge that arises is in developing a greater understanding around sexual differences in order to be able to provide quality …

A Protocol For Occupational Therapy Involvement In The Response To Intervention Model, Nicole Bolinger

Occupational Therapy Capstones

In order to provide effective occupational therapy services to children within the school-based practice setting, it is important to be knowledgeable regarding the current theories and educational models which drive the educational system. Also, it is imperative that school-based occupational therapy practitioners understand the educational models and how they may impact the way occupational therapists deliver services. Chandler (2007) states, "an initiative is gathering momentum that has the potential to significantly change the way occupational therapists practice in the public school" (p. 7). Occupational therapy may have an opportunity to expand their services through a model called Response to Intervention. …