RIWC_PARA_ A129 User involvement to develop training for Occupational Therapists

COLLABORATION OFCOLLABORATION OF OT OTSS AND AND PRMPRM PHYSICIANS PHYSICIANS IN SUPPORT IN SUPPORT

OF PERSONS WITH DISABILITY.OF PERSONS WITH DISABILITY.

Czech and European experience. Czech and European experience.

Jiri Votava, M. D. , Assoc. Prof.,Department of Occupational Therapy, Faculty of Health

Studies, University of J. E. Purkyne, Usti nad Labem, Czech Republic [email protected]

Scottish Association of Occupational Therapists

Founded 1932, the first in Europe

Ann Cardiff and her team,OT department of

Glasgow Caledonian UniversityCollaboration in TEMPUS project for development of OT university

course in Prague1996-99

Prof. Jan Pfeiffer, M.D., Prague

Started collaboration with RISupported development of OT in

Czechoslovakia.

Jiri Votava, M.D., Assoc. Prof.: Jiri Votava, M.D., Assoc. Prof.:

Started collaboration with RI 1988 -16th World Congres, Tokyo since 1991 till now RI National SecretaryRI Deputy Vice-president for Europe 2000 – 2008 - effort to build RI networkof countries of Central and Eastern Europe (CEE)With Heidi Lindberg as VPAlso other MDs worked with RI - prof. Marincek, Ljubljana, prof. Kullmann, Budapest

OTs - important specialist for comprehensive rehabiltation of PwD (hopefully also present on

this congress) Aim of this paper: To describe OT development in Czech Republic in last 25 years To compare it with situation in other European

Countries.

Section of OT was a part of Czechoslovak Rehabilitation Society (1974-1994).

Before 1990 OT only as post-gradual study for „rehabilitation therapists“

After 1989 new chances: Contacts with foreign OTs, possibilities to travel abroad.

1992-95 together 5 OT courses started in CR

1994 Czech OT association (CAE) was founded.

Active support from western OTs:

1992 our participation on European OT conference in Ostende, Belgium.

We met Hanneke van Bruggen, COTEC president , first time

1995 1995 she invited us for ENOTHE she invited us for ENOTHE founding assembly, Aalborg, Denmarkfounding assembly, Aalborg, Denmark

She initiated TEMPUS project for development of Bachelor OT study in Prague.

1996-1999 most intensive collaboration with colleagues from

Amsterdam, Glasgow, Lund

47570038.jpg

Zuzana Dudáková ,CR G. Gambor, Ann Cardiff - Glasgow

EC ENOTHE, 1997 Essen, Germany

Hanneke van Bruggen

Visits of staff and students from Prague abroad

Visits of foreign lecturers in Prague:OT seminars

Also for OTs from other countries of CEE (Central and Eastern Europe)

1999 Hanneke organised in Prague meeting of OT supporteres from 10 CEE – collaboration started

Support of OT development in Czech republic by rehab doctors:

a) Collaboration of CAE and Society of Rehabilitation and Physical Medicine.

b) Participation of MDs on foundation and development of OT courses.

c) Lecturing of MDs in OT courses.

d) Doctors actively participate in OT annual conferences.

UEMS (UEMS (Union of European Medical SpecialistsUnion of European Medical Specialists) ) SeSection for Physical and ction for Physical and RRehabilitaehabilitationtion

MMedicediciinne (PRM)e (PRM) Since 2003 I reprezent CR

Delegates from all EU and many non-EU Delegates from all EU and many non-EU countries – countries – assembly 2x a year.assembly 2x a year.

White Book on PRM in Europe –now under White Book on PRM in Europe –now under actualisation. actualisation.

Survey on OT situation in European Survey on OT situation in European countries- as viewed by PRM physicians.countries- as viewed by PRM physicians.

Results of the survey (Nr. of answers):Results of the survey (Nr. of answers):Respondents from 30 countries answered 16 questions: Respondents from 30 countries answered 16 questions:

1) Terms: OT in 11 countries, ergoterapie in 13, others in 6.1) Terms: OT in 11 countries, ergoterapie in 13, others in 6.

2) OT is approved as health care specialisation (25)2) OT is approved as health care specialisation (25)

3) OT are members of multidisciplinary team (23)3) OT are members of multidisciplinary team (23)

4) Number of OTs : 58 000 (Germany) – 2 (Ukraine).4) Number of OTs : 58 000 (Germany) – 2 (Ukraine).

5) OT must be indicated by MDs for insurence (19).5) OT must be indicated by MDs for insurence (19).

6) OTs outside health care (21), in privat (15).6) OTs outside health care (21), in privat (15).

7) OT bachelor study (23) also masters (8), no education (5)7) OT bachelor study (23) also masters (8), no education (5)

8) National OT association (23): 8) National OT association (23): Scotland 1932, Norway 1952, Czech 1994, Romania 2010Scotland 1932, Norway 1952, Czech 1994, Romania 2010

9)Support of OT by PRM physicians: 9)Support of OT by PRM physicians: Generally(24), establishment of OT courses (17), teaching (20) Generally(24), establishment of OT courses (17), teaching (20) , active participation in OT conferences (12)., active participation in OT conferences (12).

10) Relation between OT and PRM organizations: Regular 10) Relation between OT and PRM organizations: Regular collaboration (11), no relation (8).collaboration (11), no relation (8).

11) Obstacles for OT development: NO (11), YES (14): Low 11) Obstacles for OT development: NO (11), YES (14): Low number of OTs, low budget, bad education etc.number of OTs, low budget, bad education etc.

12) No different approaches or even conflicts – all .12) No different approaches or even conflicts – all .

Differences also in the European OT congress, 2016 Galway, Ireland:

More than 900 participants, 710 presentationsOf those are only 32 from post- communistcountries ( post-Yougoslavian, Baltic states, Bulgaria, Poland) 12 European countries have no active participants. In two cases (Bosnia, Lithuania), co-authors are MDs, my

colleagues from PRM section – good example of collaboration.25 years of effort of West-European OTs to support OT development in post-communist

countries was succesful . But only partially.

How to continue in this effort?

DISCUSSION:Knowledge of respondents? – They are delegates of

their countries, they should know.

Reasons for striking differences between countries:Tradition? Education? Number of OTs

Table COTEC 2015:Number of OTs / 100 000 citizens

CR 9 Slovenia 16, Lithunia 10, Croatia 9, Latvia 6, Bulgaria 0,4 Not included: Poland, Romania, Hungary,Slovakia et al.

West-European differences: Denmark 145, Italy 2,7

Slovakia – Czech debt, we intend to support OT

ConclusionsConclusions and suggestions for OT and suggestions for OT development in CEE countriesdevelopment in CEE countries::

1) The combination between the support by entusiastic West European OTs

2) and also by local PRM doctors, who understand importance of OT and who can persuade local authorities to help by political decisions.

Next European OT congress will be held 2020 in Prague – centre of Europe.

Hopefully many active participants will be from Central and Eastern Europe and improvent of situation will be referred from several countries

e.g. Ukraine-LvovOccupational therapy is important for rehabilitation

of PwD – reason to collaborate with RI!

Comparison of 3 European networks:1) PRM physicians – CEE fully included2) OT organizations –CEE participating3) RI Europe – CEE nearly disappeared

Before 1989 „East European group“: Czechoslovakia, East Germany, Hungary, Poland. 1989 RI Conference in Estonia1991 RI GA in unified Berlin 1994 RI European Conference Budapest 2002 RI European Conference Aachen – 2002 RI European Conference Aachen – strong strong CEE supportCEE support2006 RI seminar in Vienna (AUVA) „RI development in CEE countries“

RI Europe situation 2010:

RI Europe in 2016In Edinburgh GA: CEE delegates present, Many CEE countries left RI in several steps: a) do not participate, b) do not pay, c) left directory (is there any?).Or never were RI members. CEE countries: All former USSR, all former Yugoslavia, Romania, Bulgaria

International AbilympicsInternational Abilympics (IA) (IA) (content of vocational (content of vocational and leisure time and leisure time activities)activities)

Still active, also in CEE countriesStill active, also in CEE countries

Supported by RI. Since 1991 Czech National A.5th IA 2000 Prague 2016 Bordeaux, France,UK participatedCEE active!

Situation inside RI Europe: 2010 the last representative RI conference in

Copenhagen. 2014 European RI conference in Warsaw practically

cancelled. 2O16 – Present is well illustrated by RI General

Assembly and Congress in Edinburgh

My aim, how to support ideas of RI: Spread this ideas among European PRM physicians. Support development of OT in CR and in Europe Hope in positive development of RI Europe

• Hradcany = Prague Castle + river Vltava • Thank you for your attention! [email protected]