Helllo reader. Previously I made a blog about Occupational Therapy with patient in Physical dysfunction and Occupational therapy with patient in mantal illness. And now, I will show you about occupational therapy in pediatrics. This knowlege translation talked by Dr. Kannika Permpoonpattana who experienced in pediatrics. Dr.Supaluk Khemthong who is supporter and Dr.Anuchart Kheunnil who is moderator in this topic.
>> 1. What is the key mission of the occupational therapist in pediatrics?
An experience mainly work with children development disability both normal(should to promote) and abnormal (should to rehab to likely normal).
In Thailand, it’s very boom in special child and earn a lot of money. Just a small number of Occupational therapy if child get treatment of OT is 3 times per week or only one time if family can go back with the advice. The children can get more see OT. OT earn in private clinic more than public clinic.
>> 2. How does the OTs ensure quality of intervention for pediatrics clients?
Met children in the first time evaluated them and make the problem list set a goal every time, create activity to get that goal and for improvement by check their performance (they can go to school, can doing activity at home by themselves).In after finish the class the smile of children and also their parent like a reward of achievement, it is very importance.
>> 3. What are the Thai OTs in pediatrics’s strengths, weakness, threats and opportunities?
Strength is a small number of OT, we can help one child per one OT but they can one OT per 10 child, OT stay with the child all the time bring over program, we have only one OT if you want to choose to treat one by one, high posessy to improvement.
Weakness is we want more OT to serve a child. Change of idea of parent that depend on OT to help to get their improvement. For standard of OT around the world in 1 day OT can get 6 children, you can do activity group and individual group, we make them how to clever. Family is center but some people lose of energy in one day. Make quality much more quantity use family is difficult like collaborative work with hospital.
>> 4. What the strategies are being used of OTs in pediatrics? How have these succeeded?
Frame of reference (FOR) can combine should not think typically and every FOR or model, it study from the human, adapt to individual program appropriate the patient. A neurodevelopment FOR and adapt with neuroscience. Not only OT usually use sensory integration (SI)we borrow FoR it complexity now. We don’t have only knowledge and framework model but have the human development . Sometimes you should not do everything but the brain to generate, don’t give up with children.
>> 5. What do you see in the future as an OTs in pediatrics and how is this led to success?
OT in every hospital and school and community should work like to their home, factory to work and advice. Today, they stay in only hospital and wait their children and say goodbye, this is OT pattern now. We need to go not only located at hospital, we should be presenter how to bring them to normal people, it’s very challenge. From Thai government if you set up something how for OT to open up. Your house is private office, it look like agency. Someone got resource and make strong-bond, you can open up and contribute any clinic to buy.
>> 6. On the issue of Thai community/society, Can use your OT professional skills are particularly interesting to you?
Apply what we want to do and appropriate with culture or not? Autistic spectrum disorder (ASD) have many sense problem. In festival such as Loykrathong that child can participate it. Elder people fix in the tradition, this is a moral, ethic issue. Last 2 years, culture diversity, own generation and separate and bring to mental problem. Bullied children, lack of support so their personality got problem act like autistic. They fear of school (school phobia).
>> 7. What do you see Thai OTs in pediatrics five/ten years from now?
Hope the rate of children should be decrease. And I want to do research about relative prevention to ASD. One factor can make children got abnormal of genetic. Decrease stress, solve the problem in the right way. We can prevent of problem of development child. Get married and family planner, set up yourself, get wedding planner is your target.
>> 8. What are your aspirations beyond Thai occupational therapist?
Make the children and adult can get good health. Your patients can get better after see OT. We like flexible much more lose of detail optimization. They need more active participation, need to stimulate, don’t help them anytime.
>> 9. In 2015, Thailand as a member of Asian community. What do you think that AEC is positive or negative impacts for Thai OTs in pediatrics?
Positive is you can go work in another country.
Negative is OT from another country can work in Thailand. Another therapist come from developed country (United state, United Kingdom, Australia etc.)
And Dr.Kannika gave the idea “Think the experience first, think to money”
Finally, Thank to :
- Dr. Kannika Permpoonpattana
- Dr.Supalak Khemthong
- Dr.Anuchart Khennil
To shared your experiences and many idea about occupational therapy.
sincerely thank you very much.
If you want to read in Thai language, please click this link: http://www.gotoknow.org/posts/563960