Monday, April 11, 2016

Liberty and Justice for All?

Issue:
       
Recently, numerous states have written bills titled religious freedom that allows for individuals to deny other people services based on their religious beliefs. The state of Mississippi passed a law titled "Protecting Freedom of Conscience from Government Discrimination Act." According to NPR (2016) this bill allows state employees to refuse to issue same-sex-marriage licenses and protects private companies and religious groups from being punished for denying a range of services to individuals within the LGBT community.
 
SECTION 2. The sincerely held religious beliefs or moral convictions protected by this act are the belief or conviction that:
          (a)  Marriage is or should be recognized as the union of one man and one woman;
          (b)  Sexual relations are properly reserved to such a marriage; and  
      (c) Male (man) or female (woman) refer to an individual's immutable biological sex as objectively determined by anatomy and genetics at time of birth. (Gunn, Arnold, Bounds, Carpenter, Gipson, Shirley, Boyd, Eubanks, 2016).
       
Service delivery system:  
      The service delivery system that should be addressing this law is the federal and state government. This is a social and political issue that is setting our country back decades and denying individuals the right to equality. This law would specifically allow people or businesses to discriminate against LGBT people, as long as that discrimination premised on a religious belief.
      Policies:
       
      The policies that I would develop would be focused on equality and justice for all humans.
      Policy:
      No person or persons shall deny services, housing, or goods to another individual based on their beliefs, sexual orientation, race, personal lifestyle choices, or for any other reason.
      Data:
      According to recent polls in Georgia (a state attempting to pass religious freedom laws) about 66 percent of residents say that LGBT persons should be protected against discrimination in the workplace, public accommodations, and housing (Merritt, 2016). It seems that many individuals within our country are against denying services to individuals based on their sexual orientation, I hope that the government at the state levels can hear their constituents voices.
       
Implications for occupational therapy:
This bill goes against our code of ethics as AOTA has laid out; as well as, our approach to treatment. Specifically; the ethical principle of beneficence, which includes protecting and defending the rights of others. The AOTA ethical principle of Justice states “Occupational therapy personnel should relate in a respectful, fair, and impartial manner to individuals and groups with whom they interact. They should also respect the applicable laws and standards related to their area of practice. Justice requires the impartial consideration and consistent following of rules to generate unbiased decisions and promote fairness.” In my option this new law goes against our beliefs and ethical principles as occupational therapists. This law allows schools, employers and service providers to ability to implement sex-specific dress and grooming standards, as well as refuse transgender people access to the appropriate sex-segregated facilities, that are consistent with their gender identity.
This law also tolerates for discrimination by allowing government employees to abdicate their duties and refuse to license or solemnize marriages for LGBT people.” This law also allows for individuals to refuse service, deny property, deny employment, and fire LGBT individuals based on their religious beliefs. This bill and many like it allow religious clergy and many types of service providers (Occupational therapy included) the right to deny service to customers based on the providers' religious beliefs. I am not sure what the future may look like within religious hospital groups or religious based rehabilitation groups, but I certainly hope healthcare and care of a person comes before all else.

References:






Monday, March 28, 2016

Rethinking mom's role in the NICU post Opioid dependency

Issue
       
      The article titled “To Help Newborns Dependent On Opioids, Hospitals Rethink Mom's Role” discusses the idea of changing the way healthcare providers interact, view, and work alongside mothers addicted to drugs specifically opiods while their babies are in the NICU. The article has a great viewpoint of the current practice of removing the baby from the mothers care, to trying to help both mother and baby without judgment. The hospital brings the mother into the hospital to help take care of the baby while in the NICU, which is making a significant impact in the care of the babies. The hospital in Connecticut trains staff to further understand addiction in order to treat both mother and baby, by utilizing the NICU space differently where mother and baby stay in the hospital together.  To hear or read more about the story go to the link below:

Service delivery system
      The service delivery system that should be addressing the issue of addiction, hospital stays, and how hospitals interact with mother and baby should be rooted in the health and social delivery system. The healthcare system and our hospitals in America should adopt this viewpoint, training, and idea that in order to successfully treat babies addicted to opioids we need to also address the mother and family. This change in views and ideas can be addressed through policy.

Policies
      The policies that I would develop would be for hospitals to train their NICU staff on addiction to foster empathy for the mother and reduce judgment towards her.
      Policy: Hospitals will mandate all medical/health professional staff members to participate in a psychosocial training about addiction and working with individuals that are addicts.
       
Data
      The data needed in order to support the policy would be the research that shows the recovery of both mother and child after the stay in a hospital set up much like the NICU in the Hospital of Central Connecticut. Currently, the article only discusses specific case examples; however a comparative study of this intervention versus traditional intervention would be helpful for the implementation of the policy.

Implications for occupational therapy

            The implications for the Occupational Therapy field are immense, as professionals we often work with individuals that are struggling with addiction within the mental health realm; as well as, working in the NICU with both mother and baby. An occupational therapist would be a great person to work alongside both mother and baby to provide assistance with feeding, bonding, sleeping, etc all within the NICU. The OT would also be optimal in discussing discharge planning for both mother, baby, and the family as far as what to expect, a feeding schedule, sleeping schedule, etc. The OT is client centered and would allow for the mother and the family to have their concerns met along with the care of their new baby. The OT can also find resources within the community to refer the mother to such as a 12 step program, family physicians, and support groups to help her work on her self-care.  

Monday, February 29, 2016

Occupational Therapy and it's role in Gun Control



America’s Gun Problem


Issue:
In the video, America’s gun problem, there are a serious of charts and narrative explaining how our country has come to the current state we are in related to the amount of Guns, number of homicides, suicides, and mass shootings. Please watch the video here: http://www.vox.com/2015/10/3/9444417/gun-violence-united-states-america

Service Delivery
Gun laws and Gun control is a very controversial issue in the United States right now. Whether you are for or against gun control in this Country, one thing for sure is that we have a serious issue and as shown in the video numbers do not lie. I think this issue should be addressed on a variety of levels and through many different facets. 
1.     Locally or in the home: Discuss with your family and spouse about Guns, if you do have one in the home I strongly suggest having everyone in the home know how to safely use one and secure it in a safe.
2.     Through the mental health perspective.
a.     The amount of gun suicides in this country is astounding, it is our responsibility as a Country and a people to address this issue. We will discuss further ideals and proposals for this topic in the policy portion of the blog.
3.     State wide
a.     As a possible gun owner or just to be aware you should know your state laws about guns. How easily can they be bought or accessed? What are the carrying laws? Virginia is a conceal and carry state. For more information on gun laws in the state of Virginia, please check out http://www.vsp.state.va.us/Firearms.shtm
4.     Nationally
a.     Nationally and socially we have a serious problem, mass shootings  (4 or more individuals killed in a single event) have occurred more and more frequently in recent years. With the current election coming up, gun control is a significant topic and before choosing the next American President it is important to know where they stand on the issues. Please go to http://www.ontheissues.org/Gun_Control.htm and see for yourself where the candidates fall on this important issue.
Policy
In my opinion we need a complete overhaul on gun control and mental health reform in this country. My proposal is as follows:
·   1. Anyone buying a gun will have a ten day waiting period in order for the FBI to complete the background check, require an in-depth background check, mental health screening by a medical professional, required to take a gun safety course, and they must prove that the gun will be stored safely and appropriately before purchase.
·   2. Each state will host a “buy back” day, where at various locations throughout the state individuals can sell back their guns to the state.
·   3. Ban and criminalize assault weapons, and with them magazines that fire more than ten rounds.
·   4. Ban and criminalize the sale and purchase of guns online or through private sale (all gun sales must have the same purchase criteria, See policy 1. )
·   5. Limit the number of firearms an individual is able to own at a given time, before buying any guns they must justify why they are requiring them.
·   6. In order to reduce suicide rates; prompt and significant mental health and medical care for individuals with need, i.e Veterans, people discharged from a mental health facilitate, etc.
Data
    The Data needed to support the current policy is portrayed through the success of other Countries. For example, in 1996 Australia had a mass shooting and drastically changed their gun control laws because of it. Australia’s new gun laws prohibited private sales, required that all weapons be individually registered to their owners, and required that gun buyers present a “genuine reason” for needing each weapon at the time of the purchase, self-defense did not count. The changes that occurred were drastic, between 1996-2006 here are the statistics:
·   homicides by firearms plunged 59 percent between 1995 and 2006, with no corresponding increase in non-firearm-related homicides.  
·   Suicides dropped by 65%
·   Home invasions did not increase. (many people fear that firearm ownership is needed to deter such crimes.)
·   In the decade before the Port Arthur massacre, there had been 11 mass shootings in the country of Australia. There has been ZERO mass shootings in Australia since. I propose we follow suit and make a significant change in order to help the American people.

Implications for Occupational Therapy
      Occupational therapy has the ability to have a significant impact on the mental health aspect of the gun laws. The mental health care reform that is needed in our country can be led by a profession who has it’s roots in working with individuals diagnosed with mental health disorders, Occupational therapists. The Canadian Association of Occupational Therapists explains, “As occupational therapists, we regularly interface with the intimate details of clients’ everyday living when people experience occupational challenges.  Thus occupational therapists are inevitably poised to receive messages when everyday living has been interrupted by thoughts of suicide.” OT works very closely with their patients, and often in their homes, we can help to reduce the amount of gun related suicides and suicide attempts through education, paying attention, and reporting the signs to the local authorities and health care providers. Occupational therapists should have significant training in suicide detection, prevention, and how to address suicide related incidents in practice.

References: