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FINAL DRAFT MINUTES

OF

THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATION, INC.

REPRESENTATIVE ASSEMBLY MAY 18 TO MAY 21, 2004 Prepared By: Patricia Bowyer, EdD, OTR/L, BCN Representative Assembly Recorder

Editors Note: Motions to amend are indicated by strikeouts, insertions are indicated by shading.

Minutes of the 2004 Representative Assembl y - FINAL DRAFT TABLE of CONTENTS Page i

2004 REPRESENTATIVE ASSEMBLY (RA) MINUTES TABLE OF CONTENTS

OPENING SESSION, TUESDAY, MAY 18, 2004....................................................................................................................1 ROLL CALL ........................................................................................................................................................................1 OFFICERS OF THE ASSOCIATION ................................................................................................................................2 OFFICIALS OF THE ASSEMBLY.....................................................................................................................................2 COMMISSION CHAIRPERSONS......................................................................................................................................2 NONVOTING MEMBERS..................................................................................................................................................2 QUORUM ............................................................................................................................................................................2 SWEARING-IN OF NEW MEMBERS...............................................................................................................................2 ADOPTION: RULES OF THE DAY...................................................................................................................................2 APPROVAL OF THE 2003 RA MINUTES ........................................................................................................................2 AD HOC MINUTES REVIEW COMMITTEE ...................................................................................................................2 ADOPTION: REVISED GENERAL AGENDA..................................................................................................................2 LOCAL CONFERENCE COMMITTEE .............................................................................................................................3 ANNUAL REPORTS TO THE REPRESENTATIVE ASSEMBLY ..................................................................................3 REPORTS RECEIVED........................................................................................................................................................3 CRAC REPORT...................................................................................................................................................................3 ADOPTION: AGENDA NEW BUSINESS ITEM ..............................................................................................................3 ADOPTION: AGENDA NEW BUSINESS ITEM ..............................................................................................................3 ADOPTION: AGENDA NEW BUSINESS ITEM ..............................................................................................................3 DEFEATED: AGENDA NEW BUSINESS ITEM ..............................................................................................................3 DEFEATED: AGENDA NEW BUSINESS ITEM ..............................................................................................................3

WEDNESDAY, MAY 20, 2004..................................................................................................................................................3 CRAC REPORT...................................................................................................................................................................3 ADOPTED: CONSENT AGENDA Y .................................................................................................................................3 THURSDAY, MAY 20, 2004 ..............................................................................................................................................4 CRAC REPORT...................................................................................................................................................................4 ADOPTED AS AMENDED: OATH OF OFFICE POLICY ..............................................................................................4 ADOPTED: PROCEDURES FOR OATH OF OFFICE ......................................................................................................4 ADOPTED AS AMENDED: CAM POSITION PAPER.....................................................................................................4 NOMINATING COMMITTEE REPORT: SLATE FOR ELECTIONS............................................................................5 ADOPTED: BYLAWS MORATORIUM............................................................................................................................5 ADOPTED: BIENNIAL BYLAWS CHANGE PROCESS .................................................................................................5 ADOPTED: BYLAWS CHANGE DEFINITIONS .............................................................................................................5 ADOPTED: BYLAWS CHANGE VOTING METHOD.....................................................................................................5 ADOPTED AS AMENDED: DEFINITION OCCUPATIONAL THERAPY PRACTICE FOR THE AOTA

MODEL PRACTICE ACT............................................................................................................................................5 ADOPTED: STATEMENT: ASSISTIVE TECHNOLOGY WITHIN OCCUPATIONAL THERAPY PRACTICE.........6 ADOPTED: CONTINUE AD HOC MENTORING COMMITTEE....................................................................................7 ADOPTED: AD HOC MENTORING COMMITTEE TO EXAMINE THE AUSTRALIAN AND MA MENTOR

WEB SITES ..................................................................................................................................................................7 ADOPTED: AD HOC MENTORING COMMITTEE TO DEVELOP PLAN FOR VOLUNTEER LEADERS,

STUDENTS, AND MEMBERS....................................................................................................................................7 ADOPTED AS AMENDED: COP TO REVIEW OTA PRACTICE IN COMMUNITY BASE PRACTICE ....................7 DEFEATED: PRACTICE FRAMEWORK AVAILABLE FREE TO MEMBERS, NONMEMBERS,

CONSUMERS, ETC.. ...................................................................................................................................................7 ADOPTED: EVIDENCE-BASED LITERATURE REVIEW ON EFFICACY OF SI INTERVENTIONS ......................7 ADOPTED: SPECIAL INTEREST SECTION STEERING COMMITTEE NAME CHANGE.........................................8 ADOPTED: RA NONVOTING MEMBERS BECOME VOTING MEMBERS ................................................................8 ADOPTED: AD HOC COMMITTEE TO EXPLORE MANAGEMENT COORDINATION OF THE RA ......................8 ADOPTED AS AMENDED: PROFESSION'S POSITION ISSUES THAT AFFECT THE PARTICIPATION OF

INDIVIDUALS ............................................................................................................................................................8 DEEATED: ADD SERVICE AS QUALIFICATION/CRITERA .......................................................................................9 ADOPTED: SUBSTITUTE MOTION FOR ADD SERVICE AS QUALIFICATION /CRITERIA..................................9

Minutes of the 2004 Representative Assembl y - FINAL DRAFT TABLE of CONTENTS Page ii FRIDAY, MAY 21, 2004 ...........................................................................................................................................................9

RECOGNITION OF OUTGOING REPRESENTATIVE ASSEMBLY MEMBERS AND COMMITTEE MEMBERS ...................................................................................................................................................................9

CRAC REPORT...................................................................................................................................................................9 RECOGNITION OF OUTGOING COMMITTEE CHAIRPERSONS, OFFICERS, AND OFFICIALS ..........................9 ADOPTED: POLICY 2.14: NET ASSETS..........................................................................................................................9 ADOPTED: EXPAND DEFINITION OF EMERGENCY ................................................................................................10 DEFEATED: DEVELOPING ADVOCACY SKILLS IN MEMBERS.............................................................................10 ADOPTED: DEVELOP DEFINITIONS OF OCCUPATIONAL THERAPY (TALKING POINT DEFINITIONS).......10 ADOPTION: CONSENT AGENDA V..............................................................................................................................10 DEFEATED: ETHICS AND JUDICIAL AD HOC COMMITTEE ..................................................................................13 DEFEATED: AD HOC GROUP TO EXPLORE NEW MEMBERSHIP CATEGORY - ULTIMATE

MEMBERSHIP ...........................................................................................................................................................13 ADOPTED AS AMENDED: AOTA COLLABORATIVE MEMBERSHIP DEVELOPMENT......................................13 ADOPTED: SUBSTITUTE FOR MOTION 3 - DEVELOP ADVOCACY SKILLS........................................................13 ADOPTED: EDITS TO SCOPE OF PRACTICE CORRESPOND TO REVISIONS IN MODEL PRACTICE...............13 ADOPTED: REPLACEMENT MOTION FOR SAFE PROVISION OF OCCUPATIONAL THERAPY.......................13 ADOPTED AS AMENDED: PROFESSIONAL STANDARDS ......................................................................................14 ADOPTED: CCCPD TO REVIEW THE AOTA POLICY ON SPECIALTY CERTIFICATION ...................................14 ADOPTED: BOARD CERTIFICATION/SPECIALTY CERTIFICATION .....................................................................14 ADOPTED AS AMENDED: AD HOC COMMITTEE TO EXPLORE THE RAMIFICATIONS OF THE SEC AS

A STAND-ALONE.....................................................................................................................................................14 ADOPTED AS AMENDED: OTA PROFESSIONAL DEVELOPMENT........................................................................14 ADOPTED AS AMENDED: COP POSITION STATEMENT FOR THE USE OF EVIDENCE-BASED

PRACTICE..................................................................................................................................................................14 ADOPTED AS AMENDED: COE AND EDSIS - EDUCATION AND TRAINING FOR EVIDENCE-BASED

PRACTICE..................................................................................................................................................................15 ADOPTED: CCCPD REVIEW STANDARDS OF CONTINUING COMPETENCE EVIDENCE-BASED

PRACTICE..................................................................................................................................................................15 ADOPTED: SISSC - INCORPORATE EVIDENCE INTO SIS QUARTERLIES - AOTA CE .......................................15 ADOPTED: EVIDENCE-BASED PRACTICE ENDORSEMENT VICE SPEAKER AND RACC ................................15 ADOPTED: STRATEGIES FOR EXPANDING AND STRENGTHENING MENTAL HEALTH.................................15 ADOPTED AS AMENDED: STRENGTHENING THE CAPACITY OF OT GRADUATES TO ADDRESS

PSYCHOSOCIAL ISSUES.........................................................................................................................................15 ADOPTED: ELECTRONIC VOTING FOR THE ASSOCIATION LEADERSHIP POSITIONS ...................................15 ADOPTED AS AMENDED: ELIGIBILITY CRITERIA FOR AOTA ELECTED OFFICIALS .....................................15 ADOPTED: ELIGIBILITY CRITERIA OF OFFICERS AND DIRECTORS ..................................................................16 DEFEATED: AOTA INCLUSION OF CULTURAL COMPETENCY WITHIN PROFESSIONAL STANDARDS

FOR COMPETENCY .................................................................................................................................................16 ADOPTED: CULTURAL COMPETENCE.......................................................................................................................16 ADOPTED: 2004 RA STRATEGIC PLANNING FOR 2005-2007..................................................................................16 ADJOURNMENT ..............................................................................................................................................................16

ADDENDUM SUMMARY ......................................................................................................................................................16 MOTION SUMMARY..............................................................................................................................................................18

MOTIONS ADOPTED AS AMENDED ...........................................................................................................................18 MOTIONS DEFEATED ....................................................................................................................................................18 MOTIONS WITHDRAWN................................................................................................................................................18

APPENDIX A...........................................................................................................................................................................19 REPRESENTATIVES SERVICE AWARDS LIST ..........................................................................................................19 ALTERNATE REPRESENTATIVES SERVICE AWARDS LIST ..................................................................................19 RECOGNITION OF OUTGOING COMMITTEE CHAIRPERSONS, OFFICERS AND OFFICIALS ..........................19

APPENDIX B............................................................................................................................................................................20 THE 2004 RA STRATEGIC PLANNING DOCUMENT .................................................................................................20

Minutes of the 2004 Representative Assembly - FINAL DRAFT

THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATION, INC. REPRESENTATIVE ASSEMBLY

The twenty-ninth meeting of the Representative Assembly (RA) was held at the Hilton Minneapolis in Minneapolis, Minnesota, on May 18 to May 21, 2004.

OPENING SESSION, TUESDAY, MAY 18, 2004 The Speaker, Mary Evert called the meeting of the American Occupational Therapy Association, Inc. (AOTA) Representative Assembly to order at 4:15 p.m. The Speaker welcomed the Representatives and Guests and introduced the RA Officials, the Parliamentarian, and the Agenda Committee Chairperson. The Speaker then recognized Debbie Hippchen and Carol Gwin, AOTA staff, and thanked them for their participation in preparation for the RA. She also recognized Sharon Atterbury and Don Brizendine, AOTA staff. She introduced the AOTA Officers, the RA Commission and Committee Chairpersons, and the Sergeant-at-Arms and Sergeant-at-Arms Committee of Pages.

ROLL CALL The Speaker reviewed introduction procedures and directed the Recorder to take roll call during introductions. Those present were as follows:

Alabama Donna Wooster Rep New Hampshire Kathy Lyons Rep Alaska Joanne Boehme Rep New Jersey Diana Hunt Rep Arizona Christina Griffin Rep New Mexico Gwen Cassel Rep Arkansas T. Preston Peter Rep New York # 1 Deborah Murphy-Fischer Rep California # 1 Sue Knox Rep New York # 2 Barbara Hansen Rep California # 2 E. Lee Mandelbaum Rep North Carolina Tony Bright Rep Colorado Susan Zekert Rep North Dakota Sonia Zimmerman Rep Connecticut Judith Sehnal Rep Ohio Georgette Ireland Rep Delaware Jo Ann Tate Rep Oklahoma Suena Glasco Rep District of Columbia Shirley Jackson Rep Oregon Nancy Naishtat Rep Florida David Clark Rep OT's in Foreign

Countries Franklin Stein Rep

Georgia Saburi Imara Rep Pennsylvania #1 Ann Marie Potter Rep Hawaii Avis Sakata Alt Pennsylvania #2 Denise Chisholm Rep Idaho Taunia Kerner Rep Puerto Rico Maria Isabel Torre-

Rodriguez Rep

Illinois Terry Giese Rep Rhode Island Linda Curry Rep Indiana Kathleen French Rep South Carolina Wendy Welch-Gillen Rep Iowa Jason Faris Rep South Dakota Julie Kalahar Rep Kansas Wendy Hildenbrand Rep Tennessee Kay Broeder Rep Kentucky Connie Herold Rep Texas Kathlyn Reed Rep Louisiana Toni Potts Rep Utah Lorraine Moe Rep Maine Wendy Norcross

Brown Alt Vermont Sarah Jacobs-Trombley Rep

Maryland Patricia Foley Rep Virginia Jean Hearst Rep Massachusetts Jacqueline Brennan Rep Washington Melinda Glass Rep Michigan Mary Kay Currie Rep West Virginia Mary Hager Rep Minnesota Ann Holland Rep Wisconsin Mary Brayton Rep Mississippi Peter Giroux Rep Wyoming Jean Owsley Rep Missouri Karen Parker Davis Rep ASD Lenna Aird Rep Montana Lori Heinrich Rep OTA Lindsey Lawrence Rep Nebraska Sherri Judah Rep Nevada Yvonne Randall Rep


OFFICERS OF THE ASSOCIATION OFFICIALS OF THE ASSEMBLYPresident Barbara Kornblau Speaker Mary Evert Vice President Charles Christiansen Vice Speaker Janet Raisor Secretary Aimee Luebben Recorder Patricia Bowyer Treasurer Melanie Ellexson

COMMISSION CHAIRPERSONS

Education (COE) Charlotte Royeen COE Chair-Elect Linda Fazio Practice (COP) Sara Jane Brayman Standards & Ethics (SEC)

Shirley Wells

NONVOTING MEMBERS

President-Elect Carolyn Baum SISSC Chairperson Brent Braveman SEC Chair-Elect Maggie Reitz Executive Director Fred Somers Parliamentarian Esther Bell Sergeant-at-Arms Peggy Owens Agenda Comm. Chairperson Trina Schulz Nominating Comm. Chairperson Marcie Weinstein CRAC Chairperson Susan Tucker BPPC Chairperson Lynn Blewett-

Dombrowski

Recognitions Chairperson Lawrence Zachow QUORUM The Recorder, Patricia Bowyer, announced that a quorum was present.

SWEARING-IN OF NEW MEMBERS Marcie Weinstein, Nominating Committee chairperson swore in all members of the Representative Assembly.

ADOPTION: RULES OF THE DAY Patricia Bowyer, Recorder, reviewed the Rules of the Day as printed and distributed and moved for their adoption.

THE MOTION WAS ADOPTED

APPROVAL OF 2003 RA MINUTES The Speaker called upon Patricia Bowyer, Recorder, for a report. Patricia Bowyer moved that the 2003 minutes be adopted with the addition of the 2002 Online minutes. Rationale: The 2002 Online minutes were not contained within the 2003 minutes of the Assembly in D.C. These were instead posted on the Web and this motion will correct that so the minutes will show all actions taken by the RA in FY 2002-2003. These revised minutes will then be reposted on the Web.

THE MINUTES STAND APPROVED

AD HOC MINUTES REVIEW COMMITTEE The Speaker appointed the following representatives to assist the Recorder in the review and preparation of the minutes of the 2003 Representative Assembly Meeting: Karen Parker Davis, Missouri; Preston Peter, Arkansas; Sonia Zimmerman, North Dakota.

ADOPTION: REVISED GENERAL AGENDA Trina Schulz, Agenda Committee Chairperson, moved adoption of the revised general agenda.

THE MOTION WAS ADOPTED

Minutes of the 2004 Representative Assembly - FINAL DRAFT LOCAL CONFERENCE COMMITTEE The Speaker recognized the Local Conference Committee, Rhoda Erhardt and Karen Sames who welcomed Representatives.

ANNUAL REPORTS TO THE REPRESENTATIVE ASSEMBLY The reports of leaders to the RA have been received and the Speaker will now entertain questions from the floor regarding these reports.

REPORTS RECEIVED Reports received and filed.

CRAC REPORT Susan Tucker, Chairperson, Credentials Review and Accountability Committee (CRAC), reported giving a potential of (65) votes, with a majority of (33) necessary to carry a motion.

ADOPTION: AGENDA NEW BUSINESS ITEM New business motion titled: Establish an Ad Hoc Group to Explore the Possibility of a New Membership Category-the “Ultimate Member.”

ADOPTION: AGENDA NEW BUSINESS ITEM New business motion titled: Additional Definition of Occupation for Webster’s Dictionary.

ADOPTION: AGENDA NEW BUSINESS ITEM New business motion titled: Practice Framwork Available Free to Members, Non-Members, Consumers, etc.

DEFEATED: AGENDA NEW BUSINESS ITEM A new business motion related to AOTA Demonstration of Support for Adopting a Definition of OT to be incorporated in the Scope of Practice.

DEFEATED: AGENDA NEW BUSINESS ITEM A new business motion related to AOTA Demonstration of Support for Adopting a Vision Statement for 2017. ADVOCACY TRAINING SESSION Presentations by AOTA staff: Federal, Reimbursement and State Affairs groups.

WEDNESDAY, MAY 20, 2004 The Speaker called the meeting to order at 7:30 a.m. The Speaker made morning announcements. The Speaker recognized Trina Schulz, Agenda Chair.

CRAC REPORT Susan Tucker, Chairperson, Credentials Review and Accountability Committee (CRAC), reported (57) Representatives, (4) Officers, and (3) RA Officials. The Speaker recognized Agenda Committee Chairperson, Trina Schulz, who presented Consent Agenda Y. There was a request to remove one item from the Consent Agenda.

ADOPTED: CONSENT AGENDA Y Trina Schultz presented Consent Agenda Y and moved its adoption. Motion: Approve the BPPC SOP.

2004C86 ADOPTED Motion: Charge the Recognitions Committee with reviewing Policy 1.7: Association Awards and Recognitions for currency and submitting recommended revisions to BPPC.

2004C87 ADOPTED

Minutes of the 2004 Representative Assembly - FINAL DRAFT Motion: Approve the Professional Program Directors’ Education Council (PRODEC) SOP as COE SOP Attachment B and Occupational Therapy Assistant Program Directors’ Education Council (OTAPDEC) SOP as COE SOP Attachment C.

2004C88 ADOPTED Motion: Charge the Ad Hoc Electronic Communication Committee to continue to function for 1 more year to allow for the implementation and evaluation of TALK AOTA. Report due at the 2005 Assembly.

2004C97 ADOPTED Motion: Rescind the 1995 Statement, Psychosocial Concerns Within Occupational Therapy Practice.

2004C98 ADOPTED Motion: Rescind Attachments B: Format for Documents and C: Document Development Process from the COP/COE SOPs.

2004C99 ADOPTED Motion: Move that the Representative Assembly approve the Task Force on Governance Effectiveness recommendation that the RA should vote to confirm the Assembly Consumer Member who is selected by the RA Speaker.”

2004C101 ADOPTED

THURSDAY, MAY 20, 2004 The Speaker called the meeting to order at 7:30 a.m.

CRAC REPORT Susan Tucker, Chairperson, Credentials Review and Accountability Committee (CRAC), reported (57) Representatives, (4) Officers, (3) RA Officials and, giving a potential of (65) votes, with a majority of (33) necessary to carry a motion. The Speaker recognized Terry Giese, Illinois Representative, Task Group 6 Leader.

ADOPTED AS AMENDED: OATH OF OFFICE POLICY Motion: Task Group 6 leader moved to approve the following Oath of Office Policy.

Policy: Oath of Office Purpose: To be used as a commitment statement made by all elected or appointed volunteer sector individuals as they assume a governing role in the Association. It shall be the policy of AOTA that: All volunteer leaders shall swear or affirm an oath of office when they assume their official positions within the Association.

2004C77 ADOPTED AS AMENDED

ADOPTED: PROCEDURES FOR OATH OF OFFICE Motion: Task Group 6 Leader Terry Giese moved to charge BPPC to create procedures across all components of the Association to operationalize the use of an Oath of Office and report to the 2004 Online RA with final recommendations.

2004C78 ADOPTED

ADOPTED AS AMENDED: CAM POSITION PAPER Motion: Task Group 6 leader Terry Giese moved to charge COP to work with the original authors of the white paper, Complementary and Alternative Medicine (adopted at the June 2003 Board of Directors Meeting), to develop a position paper on complementary and alternative medicine and submit for consideration at the 2004 online 2005 spring Assembly meeting.


Minutes of the 2004 Representative Assembly - FINAL DRAFT NOMINATING COMMITTEE REPORT: SLATE FOR ELECTIONS The Speaker recognized Marcie Weinstein, Chairperson, Nominating Committee, to present the 2004 election slate. Nominations were presented for Speaker and Recognitions Chairperson. There being no further nominations from the floor nominations were closed for the positions of Speaker and Recognitions Chairperson. Nominees were Speaker: David Clark, Representative from Florida; Wendy Hildenbrand, Representative from Kansas; Debbie Murphy-Fischer, Representative from New York #1. Recognitions Chairperson: Kay Broeder, Representative from Tennessee; Mary Kay Currie, Representative from Michigan. The Speaker called upon the candidates for speeches. The Speaker recessed the Assembly 8:15 a.m. The Speaker called the Assembly to order at 12:00 p.m.

ADOPTED: BYLAWS MORATORIUM Motion: Task Group 6 leader Terry Giese moved to approve placing a one year moratorium on Bylaws changes beginning with business from the 2004 RA.

2004C119 ADOPTED

ADOPTED: BIENNIAL BYLAWS CHANGE PROCESS Motion: Task Group 6 Leader Terry Giese moved to charge BPPC to implement procedures whereby voting on Bylaws changes occurs during odd-numbered years, beginning in 2005.

2004C120 ADOPTED

ADOPTED: BYLAWS CHANGE DEFINITIONS Motion: Task Group 6 leader Terry Giese moved to adopt the following definitions of revision and amendment:

Revision: “changes of the bylaws that are so extensive and general that they are scattered throughout the bylaws [and] should be effected through the substitution of an entirely new set of bylaws” (Robert’s Rules of Order, p. 575). Revisions include: • Roles and responsibilities of individuals • Functions of the bodies • Relationship between bodies • Election of individuals to bodies • Number of voting members

Amendment: changes to the Bylaws that are neither revisions nor technical corrections.

2004C81 ADOPTED

ADOPTED: BYLAWS CHANGE VOTING METHOD Motion: Task Group 6 leader Terry Giese moved to adopt the following methods of voting on Bylaws changes in a manner that retains membership voting rights. 1. Bylaws amendments shall be voted on by the Assembly 2. Bylaws revisions shall be voted on by membership at the Annual Business Meeting.

2004C134 ADOPTED ADOPTED; BYLAWS APPROVAL PROCESS Motion: Task Group 6 leader Terry Giese moved to charge BPPC to operationalize the procedures for voting on Bylaws changes with recommendations to the 2005 Representative Assembly.

2004C139 ADOTED The Speaker recognized Debbie Murphy-Fischer, New York #1 Representative.

ADOPTED AS AMENDED: DEFINITION OF OCCUPATIONAL THERAPY PRACTICE FOR THE AOTA MODEL PRACTICE ACT Motion: Debbie Murphy-Fischer moved to adopt the Definition of Occupational Therapy Practice for the AOTA Model Practice Act with the following changes.

Minutes of the 2004 Representative Assembly - FINAL DRAFT Definition of Occupational Therapy Practice for the AOTA Model Practice Act Draft

The practice of occupational therapy means the therapeutic use of everyday life activities (occupations) with individuals or groups for the purpose of participation in roles and situations in home, school, workplace, community, and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy addresses the physical, cognitive, psychosocial, sensory, and other aspects of performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. The practice of occupational therapy includes: A. Methods or strategies selected to direct the process of interventions such as: 1. Establishment, remediation, or restoration of a skill or ability that has not yet developed or is impaired. 2. Compensation, modification, or adaptation of activity or environment to enhance performance. 3. Maintenance and enhancement of capabilities without which performance in everyday life activities would decline. 4. Health promotion and wellness promotion to enable or enhance performance in everyday life activities. 5. Prevention of barriers to performance, including disability prevention.

B. Evaluation of factors affecting activities of daily living (ADL), instrumental activities of daily living (IADL), education, work, play, leisure, and social participation, including: 1. Client factors, including body functions (e.g., such as neuromuscular, sensory, visual, perceptual, cognitive) and body structures (e.g., such as cardiovascular, digestive, integumentary, genitourinary systems). 2. Habits, routines, roles, and behavior patterns. 3. Cultural, physical, environmental, social, and spiritual contexts and activity demands that affect performance. 4. Performance skills, including motor, process, and communication/interaction skills. C. Interventions and procedures to promote or enhance safety and performance in activities of daily living (ADL), instrumental activities of daily living (IADL), education, work, play, leisure, and social participation, including: 1. Therapeutic use of occupations, exercises, and activities. 2. Training in self-care, self-management, home management, and community/work reintegration. 3. Development, remediation, or compensation of physical, cognitive, neuromuscular, sensory functions and behavioral skills. 4. Therapeutic use of self, including one’s personality, insights, perceptions, and judgments, as part of the therapeutic process. 5. Education and training of individuals, including family members, caregivers, and others. 6. Care coordination, case management, and transition services. 7. Consultative services to groups, programs, organizations, or communities. 8. Modification of environments (home, work, school, or community) and adaptation of processes, including the application of ergonomic principles. 9. Assessment, design, fabrication, application, fitting, and training in assistive technology, adaptive devices, and orthotic devices, and training in the use of prosthetic devices. 10. Assessment, recommendation, and training in techniques to enhance functional mobility, including wheelchair management. and adaptive driving. 11. Driver rehabilitation and community mobility. 1112. Management of feeding, eating, and swallowing to enable eating and feeding performance. 1213. Application of physical agent modalities, and use of a range of specific therapeutic procedures (such as wound care management; techniques to enhance sensory, perceptual, and cognitive processing; manual therapy techniques) to enhance performance skills.


ADOPTED: STATEMENT: ASSISTIVE TECHNOLOGY WITHIN OCCUPATIONAL THERAPY PRACTICE Motion: Debbie Murphy-Fischer moved to adopt the Statement, Assistive Technology Within Occupational Therapy Practice with the minor editorial change: Page 2 line 18 Replace the phrase “They do so by analyzing the clients performance skills and patterns”

Minutes of the 2004 Representative Assembly - FINAL DRAFT With “They do so by completing an occupational profile and an analysis of occupational performance, and by analyzing the characteristics”…

2004C29 ADOPTED

ADOPTED: CONTINUE AD HOC MENTORING COMMITTEE Motion: Task Group Leader 2 Debbie Murphy-Fischer moved to charge the Speaker of the Representative Assembly to continue appointment of the current Ad Hoc Mentoring Committee until the 2005 annual RA meeting with the purpose of further examination and development of a formal mentoring program for the Association.

2004C39 ADOPTED

ADOPTED: AD HOC MENTORING COMMITTEE TO EXAMINE THE AUSTRALIAN & MA MENTOR WEB SITES Motion: Task Group Leader 2 Debbie Murphy-Fischer moved to charge the Speaker of the Representative Assembly to direct the current Ad Hoc Mentoring Committee to critically examine the Australian Occupational Therapy Association Mentor Link—Allied Health mentoring program and the Massachusetts Occupational Therapy Association online mentoring Web sites and programs for functionality, feasibility (staffing, fiscal) purposes, and overall outcomes by 2005 RA meeting.

2004C40 ADOPTED

ADOPTED: AD HOC MENTORING COMMITTEE TO DEVELOP PLAN FOR VOLUNTEER LEADERS, STUDENTS, AND MEMBERS Motion: Task Group Leader 2 Debbie Murphy-Fischer moved to charge the Speaker of the Representative Assembly to direct the current Ad Hoc Mentoring Committee to develop a feasible plan or blueprint for implementation by the Association for volunteer leaders, students, and other members. In addition, provide literature supporting the topic of mentoring by the 2005 RA annual meeting.

2004C41 ADOPTED

ADOPTED AS AMENDED: COP TO REVIEW OTA PRACTICE IN COMMUNITY BASE PRACTICE Motion: Task Group Leader 2 Debbie Murphy-Fischer moved that the RA charge the COP and 2 additional occupational therapy assistants to assemble a task group to identify the roles and issues impacting OTAs in the delivery of community base OT services. The COP task group would examine issues relating to

1. barriers to practice 2. roles 3. opportunities 4. supervisions 5. regulation

Task group members would include: [3 OTAs (one being the RA OTA rep), 2 policy AOTA staff persons, 1 SEC, 1 COE, All COP members (11 members), AOTA Board OTA person, 1 CCCPD] A report with recommendations will be submitted to the 2005 RA.


DEFEATED: PRACTICE FRAMEWORK AVAILABLE FREE TO MEMBERS, NONMEMBERS, CONSUMERS, ETC. Motion: Task Group Leader 2 Debbie Murphy-Fischer moved that the Representative Assembly charge AOTA to make the Practice Framework available to all interested parties free of charge.

2004C108 DEFEATED

ADOPTED: EVIDENCE-BASED LITERATURE REVIEW ON EFFICACY OF SI INTERVENTIONS Motion Task Group Leader 2 Debbie Murphy Fischer moved to charge the President to request the Executive Director to conduct a focused question evidence based literature review on the efficacy of sensory integration interventions.

Minutes of the 2004 Representative Assembly - FINAL DRAFT Questions to guide the literature review will be developed by the developmental disabilities, school systems, sensory integration, special interest section, in consultation with a researcher knowledgeable about evidence based methods and review. Focused questions to be identified by January 1, 2005. The literature review to begin prior to 2005 RA. Targeted completion of review and report to RA in 2006.

2004C133 ADOPTED The Speaker recognized Mary Hager, West Virginia Representative. Motion: Mary Hager, West Virginia Representative, moved to reconsider 2004C127.

DEFEATED

The Speaker recognized Connie Herold, Kentucky Representative. Motion: Connie Herold, Kentucky Representative, moved to reconsider 2004C108

DEFEATED The Speaker recognized Sue Knox, California #1 Representative.

ADOPTED: SPECIAL INTEREST SECTION STEERING COMMITTEE NAME CHANGE Motion: On behalf of Task Group 5, Sue Knox moved that the Special Interest Section Steering Committee (SISSC) change its name to “The Special Interest Sections Council.” Charge the BPPC to prepare the appropriate Bylaws amendments for the next Bylaws vote.

2004C128 ADOPTED

ADOPTED: RA NONVOTING MEMBERS BECOME VOTING MEMBERS Motion: On behalf of Task Group 5, Sue Knox moved that the following RA Nonvoting Members become voting members of the Assembly: the Assembly of Student Delegates (ASD) Representative; Affiliated State Association Presidents (ASAP) Representative; OTA Representative; Consumer Member; and the Chairpersons of the Commission on Education (COE), Commission on Practice (COP), Commission on Standards and Ethics (SEC), Commission on Continuing Competence and Professional Development (CCCPD), and Special Interest Sections Steering Committee (SISSC). Charge the BPPC to prepare the appropriate bylaw amendments for the next Bylaws vote.

2004C127 ADOPTED

ADOPTED: AD HOC COMMITTEE TO EXPLORE MANAGEMENT COORDINATION OF THE RA Motion: On behalf of Task Group 5, Sue Knox moved that the Speaker be charged to establish an ad hoc committee to explore management coordination of the RA, and to inspect the roles of all leaders who are members of the Assembly as it looks at functions and roles. This would include coordination of functions between the Board and the Assembly, especially on matters of planning and cross-functional activities. The committee would need to identify the ideal future state of management of the policy-making body and then look at job descriptions, policies, Bylaws, and SOPs to see how we can build the bridge to that RA of the future. Recommended committee members would include at least past or present official of the RA, past or present board member, member of the RACC, and at least one member with managerial expertise. Report will be due to the 2004 Online Meeting with recommendations due back to the Assembly in 2005.

2004C123 ADOPTED

ADOPTED AS AMENDED: PROFESSION’S POSITION ISSUES THAT AFFECT THE PARTICIPATION OF INDIVIDUALS Motion: Sue Knox Task Group Leader 5 moved that the Speaker charge the Representative Assembly coordinating Council (RACC) to design a process to identify topics for potential statements and/or position papers on key issues that speak to occupational and social participation in society by the 2004 fall online meeting. Body of Motion: On behalf of Task Group 5, Sue Knox moved to amend Motion 1 by striking Representative Assembly (RA) and adding Speaker charge the Representative Assembly Coordinating Council (RACC) to design a process to identify topics for potential statements and/or position papers on key issues that speak to occupational and social participation in society and develop position papers on key issues important to society by the 2004 fall online meeting.


2004C73 ADOPTED AS AMENDED The Speaker recognized Marcie Weinstein, Nominating Committee Chairperson. Ballots for the election of the Speaker and Recognitions Chairperson were given to the Assembly and returned for compilation. The Speaker recognized Sue Knox, California #1 Representative.

DEFEATED: ADD SERVICE AS QUALIFICATION/CRITERIA Motion: Sue Knox, on behalf of task Group 5, charges the Speaker to request that the Nominating Committee add service on AOTA ad Hoc Committees and task forces as one of the qualifications/criteria that can be counted for nomination as a any elected position Board Director, Officer, or Commission chairperson. And charge the BPPC to make the appropriate changes to SOPs by online RA meeting.

2004C129 DEFEATED

ADOPTED: SUBSTITUTE MOTION FOR ADD SERVICE AS QUALIFICATION/CRITERIA Motion: Sue Knox Task Group Leader 5 moved on behalf of Task Group 5, to charge the Speaker to request that the Nominating Committee add service on AOTA Ad Hoc committees and bodies, or leadership positions in established networks as one of the qualifications/criteria that can be counted for nomination as any elected position. And charge the BPPC to make the appropriate changes to official documents SOPs by 2004 online RA meeting.

2004C149 ADOPTED AS AMENDED ELECTION RESULTS The Speaker called on Marcie Weinstein, Nominating Committee Chairperson. Election results were: Speaker: Wendy Hildenbrand Recognitions Chairperson: Mary Kay Currie The Assembly was recessed at 6 p.m.

FRIDAY, MAY 21, 2004 The Speaker called the meeting to order at 9:10 a.m. The Speaker made morning announcements.

RECOGNITION OF OUTGOING REPRESENTATIVE ASSEMBLY MEMBERS AND COMMITTEE MEMBERS The Speaker and the Recognitions Chairperson, Lawrence Zachow, recognized and awarded Service Awards. Refer to the Appendix for a complete list. Service Awards were also presented to committee members. See the Appendix A for a complete list.

CRAC REPORT Susan Tucker, Chairperson, Credentials Review and Accountability Committee (CRAC), reported (60) Representatives, Officers, RA Officials and present, giving a potential of (60) votes, with a majority of (31) necessary to carry a motion.

RECOGNITION OF OUTGOING COMMITTEE CHAIRPERSONS, OFFICERS, AND OFFICIALS The Vice Speaker and the Representative Assembly recognized and acknowledged the contributions of outgoing committee chairpersons, officers and officials. Service Awards were presented to these individuals who were completing their terms. See Appendix A for a complete list. The Speaker recognized Trina Schulz, Agenda Chairperson, for an update on the agenda. The Speaker recognized Leader of Task Group 4, Nancy Naishtat, Representative from Oregon, for a report.

ADOPTED: POLICY 2.14: NET ASSETS Motion: Nancy Naishtat moved on behalf of Task Group 4, to approve the recommended revisions as amended to Policy 2.14.

Minutes of the 2004 Representative Assembly - FINAL DRAFT Rationale:

1. The changes were reviewed with the BPPC, the Secretary, the Treasurer, and the CFO (Chuck Partridge). All agreed with changes to this policy.

2. The term “disaster” was changed to “emergency” since this is a term defined in our association policies. Further we are following with a motion for BPPC to expand the definition for Policy 1.48.

2004C59 ADOPTED

ADOPTED: EXPAND DEFINITION OF EMERGENCY Motion: Nancy Naishtat moved on behalf of Task Group 4, that the BPPC be charged to review and expand the definition of emergency in the Emergency Policy (1.48). Recommendations due by October ’04 RA.

2004C130 ADOPTED

DEFEATED: DEVELOPING ADVOCACY SKILLS IN MEMBERS Nancy Naishtat moved that the Representative Assembly (RA) ask the Board of Directors to propose an AOTA Fellowship Program to offer 1-year experiences for members to work with the Federal Affairs program to gain experience in policy and advocacy and thus extend the influence that occupational therapy can have in the policy arena. Such a program should be included in the 2004 budget.

2004C63 DEFEATED

ADOPTED: DEVELOP DEFINITIONS OF OCCUPATIONAL THERAPY (TALKING POINT DEFINITIONS) Motion: Nancy Naishtat moved to on behalf of Task Group 4, that the Speaker appoint an ad hoc committee, chaired by the past President to work closely with the Fund to Promote Awareness of Occupational Therapy to develop 10 to 20 talking point explanations of occupational therapy. Each explanation will incorporate common language of the profession (participation, occupation, and other language from the Framework and other official documents) to define occupational therapy in different practice contexts so clinicians, students, educators, and scientists can easily, readily, and confidently explain occupation therapy to others and thereby promote the profession. The committee will present these talking points and a plan for their use and dissemination by the 2005 RA with a preliminary report at the fall on line RA meeting.

2004C62 ADOPTED

ADOPTION: CONSENT AGENDA V Trina Schulz moved adoption of Consent Agenda V with one item removed. Motion: Move to charge the COE to be responsible for the Philosophical Base of Occupational Therapy document, immediately after the 2004 RA annual meeting.

ADOPTED 2004C5 Motion: Move to approve the Nominating SOP.

ADOPTED 2004C10 Motion: Move to approve the Universal Nomination Form, Attachment F, to the Nominating SOP.

ADOPTED 2004C11 Motion: Move to charge the Speaker to request that COE and the SISs revise their respective SOPs to reflect the changes outlined in the Nominating SOP and Universal Nomination Form and send to BPPC for review at their fall meeting (September 2004).

ADOPTED 2004C12 Motion: Move to charge the President to request that ASD and ASAP revise their respective SOPs to reflect the changes outlined in the Nominating SOP and Universal Nomination Form and send to BPPC for review at their fall meeting (September 2004).

ADOPTED 2004C13 Motion: Move to charge the President to publicly support the outcome competencies identified by the Institute of Medicine of the National Academies (2003) as a part of Occupational Therapy education with a report back to the RA by the October 2004 on-line meeting.

ADOPTED 2004C124 Motion: Move to adopt the Guidelines for Supervision, Roles, and Responsibilities During the Delivery of Occupational Therapy Services.


ADOPTED 2004C24 Motion: Move to adopt the Position Paper, Psychosocial Aspects of Occupational Therapy.

ADOPTED 2004C25 Motion: Move to adopt the Statement, Occupational Therapy Services in Early Intervention and School-Based Programs.

ADOPTED 2004C26

Motion: Move to adopt the revised position paper, Occupational Therapy’s Commitment to Nondiscrimination and Inclusion.

ADOPTED 2004C28 Motion: Move to rescind Guide for Supervision of Occupational Therapy Personnel in the Delivery of Occupational Therapy Services.

ADOPTED 2004C30 Motion: Move to rescind Guidelines for the Use of Aides in Occupational Therapy Practice.

ADOPTED 2004C31 Motion: Move to rescind Parameters for Appropriate Supervision of the Occupational Therapy Assistant.

ADOPTED 2004C32

Motion: Move to rescind Roles and Responsibilities of the Occupational Therapist and the Occupational Therapy Assistant During the Delivery of Occupational Therapy Services.

ADOPTED 2004C33 Motion: Move to rescind the 1995 Concept Paper, Service Delivery in Occupational Therapy.

ADOPTED 2004C34 Motion: Move to rescind the 1994 document, Statement of Occupational Therapy Referral.

ADOPTED 2004C35 Motion: Move to rescind the 1993 document, Occupational Therapy Roles, and the accompanying 1994 document, Career Exploration and Development: A Companion Guide to the Occupational Therapy Roles Document.

ADOPTED 2004C36 Motion: Move to rescind the 1995 Statement, Psychosocial Concerns Within Occupational Therapy Practice.

ADOPTED 2004C37

Motion: Move that the final date for the Vision 2017 be extended to the 2006 RA spring meeting, with updated reports given to the Assembly quarterly until completion.

ADOPTED 2004C38 Motion: Move to rescind 1998 Statement, Occupational Therapy for Individuals with Learning Disabilities.

ADOPTED 2004C121 Motion: Move that the draft proposal, “Standards of Governance Performance,” not be adopted.

ADOPTED 2004C45 Motion: Move to charge the Speaker to direct SEC, as part of its Accountability Plan (also referred to as the SEC Leadership Orientation and Education Program—see B.1.) to develop a draft conflict resolution procedure to address disputes between and within Association bodies. This plan should require objective evidence of attempts and actions to resolve issues before they are brought to the SEC. The conflict resolution procedure should be reviewed by the BPPC and, if approved, adopted by the RA as part of the Administrative SOP.

ADOPTED 2004C46 Motion: Move to adopt SEC Enforcement Procedures for the Occupational Therapy Code of Ethics.

ADOPTED 2004C49 Motion: Move that the RA approve the Statement of Formal Complaint of Alleged Violation of the Occupational Therapy Code of Ethics.


ADOPTED 2004C50 Motion: Move to rescind Attachment C: Statement of Formal Complaint of Alleged Violation of the Occupational Therapy Code of Ethics and re-letter subsequent attachments.

ADOPTED 2004C51 Motion: Move to approve SEC SOP Attachment C: Judicial Council General Procedures.

ADOPTED 2004C52

Motion: Move to rescind Attachment E of the SEC SOP: Communication and Decision Making for Chairperson of the SEC and Attachment F of the SEC SOP: Communication and Decision Making for Voting Members of the SEC and re-letter subsequent attachments.

ADOPTED 2004C53 Motion: Move to approve the revised SEC SOP document renamed Attachment D: Management of Confidential Information.

ADOPTED 2004C54 Motion: Move that the RA adopt the revised SEC SOP.

ADOPTED 2004C55 Motion: Move that the RA approve the revised Policy 1.14.1: Censure.

ADOPTED 2004C56 Motion: Move to charge the Treasurer to develop a procedure for prepaid travel arrangements for consumer and public members of Association bodies.

ADOPTED 2004C57 Motion: Move the Jeanette Bair Writer’s Award be established by the Representative Assembly with criteria to be developed by the Recognitions Committee and report back to the 2005 RA. Purpose of the award: to recognize a writer published in OT Practice.

ADOPTED 2004C64 Motion: Move the President, in collaboration with the COP, develop a definition of “occupation” and submit for inclusion in Merriam Webster’s Dictionary and other dictionaries, and reference sources used by the general public. The definition should reflect that occupation can be both the means and the end in interventions used in occupational therapy. A report is due back to the October ‘04 RA.

ADOPTED 2004C107 Motion: B.2. Action 1: Approve the Document COE/COP SOP Attachment A: Official Documents

ADOPTED 2004C79 Motion: Approve Policy 1.31: Disposition of Official Documents revised by Task Group 6 to insert the phrase “including disseminated materials related to the meeting (except confidential items)” between the word “copies” and “shall be” under item 2.

ADOPTED 2004C84 Motion: Approve the revised Administrative SOP.

ADOPTED 2004C85 Motion: Approve the COE and COP SOPs that have been revised to incorporate changes in the Attachment A: COE/COP SOP Attachment A.

ADOPTED 2004C100 Motion: Extend the Ad Hoc Committee on Historical Foundations for 1 year.

ADOPTED 2004C109

Minutes of the 2004 Representative Assembly - FINAL DRAFT The Speaker recognized Leader of Task Group 3, Peter Giroux, Representative from Mississippi, for a report.

DEFEATED: ETHICS AND JUDICIAL AD HOC COMMITTEE Motion: Peter Giroux moved to charge the Speaker and President to appoint an Ad Hoc Committee to explore the ramifications of the Standards and Ethics (SEC) becoming a stand-alone body known as the Ethics and Judicial Board, which retains its current roles and functions. Suggested membership of the Ad Hoc Committee is RA Vice Speaker (Chair of Ad Hoc Committee), chair or designee of BPPC, Board of Directors (designee), external representation (with ethics background), SEC Chair, and SEC 2001-2004 Chair. The Ad Hoc Committee will provide the interim report to the RA in 2005 and a final report in 2006 at the annual meetings.

2004C141 DEFEATED The Speaker recognized Assistant Leader of Task Group 3, Jean Hearst, Representative from Virginia, for a report.

DEFEATED: AD HOC GROUP TO EXPLORE NEW MEMBERSHIP CATEGORY - ULTIMATE MEMBERSHIP Motion: Jean Hearst moved that the Speaker of the RA establish an ad hoc task group, to include the AOTA Treasurer, to explore the possibility of an “Ultimate Member” membership category to increase membership of the national and affiliated (state) associations, with an interim report to be submitted by the October 2004 RA Online meeting.

2004C102 DEFEATED

ADOPTED AS AMENDED: AOTA COLLABORATIVE MEMBERSHIP DEVELOPMENT Motion: Jean Hearst move to charge the Treasurer to explore and expand ways for AOTA to partner with the Affiliates on methods for collaborative membership development. Report back to RA 2005 meeting.

2004C136 ADOPTED AS AMENDED The Speaker recognized Trina Schulz, Agenda Chairperson, for a report. The Speaker recognized Leader of Task Group 4, Nancy Naishtat, Representative from Oregon, for a report.

ADOPTED: SUBSTITUTE FOR MOTION 3 - DEVELOP ADVOCACY SKILLS Motion: Nancy Naishtat moved that the Representative Assembly (RA) charge the President to develop and implement an AOTA Congressional Fellowship Program which would offer 1-year experiences for members to work on Capitol Hill to gain experience and influence in policy and advocacy and thus extend the influence that occupational therapy can have in the policy arena. Planning of the program should be included in the 2005 budget. A pilot program of 1 fellowship should be included in the 2006 budget. An interim report with recommendations is due back to the Assembly at the ’05 RA.

2004C150 ADOPTED

ADOPTED: EDITS TO SCOPE OF PRACTICE CORRESPOND TO REVISIONS IN MODEL PRACTICE Motion: Sara Brayman, COP Chairperson, moved that COP make corresponding edits to the Scope of Practice to reflect the revisions made in the Model Practice definition.

2004C151 ADOPTED

ADOPTED: REPLACEMENT MOTION FOR SAFE PROVISION OF OCCUPATIONAL THERAPY Motion: Nancy Naishtat moved on behalf of Task Group 4, that AOTA exert a visible commitment and take active leadership in and encouraging improvements in the safe provision of occupational therapy by taking the following steps:

• Charge the RACC with developing recommendations for policies related to the safe provision of occupational therapy services.

• Charge the RACC to develop a plan to compile and disseminate resource information for the safe provision of occupational therapy that can be used by therapists and educational programs. The plan for dissemination should address encouraging dissemination on AOTAs Web site, in all AOTA’s official publications, and at the Annual AOTA Conference.

• RACC will report back on these charges at the 2005 RA. • Charge the President to collaborate with other professional societies and the Center for Patient Safely as needed to

develop recommended initiatives for error prevention, reporting and analysis, and implementation of safety improvements and practices.


2004C152 ADOPTED The Speaker recognized Assistant Leader of Task Group 1, Melinda Glass, Representative from Washington, for a report.

ADOPTED AS AMENDED: PROFESSIONAL STANDARDS Motion: Melinda Glass moved to charge that the President collaborate with representation from other vested parties (ACOTE, NBCOT, WFOT, COE, COP) to discuss and recommend action regarding minimum qualifications of the foreign trained therapists regarding the following issues:

• Effects of the profession AOTA moving to entry level-masters degree by 2007 – similarities and differences of training and skills

• Mandatory fieldwork for foreign trained therapists • Consideration of endorsement of a professional certification exam as the standard for certification for federal use

(work visas) Report due back to the RA at the online October 2004 meeting.


ADOPTED: CCCPD TO REVIEW THE AOTA POLICY ON SPECIALTY CERTIFICATION Motion: Melinda Glass moved to charge the CCCPD to review the AOTA Policy 1.36 on Specialty Certification with recommendations back to the 2004 RA Online meeting.

2004C146 ADOPTED

ADOPTED: BOARD CERTIFICATION/SPECIALTY CERTIFICATION Motion: Melinda Glass moved to charge the CCCPD to establish board certification in the areas of Pediatrics, Gerontology, Mental Health and Physical Rehabilitation and specialty certification in the areas of Driver Rehabilitation and Community Mobility, Cognition, Environmental Modification, Feeding and Swallowing and Low Vision. A progress report and projections of future fiscal accountability is to be presented at the 2005 RA.

2004C144 ADOPTED The Speaker recognized Assistant Leader of Task Group 3, Jean Hearst, Representative from Virginia, for a report.

ADOPTED AS AMENDED: AD HOC COMMITTEE TO EXPLORE THE RAMIFICATIONS OF THE SEC AS A STAND-ALONE Motion: Jean Hearst moved to charge the Speaker and President to appoint an Ad Hoc committee to explore the ramifications of the SEC becoming a stand-alone body which retains its current scope, roles and functions, or other alternatives structures for SEC. Suggested membership of the Ad Hoc Committee is RA Vice Speaker (chair of the Ad Hoc Committee) chair or designee of BPPC, Board of Directors (designee) 2 external representatives (with ethics back ground) and SEC 2001-2004 chair of the Ad Hoc Committee will provide the interim report to the RA in 2005 and a final report to the 2006 RA.

2004C153 ADOPTED AS AMENDED The Speaker recognized Assistant Leader of Task Group 1, Melinda Glass, Representative from Washington, for a report.

ADOPTED AS AMENDED: OTA PROFESSIONAL DEVELOPMENT Motion: Melinda Glass moved to charge the CCCPD to review with OTA advanced practitioners (credentialed) and other OTA leaders with the Advanced Practioners credential whether the Specialty Certification program meets the intent to support the professional development of OTAs with a report back to the 2004 online meeting.


ADOPTED AS AMENDED: COP POSITION STATEMENT FOR THE USE OF EVIDENCE-BASED PRACTICE Motion: Melinda Glass moved to charge the Commission on Practice to write a white paper position statement that discusses the ethical, thoughtful and scientific use of evidence, to guide practice considering a wide range of and multiple levels of evidence, including the client’s perspective, while continuing to support practice outside the medical model with a report back to the RA at the 2005 meeting.


Minutes of the 2004 Representative Assembly - FINAL DRAFT ADOPTED AS AMENDED: COE AND EDSIS - EDUCATION AND TRAINING FOR EVIDENCE-BASED PRACTICE Motion: Melinda Glass moved to charge the COE to work with the EDSIS to develop methods of educating and training academic and fieldwork educators, and students about the ethical, thoughtful and scientific use of evidence to guide practice with a report back to the RA by 2005 meeting.


ADOPTED: CCCPD REVIEW STANDARDS OF CONTINUING COMPETENCE EVIDENCE-BASED PRACTICE Motion: Melinda Glass moved to charge the CCCPD to consider incorporating evidence-based practice as a competency for occupational therapists and occupational therapy assistants in their review of the Standards of Continued Competence and to consider methods of facilitating the incorporation of evidence in Continuing Education offerings when possible with a report back to the RA by 2005 meeting.

2004C138 ADOPTED

ADOPTED: SISSC - INCORPORATE EVIDENCE INTO SIS QUARTERLIES - AOTA CE Motion: Melinda Glass moved to charge the SISSC to incorporate available evidence and evidence based practice tools and resources into SIS quarterlies and other AOTA sponsored Continuing Education programs and to bring up the topic of evidence-based practice in relevant listserv discussions with an interim report back to the RA by 2005 meeting.

2004C140 ADOPTED

ADOPTED: EVIDENCE-BASED PRACTICE ENDORSEMENT VICE SPEAKER AND RACC Motion: Melinda Glass moved to charge the Vice Speaker to work with the RACC to develop a plan to disseminate evidence-based practice information and resources to the AOTA membership with a report back to the RA by the 2005 meeting.

2004C125 ADOPTED

ADOPTED: STRATEGIES FOR EXPANDING AND STRENGTHENING MENTAL HEALTH Motion: Melinda Glass moved to charge the COE, COP, and Mental Health SIS to:

• Review the report of State Affairs on determining the Federal, State, and commonwealth of Puerto Rico, criteria for becoming a mental health provider.

• To develop strategies to improve client access and to increase the numbers of occupational therapists and occupational therapy assistants practicing in mental health.

• Strengthen the practice of mental health through a position paper clearly connecting participation through occupation as the core for mental health.

• Explore what is in each curriculum preparing OTs and OTAs for mental health practice in a frame work that would be appropriate and understood for use by external audiences.

All activities to be completed for the review by the RA at the 2005 RA meeting. 2004C126 ADOPTED

ADOPTED AS AMENDED: STRENGTHENING THE CAPACITY OF OT GRADUATES TO ADDRESS PSYCHOSOCIAL ISSUES Motion: Melinda Glass moved to charge the COE to explore strategies including endorsement of a required psychosocially focused fieldwork and other strategies to increase the capacity of graduates to apply the psychosocial core of occupational therapy across all settings and report these recommendations to the 2005 RA. Interim report to the 2004 RA Online meeting.


ADOPTED: ELECTRONIC VOTING FOR THE ASSOCIATION LEADERSHIP POSITIONS Motion: Melinda Glass moved to charge the Nominating Chair to study the feasibility of using an electronic voting method for elections of the AOTA leadership positions with a report back to the 2004 online meeting.


ADOPTED AS AMENDED: ELIGIBILITY CRITERIA FOR AOTA ELECTED OFFICIALS Motion: Melinda Glass moved to charge the Speaker to direct the Association bodies under the purview of the RA to review and revise their eligibility criteria if needed for elected offices and that they be attached to the job description/SOP for the elected position for review by the BPPC and for approval of the RA by the October 2004 online meeting.


2004C118 ADOPTED

ADOPTED: ELGIBILITY CRITERIA OF OFFICERS AND DIRECTORS Motion: Melinda Glass moved to charge the President to direct Association Officers, Directors and bodies under the Board to review and revise the eligibility criteria if needed for the election of these positions and that they be attached to the job description for review by the BPPC and for approval of the Board by the fall 2004 meeting.


DEFEATED: AOTA INCLUSION OF CULTURAL COMPETENCY WITHIN PROFESSIONAL STANDARDS FOR COMPETENCY On behalf of Task Group 1 Melinda Glass recommended defeat of Motion 4 and reported that they addressed Motion 4 and are ready to present a substitute motion.

2004C19 DEFEATED

ADOPTED: CULTURAL COMPETENCE Motion: Melinda Glass moved to charge the Commission on Continuing Competence and Professional Development to review the standards for continuing competence for occupational therapy to include cultural competence with a report to the 2005 RA meeting.

2004C132 ADOPTED

ADOPTED: 2004 RA STRATEGIC PLANNING FOR 2005-2007 Motion: Connie Herold moved to charge the Speaker to work with the RA officials and others such as the Vice President, former Speaker, and members of Task Group 7, to prepare a strategic plan for the RA for 2005-2007. The strategic plan is to include measurable goals and action items for each of the five categories defined in the 2004 RA Strategic Planning Document. These measurable goals will be based on information obtained from the SKEPTIC analysis (see Appendix B) and the critical issues identified at the 2004 RA. The Speaker will report back at the 2004 online meeting.

2004C142 ADOPTED

ADJOURNMENT The Speaker, Mary Evert, stated that the agenda had been completed. Hearing no objections, the Speaker adjourned the 2004 Representative Assembly at 4 p.m. Approved by the Ad Hoc Minutes Review Committee on _________________ Patricia Bowyer, EdD, OTR/L, BCN Recorder

ADDENDUM SUMMARY INSTRUCTIONS I.A. Meeting Schedule

Minutes of the 2004 Representative Assembly - FINAL DRAFT I.B. Rules of the Day

REPORTS OF RA OFFICIALS II.A. Speaker II.B. Vice Speaker II.C. Recorder REPORTS OF THE BODIES OF THE ASSEMBLY III.A. RA Coordinating Council (RACC) (see Vice Speaker’s Report) III.B. Commission on Education (COE) III.C. Commission on Practice (COP) III.D. Commission on Standards & Ethics (SEC) III.E. Special Interest Sections Steering Committee (SISSC) III.F. Commission on Continuing Competence and Professional Development (CCCPD) III.G. Agenda Committee III.H. Bylaws, Policies, and Procedures Committee (BPPC) III.I. Credentials Review and Accountability Committee (CRAC) III.J. Nominating Committee III.K. Recognitions Committee REPORTS OF AOTA OFFICERS IV.A. President IV.B. Vice President IV.C. Secretary IV.D. Treasurer

REPORTS FROM THE BOARD OF DIRECTORS V.A. Executive Director V.B. Affiliated State Association Presidents (ASAP) V.C. Assembly of Student Delegates (ASD) V.D. World Federation of Occupational Therapists (WFOT) Delegate V.E. Accreditation Council for Occupational Therapy Education (ACOTE) VI. American Occupational Therapy Foundation (AOTF) VI.A. Research Advisory Council VII. The Fund to Promote Awareness of Occupational Therapy (The Fund) VIII. Ad Hoc, Special Committees and Task Force Reports IX. Related Professional Organizations X. Resolutions XI. Motions XII. Miscellaneous


MOTION SUMMARY

MOTIONS ADOPTED AS AMENDED NUMBER TITLE 1 Process for Determining the Profession’s Position Issues that Affect the Participation of

Individuals in Society

MOTIONS DEFEATED NUMBER TITLE 3 Developing Advocacy Skills in Members 4 AOTA Inclusion of Cultural Competency Within Professional Standards for Competency

MOTIONS WITHDRAWN NUMBER TITLE 2 Development of a Guide To Support Occupational Therapy Assistants’ Role in

Community Health

5 Support Public Awareness of Occupational Therapy in the Area of Sensory Integration Practice in Hospitals, Public Schools, Private Practice Clinics, and Community-Based Settings


APPENDIX A

REPRESENTATIVES SERVICE AWARDS LIST Joanne Boehme, Alaska; T. Preston Peter, Arkansas; Judith P. Sehnal, Connecticut; JoAnn E. Tate, Delaware; Shirley Jackson, District of Columbia; Taunia Kerner, Idaho; Terry Giese, Illinois; Jacqueline R. Brennan, Massachusetts; Mary Kay Currie, Michigan; Sherri Judah, Nebraska; Diana Hunt, New Jersey; Deborah Murphy-Fischer, New York #1; Sonia Zimmerman, North Dakota; Linda Curry, Rhode Island; Emily Bowe Groth, South Carolina; Kay Broeder, Tennessee; Kathlyn Reed, Texas; Melinda Glass, Washington; Mary Brayton, Wisconsin.

ALTERNATE REPRESENTATIVES SERVICE AWARDS LIST Kay Madelon Harmon, Arkansas; Irene L. Herden, Connecticut; Deborah T. Oblath, Delaware; Paula Jo Belice, Illinois; Kathleen LaRaia, Michigan; Amy Matthews, Nebraska; Catherine Gardner, New Jersey; Elizabeth Chiariello, New York, #1; Lorene Peterson, North Dakota; Rebecca Marsh, Rhode Island; Wendy Welch-Gillen, South Carolina; Jennifer Susong Crowder, Tennesse; Carolyn Kus, Washington; Gail Vandecastle, Wisconsin.

RECOGNITION OF OUTGOING COMMITTEE CHAIRPERSONS, OFFICERS AND OFFICIALS Mary Evert, Speaker; Barbara Kornblau, President; Aimee Luebben, Secretary; Charlotte Royeen, COE Chairperson; Shirley Wells, SEC Chairperson; Lawrence Zachow, Recognitions Chairperson; Margaret Owens, Sergeant-At-Arms; Jamie Mayer, ASD Representative.


APPENDIX B

THE 2004 RA STRATEGIC PLANNING DOCUMENT Part I: SKEPTIC Analysis A survey was distributed to the RA via the listserv. The following is a summary of the top responses in each category: S SOCIODEMOGRAPHICS (of the membership) Members will have higher average level of education More members will be nearing the end of their career and planning for retirement Member needs will be focused on: Professional advocacy Access to evidence for practice K COMPETITION Licensing fees Specialty Associations/Organizations Lifestyle choices/family expenses i.e. larger homes, cell phones, etc. competing for $$$ E ECONOMICS/ENVIRONMENT Corporate partnerships CE offerings (in variety of formats) Grants P POLITICAL States will rely on AOTA for political support As an organization, we need to work better internally as a team OT must be part of any health care reforms There will be continued lack of funding for Medicare and Medicaid

T TECHNICAL Reps will have e-mail addresses of all constituents Reps will communicate with constituents via e-mail All constituents will have access to electronic communication I INDUSTRY/SUBSTITUTES State associations Large CE providers Other specialty associations/organizations i.e. American Society of Hand Therapists C CUSTOMERS (members and potential members) Want something tangible for membership Promote public awareness

PART 2: Identification of Critical Issues The following is a summary of the items mentioned most frequently as “critical issues” for our 2007 planning.

1. Membership (40) • Attracting/retaining new members (14) • Awareness of value of membership (7) • Increase member activity (5) • Want something tangible for membership (10) • Affordable membership (4)

2. Shift in practice away from medical model (24)

3. Professional advocacy/public awareness (21)

4. Practice resources (23)

• Access to evidence for practice (9) • Access to practice info (13) • Adhering to changing practice mandates from reimbursement sources (1)


5. Reimbursement (10)

6. Competition (19)

7. Economic issues (11)

8. Political activism (30) • Includes position in health care reform, reimbursement, scope of practice

9. Communication with constituents (16) • Use of technology

10. How we do business (25+) • Adhere to bylaws, vision, mission, core values

PART 3: Prioritization of Critical Issues 1. Membership 65 2. Advocacy 62 3. Political Activism 61 4. Practice Resources 50 5. Communication with constituents 42 6. Reimbursement 38 7. Competition 21 8. How we do business 18 9. Shift in practice 16 10. Economic Issues 15

Minutes of the 2004 Representative Assembly - FINAL DRAFT Page 22 PART 4: Formulation of Core Objectives

OBJECTIVES (TG 7 proposal)

FUNCTION (From Bylaws)

VISION (RA 2003)

CRITICAL ISSUES (SKEPTIC exercise 2004)

1. Member-Centered (e.g. tangible benefits, increased value, increased participation)

• Internal association affairs • Membership rights and

responsibilities

M O V E With collaborative governance

• Membership • Communication with

constituents • Competition for member $

2. Assembly Operations (e.g. leadership training, flexibility in volunteer opportunities, strategic planning)

• Internal association affairs • Budget and finance • Member rights and

responsibilities • Other powers and

functions • Elect committee chairs


• Communication with constituents

• How we do business

3. Policy Issues of the Profession (e.g. education, practice, ethics, competence)

• Internal association affairs • Position statements • Other powers and

functions


• Practice resources • Reimbursement • Shift in practice • Industry competition • Economic resources

4. Political activism/advocacy for consumers and profession

(e.g. scope of practice, consumer access to OT)

• External association affairs

M O V E With collaborate governance

• Advocacy • Political activism • Reimbursement • Industry competition

5. Strategic alliances (e.g. state affiliates, WFOT, AOTF, Trialliance, NBCOT, consumer groups)

• External association affairs

M O V E With collaborate governance

• Advocacy • Competition for member $ • How we do business