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Learning Outcome 4: 

Utilize the OT-lens to Consult on Transition Program Implementation

Learning Activities

  1. Develop NextEd Challenge programming: Collaborate with St. Louis Arc staff to develop content for 3 week-long independent living skills sessions of NextEd Challenge (1 overnight session, 2 daytime sessions)

    • Applied OT lens to development (e.g., when exploring the campus facilities for overnight programming, collaborating on schedule and content)

    • Finalized program to solidify eBook for the program

    • Addressed additional miscellaneous needs: the creation of supplemental resources, gathering supplies, etc.

  2. Develop NextEd Challenge staff training: Develop NextEd Challenge Overnight staff training and revamp NextEd Challenge Day staff training as needed

    • ​Reviewed existing staff training to inform NextEd Challenge training

    • Finalized and implemented staff training content 

  3. Train NextEd Challenge staff for implementing services through an OT lens: Lead training for program staff

    • ​I led staff training for programming in mid-July, incorporating concepts of OT (e.g., Just Right Challenge; Doing, Being, Belonging, Becoming)

  4. Consult on NextEd Challenge implementation: Provide OT consultative services during program implementation

    • Completed prep work collaboration with my OT mentor to plan mentored OT consultation

    • Provided consultative services/approach for overnight programming

    • Created a document of successes and areas of growth to inform future programming, including day sessions.

    • Consulted for day programming

  5. Evaluate NextEd Challenge w/ appropriate assessment measures: Pre- and post- program assessment options for participants and program

    • ​Reviewed existing options for pre- and post-program assessment

    • Revamped/established appropriate measures for participants/caregivers for programming and staff for the success of the training

    • Delivered assessment measures to intended populations and gathered them upon completion

    • Analyzed preliminary outcomes of overnight programming for St. Louis Arc

  6. Meetings for collaboration and feedback on program development and consultation with my OT mentor and peers: Meet with OT mentor and her students to inform OT transition-related roles and collaborate on program-specific development needs

    • Attended 6 meetings with peers and mentor - overviewing themes of transition and overlap with OT.

    • Collaborated with my mentor for consultative mentorship, assessment development, and staff training development

    • Collaborated during programming through mentored supervision of consultation

    • Collaborated on OT pitch to St. Louis Arc

Learning Outcome 4 Deliverables

eBook Lessons - Content Examples

Assessments

Caregiver Pre- and Post-Program Assessments

Participant Pre- and Post-Program Assessments

Staff Training Post-Assessment

Preliminary Outcomes from Participant Assessments

Assessment Structure

Section 1: 34 Item Assessment rating Confidence and Importance in 9 Domains

(NextEd's 9 Pillars of Independent Living) 

  • The 34 items are divided into the 9 domains as follows:

    • Self-Determination (4)

    • Routines (3)

    • Personal Safety (4)

    • Connection to Community (1)

    • Leisure & Wellness (4)

    • Cooking & Nutrition (5)

    • Managing Living Spaces (4)

    • Money Management (5)

    • Communication (4)

  • 4-Point Scales for Confidence and Importance

    • Confidence:

      • 1: I have a big problem doing this 

      • 2: I have a little problem doing this

      • 3: I do this OK

      • 4: I am really good at doing this​

    • Importance: 

      • 1: Not really important to me

      • 2: Important to me

      • 3: Really important to me

      • 4: Most important of all to me

Section 2: Three Questions on 4-point scales

  • How do you make decisions?

    • 1: I don't make my own decisions

    • 2: I make some of my own decisions

    • 3: I may most of my own decisions

    • 4: I make all of my own decisions​

  • How do you feel about living on your own?

    • 1: I never want to live on my own

    • 2: Maybe someday I will live on my own

    • 3: I would like to live on my own sometime soon

    • 4: I am ready to move out today​

  • How frequently do you use technology to support independence?

    • 1: I never use technology supports

    • 2: I sometimes use technology supports 

    • 3: I use technology supports every day

    • 4: I use technology supports multiple times a day

Section 3: Participant Identified Goals for the Program 

Post-Assessment Additions

  • How well does the NextEd  Program meet your needs?

    • 1: Does not meet my needs

    • 2: Sometimes meets my needs

    • 3: Mostly meets my needs

    • 4: Always meets my needs

  • Did you learn any skills in the NextEd Program that you will use immediately or in the near future? 

    • 1: Did not learn anything I will use

    • 2: Learned some new things that I will use

    • 3: Learned a lot of new things that I will use

    • 4: Learned everything and will use it all in my life

  • Participant suggestions for the program

  • Personal accomplishments

Preliminary Outcomes to Highlight

​​​

Examples of Participant Pre-Program Goals:

  • "To leave feeling ready to live on my own and handle supports to assist in my life... and manage my life" 

  • "Make a friend"

  • "Get safety skills"

  • "Cooking and cleaning without anyone asking me to do it"

  • "Creating and sticking to a budget - learning to cook"

  • "Show parents I can be trusted"

Participant Pre-Assessment Overall Confidence

  • Median Pre-Assessment Score of Confidence: 106/136

  • Score Range: 85-135

Participant Post-Assessment Overall Confidence

  • Median Pre-Assessment Score of Confidence: 114/136

  • Score Range: 80-136

7 of 9 participants stated the NextEd Program mostly or always met their needs

8 of 9 participants stated they learned at least some new skills from NextEd that they will use

Examples of Participant Post-Program Accomplishments:

  • "Doing everything on my own"

  • "Handling my own room and being aware of how much money I have to spend"

  • "Being more independent"

  • "Using my money wisely"

  • "Taking medication without anyone asking me to and making new friends"

Examples of Participant Suggestions for the Program: 

  • "Going further with individualism"

  • "More opportunities for learning how to clean"

  • "Learning how to do laundry"

  • "Too much walking - be closer to the dining hall"

  • "More cooking"

  • "Longer breaks"

Staff Training

Separate trainings for staff working both overnight and day sessions vs. those working solely day

Staff Training Feedback and Entrustability

Entrustability Scale on Consultation

Problem Solving Skills Check for Consultation

Skills Test based on "Simplexity Thinking - Problem Solving Model"

 

I took this skills check prior to providing consultative services in order to reflect on my problem-solving skills, consider strategies to improve the skills, and practice implementing those strategies during consultation.

  • Score Categories

    • 16-36: View problems as negatives rather than opportunities for positive change​

    • 37-58: Need improvements in consistency and commitment to problem-solving

    • 59-80: Confident problem solver

  • Personal Score: 56

    • Interpretation: "Your approach to problem-solving is a little 'hit-and-miss.' Sometimes your solutions work really well, and other times they don't. You understand what you should do, and you recognize that having a structured problem-solving process is important. However, you don't always follow that process. By working on your consistency and committing to the process, you'll see significant improvements" (MindTools, n.d.)​

Reference: MindTools. (n.d.). How good is your problem solving?  https://www.mindtools.com/pages/article/newTMC_72.htm#Explanation

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