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Case Management Project a Partnership of Disabled Persons Federations and LIH Olivia’s Place Beijing

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CDPF BJ Sept 1 Since September 2016, The Beijing Disabled Person’s Federation has contracted with LIH Olivia’s Place Beijing to provide case management for 150 children and to establish family support systems so that families can effectively access resources. An initial parent meeting and training was held at LIH Olivia’s Place Beijing on 13 September 2016. Twenty-seven children with special needs and their parents, teachers and students from the Department of Social Work at Beijing University of Agriculture, as well as LIH Olivia’s Place clinical staff participated.

 

CDPF BJ Sept 2Parents toured the clinic, met our doctors and therapy team, and were provided with an overview of clinic services. Clinicians briefly introduced the group to various therapies, techniques, and effects and outcomes of treatments. Parents came away with a better understanding of developmental behavioral pediatrics and therapies, as well as the mission of LIH Olivia’s Place. In addition, the project leader gave a detailed introduction to the case management project.

 

During the initial parent meeting, LIH Olivia’s Place Beijing Health Service Director Kristi Troutman also presented on “How to play with your Kids.” She introduced play suitable for children of different ages and with varying diagnoses and delays, as well as strategies to include therapy techniques in play. Through this lecture, parents began to think about how they usually play and interact with their children, and learned better ways to communicate with them. Read more


Kunming LIH SkyCity Clinicians Complete Intense Interdisciplinary Training

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KM IDT Training 2 Kunming LIH SkyCity Hospital clinicians attended a special interdisciplinary core competency building training program on February 7. This 5-day internal training program was conducted by the lead instructor, Dr. Fengyi Kuo. The objective of the training program was to equip clinical staff with interdisciplinary core competencies to ensure professional service provision at an international standard. Some of the topics covered included clinical reasoning, clinical documentation, family-centered care and goal writing, professionalism and ethics, confidentiality, patient handling, and postural assessment. Special guest speaker, LIH Healthcare consultant Dr. Ching-chun Lin, Senior Clinical Instructor and Physical Therapist from Taiwan Chung-Ho Memorial Hospital, affiliated teaching hospital of Kaohsiung Medical University, presented a special session on International Classificiation of Functioning, Disability, and Health (ICF). During the training, three SkyCity Hospital senior therapists, Marla Balzer (PT), Peter Drzymala (OT), and Liliane Akiki (PT) provided their expertise on patient handling and safety transfers through various lectures and demonstrations as well.

 

KM IDT Training 1The training not only provided trainees a solid understanding of clinical reasoning and disciplinary work but also various hands-on practice opportunities and many case studies for group discussion. Work groups within the training were based on an interdisciplinary team approach consisting of members from different specialties. As a result, the trainees enhanced their awareness of disciplinary team work culture and experienced the process of reaching an interdisciplinary solution and performing case analysis from perspectives other than their own. The training program garnered a lot of positive feedback, with one clinician commenting, ““This is a perfect training experience, very much appreciate for Dr. Kuo’ specific explanations and in-depth insights on clinical reasoning. Her teaching is very professional and thorough.”

 

The program’s lead instructor, Dr. Fengyi Kuo, is an experienced occupational therapy faculty member and clinician who has served as a visiting professor at Indiana University/IU School of Health and Rehabilitation Sciences in Indianapolis, US. She has also served at University of Indianapolis (Indiana, US), Gannon University (Pennsylvania, US), and MetroHealth Medical Center (Ohio, US). Fengyi serves on the American Occupational Therapy Association (AOTA)’s Childhood Obesity Prevention and Health Promotion Work Group. Fengyi maintains several professional credentials and advanced certifications, which include Registered Occupational Therapist (OTR), Certified Psychiatric Rehabilitation Practitioner (CPRP), Sensory Integration & Praxis Test (SIPT), and Global Mental Health Trauma and Recovery.

 

KM IDT Training 4_aLIH Heatlhcare is dedicated to introducing advanced international rehabilitation techniques, cutting- edge services, and quality healthcare management models. Kunming LIH SkyCity Rehabilitation Hospital, a 14,000 square meter facility with 104 beds, officially opened in March 2017 and is working toward CARF standards. The hospital has an international team of consulting clinicians, as well as the leading rehabilitation technology and a high-quality healthcare environment. In addition, LIH SkyCity has established a partnership with the Department of Neurological, Rehabilitation, Orthopedics Rehabilitation, and Pain Management at Montefiore Medical Center, Albert Einstein Medical College, one of the largest resident training centers in the US. The hospital also partners with the Developmental Behavioral Pediatrics department of Children Specialized Hospital (New Jersey, US), the largest children rehabilitation hospital in the US.


Together with Shining Star: Our Mission and Vision at Work

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Sophia Guarracino, Speech-Language Lead, LIH Olivia's Place Shanghai

Sophia Guarracino, Speech-Language Lead, LIH Olivia’s Place Shanghai

Since the summer of 2016, LIH Olivia’s Place has provided multi-disciplinary speech, occupational, physical, and even behavioral therapy, to children at Shining Star. Shining Star is a program for blind and partially sighted orphans who live in a residential home in Shanghai. It was established in June 2012 for these children to receive one to one care and instruction in basic life skills.

Therapists from each discipline visit Shining Star on a six week rotation, to assist staff, care managers, and volunteers, who work with the children each day, to provide specific therapy targets for each child. Through modeling, demonstration, and feedback, the staff is then able to carryover individual targets in each therapy discipline until the therapist’s next visit. There are also written notes for each child so the caretakers can remember what to work on.

The speech therapy team has been an integral to the program, using speech-language therapists to help these children improve their basic communication needs. On a few occasions, experienced speech-language pathologists from outside of LIH Olivia’s Place have accompanied the team to volunteer their time and expertise at Shining Star, while gaining a fulfilling volunteer experience in China.

One of the more notable aspects of LIH Olivia’s Place’s involvement with Shining Star, however, has been the training opportunities for Chinese-trained therapists. This successful training model has given junior staff members, such as Xieling Zhou, a chance to develop a high standard of clinical skills, specific to children with moderate to severe vision weaknesses and developmental delays, all while receiving supervision from internationally-trained therapists.

Typically, in a speech-language session at Shining Star, Xieling sees approximately 5 children in one day, each individually for about 30 minutes. She starts her sessions by having the staff model what they have been doing with each child in the previous weeks. She is able to gain an idea of what has been worked on and what has been helpful for each child, while also being able to provide more structured guidance in how the staff can improve each activity. Xieling also works with the children and staff in Chinese. Therefore, the children receive intervention in their native language and the staff receive specific and immediate feedback to help them carryover the treatment plan.

Since LIH Olivia’s Place began collaborating with Shining Star, many of the children have gone from being non-verbal, to speaking sounds and words. They are now imitating language more, are saying earlier developing sounds, and seem more motivated to use words and sounds to request their basic needs.

It is hoped and expected that the children will continue to make progress in the future, as the staff and children gain more opportunities to work on all areas of functional living skills. More and more local therapists will also be able to work with these children to gain more clinical experience. Shining Star and LIH Olivia’s Place have a relationship which is mutually beneficial; it is also a perfect example of the LIH Olivia’s Place vision and mission to change how therapy is done in China.


LIH Olivia’s Place Beijing March Photo Gallery

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Early spring is a good season for sowing hope and spreading thoughts! On this occasion, LIH Olivia’s Place Beijing also launched a series of training and activities on pediatric development rehabilitation. We hope that by providing training to parents, teachers, and clinicians, each child has opportunity to get comprehensive and professional care and attention, to grow healthily and happily.

 

Parent Training at Huijia Kids: A Series Lecture on Child Development

On March 4, an interdisciplinary team from LIH Olivia’s Place Beijing provided a lecture on Children’s Challenges to teachers and parents at Huijia Kids. In the lecture, our clinicians analyzed the root causes for problems and challenges children encounter in learning and in life, shared coping strategies and suggestions, introduced a case study about an inattentive child, and explained misunderstandings about sensory integration. At the end of the lecture, clinicians showed the importance of developing and training good postures and answered all kinds of questions raised by parents. The atmosphere was very lively!

Huijia 4

 

Huijia 3

Rare Disease Day – Never Rare, Parent Training on SMA Basic Care and Rehabilitation

For many families with children with a rare disease, parents take good care of their child and frequently seek training and therapeutic interventions. However, during daily activities with their children, parents may not know how to use their strength appropriately. They may get hurt or even have functional problems due to the long-term care they provide. In this context, Eva K. Ma, Senior Occupational Therapist at LIH Olivia’s Place, was invited to introduce basic care and therapy knowledge, including guidance on handling and transfers. Nikola Milosevic and Liu Ping, physical therapists, also provided support and suggestions from the point of view of physical therapy.

 SMA1 SMA2

  Read more


Carrying a Backpack: Do It Right!

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Melina Pordeus De Paul Goedert, Senior Physical Therapist, LIH Olivia's Place Beijing

Melina Pordeus De Paula Goedert, Senior Physical Therapist, LIH Olivia’s Place Beijing

Students all over the world use backpacks every day for about 14 years. These backpacks routinely contain books, laptop computers, personal and other items used on a daily basis. Studies have shown potential for injury if the backpack is carried incorrectly is too heavy for a child to carry.

Injury can occur when a child tries to overcompensate for the extra weight by leaning forward, arching his or her back, or leaning to the side. Carrying a backpack can promote significant forward lean of the head and trunk compared with athletic bags or strapless bags. This type of compensation leads to improper spine alignment, causing fatigue and strain that may result in further injury. In addition, daily physical stress associated with carrying a backpack on one shoulder can significantly alter a child’s posture and gait pattern during the formative years.

The American Physical Therapy Association (APTA) recommends limiting a backpack’s weight to 15 percent of a child’s weight. The APTA further recommend that no one, including adults, should carry more than 11kg (25lb) in a backpack.

Person’s Weight Maximum Backpack Weight
Pounds Kilograms Pounds Kilograms
60 27 5  2.5
60-75 27-34 10  4.5
100 45 15  6.8
125 56 18  8
150 68 20  9
200 90 or more 25*  11

 

In addition to weight, consider these recommended instructions for proper use of a backpack:

 

Wear both straps.

Using only one strap causes one side of the body to bear the weight of the backpack. This can be true even with one-strap backpacks that cross the body.

 

Remove and put on backpacks carefully.

Keep your trunk stable and avoid excessive twisting.

 

Wear the backpack over the strongest mid-back muscles.

Pay close attention to the way the backpack is positioned on the back. It should rest evenly in the middle of the back. Shoulder straps should be adjusted to allow the child to put on and take off the backpack without difficulty and permit free movement of the arms.

 

Lighten the load.

Keep the load at 10-15 percent or less of the student’s bodyweight. Carry only those items that are required for the day. Each night remove articles that can be left at home. Organize the contents of the backpack by placing the heaviest items closest to the back to reduce kinetic forces that cause postural misalignment and overwork muscles.

 

Parents and children can avoid injury by recognizing the following warning signs that the backpack is too heavy:

  • change in posture when wearing the backpack;
  • struggling when putting on or taking off the backpack;
  • pain when wearing the backpack;
  • tingling or numbness in arms and legs, mostly arms; or
  • red marks on the shoulders.

 

The perfect backpack has:

A padded back: Use a padded back to reduce pressure on the back, shoulders, and underarm regions, and also enhance comfort and safety.

Hip and chest belts: The belts transfer some of the backpack weight from the back and shoulders to the hips and torso;

Multiple compartments: Backpacks with multiple compartments allow for better distribution of weight, keep items secure, and ease access to the contents.


Hanen More Than Words Program: Empowering Parents

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Between October 2016 and February 2017, three families dedicated 12 Saturdays with Hanen-certified speech-language pathologists Yi Lien and Chihui Yong at LIH Olivia’s Place to complete the More Than Words ®: Hanen program for parents of children with autism spectrum disorder and other social communication problems.

Hanen’s More Than Words® is a program developed by speech therapists with expertise in the field of communication disorders and backed by extensive research. It empowers parents to help their child with social-communication difficulty or autism spectrum disorder (ASD) reach three goals:

1 Improved social communication and back-and-forth interactions
2 Improved play skills
3 Improved imitation skills

Through the program, parents reported the following improvements in their child:

 Increased joint-attention skills
 Improved response (to parents), increased interaction and imitation skills (verbal/actions)
 Improvement in play skills

With regards to the program’s approach, one Shanghai parent reported:

“训练者帮助我们分析、找出达到沟通、游戏目标的方法。他们提出反思的方式帮助我们思考。和其他项目的不同之处在于,他们不是给我们一个模板来复制,而是让我们能具备更好的设定策略能力,以帮助我们和孩子之间有更好的互动、沟通。”
“The trainers guide us to analyze and think of other ways to achieve the (communication/play) goals targeted. They used reflective questions to help us think. Unlike other programs, we were not given a template to copy, but were equipped with the strategies to help us interact/communicate better with our children.”

It was truly an exciting journey witnessing parents applying Hanen strategies to facilitate more back-and-forth interaction with their child, and hearing them generating their own creative ideas to communicate better with their child.

Due to the success of our workshop, we have decided to offer another it again. The workshop will be held in Mandarin Chinese. We would like to invite parents or teachers of children with social-communication difficulty or autism spectrum disorder to a free orientation session to learn more about the program.

Date : March 25th (Saturday)
Time : 2.30- 4.30pm
Venue : 41 YongJia Road, Office # 503
Contact Number : 021-5405-0058/59

For more information, please call LIH Olivia’s Place Shanghai or email us.


Care Providers Come Together for Better Postparum Mental Health

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On 7 March, LIH Olivia’s Place Psychologist Dr. Beth Rutkowski presented to the team at Ferguson Women’s Health on postpartum mental health. Dr. Rutkowski reviewed five conditions that women may experience following pregnancy. These include depression, mania, anxiety, obsessive-compulsive disorder, and psychosis. The presentation included information on the presentation of these disorders as well as specific risk factors that make them more likely to occur. The goal of the presentation was to increase awareness and detection of these common conditions, as they occur in approximately 25% of new mothers. Dr. Rutkowski also discussed treatment techniques that are helpful for these conditions, including psychotherapy, social interventions, and the possibility of medication. Following the presentation, clinicians from LIH Olivia’s Place spoke with care providers at Ferguson Women’s Health about ways they could work more closely together to provide the best care possible for new mothers.


LIH Olivia’s Place Presents at Beijing Huijia Kindergarten

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Huijia 1aHuijia 3On 3 January 2017, the interdisciplinary team from LIH Olivia’s Place brought parents and teachers from Beijing Huijia Kindergarten into the very fascinating world of child development with a lecture titled “Insights into the Challenges in Children’s Life.” Focusing on topics such as lack of concentration, stuttering, and poor sitting posture, our interdisciplinary team analyzed possible causes and provided strategies and approaches from a professional perspective. From the lecture, the audience gained new ideas about children’s behavior.

“The lecture was very approachable,” one teacher said, “the speakers did a great job making complicated subjects understandable to us all, who have little knowledge in pediatric therapy and developmental and rehabilitative medicine.” During the Q&A session, the speakers received a warm response from the audiences, who actively asked questions including queries about picky eaters and procrastination. To this, our team, including occupational, physical, speech, and ABA therapists, worked together to analyze the “problematic behaviors” and give professional and practical guidance and advice from their respective areas.


Cooperative Project Provides Training For Chuntong Center

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Chuntong 1A four-month cooperative project between LIH Olivia’s Place Beijing and Beijing Changyu Chuntong Rehabilitation Center (“Chuntong”) came to a successful end on 9 December 2016. This project aimed at providing relevant clinical training to the teaching team at Chuntong and enhancing their capacity. The training focused on the treatments of students from two families. On the basis of students’ assessments, LIH Olivia’s Place Beijing made plans, guided teachers and therapists at Chuntong to implement the treatments, and trained parents.

In biweekly communications, Kristi Troutman, Occupational Therapist and Clinical Manager and Evelyn Cao, Learning & Behavior Support Specialist, were the lead training specialists, while a multidisciplinary team from LIH Olivia’s Place Beijing included language therapists, physical therapists, and psychologists to provide multidimensional technical support.

Ms. Troutman is a US-licensed occupational therapist with more than 20 years of experience. She utilizes neurodevelopmental, sensory integrative, and psychosocial frames of reference in treatment and has experience with a variety of specialized programs. During the Chuntong training project, she made presentations on “how to make evidence-based, reasonable treatment objectives” and “how to play with children.” Kristi also provided suggestions on the design and use of functional areas and teaching equipment at Chuntong,

Chuntong 2Evelyn Cao has completed supervised practicum training in the US focused on Applied Behavior Analysis (ABA). She has experience in conducting assessments for behavioral interventions, as well as designing, implementing, and monitoring skill acquisition and behavior reduction programs. In this project, Evelyn provided training and family behavioral intervention strategies for the parents participating in the project.

During the project, the teachers and the two participating families from Chuntong also visited LIH Olivia’s Place Beijing to have field-based learning. Our multidisciplinary team provided specific rehabilitation suggestions and answered questions put forward by teachers. All the teachers and parents gave positive feedback on this training and expressed that they would apply what they’ve learned. Good communication and cooperation between LIH Olivia’s Place and Beijing Changyu Chuntong Rehabilitation Center was encouraging to both organizations.


Autism a Focus of Professional Meetings in Beijing

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It iTervo BJ 2s the mission of LIH Olivia’s Place to improve the quality and prevalence of pediatric rehabilitation services in China and to help all children with special needs receive professional and effective rehabilitation service. In addition to providing high quality of service, LIH Olivia’s Place is also committed to promoting communication and interaction among professionals in this field. In November, Dr. Raymond Tervo, Developmental Behavioral Pediatrician, participated in several professional development events in Beijing.With abundant research and clinical experience, Dr. Tervo has previously practiced at the Mayo Clinic and as a professor of pediatrics at the University of Minnesota.

On 23 November, Dr. Tervo shared his knowledge on the theory and practice of autism intervention with experts and clinicians from Beijing United Family Healthcare and Oasis International Hospital. In the workshop, Dr. Tervo also shared his clinical experiences and enthusiastically discussed problems in research and diagnosis.
BJ Tervo 4On 29 November, Xicheng Disabled Person’s Federation of Beijing and LIH Olivia’s Place Beijing jointly organized a lecture where Dr. Tervo again introduced theory and practice of autism interventions. More than seventy people participated in this lecture, including special education teachers from Xicheng District, doctors from the Mental Disease Prevention Institute at Pingan Hospital, pediatricians from Xicheng District Maternal and Child Healthcare Hospital, and staff from the the federation. Dr. Tervo introduced the historical background, definition, prevalence, cause, diagnostic process, and interventions for autism. He answered questions and provided detailed explanations to particpants. In the Q & A session, a teacher from Peizhi School discussed and exchanged views on behavioral causes and training of autistic children she found in her teaching experience with Dr. Tervo.


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