Kristi Troutman

Experts Gather for Silk Road Child Health Forum

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Xian 1On 6-9 July, the Silk Road International Forum for Child Health 2017 was held in Xi’an by the Second Affiliated Hospital of Xi’an Jiaotong University and the Chinese Journal of Child Health Care. Nearly 500 experts in domestic and international pediatrics and health care participated in this meeting. A broad range of pediatric topics including early development, mental health, nutrition, growth and development, high risk infants, children with cerebral palsy, digestive health and allergic disorders, were discussed.

Dr. Susan Cadzow ( M.B.B.S., F.R.A.C.P., Australia, Chief of Behavioral and Developmental Pediatrics for LIH Oliva’s Place Clinics (a division of LIH Healthcare) and Kristi Troutman ((OTR/L, US), also with LIH Olivia’s Place, were invited and presented on “A Multidisciplinary Approach to Autism Diagnosis” and “What is Pediatric Occupational Therapy” respectively.
LIH Oliva’s Place Clinics, with rich resources in international healthcare, endeavors to build academic exchange with domestic medical institutes and is committed to the development of behavioral and developmental pediatrics and pediatric rehabilitation in China.

Congratulations on the success of the Silk Road International Forum for Child Health 2017!

LIH Healthcare Pediatric Specialists Present at Children’s Healthcare Forum

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The “Forum on Current Topics in Caring for Children -Nutrition, Development & Parenting” was held at Shenzhen Bao An Maternity and Children’s Hospital on 14 May. Many well-known professors and international and local supervising physicians were invited to this forum, the theme of children’s health care issues. Dr. Susan Cadzow, Director of Developmental-Behavioral Pediatrics for LIH Healthcare and Kristi Troutman, Occupational Therapist and Clinical Manager of LIH Olivia’s Place Shenzhen, both presented at the event.

Baoan 1Dr.Susan Cadzow is an Australian-registered pediatrician and also a Fellow of the Royal Australasian College of Physicians. She has previously worked at Shanghai United Family Hospital and Royal Children’s Hospital, Brisbane. She is now the Director of Developmental Behavioral Pediatrics at LIH Healthcare.
First, Dr. Cadzow explained what a multi-disciplinary team model is and why it is necessary in the diagnosis of autism. Due to complexity in diagnosis of autism and the similarity of symptoms to many other conditions, precise diagnosis requires the engagement of a team which may include a child’s doctor andoccupational therapy, physical therapy, psychological consultation, speech-language therapy, Learning support, and behavioral therapy.
Next, Dr. Cadzow explained in detail the goal of diagnostic assessment. At the end of the presentation, she expressed that she is looking forward to the further development in specialized services for treatment of autism for children and multi-disciplinary assessment team to enable early diagnosis and early intervention in China, as well as further understanding of practitioners on genetic conditions.

Kristi Troutman, LIH Olivia's Place Clinical Manager, presenting on "Occupational Therapy and Developmental-Behavioral Disorders"

Kristi Troutman, LIH Olivia’s Place Clinical Manager, presenting on “Occupational Therapy and Developmental-Behavioral Disorders”

Kristi Troutman, OTR/L, Clinical Manager at LIH Olivia’s Place Shenzhen, has more than 25 years of occupational therapy experience; she has worked with children with a variety of diagnoses, including autism, ADHD, cerebral palsy, visual impairment, Angleman Syndrome, Noonan Syndrome, selective mutism, and developmental delay.

In her speech, she explained the concept and types of pediatric occupational therapy, and advocated the idea that “Family engagement is Essential in OT”- children, peers, family members, and adults work together on occupational activities such as feeding and eating, caregiver-child interaction in play, dressing, grooming, and personal hygiene. This joint effort is very important to infants, toddlers, children, and their families.

She put emphasis on the significance of occupational therapy, exemplified by how occupational therapy activities are designed to fit for the needs of every single child’s development. Her speech won applause from the audience from time to time, and was received very warmly. In the end, Ms. Troutman explained that the goal of treatment should be varied in terms of each individual, taking consideration of education at home and school, and also highlighted that treatment should be home-centered as appropriate.

LIH Healthcare Management Visits Children’s Specialized Hospital

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LIH Healthcare Senior Managers Hu Dai and Kristi Troutman

LIH Healthcare Senior Managers Hu Dai and Kristi Troutman

On March 28, Children’s Specialized Hospital (CSH), LIH Healthcare’s partner hospital for pediatrics in New Jersey, US welcomed three LIH healthcare managers, Dr. Fengyi Kuo, Therapy Director at Kunming LIH SkyCity Rehabilitation Hospital; Kristi Troutman, Interim Therapy Director at LIH Olivia’s Place Shenzhen, and Dai Hu, General Manager at LIH Olivia’s Place Beijing, prior to the opening of the AOTA conference. Clinical leadership from two organizations met face to face during the 1-day visit to conduct significant dialogue on various topics including rehabilitation facilities, clinical education, and team building in the cultural context of China and the US. The second part of the visit consisted of tours of CSH’s inpatient and outpatient facilities under the guidance of Patricia Foley, VP of Outpatient Services, with thorough overviews of their outpatient services and programs from an operational perspective. “As a clinic manager, the visit was fulfilled with great conversations with their clinicians and a deep tour in their inpatient and outpatient facilities which brought me inspiration on the direction of our Beijing clinic,” said Mr. Hu.

A special half-day meeting was arranged exclusively for clinicians to conduct special topic presentations, Q&A, and discussions. A series of topics including The Current State of Rehabilitation and Rehabilitation Education in China, LIH Healthcare Current Facilities, Staffing and Patient Demographics, and Overview of LIH Healthcare Clinical Training and Leveling were brought to CSH’s therapist leads team by the LIH Healthcare managers. The presentations and dialogue received tremendous feedback from CSH’s clinicians. Kristi Troutman, Interim Therapy Director at LIH Olivia’s Place Shenzhen recalled, “Our CSH counterparts found these presentations extremely helpful for them to put many things into perspective in terms of supporting clinician peers in China. It was eye-opening for them to hear about the ‘gaps’ in therapist numbers versus need throughout China and the history of rehab in China!” The meeting served as a great opportunity for stronger ties between clinicians as they exchanged professional expertise and went into a deep dive on special clinical topics.

During the meeting, CSH presented “The Six Thinking Hats” methodology that the organization adopted to train clinicians on multidisplinary team thinking and working models. The clinical leads initiated deep discussion with the LIH Healthcare managers on identifying needs areas for ongoing training and improvement for better multidisplinary team communication that leads to better treatment planning and higher quality of care. “My understanding on how CSH has been effectively implementing the family-centered care approach to all levels from management to clinicians had been incrementally growing throughout the visit. I was also constantly amazed by the level of cohesiveness of their communications between disciplines.” Said Dr. Fengyi Kuo, Therapy Director at Kunming LIH SkyCity Rehabilitation Hospital.

The partnership between LIH Healthcare and CSH was established in 2015, with the goal of increasing the quality and availability of services for pediatric rehabilitation/therapy and developmental-behavioral pediatrics in China. Since then, therapists from both organizations have been working closely on building knowledge pathways to share professional expertise. Children’s Specialized Hospital is the leading US provider of inpatient and outpatient care for children from birth to 21 years of age facing special health challenges, with a volume of 30,000 patients yearly – from chronic illnesses and complex physical disabilities like brain and spinal cord injuries, to developmental and behavioral issues like autism and mental health. With 68 inpatient beds and 13 New Jersey locations, Children’s Specialized is the region’s largest provider of services for children with ASD. Based on a Press Ganey independent survey, 99% of patient’s parents would recommend Children’s specialized to others. It has been named “Top Children’s Hospital” by The Leapfrog Group and named among Top Children’s Hospitals by New York Magazine.

LIH Healthcare Attracts Talent Overseas at AOTA Conference

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LIH Healthcare Brings Global Talent Together in celebrating 100 years of Occupational Therapy in AOTA

AOTA's Centennial bash

AOTA’s centennial bash

The American Occupational Therapy Association (AOTA) 2017 Annual Conference took place from March 30 to April 2 this year in Philadelphia, Pennsylvania. This conference is THE LARGEST gathering of OT profession in the world, with more than 1,600 presentations and 4,000 speakers this year, it attracted occupational therapy professionals around the global

It was a special year of the AOTA conference as all professionals in the global occupational therapy community gathered to cheer for the centennial celebration of occupational therapy. LIH Healthcare OT Team delegates, Therapy Director of LIH Kunming SkyCity Rehabilitation Hospital, Dr. Fengyi Kuo, Interim Therapy Director of LIH Olivia’s Place Shenzhen, Ms. Kristi Troutman, and General Manager of LIH Olivia’s Place Beijing, Mr. Dai Hu attended this conference and brought LIH Healthcare to the stage by throwing a first-ever recruiting cocktail reception.


A well-attended event with the support of friends and partners

Kristi Troutman with delegates from the WFOT Volunteer Board

Kristi Troutman with WFOT leadership delegates

As a registered conference event, LIH Healthcare successfully hosted “Bring Your Talent to China: LIH Healthcare is NOW HIRING,” a special reception that aimed to connect and reconnect global OT talent with LIH Healthcare. The event attracted more than 70 people, including US occupational therapists, Chinese OT returnees, to global talent from countries other than US or China. In addition to many young professionals with an interest in joining LIH Healthcare, many of the company’s friends and partners attended the event, placing it in high regard as a great opportunity to greet and network with other professionals who share the same interest in China and the mission and service developments of LIH Healthcare. Their attention and warmhearted support ensured the success of this event. Many guests stayed beyond the end of the reception, with lively discussion about shared interests and a chance to further explore opportunities to support LIH Healthcare’s initiatives to provide high quality OT services across China. Special friends and partners included delegates from Children’s Specialized Hospital, Peking University, University of Southern California, the World Federation of Occupational Therapists (WFOT), long-term supporter, University of Pittsburgh, and Susan Hermes, a long-time support of LIH Olivia’s Place.

Delegates from Peking University and University of Southern California

Delegates from Peking University and University of Southern California

Kristi Troutman with delegates from Children Specialized Hospital

Kristi Troutman with delegates from Children Specialized Hospital


Leon Chang  (Faculty, SUNY Stony Brook), Dr. Athena Tsai (WFOT Standards & Quality Program Coordinator), Dr. Jim Hinojosa (2007 AOTA Slagle Lecturer), Dr. Fengyi Kuo (WFOT IAG member for human rights), Serena Wen (Sr. OT)

Leon Chang (Faculty, SUNY Stony Brook), Dr. Athena Tsai (WFOT Standards & Quality Program Coordinator), Dr. Jim Hinojosa (2007 AOTA Slagle Lecturer), Dr. Fengyi Kuo (WFOT IAG member for human rights), Serena Wen (Sr. OT)

LIH Healthcare’s Professional Presence

As a longtime active member of AOTA, Dr. Fengyi Kuo and her research partner Kit Sinclair delivered a well-attended education session during the AOTA conference to address the topic of “Occupational Therapy’s Role in Working with Displaced Persons to Support Their Self-Efficacy and Community Integration.” Dr. Kuo is a Clinical Assistant Professor in the Department of Occupational Therapy at Indiana University School of Health & Rehabilitation Sciences in Indianapolis. She also currently serves as the Therapy Director of LIH Kunming SkyCity Rehabilitation Hospital.



LIH global recruiting initiative

LIH Healthcare has been rapidly growing since its establishment in 2013. The company has expanded its rehabilitation services in 4 cities, Beijing, Shanghai, Shenzhen, and Kunming. Three of these facilities are focused on developmental-behavioral pediatrics and therapy for children, while the fourth is the first comprehensive rehabilitation hospital in the southwest region of China. Equipped with a wide global professional network, LIH Healthcare has established a unique culture of diversity and inclusion that brings global talent together to achieve the ultimate goal of providing high quality rehabilitation services across China. To learn more about employment opportunities with LIH Healthcare, please contact our Talent and Development Team at (English) or by following this link (Chinese).


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.

LIH Olivia’s Place OTs Stand Out at CARM Conference

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CARM Group_KRTThe 5th National Conference of Occupational Therapists of the Chinese Association of Rehabilitation Medicine (CARM) was held at Jiamusi University in December 2015. This is the highest-level OT conference in China and it is held every 4 years. During the conference there are 2 major events, The first is that and all major positions for the Chinese OT Committee are elected for a 4-year term. This year, LIH Olivia’s Place’s Hu Dai, Occupational Therapist and Director of Education and Training, was re-elected vice president for another 4 years.


Kristi  Troutman, LIH Olivia's Place OT & Clinican Manager (Beijing) presents at CARM

Kristi Troutman, LIH Olivia’s Place OT & Clinican Manager (Beijing) presents at CARM

Also at the conference, a series of pediatric workshops was held. Kristi Troutman, LIH Olivia’s Place Occupational Therapist and Clinical Manager (Beijing), delivered two sessions, “Therapeutic Use of Play” and “Interdisciplinary Approach in Pediatric Care: A Case Study.” Both sessions were well received and evaluated highly. Over 60 committee members and another 150 OT practitioners and educators from all over the country participated in the conference.

Giving…and Getting Hope in Shanxi Province

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by Sorcha Ni Chadhain, Occupational Therapist, Eliott's Corner, Beijing

by Sorcha Ni Chadhain, Occupational Therapist, Eliott’s Corner, Beijing

YanYan slowly raised his head; there was a hint of something in his face…..and then it came; a wonderful, joyful smile and giggle straight from the belly! One quick connection of the eyes and the game started over. And that was it. That fleeting moment was enough to make us sure our visit was worthwhile. Thankfully there were many moments just like it throughout an intense but wonderful weekend spent in an orphanage in Shanxi province.

We are two occupational therapists working at Eliott’s Corner in Beijing. We first made a visit to this orphanage in September 2014. We were so taken with the children, the carers, and the great work being undertaken that it took little convincing to get us back on that train again 3 months later in December and again most recently in May 2015. The purpose of our visits have a few layers!

and by Kristi Troutman, Lead Occupational Therapist, Eliott's Corner, Beijing

and by Kristi Troutman, Lead Occupational Therapist, Eliott’s Corner, Beijing

First and foremost, we are there to meet the children and their carers. Many of the children in this facility have various levels of disability and ability. Their carers, who love them dearly, have little training in providing specific ‘therapeutic’ interventions to develop these children’s skills and abilities. They are somewhat lucky in terms of the unique set-up, which allows one carer to care specifically for three children. Carers of course share duties and help each other out, but this means they have a constant, long-term ‘mama’ who feeds them, bathes them, and shares a room with them. For us, this allows a unique opportunity to train a carer to work on improving a particular skill for each child, be that developing eye-contact, learning colors, or just showing enjoyment.

Finding ways to actually provide training that works, to assess children in these environments and provide input that is sustainable after you get back on the train is often the greatest challenge in working with orphanages and other institutions. The best intentions in the world don’t always lead to sustainable change or lasting impact. But one of the factors that makes this place so special to work in, is the unyielding determination of the leaders and management to get the best out of life and provide the best out of life for these children. This means support, encouragement, and expectations for the carers, that they will have time, resources, and training provided so they can give ‘therapy’ on a daily basis for their kids, and see them change and grow over time.

For our part, this means an intense, whirlwind of a weekend. We have faced this challenge in a number of different ways each time we have visited. We have provided assessment, which is basically a process of meeting each child, talking to their carer about their challenges, and figuring out what particular skill or challenge to target, that if improved, would make a difference in that child’s life.

We turn this into a written goal. A goal that can be measured, so that when the child does make a change, it can actually be ‘counted’, written down, and shown to the world! This gives the carers hope, it shows leaders that intervention works, and it shows the world that these kids have potential, much more than they have often been given credit for in their short lives.

We also help to write care plans. These will stay with the children and remind the carers of various ideas and tips that can help them work with the child. It could be a simple pointer like; “My muscles are a little weak. Please help me to sit in a supportive chair when you want me to sit and use my hands.” With these ideas readily available to the carer, they soon learn to provide the best learning opportunities for the kids throughout their day.

Lastly, we try to provide specific training. We show each carer what we want them to work on for their kids and show them how to elicit the responses we are looking for. In YanYan’s case, he seems so detached from the world, uninterested in any toys, unresponsive to words, sounds, touch. But we discovered a little glimmer in him. Plopped up onto a huge therapy ball, nearly bigger than himself, we bounce him around….slowly at first to gauge his reaction….as predicted, it wasn’t much. Then a little faster and a little higher, add in a lively nursery song and suddenly his head is up, he seems alive! So we stop (counter-intuitive though it may seem)…….and we wait……and then we wait a little more…….and just as described, we eventually get it. The smile, the eye contact, the laugh. And that means we have him! He now knows he must use eye contact to show us he wants more, we now know something that motivates him! This is the key for YanYan! This gives him a reason to communicate, something to ask for, to respond to, to share! Showing his carers that there is something in there, and we just need to have the patience and persistence to find it, that is the goal.

All of these children, no matter their ability, their disability, their background, their future, they all have something to give us…..we just need to give first.

At the request of the orphanage, no identifying information has been included in this post.