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Planning a Successful<br />

State<br />

Lessons Learned From<br />

Legislative Experiences<br />

in Missouri<br />

I<br />

was born with an advocate’s heart…<br />

or maybe I am just stubborn. Either way, I spend most days trying to<br />

follow my dad’s and grandfather’s advice: “Be part of the solution,<br />

not part of the problem.” My family instilled a value of offering and<br />

working toward solutions instead of adding to the list of complaints.<br />

Complaints, however, are usually a required first step in determining how we<br />

can impact change and where we need to start. Complaints, although a negative<br />

connotation, result in clientele for the practice of occupational therapy.<br />

Clients complain to their doctor about an illness, an injury, pain, or concerns<br />

for a loved one. The occupational therapy profession would be difficult to<br />

maintain if we did not first recognize and attend to complaints. The beauty of<br />

being an occupational therapy practitioner is that we are part of the solution.<br />

We are solution practitioners, problem solvers, and advocates for productive<br />

living.<br />

The Occupational Therapy <strong>Practice</strong><br />

Framework: Domain and Process,<br />

3rd Edition (Framework; American<br />

Occupational Therapy Association<br />

[AOTA], 2014) defines advocacy as<br />

“efforts directed toward promoting<br />

occupational justice and empowering<br />

clients to seek and obtain resources<br />

to fully participate in daily life occupations.<br />

The outcomes of advocacy<br />

and self-advocacy support health,<br />

well-being, and occupational participation<br />

at the individual or systems<br />

level” (p. S30).<br />

The Framework definition of<br />

advocacy suggests the importance of<br />

advocating for clients and teaching<br />

clients skills in self-advocacy, but we<br />

must also advocate for our profession,<br />

and that includes being aware<br />

of relevant legislation at the state and<br />

federal levels. Legislation directly<br />

affects the reimbursement rates<br />

for occupational therapy services<br />

as well as what services are available<br />

to vulnerable populations. We<br />

must advocate for our profession, to<br />

protect our scope of practice and the<br />

independent occupational functioning<br />

of our clients.<br />

What steps do we take to protect<br />

our clients and the profession? This<br />

article will provide some steps to<br />

follow based on the successes of<br />

the Missouri Occupational Therapy<br />

Association (MOTA) On the Hill Day<br />

event, held over the past 3 years at<br />

the Missouri State Capitol Building,<br />

in Jefferson City.<br />

PHOTOGRAPH © GETTY IMAGES<br />

12 AUGUST 22, 2016 • WWW.AOTA.ORG

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