In this episode of OT JEDI, we explore a critical but often overlooked topic—sexual health literacy among older adults living with HIV. Joined by occupational therapists Riley David and Dr. Kathryn Burke, we dive into their pilot study evaluating occupation-based sexual health education programs. We discuss how knowledge, stigma, fear, and pleasure intersect in the lives of older adults, and how occupational therapy can play a key role in fostering safe, empowered, and fulfilling intimate experiences.

Resources

The Network for LGBTQIA+ Concerns in Occupational Therapy | Queer Health

The Capstone Collective

Follow Dr. Burke on Instagram @otkate or find her at Johnson & Wales University

References 

David, R. & Burke, K. (2025, April 5). Evaluating the effectiveness of
occupation-based programming on the sexual health literacy of older adults living with HIV [Poster session]. American Occupational Therapy Association (AOTA) Inspire, Philadelphia, PA. https://tinyurl.com/y96srmd4

In this episode, our guest, Karen Jacobs, explores the role of AI in occupational therapy—from streamlining documentation and facilitating communication through translation to addressing health disparities while considering ethical implications. She discusses AI’s potential in assessment, intervention, client engagement, and its ability to make OT education more equitable.

Referenes

Alowais, S. A., Alghamdi, S. S., Alsuhebany, N., & et al. (2023). Revolutionizing healthcare: The role of artificial intelligence in clinical practice. BMC Medical Education, 23, 689. https://doi.org/10.1186/s12909-023-04698-z

Çela, E., Fonkam, M. M., & Potluri, R. M. (2024). Risks of AI-Assisted Learning on Student Critical Thinking: A Case Study of Albania. International Journal of Risk and Contingency Management (IJRCM), 12(1), 1-19. https://doi.org/10.4018/IJRCM.350185

Gandhi, T. K., Classen, D., Sinsky, C. A., Rhew, D. C., Vande Garde, N., Roberts, A., & Federico, F. (2023). How can artificial intelligence decrease cognitive and work burden for frontline practitioners? JAMIA Open, 6(3), ooad079. https://doi.org/10.1093/jamiaopen/ooad079

Mansour, T., & Wong, J. (2024). Enhancing fieldwork readiness in occupational therapy students with generative AI. Frontiers in medicine, 11, 1485325. https://doi.org/10.3389/fmed.2024.1485325

Montenegro-Rueda, M., Fernández-Cerero, J., Fernández-Batanero, J. M., & López-Meneses, E. (2023). Impact of the Implementation of ChatGPT in Education: A Systematic Review. Computers, 12(8), 153. https://doi.org/10.3390/computers12080153 

Nilsen, P., Sundemo, D., Heintz, F., Neher, M., Nygren, J., Svedberg, P., & Petersson, L. (2024). Towards evidence-based practice 2.0: Leveraging artificial intelligence in healthcare. Frontiers in Health Services, 4. https://doi.org/10.3389/frhs.2024.1368030

Vahedifard, F., Sadeghniiat Haghighi, A., Dave, T., Tolouei, M., & Hoshyar Zare, F. (2023). Practical use of ChatGPT in psychiatry for treatment plan and psychoeducation. arXiv preprint arXiv:2311.09131. https://doi.org/10.48550/arXiv.2311.09131

Zhai, C., Wibowo, S., & Li, L. D. (2024). The effects of over-reliance on AI dialogue systems on students' cognitive abilities: A systematic review. Smart Learning Environments, 11, 28. https://doi.org/10.1186/s40561-024-00316-7

In this episode, we sit down with Laura Rowan, an occupational therapist and founder of Essential Pelvic Health, a private practice specializing in pelvic health. She shares her journey into this specialization, the unique needs of clients who benefit from pelvic health services, and the crucial role of advocacy and education in expanding awareness and access to care.

Resources

Essential Pelvic Health

Referenes

Alappattu, M., Hilton, S., & Bishop, M. (2019). An International Survey of Commonly Used Interventions for Management of Pelvic Pain. Journal of women's health physical therapy, 43(2), 82–88. https://doi.org/10.1097/jwh.0000000000000131

Alden, J., Sanses, T., Pearson, S., Ukaegbu, A., Gopaul, S., & Hill, L. (2020). Women’s pelvic floor and urinary incontinence (UI) health literacy: A mixed-methods study. American Journal of Occupational Therapy, 74(4, Suppl. 1), 7411510314p1. https://doi.org/10.5014/ajot.2020.74S1-PO7408

Fyhrie, J., Schmid, A., Le Fevre, E., Weaver, J., & Fruhauf, C. A. (2024). OTs’ perspectives on their unique role in pelvic health. American Journal of Occupational Therapy, 78(Suppl. 2), 7811500263p1. https://doi.org/10.5014/ajot.2024.78S2-PO263

Schmitz, J. R., Schoener, H., Atler, K., Fruhauf, C. A., Pearce, D., Schmid, A., & Mathias, K. (2023). Women’s experience receiving OT for pelvic floor dysfunction: A case series. American Journal of Occupational Therapy, 77(Suppl. 2), 7711510310p1. https://doi.org/10.5014/ajot.2023.77S2-PO310

Watts, C. (2024). Barriers & supports to occupational therapists working in pelvic health across three healthcare delivery systems: Outpatient, hospitals, and home health (Publication No. 36964687). Georgia State University. https://doi.org/10.57709/36964687

In this episode of OT JEDI, we sit down with Clarice Grote, occupational therapist, advocate, and founder of Amplify OT, to explore the critical intersection of occupational therapy and healthcare policy. Clarice shares her journey from Columbia University to Capitol Hill, detailing how her experiences shaped her passion for advocacy, equity, and policy-driven change.

We discuss how Medicare and healthcare policies impact OT practice, reimbursement, and access to care, and Clarice breaks down these complex systems into actionable strategies for OTs. 

She offers insights on how OTs can become effective advocates, address healthcare inequities, and use policy as a tool for justice, equity, diversity, and inclusion. Whether you're new to advocacy or looking to expand your impact, this conversation is packed with valuable takeaways to help bridge the gap between policy and practice.

Listen for an inspiring discussion on how OTs can amplify their voices, navigate healthcare policy with confidence, and drive meaningful change in the profession.

Resources

The OT Amplifier Collective - Amplifyot.com/membership

AOTA’s advocacy page - AOTA.org/advocacy

Here is where you can contact your legislators - AOTA.org/takeaction 

The Amplify OT Podcast podcast - podcast.amplifyot.com 

In this episode on the OT JEDI Podcast, I'm thrilled to welcome Sarah Vines, who shares her incredible work supporting individuals after top surgery. Sarah discusses best practices for gender-affirming care, the critical role of mental health in the process, and how occupational therapy can make a difference in the lives of transgender clients.

Resources

WPATH Standards 8: https://www.wpath.org/media/cms/Documents/SOC%20v7/SOC%20V7_English.pdf

A Clinician's Guide to Gender-Affirming Care: https://www.newharbinger.com/9781684030521/a-clinicians-guide-to-gender-affirming-care/

An introductory resource created by Dr. Sarah Vines is available on COTAD's site:  https://static1.squarespace.com/static/606b6cc4347e673687921b0e/t/64f0d99a66448a49ac21e769/1693505950408/COTAD+Practicum+Project+%284%29.pdf

ACLU Legislative updates: https://www.aclu.org/legislative-attacks-on-lgbtq-rights-2024

HRC state legislative map: https://www.hrc.org/resources/attacks-on-gender-affirming-care-by-state-map

Trevor Project 2024 stats: https://www.thetrevorproject.org/survey-2024/

References 

De Brouwer, I., Elaut, E., Becker-Hebly, I., Heylens, G., Nieder, T. O., van de Grift, T. C., & Kreukels, B. P. C. (2021). Aftercare needs following gender-affirming surgeries: Findings from the ENIGI multicenter European follow-up study. Journal of Sexual Medicine, 18(11), 1921–1932. https://doi.org/10.1016/j.jsxm.2021.08.005

Kcomt, L., Gorey, K. M., Barrett, B. J., & McCabe, S. E. (2020). Healthcare avoidance due to anticipated discrimination among transgender people: A call to create trans-affirmative environments. SSM - Population Health, 11, 100608–100608. https://doi.org/ 10.1016/j.ssmph.2020.100608

Grant, J. M., Mottet, L. A., Tanis, J. J., & Min, D. (2011). Transgender discrimination survey. National Center for Transgender Equality and National Gay and Lesbian Task Force: Washington, DC, USA.

Mikulak, M., Ryan, S., Ma, R., Martin, S., Stewart, J., Davidson, S., & Stepney, M. (2021). Health professionals' identified barriers to trans health care: a qualitative interview study. British Journal of General Practice, 71(713), e941–e947. https://doi.org/10.3399/BJGP.2021.0179

Rosol, M., Rogers, K., Borsh, R., Pavlinec, R., Russell, M., & Russell, A. N. (2022). Occupational therapy students’ perceived preparedness to work with transgender clients. Journal of Occupational Therapy Education, 6(3). https://doi.org/10.26681/jote.2022.060302

Stroumsa, D. (2014). The state of transgender health care: Policy, law, and medical frameworks. American Journal of Public Health, 104(3).  https://doi.org/10.2105/AJPH.2013.30178

Swenson, R., Alldred, P., & Nicholls, L. (2022). Doing gender and being gendered through occupation: Transgender and non-binary experiences. British Journal of Occupational Therapy, 85(6), 446-452. https://doi.org/10.1177/03080226211034422

Last season in episode 5, we explored the history of Black occupational therapists with guest speaker Toni Solaru. She spoke of systemic barriers in legal, governmental, and educational contexts. Highlights included Lela A. Llorens' 1969 Slagle Lecture, the only one by a person of color, and discussions on initiatives like AOTA's 1988 minority recruitment study, the founding of COTAD and BLM in the 2010s, and the addition of DEI as a pillar in Vision 2025. Despite these efforts, AOTA's inconsistent support for BIPOC and individuals with disabilities remains a concern. The discussion also addressed the lack of education on BIPOC history in OT and whether it’s fair to expect BIPOC faculty to take on this responsibility. Lastly, we critiqued how many JEDI and DEI initiatives have been performative and noted their decline in prominence by 2024.

We reconnect with Dr. Solaru to discuss the impactful work of Diverse OT National and the programs they support. She also highlights key initiatives such as Disrupt OT and the Unconference, emphasizing actionable steps and the importance of staying vigilant and informed in advancing equity within the profession.

References and Resources

https://www.blackbeyondthebinarycollective.org/

https://us.jkp.com/products/occupational-therapy-disruptors

https://givebutter.com/DiverseOT

https://www.commonnotions.org/everything-for-everyone?srsltid=AfmBOorVhJCZeHS2ze5KDe5XBWjfCZZx5xWQHXsl9VUunnUdt3oU88Ri

Interested in joining the book club?

• Reading for the Revolution, first meeting is January 22, 2025 from 6-8:30 PM CST, 2.5 CE/PDUs credits available. FREE event. 
• Advocacy in Action #1: Where Are All the Black OTs? The first meeting is February 1, 2025, from 9 a.m. to 1 p.m. CST. Four CEs/PDUs are available. A $50 suggested donation is suggested. Use code ACCESS4ALL for free registration. All funds go to supporting DOT operations. 

What We Owe Each Other - References 

Davis, A. Y. (2022). Freedom is a constant struggle (F. Barat, Ed.). Penguin Books Ltd.

Gates, H.L. (2016, Nov 9). Black America since MLK: And still I rise, black panthers [Video]. Youtube. https://www.youtube.com/watch?v=i_E8O8rlnoo&list=PL8DMaz5ynUE269cN892SpNPiBSESfbd70&index=12&ab_channel=HenryLouisGates%2CJr.

hooks, b. (2018). All About Love: New Visions . HarperCollins.

King, M. L., Jr. (2018). Letter from Birmingham Jail. Penguin Classics.

Peck M. S. (1998). The different drum : community making and peace (2nd Touchstone). Simon and Schuster.

TRT. (2021, Jun 16). Deep dive: A history of Black-Palestinian solidarity [Video]. Youtube. https://www.youtube.com/watch?v=HAl5YrNQHWs&ab_channel=TRTWorld

Hello, OT JEDI listeners! As we approach the 2024 election, it’s a perfect time to reflect on the enduring importance of justice, diversity, equity, and inclusion—our JEDI principles. Since 2020, there’s been a powerful call for justice and equity that has resonated across communities, professions, and industries. But as new challenges arise, we need to keep JEDI values central in all that we do.

I'm speaking to you now as the new Program Director of SUNY Downstate’s Post-Professional Occupational Therapy Doctorate (PP-OTD) program, where diversity and inclusion are integral. The faculty and student diversity at SUNY Downstate is essential, and I'm actively fostering this by building an inclusive, accessible, and representative program. To support practicing professionals, I've introduced a credit-for-prior-learning initiative, waiving up to 9 credits, saving students close to $10,000—a step toward making higher education more equitable.

Amid this transition, I’m thrilled to bring back OT JEDI with Season 3, focusing on sustaining and amplifying the JEDI movement. Let’s continue advancing these values together, in every sphere of life. Stay tuned for new episodes soon, and thank you for being part of this journey toward a more inclusive future.

Occupational therapists must consider the unique needs of transgender clients to create an inclusive healthcare environment that respects individual identities. Several recent legislation restrict various liberties, including medical treatments, bathroom usage, and preferred pronoun recognition. Transgender individuals often face distinct challenges related to mental health, social support, and healthcare access.  Occupational therapists play a vital role in addressing these challenges by tailoring intervention plans to meet the specific needs of transgender clients, which may include assistance with daily activities and serving as advocates. By embracing cultural humility and gender-affirming care, occupational therapists contribute to the well-being and empowerment of transgender clients, promoting healthier and more fulfilling lives.

Resources

• Philadelphia Trans Wellness Conference
• Fenway Health & Harvard University “Advancing Excellence in Sexual Minority Healthcare”
• Harvard online course “LGBTQ Health Issues” 

References

Gender identity and expression. (2016, April 16). [PowerPoint slides]. Retrieved from personal email from PFLAG Health Disparities. (2015, September 1). [blog post]. Retrieved from https://www.cdc.gov/healthyyouth/disparities/index.htm

Human Rights Campaign & Trans People of Color Coalition. (2017). A time to act: Fatal violence against transgender people in America 2017. San Francisco, CA: Lee, M. 

Lynn, M. (2017). Here’s what transgender people with disabilities want you to know. BuzzFeed, Retrieved from https://www.buzzfeed.com/mahdialynn/heres-what-disabled-transgender-people-want-you-to-know? utm_term=.fdrrNNQX5m#.jbdx00AzGX

National Center for Transgender Equality and the National Gay and Lesbian Task Force. (2011). National transgender discrimination survey. Washington, DC: Grant, J. M., Mottet, L. A., Tanis, J., Herman, J. L., Harrison, J., & Keisling, M. 

National LGBTQ Health Education Center: Fenway Health. (2016). Affirmative care for transgender and gender non-conforming: Best practice for front-line health care staff. Boston, MA

Occupational Therapy’s Commitment to Nondiscrimination and Inclusion. (2014). American Journal of Occupational Therapy, 68(Supplement_3), S23-4. 

Pan, L. & Moore, A. (n.d.). The gender unicorn. [blog post]. Retrieved from http://www.transstudent.org/gender

Parekh, R., (2016, February). What is gender dysphoria? [blog post]. Retrieved from https://www.psychiatry.org/patients-families/gender-dysphoria/what-is-gender-dysphoria

Singular ‘they’. (2018). [blog post]. Retrieved from https://www.merriam-webster.com/words-at-play/singular-nonbinary-they

State Maps of Laws and Policies. (2019). [blog post]. Retrieved from https://www.hrc.org/state-maps/transgender-healthcare

Understanding the transgender community. (2018). [blog post]. Retrieved from https://www.hrc.org/resources/understanding-the-transgender-community

Violence against the transgender community in 2018 (n.d.). Retrieved from https://www.hrc.org/resources/violence-against-the-transgender-community-in-2018

Occupational therapy can provide services in many different areas within the prison system. From providing transitional services to inmates getting ready to be released, to focusing on occupational deprivation, to leading groups for an infinite number of topics.  This episode features Ariana Gonzalez, an occupational therapist, executive director, and founder of Life After Incarceration: Transition & Reentry (LAITR), an occupational therapy community-based program focused on reentry for individuals after incarceration.

To learn more about Ariana Gonzalez and LAITR visit https://www.lifeafterincarceration.com/

References 

Criminal justice data. The Sentencing Project. (2023, January 25). Retrieved July 29, 2023, from https://www.sentencingproject.org/research/us-criminal-justice-data/

Dillon, M. B., Dillon, T. H., Griffiths, T., Prusnek, L., & Tippie, M. (2020). The distinct value of occupational therapy in corrections: Implementation of a life skills program in a county jail. Annals of International Occupational Therapy, 3(4), 185. https://doi.org/10.3928/24761222-20200309-01

Gonzalez, A., & Tyminski, Q. (2020). Sleep deprivation in an American homeless population. Sleep Health: Journal of the National Sleep Foundation, 6(4), 489–494. https://doi.org/10.1016/j.sleh.2020.01.002

Jaegers, L. A., Dieleman, C., Dillon, M. B., Rogers, S., Muñoz, J. P., & Barney, K. F. (2020). Justice-based occupational therapy initiative: Advancing occupational justice in criminal justice systems. Annals of International Occupational Therapy, 3(4), 200+. https://link.gale.com/apps/doc/A676585517/AONE?u=mlin_m_regis&sid=ebsco&xid=ed5dd4db

Muñoz, J. P., Moreton, E. M., & Sitterly, A. M. (2016). The scope of practice of occupational therapy in U.S. criminal justice settings. Occupational Therapy International, 23(3), 241–254. https://doi.org/10.1002/oti.1427

Tucker, S. (2020). Access to OT in the prison system: Assessing attitudes of OT students and practitioners...2020 American occupational therapy association annual conference & expo. American Journal of Occupational Therapy, 74(Sup1), 1. https://doi.org/10.5014/ajot.2020.74S1-PO1510

Tyminski, Q., Gonzalez, A., & Synovec, C. E. (2020). The importance of health management and maintenance occupations while homeless: A case study. Work, 65(2), 297–301. https://doi.org/10.3233/WOR-203081

Special thanks to Parker Sheridan for the background research!

By the end of 2022, a record-breaking number of people — 108.4 million — have been forced to flee their homes.  

Refugees are people who are forced to flee from their country of origin due to violence, oppression, or substantiated fear of persecution based on sexual orientation, gender identity, race, religion, nationality, membership in a group, or expression of certain political opinions.

Refugees experience occupational deprivation which is defined as a condition where an individual is unable to engage in meaningful occupations due to enforced contextual factors such as a lack of sources of sustenance, support, and services, diminished safety, and separation/loss of family members.  

When occupational injustice occurs, humans as occupational beings are hindered from their right to have equal opportunities to participate in meaningful occupations that meet their occupational needs. 

Jill Maglio, an occupational therapist, is currently working with refugees in Greece on a CircusAid project.  She is the founding Director, Educator, and Occupational Therapist of both Holistic Circus Therapy and CircusAid, which are social circus programs that utilize circus activities as a therapeutic tool to increase occupational participation. 

Her work is nuanced with all the shifting barriers and bureaucracies in place but instills joy and laughter.  Her work promotes social connectedness and efficacy, as well as a possible reprieve from their distressing circumstances.

• For more information on Jill Maglio's work with refugees - https://www.circusaid.com/
•  Follow CircusAid on Instagram - https://www.instagram.com/circusaid/?igshid=OGQ5ZDc2ODk2ZA%3D%3D
• For more information about circus as a therapeutic tool - https://www.holisticcircustherapy.com/

References

Darawsheh, W. B., Bewernitz, M., Tabbaa, S., & Justiss, M. (2022). Factors Shaping Occupational Injustice among Resettled Syrian Refugees in the United States. Occupational Therapy International, vol. 2022, Article ID 2846896. https://doi.org/10.1155/2022/2846896

Maglio, J. & McKinstry, C. (2008). Occupational therapy and circus: Potential partners in enhancing the health and well-being of today’s youth. Australian Occupational Therapy Journal, 55, 287–290. https://doi.org/10.1111/j.1440-1630.2007.00713.x

R. El-Bialy and S. Mulay, (2015). Two sides of the same coin: factors that support and challenge the wellbeing of refugees resettled in a small urban center. Health & Place, 35, 52–59. https://doi.org/10.1016/j.healthplace.2015.06.009

The UN Refugee Agency. (14 June, 2023) Refugee data finder. UNHCR. https://www.unhcr.org/refugee-statistics/