Dr. Kate DeCleene Huber, director of the University of Indianapolis School of Occupational Therapy (SOT) and alumni Paul Arthur coauthored an article titled"Behavioral Health Competence: An Exploration of Army Reserve Occupational Therapists" that is published in the March 2014 issue of Occupational Therapy in Mental Health.
Arthur and DeCleene Huber surveyed Army Reserve occupational therapists to determine the overall behavioral health competence of this population to to determine current levels of competence and highlight pre-deployment training needs. Results indicated that while Army Reserve OTs report high levels of behavioral health competence, many questions regarding diagnosis, assessment, evaluation, treatment planning, intervention, and progress arose throughout deployment.
The research was the the culmination of Arthur's Master of Occupational Therapy research project. He recently provided answers to some questions about the project:
How did this research topic come to mind for you?
"I was actually working on a really interesting measurement project with Dr. Lucinda Dale and her students, but my one-year deployment to Iraq threw a wrench into that, so I needed to seek an alternative direction when I returned," Arthur said. "While in Iraq, my boss, now the Chief of Army Reserve Occupational Therapy, and I discussed the issues deployed OTs had, in that none of them had much behavioral health experience, yet they were deployed in that capacity. It's a pretty high-stakes way to get your feet wet!"
Did the outcomes reflect your own experience? Were you surprised by anything you found?
"The results of the paper were pretty-well aligned with our hypothesis. Army clinicians are a fairly difficult population to study, in that the culture is to portray confidence and competence, even if that is not what you are feeling (or what is really the case). Probably the most surprising aspect of the paper was the clinician’s reliance on entry-level education for their behavioral health competence. Many had been away from school for decades and to imagine we are counting on them to recall info they learned in their early 20’s is pretty amazing."
What, if anything, could OT programs do to better prepare Army Reserve OTs for their work?
"While I like the notion of a required mental health fieldwork experience, it’s generally not realistic in many (if not most) areas of the country. We can still teach fundamental mental health concepts in our curriculum and there are some pretty nice, updated, textbooks to facilitate that. I generally think for the Army Reserve OT population, they need CEU opportunities and either a directive to take them, or at least an avenue to facilitate/pay for it."
Arthur noted that it was Dr. DeCleene Huber's support and perseverance that was significant to getting this paper published. He had these words of praise, "Having visited many OT programs, I think the relationships UIndy professors garner with their students is rather unique, and is largely responsible for the success their graduates."
Arthur is currently working with veterans with Alzheimer's disease and their caregivers for his dissertation at the University of Florida. He is pursuing a PhD in Rehabilitation Science and plans to have it completed sometime in 2015.