Physical and Occupational Therapy in Mongolia

1. Physical and Occupational Therapy in Mongolia Department of Physical Therapy School of Health Technology Health Sciences University of Mongolia

2. Content • Definition of Physical Therapy • Definition of Occupational Therapy and its similarity and difference from Physical Therapy • History of Physical Therapy in Mongolia • Department of Physical Therapy, SHT • Academic Exchange Program • History of OT in Mongolia • OT in Mongolia Project • Conclusion

3. Physical therapy is a health care profession concerned with remediation of impairment and disabilities and the promotion of mobility, functional ability, quality of life and movement potential, with prevention of physical disabilities, through examination, evaluation, diagnosis and physical intervention carried out by Physical Therapists.

4. Physical therapy management includes • prescription of or • assistance with • specific exercises, • manual therapy, • education, • manipulation and other interventions.

5. Occupational therapy is a client-centredhealth profession concerned with promoting healthand well being through occupation. World Federation of Occupational Therapists 2010

6. Occupational therapy • Occupational therapists and occupational therapy assistants work with people to improve their ability or restore their ability to perform everyday activities and tasks. Some occupational therapists specialize in work-related tasks, while others offer more generalized services to increase range of motion, reduce the risk of injury, and increase mobility in certain patients.

7. Occupational therapy • is "The therapeutic use of work, self-care, and play activities to increase development and prevent disability. It may include adaptation of task or environment to achieve maximum independence and to enhance the quality of life." • The word "occupation" in occupational therapy refers to the daily activities and tasks that an individual performs.

8. Daily activities and tasks include work-related tasks, such as • standing, • picking up heavy boxes, • driving in a car, • sitting at a computer, • sorting files, • moving to a room • getting up from a chair.

9. Comparison of OT and PT Occupational therapy and physical therapy seem very similar in scope, but there are some key differences between the two professions. Both physical therapists and occupational therapists work towards restoring functioning of various joints, muscles and body parts after an injury or when recovering from disease.

10. The key differences between the two professions: Physical therapy Occupational therapy does not directly treat a person’s injury, but instead helps the person optimize their independence and ability to accomplish daily activities focuses on overall health and increasing mobility in the entire body Patients who need to cope with various mental health issues as they heal and recovery • is focused more on treating an injury • focuses on a specific body part • assigned to individuals who are permanently disabled, or need to maintain good health after a serious accident or injury

11. The key differences between the two professions: Physical therapists Occupational therapists have a broad education in the medical,social behavioural, psychosocialand occupational scienceswhich equips them with the attitudes, skills and knowledge to work collaboratively with people individuallyor in groups or communities • are trained on anatomy and the musculoskeletal systems

12. The key differences between the two professions: Physical therapists Occupational therapists focus on: Fine motor skills: small, finely coordinated hand movements Visual perceptual skills: the ability to understand and interpret what is seen Visual motor skills: the ability to coordinate visual skills and motor skills Self care skills: feeding, dressing, hygiene, and toileting skills for increasing independence in necessary life skills focus on: • Gross motor skills: activities that use large muscles • Mobility skills: moving safely • Postural control • Self care skills: general skills in everyday life

13. History of Physical Therapy in Mongolia 2007 Start of collaboration between Health Sciences University of Mongolia and Gunma university, Japan 2008 New curriculum in Physical Therapy was established at School of Health Technology, HSUM May 31, 2011 First Graduation of Physical Therapists /14 students/ May 25, 2012 Second Graduation of Physical Therapists /13 students/

14. History of Physical Therapy in Mongolia The fundament of Physical Therapy in Mongolia was established by cooperation between Gunma University and Health Sciences University of Mongolia /HSUM/ in September 2007.

15. Agreement processing

16. Department of Physical Therapy

17. Department of Physical Therapy

18. Academic Exchange Program • There has been tremendous change to physical therapy profession since the beginning of the cooperation between both Universities.

19. Academic Exchange Program

20. Academic Exchange Program Gunma University lecturers visit School of Health Technology, HSUM twice a year to teach physical therapy to Mongolian students.

21. History of OT in Mongolia • In 2003 and 2004 two Swiss therapists visited Mongolia as part of a wheelchair provision programm. Found that there were no OTs and PTs in the country • The need for both professions was also identified by the Mongolian National Federation of Disabled People, • The World Federation of Occupational Therapists (WFOT) decided to support developing OT educational programms and practice. That is how it became a WFOT project. At a later point the Zurich University of Applied Sciences joined as an additional partner.

22. History of OT in Mongolia • Signing letters of intent Prof. Tserendagva and Prof. Meyer with HSUM President Prof. Lhagvasuren

23. OT in Mongolia Project • During a number of visits between UlaanBaatar and Winterthur it was agreed upon to start the project by doing a Train The Trainer Programme for health care professionals like nurses and rehab doctors at a post-graduate level. The goal was and is to prepare OT trainers as future educators for Mongolia.

24. OT in Mongolia Project • The implementation started in March 2010 when the first cohorte of 18 students started with the Train The Trainer Programme on theory foundations in OT taught by 11 Swiss teaching staff. •  In October 2011 presented 13 graduates from that cohorte.

25. The four phases of the OT in Mongolia Project • 2010-2013 • 2014-2016 • 2015-2016 • 2016-2020 • Train the trainer: Pre-training of 30 doctors and nurses in “Foundation of OT” at SHT, HSUM • Master in OT: Support the training of 3-5 individuals of phase 1 to a Master in OT in Europe • BSc curriculum development: Development of an OT curriculum at Bachelor level at SHT, HSUM • Implementation of the BSc program: Implementation and evaluation of the newly established BSc in OT

26. OT in Mongolia Project Funding The project comprises a variety of activities across a long time span and offers two general types of funding: • Funding of project activities and hardware • Funding of individuals We are happy to personally discuss project details and funding possibilities with you.

27. Come and join us in improving the quality of life for people in Mongolia Thank You For Attention Contact us at: School of Health Technology <info@health-technology.mn> Mentrup Christiane <ment@zhaw.ch>;