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Publications

Showcasing Expertise Through Published Work And Professional Insights

Interrelation of Attendant Care Recommendations and Engineering Fire Safety for Single Dwelling & A Literature Review for People with Disabilities. 

To be published soon…

Recommending 24-hour Attendant Care: A Qualitative Study Exploring the Clinical Decision-Making Process of Occupational Therapists in Ontario, Canada

To be published soon…

Determining the Need for Client 24-Hour Supervision: A Cross-Sectional Survey of Occupational Therapists

Reference: Kendra Flemming , Richard Ferri , Mathew A. Rose , Avelino (Jun) Maranan Jr. & Emily Nalder (2021): Determining the Need for Client 24-Hour Supervision: A Cross- Sectional Survey of Occupational Therapists, Occupational Therapy In Health Care, DOI: 10.1080/07380577.2020.1870783

Abstract: This study explored how private practice occupational therapists determined whether their clients’ need 24-hour supervision, including assessments used, modes of clinical reasoning and therapists’ confidence in their determinations. Survey data from 90 participants were analyzed using descriptive statistics. Participants reported using 166 different assessments to inform decisions about 24-hour supervision and most frequently engaged in pragmatic and conditional reasoning. On average, therapists perceived that they were confident or very confident in their determinations. There is variability in how therapists assess and reason through when 24-hour supervision may be required. Research to develop practice guidelines in this area is needed.

Determining 24-Hour Supervision: A Scoping Review through a Canadian Legal Database

Reference: Rose, M., & Maranan, A. (Jun). (2017). Determining 24-Hour Supervision: A Scoping Review through a Canadian Legal Database. Journal of Life Care Planning, 15(4), 13–17.

Abstract: Background: A highly contentious and controversial aspect of assessments in a medico-legal private practice is the determination of whether or not a client or patient requires 24-hour supervision. Purpose: The intent of this article is to review legal cases involving Occupational Therapist’s (OTs) and the determination of 24-hour supervision in Canada. Methods: A search and scoping review of the Canadian Legal Information Institute (CANLII) was completed using the terms “OT” and “24-hour supervision”. A review of the literature and determination of critical observations were completed. Findings: Based on 46 legal proceedings since 1986, the following critical observations emerged: Lack of pattern in the areas assessed in determining 24-hour supervision inconsistent quality of OT testimony related to determining 24-hour supervision, increased demand on OTs to determine if a client requires 24-hour supervision, and lack of guidelines for assessing 24-hour supervision. Implications: Without clear guidelines, OT testimony may bear less weight in court. Recommendations: The authors propose that an evidence-based framework upon which to formulate a determination of 24-hour supervision needs to be considered. Further research into current OT practice in determining 24-hour supervision and exploration of existing assessment tools for determining 24-hour supervision are recommended.

Lessons Learned, Integration of Economic and Vocational Counseling Reports for use in Income Loss Damages Quantification Analysis(Rose, Shpir, & Morelli, 2017)

Reference: Rose, M., Shpir, K., & Morelli, E. (2017). Lessons Learned: Integration of Economic and Vocational Counseling Reports for use in Income Loss Damages Quantification Analysis. Rehab Matters, 10–11.

Abstract: The aim of this article is to introduce the most prevalent methodologies and provide a general overview without delving into the mathematical and statistical details of the concepts of three types of expectancies – life, work life, and household.

Starting Points, Pre-accident health status and earnings form the foundation of damages quantification in personal injury claims.

Reference: Rose, M., & Shpir, K. (2015). Starting Points: Pre-accident health status and earnings form the foundation of damages quantification in personal injury claims. Claims Canada, 28–29. & Shpir, 2015)

Abstract: Building the foundation of fair damages quantification commences with a consideration of pre-accident factors that establish the starting points. In this article, we review two areas of pre-accident status that are considered in damages quantification – pre-accident health status and pre-accident earnings.

End Game, Examining The Three Expectancies Of Damages Quantification.

Reference: Rose, M., & Shpir, K. (2014). End Game: Examining the three expectancies of damages quantification. Claims Canada, 34–35.

Abstract: Forensic labour economists and vocational counselors are often asked to comment on issues pertaining to loss of income in personal injury litigation. Loss of income can comprise a significant amount of the final quantum of damages. It has been the experience of the authors that there is considerable variance in the procedures and outcomes in income loss analysis.

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