CWLCCalifornia Women's Law Center
CWLCChild Welfare League of Canada
CWLCChina Welfare Lottery Center (est. 1987; China)
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In response to the question about whether it is important to facilitate play with CWLC, Tanya said, "Yes, because I think kids learn through play, so I think it's important.
Umm, oh, I always do." In addition, she reflected on an experience working with a CWLC and a student she was supervising:
CWLC are a unique population, with an array of medical complications, physical restrictions, and setting-based restrictions.
Ann often described the CWLC that she worked with as "waxing and waning" as the children's states either improved or deteriorated.
Claire noted that many CWLC have either gross motor impairments or restrictions that can limit their ability to play, even if their motivation to do so is there:
In addition, many therapists also reflected on the hospital environment where many CWLC spend a lot of their time as a barrier to play.
As noted above, many of the therapists noted that a CWLC's state varies from day to day, making it difficult to decide what to do in therapy on any give day or even whether to have a session at all.
In addition to facing condition-dependent limitations and hospital-based barriers to facilitating play with CWLC, many therapists spoke of the influence of insurance companies and reimbursement for services on their sessions.
These therapists' narratives paint a picture of how occupational therapy services are delivered when working with CWLC. They illustrate how play is used in therapy and the challenges the therapists faced to incorporate play.
The findings from this study describe how and why these occupational therapists are incorporating play into therapy sessions when working with CWLC and what barriers they face when trying to do so.
This study's findings also draw attention to the barriers that therapists face when working to facilitate play with CWLC. These children often spend a large amount of time in hospital settings.
Further research could also examine how and why therapists chose to work with CWLC to better understand how they work with this population.