Peggy P. Barco, OTD, BSW, MS, OTR/L SCDCM, CDRS
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1 Peggy P. Barco, OTD, BSW, MS, OTR/L SCDCM, CDRS May PERSONAL INFORMATION: Gender: Female Place of Birth St. Louis, Missouri 2. CITIZENSHIP USA 3. ADDRESS AND TELEPHONE NUMBERS: Office: Washington University in St. Louis Program in Occupational Therapy 4444 Forest Park Ave. Campus Box 8505 St. Louis, Missouri Phone: Fax: Home: 910 Sarala Road St. Louis, Missouri Phone: Cell PRESENT POSITION: Washington University Program in Occupational Therapy Instructor in Occupational Therapy and Internal Medicine Washington University Driving and Research Center/Co Director 5. EDUCATION: 1981 Bachelor Degree in Social Work (Magna Cum Laude), University of Missouri Columbia, Missouri 1984 Bachelor of Science in Occupational Therapy, Washington University School of Medicine St. Louis, Missouri 1987 Master of Science in Occupational Therapy, Washington University School of Medicine
2 St. Louis, Missouri 2013 Doctorate Degree in Occupational Therapy, Washington University School of Medicine St. Louis, Missouri 6. ACADEMIC POSITIONS/EMPLOYMENT 2007 Present Assistant Professor (2015 current); Instructor ( ) Program in Occupational Therapy and Medicine Washington University School of Medicine, St. Louis, Missouri Adjunct Faculty Program in Occupational Therapy Washington University School of Medicine, St. Louis, Missouri Administrative Director of Medical Services The Center for Head Injury Services, St. Louis, Missouri Program Case Manager/Team Leader and Rehabilitation Driving Coordinator Head Injury Resource Center St. John s Mercy Medical Center, St. Louis, Missouri Acting Clinical Director Head Injury Resource Center at Irene Walter Johnson Institute of Rehabilitation Washington University Medical Center, St. Louis, Missouri Assistant Clinical Director Head Injury Resource Center at Irene Walter Johnson Institute of Rehabilitation Washington University Medical Center, St. Louis, Missouri Program Specialist Head Injury Resource Center at Irene Walter Johnson Institute of Rehabilitation Washington University Medical Center, St. Louis, Missouri Staff Occupational Therapist Burn Unit and Acute Medical at Irene Walter Johnson Institute of Rehabilitation Washington University Medical Center, St. Louis, Missouri Guest Lecturer Program in Occupational Therapy Washington University Medical Center, St. Louis, Missouri Guest Lecturer Program in Occupational Therapy Maryville University, St. Louis, Missouri Guest Lecturer Program in Occupational Therapy St. Louis University Medical School
3 7. UNIVERSITY AND HOSPITAL APPOINTMENTS AND COMMITTEES Admissions Committee for Program in Occupational Therapy (Washington University Medical School in St. Louis, ) Adjunct Faculty for Program in Occupational Therapy (St. Louis University, ) Lecturer for Program in Occupational Therapy (Washington University, ) 8. MEDICAL LICENSURE AND BOARD CERTIFICATION: Board Certified in Occupational Therapy/Missouri: (expires ) Specialty Certified in Driving and Community Mobility thru American Occupational Therapy Association (2013 current) Certified Driving Rehabilitation Specialist thru Association of Driving Rehabilitation Specialists (2015 current) 9. MILITARY SERVICE: N/A 10. HONORS AND AWARDS Jerome Ely Human Factors Article Award for best article in 2012 volume of Human Factors: Naturalistic Validation of an On Road Driving Test of Older Drivers 2013 AOTA Service Commendation; Member Driving and Community Mobility Phase II Panel 2012 HFES Jerome Ely Human Factors Article Award 2007 Roberta Sheldon Award for Prevention and Education in Brain Injury 1997 Spirit of Excellence Award (from Brain Injury Association of Missouri) 1993 YMCA Working Women of Achievement Award 11. EDITORIAL RESPONSIBILITIES: 2014 Practice Standards Review for Driving and Community Mobility, American Occupational Therapy Association 2015 Guest Reviewer, American Journal of Occupational Therapy 2015 Guest Reviewer, Canadian Journal of Occupational Therapy 12. PROFESSIONAL SOCIETIES/ORGANIZATIONS 1984 current American Therapy Occupational Therapy Association 1984 current Missouri Occupational Therapy Association National Association of Social Workers American Congress of Physical and Rehabilitation Medicine
4 13. MAJOR INVITED PROFESSORSHIPS AND LECTURESHIPS: N/A 14. CONSULTING RELATIONSHIPS AND BOARD MEMBERSHIPS 2013 current AOTA Board of Advanced and Specialty Certification (BASC) Traffic Injury Research Foundation (TIRF). Ottawa, ON, Canada AOTA Driving and Community Mobility Sub committee to revise Specialty Certification Driving Rehabilitation Consultant Alzheimer's Disease & Memory Disorders Center at Rhode Island Hospital under Brian Ott, MD current Brain Injury Association of Missouri Conference Planning Committee Brain Injury Association of Missouri Information and Referral Committee 1996 Brain Injury Association of Missouri Program Development Committee St. Louis University Program of Occupational Therapy Member of Clinical Faculty Missouri Head Injury Association Board of Directors 1995 Missouri Head Injury Association Board of Directors Fourth Vice President Academy for Head Injured Adults Board of Directors 15. RESEARCH SUPPORT Governmental Active Governmental: 12/1/15 11/30/20 National Institute of Health (NIH) (RO1ETO26199) At Risk Driving and Compensatory Strategies in Older Adults with Glaucoma (PI: A. Bhorade, MD, MSCI; Washington University School of Medicine; Co Investigator P. Barco, OTD, OTR/L, SCDCM, CDRS, Washington University Program in Occupational Therapy) (estimated at 30 40%). $2,383, /01/15 7/30/18 National Institute of Mental Health (NIMH/OBSSR) (R01MH099011) Enhanced Medical Rehabilitation for Older Adults. (PI: E. Lenze; Washington University School of Medicine; Investigator P. Barco, OTD/L, BSW, OTR/L, Washington University Program of Occupational Therapy (20%). $3,137, /1/2015 9/30/16 Missouri Department of Highways and Transportation (MoDOT) (16 DL ) Expanding Medical Fitness to Drive Training Validation Study Part II (PI: Barco, Washington University Program in
5 Occupational Therapy; Washington University School of Medicine (30%). $127, Non Active Governmental: 10/1/2014 9/30/15 Missouri Department of Highways and Transportation (MoDOT) (15 DL ) Expanding Medical Fitness to Drive (PI: Barco, Washington University Program in Occupational Therapy; D. Carr, MD, Co PI, Washington University School of Medicine (30%). $96, /30/2012 8/01/2015 National Institute of Health (NIH) (R01 AG043434) Driving Performance in Preclinical Alzheimer s Disease. (PI: C. Roe, PhD; Washington University School of Medicine; Investigator P. Barco, MS, OT/L, Washington University Program in Occupational Therapy) (40 58%), $2,383, /1/2013 9/30/14 Missouri Department of Highways and Transportation (MoDOT) (14 DL ) Expanding Medical Fitness to Drive (PI: Barco, Washington University Program in Occupational Therapy; D. Carr, MD, Co PI, Washington University School of Medicine (20%). $83, /1/2012 9/30/13 Missouri Department of Highways and Transportation (MoDOT) (13 DL ) Expanding Medical Fitness to Drive (PI: Carr, MD, Washington University School of Medicine; Co PI P. Barco, MS, OT/L, Washington University Program in Occupational Therapy (35%). $117, /1/2011 9/30/2012 Missouri Department of Highways and Transportation (MoDOT) (12 DL ). Expanding Medical Fitness to Drive (PI: P. Barco, MS, OTR/L., Washington University School of Medicine. D. Carr, MD, Co PI. Washington University School of Medicine Program in Occupational Therapy. (33%) $109, /1/2010 9/30/2011 Missouri Department of Highways and Transportation (MoDOT) (11 DL 02 2) Fitness to Drive in Older Adults II (PI: D. Carr, M.D., Washington University School of Medicine. P. Barco, Co PI. ` Washington University Program in Occupational Therapy. (20%) $88, Missouri Department of Transportation (MODOT) (10 PT ). Fitness to Drive in Older Adults (PI: D. Carr, M.D, Washington University School of Medicine. P. Barco, Co PI: Washington University Program in Occupational Therapy. (35%) $152, Missouri Department of Transportation (MODOT) (09 PT ). Fitness to Drive in Older Adults (PI: D. Carr, M.D., Washington University School of Medicine). P. Barco, Co PI: Washington University Program in Occupational Therapy (20%). $70, Missouri Department of Transportation (MODOT) (08 PT ). Fitness to Drive in Older Adults (PI: D. Carr, M.D., Washington
6 Non governmental University School of Medicine). P. Barco, Co PI: Washington University Program in Occupational Therapy (20%). Longer Life Foundation (LLF). Fitness to Drive in Neurologically Impaired Older Adults (PI: D. Carr, M.D., Washington University School of Medicine). P. Barco, Co PI: Washington University Program in Occupational Therapy (6.25%) $16,000 Longer Life Foundation (LLF). Fitness to Drive in Neurologically Impaired Older Adults (PI: D. Carr, M.D., Washington University School Of Medicine). P. Barco, Co PI: Washington University Program in Occupational Therapy (10%). 16. PATENTS/Copyright: Record of Driving Errors (RODE) Barco, CLINICAL TITLE AND RESPONSIBILITIES 2007 current Washington University Occupational Therapy Program Coordinator for the Driving Program DRIVING Connections at The Rehabilitation Institute of St. Louis Coordinate and performs rehabilitation driving assessments, determines recommendations, and lead family conferences 18. TEACHING TITLES AND RESPONSIBILITIES July 2006 present Program in Occupational Therapy Washington University Medical School in St. Louis Courses: Applied Clinical Practice I (OT 605) Course Master (3.0 Credits) Spring 2015 current Applied Clinical Practice 2 (OT 606) Course Master (3.0 Credits) Summer 2015 current Applied Clinical Practice 3 (OT 607) Course Master (3.0 credits) Fall 2015 current Applied Clinical Practice 4 (OT 608) Course Master (3.0 credits) Spring 2016 current
7 Interventions Supporting Recovery and Participation in Individuals with Cognitive and Learning Challenges (OT5835) Course Master (3.0 credits) Fall 2013 current Medical and Mental Health Conditions (OT5223) Co instructor (3.0 credits) Summer Intervention Models in Occupational Therapy (OT5291) Cognitive Module Instructor (3.0 credits) Fall semester Occupational Therapy Skills Lab (OT528B) Cognitive Module Instructor (3.0 credits) Fall Semester Application of Neuroscience Principles to Occupational Therapy (OT577D) Cognitive Module Instructor (3.0 credits) Spring Applied Clinical Research I (OT5421) Co course master Summer 2008 Communication Skills for OT Mental Health (OT5833) Lab Instructor (1.0 credit) Fall semester 2007 Supervised Student Projects Master s Project in Occupational Therapy Krenk, Caleb Rosen, Jacob Video Training to Improve Scoring Methodology in Driving Assessments (April 2016) Master s Research Study in Occupational Therapy Merelos, Alethea Clinical Predictors of Driving Performance in Parkinson s Disease (April 2011) Master s Project Program in Occupational Therapy Paskell, Taylor
8 Development of a Post Driver Evaluation Survey: Mobility Counseling and Depression (May, 2009) Master s Project Program in Occupational Therapy Tuinstra, Shelly Personal Digital Assistant Assessment Battery and Training Protocol as a Memory Compensation for Individuals with Traumatic Brain Injury (May, 2009) 19. BIBLIOGRAPHY Peer reviewed manuscripts 1. Bland, M. D., Birkenmeier, R. L, Barco, P.P., Lenard, E., Lang, C.E., Lenze, E. J. Enhanced Medical Rehabilitation: Effectiveness of a Clinical Training Model. Neurorehabilitation (pending acceptance). 2. Roe, C.M., Barco, P.P., Head, D.M., et al...morris, J.C. Amyloid Imaging, Cerebrospinal Fluid Biomarkers Predict Driving Performance among Cognitively Normal Individuals. Alzheimer Disease & Associated Disorders (accepted 3/16). 3. Bhorade, A.M., Yom, V.H.; Barco, P.P. Wilson, B., Gordon, M., Carr, D.B. On Road Driving Performance of Patients with Moderate and Advanced Glaucoma. American Journal of Ophthalmology (accepted 4/2015). 4. Papandonatos, G. D., Ott, B. R., Davis, J. D., Barco, P. P., & Carr, D. B. (2015). Clinical Utility of the Trail Making Test as a Predictor of Driving Performance in Older Adults. Journal of the American Geriatrics Society, 63(11), doi: /jgs Vernon, E. K., Babulal, G. M., Head, D., Carr, D., Ghoshal, N., Barco, P. P.,... Roe, C. M. (2015). Adults Aged 65 and Older Use Potentially Distracting Electronic Devices While Driving. Journal of the American Geriatrics Society, 63(6), doi: /jgs Barco, P. P., Baum, C. M., Ott, B. R., Ice, S., Johnson, A., Wallendorf, M., & Carr, D. B. (2015). Driving Errors in Persons with Dementia. Journal of the American Geriatrics Society, 63(7), doi: /jgs Barco, PP, Carr, DB. Rutkoski, KR, Xiong, C., Roe, CM (2015). Brief Report Inter rater reliability of the record of driving errors (RODE), American Journal of Occupational Therapy, 69, Barco PP, Wallendorf MJ, Snellgrove CA, Ott BR, Carr DB (2014). Predicting Road Test Performance in Drivers with Stroke. American Journal of Occupational Therapy, 68(2), (Not supported by NIH funds)
9 9. Aufman EL, Bland MD, Barco PP, Carr DB, Lang CE. Predictors of Return to Driving after Stroke (2013). American Journal of Physical Medicine & Rehabilitation, 92(7), doi: /phm.0b013e318282bc0d 10. Hetland AJ, Carr DB, Wallendorf MJ, Barco PP (2014). Potentially driver impairing (PDI) medication use in medically impaired adults referred for driving evaluation. Annuals of Pharmacotherapy Jan 28. [Epub ahead of print] PMID: Meuser T, Berg Weger M, Niewoehner P, Harmon A, Kuenzie, Carr DB, & Barco PP (2012). Physician input and licensing of at risk drivers: A review of all inclusive medical evaluation forms in the US and Canada. Accident Analysis and Prevention, 46: ISSN , /j.aap (Not Supported by NIH funds) 12. Ott, B. R., Papandonatos, G. D., Davis, J. D., & Barco, P. P. (2012). Naturalistic Validation of an On Road Driving Test of Older Drivers. Human Factors, 54(4), doi: / Carr, D.B., Barco, P.P., Wallendorf, M.J., Snellgrove, C.A., Ott, B.R (2011). Predicting road test performance in drivers with Dementia. Journal of American Geriatrics Society, 59: (PMCID:PMC ) 14. Crosson B, Barco PP, Velozo CA, Bolesta MM, Werts D, and Brobeck TC (1989). Levels of awareness and compensation in post acute head injury rehabilitation. The Journal of Head Trauma Rehabilitation, 4(3): Invited publications 1. Barco, P.P. & Dappen, MS. Occupational Therapy for Individuals with Stroke in the Outpatient Rehabilitation Setting. In: T. Wolf (ed). Stroke: Interventions to Support Occupational Performance. Neurorehabilitation in Occupational Therapy Series, Vol ll, AOTA Press, 2014: Barco, P.P., Stav, W. B., Arnold, R., & Carr, D. (2012). Cognition and Community Mobility. In M. J. McGuire & E. Schold Davis (Eds.). AOTA Self paced clinical course: Driving and community mobility. Bethesda, MD: AOTA. 3. Carr D and Barco P. The older driver (introduction, functional assessment, interventions, medical assessment). In: Berkow R and Beers MH, eds. The Merck Manual of Medical Information, Professional Edition. Whitehouse Station, NJ: Merck Publishing Co. Whitehouse Station, NJ; 2010.Available at: 4. Barco PP, Crosson BC, Bolesta MM, Werts D, and Stout R. Training awareness and compensation in post acute head injury rehabilitation. In: Kreutzer JS and. Wehman PH,
10 eds. Cognitive Rehabilitation for Persons with Traumatic Brain Injury: A Functional Approach. Baltimore, MD: Paul H. Brookes Publishing Company; 1991: Sandson J, Crosson B, Posner MI, Brobeck TC, Barco PP, and Velozo CA. Attentional imbalances following head injury. In: J.M. Williams JM and C.J. Long CJ, eds. Cognitive Approaches to Neuropsychology. New York, NY: Plenum; 1988: Peer reviewed presentations 1. Babulal GM, Vernon EK, Ghoshal N, Head DM, Carr DB, Barco PP, Morris JC, Roe CM. Poster: Bio Behavioral Health. Stress and driving errors in older adults with and without preclinical Alzheimer s disease. The Gerontological Society of America, Orlando, FL, November 18 22, Carr DB, Barco, PP, and Preclinical Alzheimer s Grant Team. The Impact of Medical Conditions and Medications on Road Test Errors in Older Adults. Poster: Transportation. The Gerontological Society of America, Orlando, FL, November 18 22, Meuser TM, Berg Weger M, Barco PP, Stowe J, Carr DB. Pass Fail Differences in Older Drivers Rated Capable by Physicians. Symposium: Services and Programs for Older Drivers in the Transition to Non Driving. The Gerontological Society of America, Orlando, FL, November 18 22, Barco PP, Carr DB, Rutkoski K, Wallendorf M, Johnson A, Vernon EK, Babulal GM, Roe CM. Traffic sign identification and driving in preclinical Alzheimer s disease (AD). Poster: Assessment. The Gerontological Society of America, Orlando, FL, November 18 22, Stowe J, Meuser TM, Carr DB, Barco PP. Older Adults' Health Status Predicts State Driving Examination Errors. Paper: Transportation. The Gerontological Society of America, Orlando, FL, November 18 22, Barco PP, Wallendorf M, Rutkoski K, Johnson A, Dolan K, Meuser TM, Stowe J, Carr DB. Traffic Sign Naming and Written Examinations as Predictors of Driving Performance in Dementia. Paper: Transportation. The Gerontological Society of America, Orlando, FL, November 18 22, Classen, S., Akinwuntan, A, Alvarez, L, Barco, PP, Carr D, Devos, H, Evans, D, Hirsch, P, Monahan, M, Swanepoel, L, Winter, S. Driving Simulation: Sharing Evidence and Enhancing Practice. Association for Driver Rehabilitation Specialist s Annual Conference. Louisville, KY, August 1, Barco, PP, Stav, WB, Carr, DB, Classen, S, Monahan, M, Luther King, MV, Womack, J, Schold Davis, E. Screening, Assessment, and Evaluation Related to Driving and Community Mobility across the Life Span. The American Occupational Therapy Association s 95th
11 annual Conference & Expo: Giving Voice to the Distinct Value of Occupational Therapy, Nashville, TN, April 16, Babulal GM, Vernon EK, Ghoshal N, Head DM, Barco PP, Carr DB, Morris JC, Roe CM. The relationship between mood states and preclinical Alzheimer s disease in older adults. Alzheimer s Association International Conference, Washington, DC, July Vernon EK, Babulal GM, Head D, Wallendorf M, Carr DB, Ghoshal N, Barco PP, Morris JC, Roe CM. Adults 65 and older use potentially distracting electronic devices while driving. Alzheimer s Association International Conference, Washington, DC, July Roe CM, Barco P, Head DM, Ghoshal N, Selsor N, Babulal GM, Fierberg R, Vernon EK, Shulman N, Johnson A, Fague S, Xiong C, Grant EA, Campbell A, Holtzman DM, Benzinger T, Fagan AM, Carr DB, Morris JC. Amyloid imaging and cerebrospinal fluid biomarkers predict driving performance in preclinical Alzheimer s disease. Alzheimer s Association International Conference, Washington, DC, July Barco, PP., Carr, D.B., Ott, B.R., Ice, S., Baum, C, Roe, CM. Assessing Driving Errors in Dementia thru the Record of Driving Errors (RODE). American Occupational Therapy Association National Conference, Baltimore, Maryland, April 3, Carr, DB, Barco, PP, Dolan, K, Waldendorf, M, Roe, CM. Caregiver Prediction of Road Test Performance. American Occupational Therapy Association National Conference, Baltimore, Maryland, April 5, Barco, P.P, and Meuser, T. The Record of Driving Errors (RODE): Quantitative Analysis of Driving Errors in Older Adults with and without Dementia. 65 th Annual Scientific Meeting of Gerontological Society of America. San Diego, CA, November 14 18, Barco, P.P., Ice, S., Carr, D.B. Driving Evaluation: Trends and Research. Brain Injury Association of Missouri 8 th Annual Statewide Conference. St. Charles, MO, October 4, Barco, P.P., Neiwoehner, P.; Ice, S., Carr, D.B. Defining Clinical Predictors of Driving Performance in Older Adults. American Occupational Therapy Association National Conference, Philadelphia, PA, April, Davis, J.D., Papandonatos, G.D., Miller, L.A., Knott, S.L., Festa, E.K., Heindel, W.C., Barco, P.P., and Ott, B.R. Road Test and Naturalistic Driving Behavior in Older Adults with and without Memory Loss: Environment Matters. Journal of the International Neuropsychological Society. Paper presented at the 2011 Meeting of the International Neuropsychological Society, Boston, MA.
12 18. Carr, D.B., Barco, P.P., Galvin, J.C., Ott, B.R., and Morris, J.C. Fitness to Drive in Stroke (Abstract). 71 st Annual Assembly of American Academy of Physical Medicine and Rehabilitation (AAPM&R). Seattle, WA. November 5 7, Carr, D.B., Barco, P.P., and Hollingsworth, H. Fitness to Drive in Older Adults with Dementia. Alzheimer s Association International Conference on Alzheimer s disease (ICAD) Scientific Program. Featured Research Session. Honolulu, Hawaii June 13, Hunt, L., Barco, P., and Carr, D. A multifactorial older driver with dementia evaluation model guides fitness to drive decisions. Short course presented at: The American Occupational Therapy Association National Conference, May 2010, Orlando, Florida. 21. Barco P, Hollingsworth H, Ice S, and Carr D. The future of medical fitness to drive: linking evidence and practice. Short course presented at: The American Occupational Therapy Association National Conference; April 2009; Houston, Texas. 22. Niewoehner P, Barco P, Croston J, Carr, D. Evidenced based driving evaluations and dementia: an interdisciplinary approach. Paper presented at: The Gerontological Society of America 61 st Annual Scientific Meeting; November 2008; National Harbor, Maryland. 23. Barco PP and Scheldt C. Understanding and working with insight deficits in brain injury. Short Course presented at: The American Occupational Therapy Association National Conference; April 2008; Long Beach, CA. 24. Crosson BC and Barco PP. Awareness and compensations in post acute rehabilitation In comparative cognitive models. Seminar presented at: The 9 th Annual National Head Injury Foundation Symposium; November 1990; New Orleans, LA. Invited Presentations 1. Barco, P.P. Assessing Driving and Dementia: Current Evidence and Trends. 29 th Annual Geriatrics Conference: Pearls of Geriatric Care, Springfield, MO, March, Barco, P.P. and Carr, D. B. The Impact of Cognitive Deficits on the IADL of Driving. American Occupational Therapy Association National Specialty Conference on Adult Cognition, St. Louis, MO, October Barco, P.P, Niewoehner, P., Ice, S., Carr, D. Defining Clinical Predictors of Driving Performance in Older Adults. Missouri Occupational Therapy State Conference, Fall, 2011, St. Louis, MO. 4. Barco, P.P. The Impact of Disruptions in Executive and Awareness on Performance. Second Annual Rehabilitation Research Day: Advances in Neuro Rehabilitation, Oct, 2010, St. Louis, MO. 5. Barco P., Scheidt C., Wunderlick J., Tuinstra S. PDA s considerations for use as a memory compensation following brain injury. Invited presentation to: The Brain Injury Association of Missouri, Inc.; 5 th Annual Statewide Conference; Oct 1, 2009; St. Louis, MO.
13 6. Barco P, Matheson L, Scheidt C, and Anson L. Innovative approaches in brain injury rehabilitation. Invited presentation at: Missouri Employers Mutual; August 2009; St. Louis, MO. 7. Barco, P. The rehabilitation driving assessment. Invited presentation: The Physical Medicine and Rehabilitation Interns at Washington University Medical School; June, 2009; St. Louis, MO 8. Barco PP and Luter S. Driving as we age: rehabilitation driver s assessments. Invited presentation to: St. Louis Parkinson s Leadership Training Seminar; April 2009; Clayton, MO. 9. Barco PP and Crosson BC. Awareness and compensation after head injury. Paper presented at: The Missouri Occupational Therapy Association Spring Conference Enhancing Skills for Functional Outcomes; 1989; St Louis MO.
Peggy P. Barco, MS, BSW, OTR/L
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