0:00:00.000,0:00:05.836 Patient-Professional Partnership at EX-Center in Stockholm, a joint ownership between Bräcke diakoni and the Swedish Thalidomide Society. 0:00:06.017,0:00:08.101 The Swedish Thalidomide Society[br]was founded in 1962 by our parents 0:00:08.101,0:00:12.503 Marie Wikström[br]Care Coordinator, EX-Center 0:00:12.503,0:00:15.794 They fought so we could attend mainstream schools... 0:00:16.070,0:00:20.948 ...and when we became adults, we wanted[br]to decide about our own futures. 0:00:22.179,0:00:29.979 We started the EX-Center because we wanted to [br]decide how our health care would work... 0:00:31.671,0:00:36.728 ...not just for people with Thalidomide injuries,[br]but for all people with limb differences. 0:00:36.728,0:00:39.326 Christina Ragnö, [br]Clinical Director, Lic. Occupational Therapist 0:00:39.588,0:00:44.088 We work as a multi-disciplinary team... 0:00:44.195,0:00:51.896 with physical and occupational therapists, [br]prosthetists, orthotists, psychologists and counselors. 0:00:51.896,0:00:55.887 Marie is our care coordinator. 0:00:56.657,0:01:03.466 I'm usually the first person a patient talks to. 0:01:05.497,0:01:13.320 Eventually they meet the entire team,[br]everyone from the orthopedist to the psychologist. 0:01:15.290,0:01:23.820 My role is to coordinate the team and[br]all the logistics of the patient visit. 0:01:25.097,0:01:34.213 Our patients' ages can be anywhere [br]from newborns to the elderly. 0:01:37.337,0:01:46.790 By role model, we mean someone who has had a similar experience... 0:01:46.790,0:01:49.977 ...and a similar disability. 0:01:49.977,0:01:57.039 The purpose of the role model is to help [br]create a vision... 0:01:57.039,0:02:05.373 for example, they can show a child and their parents[br]all the possibilities in life. 0:02:05.373,0:02:13.289 Role models are brought in as needed. 0:02:13.289,0:02:18.707 Sometimes we bring in three[br]and you meet one a day. 0:02:18.707,0:02:24.300 The EX-Center simply wouldn't work[br]without the Role Model Program. 0:02:24.592,0:02:28.826 It's the spirit of the clinic...[br]working together as a team. 0:02:28.933,0:02:36.184 The patient, the patient organization,[br]and professionals. 0:02:36.815,0:02:42.657 We professionals only do a small part[br]of what the EX-Center has to offer. 0:02:42.657,0:02:45.896 This is about doing things together. 0:02:45.896,0:02:53.290 The role models are also people[br]who can instruct... 0:02:53.290,0:03:02.290 For a child learning to dress themselves,[br]the role model shows them how they do it. 0:03:06.059,0:03:11.415 It's not me, the occupational therapist,[br]giving instructions. It's other patients. 0:03:11.415,0:03:17.540 It's someone to look up to who says, [br]"This is how I do it." 0:03:17.540,0:03:32.817 The role model and I offer lots of ideas,[br]but the patient decides their own method. 0:03:32.817,0:03:44.777 We want to spark the patient's own creativity, [br]to see possibilities, not obstacles. 0:03:44.777,0:03:53.707 My name is Carina Essberg and I have differences[br]on all four limbs. 0:03:53.707,0:03:59.546 I use prosthetics for my legs,[br]not much for my hands... 0:04:01.578,0:04:08.816 ...but I have other assistive devices for [br]eating, which I show. 0:04:08.816,0:04:18.528 ...and devices for working out, [br]and swimming, which I can show. 0:04:19.989,0:04:27.672 I have a license, [br]so I can show how I drive. 0:04:28.365,0:04:40.667 I can show how you can swim any stroke,[br]even if you're missing a leg. 0:04:41.667,0:04:49.342 I became an instructor, and[br]have taught kids at my own swim school. 0:04:50.358,0:04:55.362 The kids think it's fun to learn[br]from someone who is like them. 0:04:56.116,0:05:04.344 We don't invite just anyone to be a role model. 0:05:04.621,0:05:11.917 We think a lot about who we select,[br]so that we're almost certain it'll be a good match. 0:05:11.917,0:05:23.271 Personal chemistry too...it's not easy[br]to meet a stranger and be vulnerable. 0:05:24.333,0:05:33.234 The EX-Center doesn't just offer rehabilitation... 0:05:33.588,0:05:39.172 We also gather and disseminate[br]information. 0:05:39.525,0:05:48.637 We have built an on-line database--[br]our "TipBase" 0:05:48.637,0:05:57.665 filled with advice, tips, products[br]adaptations, assistive technology. 0:05:57.665,0:06:06.117 Working with a patient organization[br]hasn't been problem-free... 0:06:06.117,0:06:13.316 We come from different worlds[br]but that's also the point... 0:06:13.316,0:06:24.480 My expertise as a professional comes from[br]being together with our patients 0:06:24.480,0:06:29.433 ...to see them in their daily lives. 0:06:29.433,0:06:36.881 When we travel internationally to talk about[br]our clinic, I've noticed that some professionals 0:06:36.881,0:06:45.253 don't want daily contact with patients, [br]they want to distance themselves... 0:06:45.253,0:06:47.131 ...but for us it's the opposite. 0:06:47.131,0:06:53.965 We have to be close...because everything I know,[br]I've learned from them. 0:06:55.226,0:07:04.071 In order to work this closely with patients,[br]professionals have to first admit 0:07:04.071,0:07:10.988 that their patients have knowledge that they don't, 0:07:10.988,0:07:15.490 ...and then we have to accept that [br]we don't make the decisions. 0:07:15.490,0:07:23.503 We're not the recipients of care, either.[br]The patients should have authority. 0:07:24.519,0:07:31.234 It can be hard for professionals to let go[br]of the idea that they are the experts. 0:07:31.573,0:07:37.166 We also have meetings for patients. 0:07:39.416,0:07:56.413 We have lectures,we share experiences, do group work around a topic 0:08:03.001,0:08:11.692 It's a form of training and of modelling as well. 0:08:11.692,0:08:19.553 I met a patient who was not originally [br]from Sweden. Her parents came too... 0:08:22.822,0:08:31.964 ...and she wondered what career path[br]she should choose. 0:08:31.964,0:08:36.656 I told her she could be anything she wanted. 0:08:36.656,0:08:46.239 The choice should be based on her dreams,[br]not her disability. 0:08:46.239,0:08:54.542 And she was really glad to hear that.[br]She was only 14 years old. 0:08:56.204,0:08:59.336 She's a lawyer today. 0:08:59.859,0:09:07.504 I'm convinced that the Role Model program[br]makes it possible for the care team 0:09:07.812,0:09:19.033 to provide better service [br]and helped them become better listeners. 0:09:19.033,0:09:27.033 It's helped them hear what matters[br]to patients...and their ideas. 0:09:27.033,0:09:38.409 Many thanks to Marie, Christina and Carina[br]for sharing their experiences at the EX-Center.