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The Competitive World of Work

One of the advantages of growing old is the capacity to view things in retrospect ; an exercise which tends to offset our natural impatience with delays and frustration as we try to reach worthwhile objectives. My employment by the Ontario Workmen's Compensation Board as its first rehabilitation officer, 32 years ago, coincided with the establishment of the occupational therapy clinic. The enthusiasm and practical approach of the original occupational therapists soon infected and permeated the whole organization and marked the beginning of a comprehensive and effective rehabilitation program that became a model to people everywhere. The gradual realization of the potential behind a complete rehabilitation concept when applied to the problems of disability led eventually to federal government support for rehabilitation in both the medical and vocation fields. This federal support through the provinces stimulated the rapid expansion of resources and services in the 1950's. In 1951, when joint financial support by the Federal Departments of Labour and National Health and Welfare was introduced, there were nine specialists in physical medicine in Canada. There were six rehabilitation centres and six sheltered workshops. Only the major hospitals had physical medicine departments and the schools at Toronto and McGill were endeavouring to turn out a sufficient number of therapists to meet the demand. Today we have around 90 specialists in physical medicine. All major hospitals have physical medicine departments. There are some 40 rehabilitation centres and 250 sheltered workshops give service annually to over 8,500 clients. Thirteen schools are training therapists and the Government of Canada shares with the provinces the salaries of some 400 vocational rehabilitation personnel. All this is backed and supported by almost universal coverage for hospitalization and medical care. The nationwide services of Canada Manpower, concerned with job preparation and the utilization of manpower, provide the support of The Canada Manpower Training Programs, the Canada Manpower Mobility Program, Programs for Special Groups and vocational rehabilitation agreements with nine of the provinces. The significant point is, that those who are concerned with the disabled and their rehabilitation, have available to them much more in the way of resources than ever before. The degree of success that we attain will depend largely on our hav-