Chapter 14

Question 1

administration

Answer 1

The system’s organization and management

Question 2

levels of care

Answer 2

Type of service and length of time client receives services

Question 3

areas of practice

Answer 3

types of conditions that the setting Serves Characteristic of Settings

Question 4

Public agencies

Answer 4

 Operated by federal, state, or county governments.
 Federal agencies include the Veterans Administration hospitals and clinics, Public Health Services hospitals and clinics, and Indian Health Services

Question 5

Private not-for-profit agencies

Answer 5

 Receive special tax exemptions, typically charge a fee for services, and maintain a balanced budget to provide services.
 These agencies include hospitals and clinics with religious affiliations, private teaching hospitals, and organizations

Question 6

Private for-profit agencies

Answer 6

 Owned and operated by individuals or a group of investors.
 These agencies are in business to make a profit

Question 7

Continuum care

Answer 7

Another way of characterizing health care settings is by the level of care required by the
client. Health care is provided to the consumer along a continuum, as the client’s needs
dictate

Question 8

Acute care

Answer 8

First level on the continuum

Question 9

Diagnosis-related groups (DRGs)

Answer 9

Hospitals are paid a predetermined, fixed fee, based on DRGs, regardless of the services provided

Question 10

Subacute care

Answer 10

Shorter inpatient hospital stays created a need for an interim level of care

Question 11

Long-term care

Answer 11

Serves clients who are medically stable but who have a chronic condition requiring services
over time, potentially throughout life.

Question 12

Biological (Medical)

Answer 12

 Hospitals (general, state, and federal, specialty)
 Clinics
 Work sites (industry)
 Home health
 Skilled nursing facilities

Question 13

Psychological (Social)

Answer 13

 Schools
 Day treatment
 Hippotherapy centers
 Workshops
 Special Olympics
 Special camps

Question 14

Sociological

Answer 14

 Behavioral Health Centers (psychiatric care)
 Community mental health
 Teen centers
 Supervised living
 After-school programs

Question 15

Clinics

Answer 15

 Clinics generally serve clients with disabling conditions on an outpatient basis.
 These clients may have been recently discharged from a hospital setting but still need
therapy services

Question 16

Hospitals

Answer 16

 Clients in hospitals receive care for acute illnesses.
 OT evaluation and intervention in hospitals generally focuses on medical and functional
concerns.
 some hospitals provide rehabilitation services over a
longer period of time

Question 17

Home Health Agencies

Answer 17

 Practitioner works on problems related to performance in self-care, home management, work and
school, or play and leisure

Question 18

Schools and Special Education

Answer 18

 Education for All Handicapped Children Act, known as Public Law (PL) 94-142, passed, making
public school education available to all children, regardless of disability

Question 19

Day Treatment

Answer 19

 serve people who need daytime supervision or can live in the community but who require some assistance.
 Some individuals may live at home with families whose members work, whereas others live in supportive housing but cannot plan their own activities.

Question 20

Workshops

Answer 20

 Some communities provide strategic workshops for people who are not able to seek
employment in a competitive job market.
 These workshops include technical workshops, training centers, and retirement workshops

Question 21

Behavioral Health Centers

Answer 21

services to those with severe developmental or emotional disabilities but are now
considered behavioral health units.

Question 22

Community Mental Health Centers

Answer 22

 offer medication clinics and counseling, crisis units, or
day-treatment programs.
 OT practitioners work with a client or group of clients to
develop life skills, encourage social participation, explore leisure opportunities,

Question 23

Supervised Living

Answer 23

 Partially or fully supervised housing for people whose care does not warrant formal care but who are not ready or able to manage on their own

Question 24

All-Inclusive Settings

Answer 24

include long-term care facilities that provide OT services that address biological,psychological, and sociological functions.

Question 25

Community Based Settings

Answer 25

 Correctional facilities, mental health courts, diversion programs, industrial settings, birth centers, ergonomics, hospice, forensics, and community transition settings.

Question 26

Private Practice and Consulting

Answer 26

 Addresses a variety of aspects of client functioning and include clients of all ages and diagnoses.