Evaluations Ch 8 Flashcards
Evaluation process is used to determine
➢what an individual wants and needs to do.
➢what the individual is currently able to do.
➢what supports and barriers influence occupational performance and participation.
The scope of evaluation focuses on
●Occupational performance — Performance skills, Performance patterns, Client factors
●Context/environments
Purpose of conducting evaluations
➢Screening
➢To determine the scope and frequency of occupational therapy services
➢To establish goals and develop intervention plans
➢To assess progress toward goals
Screenings determine
if a child would benefit from a formal evaluation for occupational therapy services
●Referrals for screenings come from many sources and vary based on the practice setting. Some examples of referral sources include
examples of referral sources
➢parents.
➢daycare workers.
➢physicians.
TOP DOWN EVALUATION
Occupational performance and participation —> Client factors
Capturing the parent and child’s perspective is done through
●Client-centered approach
●Methods for obtaining these perspectives:
➢Interviews
➢Formal assessment tools
➢Observation
➢Picture taking methods
Evaluation process
●Occupational profile
●Evaluation plan
●Analysis of occupational performance — Collecting data through various assessment tools and strategies
●Interpretation of findings
●Refining hypothesis
●Documenting findings — Establishing goals & Designing interventions
Methods of evaluation
●Standardized assessment tools
➢Norm-referenced
➢Criterion-referenced
●Non-standardized assessment tools
●Clinical Observations
●Interviews
The occupational therapist synthesizes the data from the evaluation and answer the following questions:
➢Would this child benefit from occupational therapy services?
➢What are the appropriate outcomes for this child’s occupational therapy services?
➢Which occupational therapy theory and/or frame of reference(s) will be used to guide the intervention planning for this child?
Questions to ask to interpretate the findings?
➢What is the best context and/or environment for this child’s occupational therapy services?
➢Does more information need to be collected from the child, parent, or other team members before decisions can be made?
➢Does the child needed to be referred for services other than occupational therapy?
Purpose of documentation
to communicate information about the client, explain recommendations, and create a chronological record associated with the services provided.
●Documentation should reflect the occupational therapist’s clinical reasoning.
What’s include in an evaluation report?
Referral source and info
Relevant client info
OT profile
Tools/analysis
Summary of findings
Description of the occupational therapist’s interpretation
Recommendations
OT signature
Evaluation findings drive intervention planning
●Goal writing
●When writing goals consider:
➢the timeframe.
➢the person.
➢the daily occupation or routine.
➢the specific context.
Occupational therapist’s signature
first and last name, and professional designation
Recommendations
e.g., whether or not occupational therapy services are needed; need for assistive technology or accommodations or modifications
Description of the occupational therapist’s interpretation
e.g., judgment about how specific performance skills, performance patterns, contexts/environments, client factors, and activity demands influence occupational performance and participation and is related to the client’s occupational profile
Referral source and information
Date of and reason for Refferal
Relevant client information
name, identification number, medical history, and/or diagnosis, if applicable
Summary of the findings from the assessment process and tools
Assessment scores
