OT Process- Review

Question 1

Review of the OT Process

Answer 1

Method of providing OT services
Focus is on occupation
Evaluate client’s occupational abilities & needs for:
intervention plan & implementation
occupational performance outcomes
Ongoing

Question 2

OT Process

Answer 2

Referral
Screening
Evaluation
Intervention plan
Implementation
Reevaluation
Outcomes

Question 3

Referral

Answer 3

Receive referral from-medical, school, community, work settings
Diagnoses-focused on
Type of therapy-OT
Specific interventions-activity, modalities, etc.
Frequency-times per week
Duration-total length of plan

Question 4

Screening

Answer 4

Brief review of record
May have contact with client
May use a screening instrument
Determine whether in-depth evaluation is necessary

Question 5

Evaluation

Answer 5

Gather & interpreting data
Components
-Occupational profile
- Analyzing occupational performance

Question 6

Occupational Profile

Answer 6

Occupations?
Activities?
Role competence?
Value of each
Client priorities?
Outcomes desired?
Based on this, evaluate ability to plan, initiate & complete various occupations

Question 7

Other data needed?

Answer 7

Sensorimotor
Biomechanical
Neurodevelopmental
Psychosocial
Perceptual-cognitive
Other data to understand occupational needs
Determine best method of evaluation

Question 8

Theory:

Answer 8

means to examine occupation, performance & relationship between engagement in occupations & participation in context; determine prior to evaluation

Question 9

Model of practice:

Answer 9

application of theory; facilitates analysis of occupational profile & determine interventions; lens

Question 10

FOR:

Answer 10

links theory to intervention strategies

Question 11

Intervention Plan: Collaborative Process

Answer 11

process-client values & goals; environmental & contextual factors incorporated

Question 12

Intervention Plan: Outcome

Answer 12

Occupational performance improvement
Role competence
Adaptation
Prevention
Quality of life

Question 13

Intervention plan : Approach or strategy of intervention for client to attain goals

Answer 13

Prevention of disability
Health promotion
Establish/restore a skill or ability
Adapt or compensate
Maintain current functioning

Question 14

Intervention plan : Approach or strategy of intervention for client to attain goals

Answer 14

Client-centered
-Long-term goals
-Short-term goals
Methods based on approaches/strategies
Frequency-times per week
Duration-total length of plan

Question 15

Implementation

Answer 15

Intervention methods:

• Therapeutic use of self
• Therapeutic use of occupations & activities
• Consultation
• Education

Question 16

Reevaluation

Answer 16

Measure outcomes to demonstrate effectiveness of interventions
Review the intervention plan
-Needs being met
-Progress & changes made
Options: continue, change, or discontinue plan

Question 17

Why outcomes?

Answer 17

Emphasis on evidence-based practice
Effectiveness of occupational therapy
Research
Program evaluation
Quality improvement
Case management
UR/cost containment

Question 18

Characteristics of Measure

Answer 18

Outcome measures should be:
valid
reliable
sensitive to change over time
relevant to population 
relevant to area of interest
Example: FIM used in physical disabilities settings with rehabilitation focus

Question 19

OT Outcomes

Answer 19

“…supporting health and participation in life through engagement in occupation.” (AOTA, 2002)
determining whether participation in various contexts/environments has been achieved

Question 20

OT Role & Responsibilities

Answer 20

Initiating & directing eval process, interpret eval info, determining goals, establish intervention plan, further assessment, delegate tasks to OTA
Oversee intervention plan & its implementation
Determine need for continuing, modifying, or discontinuing service
Select, measure & interpret outcomes

Question 21

OT Role & Responsibilities-AL

Answer 21

Vary state to state according
AL State Board of Occupational Therapy
-OT-practice occupational therapy
-OTA-assist in the practices of OT under supervision of or with consultation of OT
-Aide-assists in delivery of OT under direct onsite supervision; don’t require professional or advanced training based on sciences

Question 22

OTA Role & Responsibilities

Answer 22

Contributes to eval process
Collaborates on intervention plan
Implements interventions; modifies
Provides info on client response to interventions to OT
Provides info on client outcomes
Provides discharge resources