OTA 100 - Ch. 12 Treatment Settings

Question 1

Physical Disabilities

Answer 1

Term used when working with clients in any age range, as opposed to mental health or wellness.

Question 2

Pediatrics

Answer 2

Birth to end of high school: term can apply to physical disability, mental health issue or wellness.

Question 3

Acute Care/Rehab

Answer 3

Rehab in hospital setting; client is in acute phase of physical disability but can have a mental health component. Acute care is first level on continuum of care—sudden and short-term need for services.

Question 4

Geriatrics

Answer 4

Working with older population; term applies often with physical disability but can have mental health issue.

Question 5

Skilled Nursing Facilities (SNFs)

Answer 5

Often associated with geriatrics, but younger persons now being seen in SNFs with strokes, etc.

Question 6

Assisted Living Facilities

Answer 6

Associated with geriatric setting.

Question 7

Biological Sphere

Answer 7

Setting addressing medical problems caused by disease, disorder or trauma. OTP targets such things as loss of capacity, diminished perception, limits in movement, pain, etc. May include: Hospitals, Clinics, Home Health Agencies.

Question 8

Psychological Sphere

Answer 8

Setting in which clients have emotional, cognitive, affective or personality disorders. OTP targets affected thinking, memory, attention, emotional control, etc. May include: Institutions, Community Mental Health Centers, Supervised living.

Question 9

Sociological Sphere

Answer 9

Setting with emphasis on meeting expectations of society; problems may result from severe physical or cog disability, develp delays, long-term emotional problems. OTP targets lack of life skills, poor interpersonal skills, detrimental behavior patterns, etc. May include: Schools/special ed, Day treatment, Workshops.

Question 10

Diagnosis-related groups (DRGs)

Answer 10

Groupings of disease categories that Medicare and other third-party payers use as basis for hospital payment schedules. Incentivizes hospitals/physicians to reduce costs and discharge patients asap.

Question 11

Private for-profit vs. not-for-profit agencies vs. Public agencies

Answer 11

Public = operated by federal, state or county govts. Includes VA, public health services clinics, Indian health clinics

Private for-profit = owned by individuals or group of investors to make profit. May focus on one level of care or form multifacility system.

Private not-for-profit = receive tax exemptions and charge fee for services; include agencies with religious affiliation, teaching hospitals, orgs like Easter Seals and United Cerebral Palsy.

Question 12

Subacute Care

Answer 12

Shorter hospital stays created subacute care as interim level of care; client needs care but does not require intensive/specialized service, which reduces hospital costs. Clients may have a stroke or hip fracture, cardiac condition or cancer. Rehab services like OT are major component of this level.