Unit 8: Intervention Process and Outcomes Flashcards
The intervention phase of the OT Process
- Where a lot of the action happens.
- The OT practitioner takes information gathered during the evaluation phase, collaborates with the client, and delivers the occupation-centered intervention to allow the client to reach their goals.
Components of the Intervention Process include…
- Intervention Plan (aka the treatment plan or plan of care (POC)
- Intervention Implementation
- Intervention Review
The Intervention Plan
(aka the treatment plan or plan of care (POC)
- Developed collaboratively and balances the clients needs and goals, client well-being, the context of service delivery, evidence-based practices, activity demands, and performance abilities of the client.
- The intervention plan guides actions taken and is based on evidence, theory, and frames of reference.
When is the intervention plan developed?
After the evaluation plan to help direct the occupational therapy approach and determine what type of intervention might assist the client in meeting their desired outcomes.
The steps of the intervention plan include
- Developing a plan based on measurable goals
- Using a variety of intervention approaches and types of interventions
- Considering the discharge needs of the client
- Making recommendations for outside professionals to participate in the client’s care.
The intervention plan is a client-centered process and takes into account many factors, including the client’s…
-Goals
-Values
-Health
-Performance skills and patterns
-Surrounding context and environment
(This is where you can see how the domain portion of the OT interacts with the process of OT.)
Consult the Literature (intervention plan)
Important for the therapist to consult the literature and ensure that the intervention being provided is evidence based and a best practice.
Make Goals and Determine an Intervention Time Frame (intervention plan)
- Goals are made in conjunction with determining a relevant time frame for intervention.
- At this time, outcome measures may also be selected to help measure progress toward goals.
Define Intervention Approaches and Service Delivery Models (intervention plan)
During this time, intervention approaches are defined and service delivery models, including who is to deliver the services, are also determined.
Synthesize Information into Plan and Determine Discharge Needs (intervention plan)
- All of this information is synthesized into the plan, while also attending to the discharge needs and forecast.
- No matter what the time frame is, an OT is always thinking about what the end goal and discharge plan are for the client.
Make Recommendations/Referrals to Other Professionals (intervention plan)
It is also in this time frame that an OT might make recommendations to other professionals, such as a physical therapist, speech therapist, social worker, or others, to meet the client’s needs.
To examine the approaches for intervention more carefully, please review Table 13, Approaches to Intervention, of the OTPF-4. (1 of 2)
These approaches are specific strategies that direct the process of OT and help inform practice models, frames of reference, and/or treatment theories.
To examine the approaches for intervention more carefully, please review Table 13, Approaches to Intervention, of the OTPF-4. (2 of 2)
These approaches are specific strategies that direct the process of OT and help inform practice models, frames of reference, and/or treatment theories.
Create, Promote, Health Promotion (intervention plan approach)
- Assumed disability will not interfere with performance
- Provides enriched activity experience that enchance performance for all persons
Establish Restore, Remediation (intervention plan approach)
Changes client variables to establish a new skill or restore an impaired skill
Maintain (intervention plan approach)
Allows a client to preserve performance capacities
Modify, Compensation, Adapting (intervention plan approach)
Focuses on revising a context or activity
Prevent, Disability Prevention (intervention plan approach)
- Clients with or without disabiity
- Prevents occurence in cluents that are at risk for performance problems
Intervention implementation
Occurs after intervention planning
- The process of putting the plan into action with the client to address aspects of the domain that limit the clients participation in occupations.
- Ongoing actions are taken by a therapist to influence and support client performance. Interventions are selected to target identified outcomes.
It is important to remember that even though you are in “Step 2,” you, as the therapist, are…
Constantly revising intervention planning as well as evaluating/reevaluating the client as they work toward their intended outcomes.
Parts of the intervention implementation include…
Selecting appropriate interventions and monitoring the client’s response to interventions.
During implementation, the therapist is determining what Type of Intervention they want to deliver. Table 12, Types of Occupational Therapy Interventions, of the OTPF-4 details a fairly inclusive list of interventions that fall under our scope of practice. (1 of 4)
During implementation, the therapist is determining what Type of Intervention they want to deliver. Table 12, Types of Occupational Therapy Interventions, of the OTPF-4 details a fairly inclusive list of interventions that fall under our scope of practice. (2 of 4)
During implementation, the therapist is determining what Type of Intervention they want to deliver. Table 12, Types of Occupational Therapy Interventions, of the OTPF-4 details a fairly inclusive list of interventions that fall under our scope of practice. (3 of 4)
During implementation, the therapist is determining what Type of Intervention they want to deliver. Table 12, Types of Occupational Therapy Interventions, of the OTPF-4 details a fairly inclusive list of interventions that fall under our scope of practice. (4 of 4)
The six main types of OT intervention are:
- Occupations and Activities
- Interventions to Support Occupations
- Education and Training
- Advocacy
- Group Interventions
- Virtual Interventions