WEEK 5 Flashcards
Which assessments should I use?
Evidence from literature that is supported
Client preferences and values
Clinical experience and training
Resources available
Descriptive measurement
Describes the persons current functional status, problems, needs etc.
Measurement construction requires descriptive items
Discriminative measurement
Discriminates between individuals or groups by comparison with others
Measurement construction requires discriminating items
Predictive measurement
Predicts an individual likely to undergo something in the future and/or identifies those at risk of a particular factor
Evaluative measurement
Outcome measurement: will measure change over time. Used at the start to measure baseline from which to measure change and upon completion to evaluate the effect of the therapy intervention
Measurement construction requires responsive items
Why is goal setting important?
Collaborative goal setting is an essential component of occupational therapy practice, the ultimate goal is to enable our clients to Engauge in daily occupations that are meaningful to them.
What is the COPM?
An individualized outcome measure to be used at the beginning of OT intervention to establish client goals, as necessary throughout and at the end of treatment
5 Steps of the COPM
STEP 1 - Problem definition – identify things the client wants to work on – goals
STEP 2 – Rating importance – rating how important each thing is for person
STEP 3 – Selecting problems for scoring -
STEP 4 – Scoring performance and satisfaction -
STEP 5 – Client reassessment
Characteristics of good measurements
- Valid
- Reliable
- Clinical utility
- ## Reduced bias
What is the family goal setting tool
Developed in Australia by an Occupational therapist who has worked with families of children with ASD
A card sorting tool that scaffolds the identification, communication and prioritization of family’s goals
It encompasses child-focused and family focused goals as also the family’s legitimist need for information, support and opportunity for active participation in the community.
What is Autism
A neuro development condition that effects how a person communicates, interacts with others and experiences the world: Characterized by difficulties in:
Social interactions
Communication
Repetitive behaviors
Sensory sensitivities
Diagnostic Criteria
A. Refers to persistent deficits in social communication and social interaction across multiple contexts and is manifested by the following
B. Restrictive repetitive patterns of behaviour, interests or activities
C. Symptoms must be present in early developmental period
D. symptoms cause clinical significant impairment in social, occupational or other important areas of current functioning
Autism diagnosis
Diagnosis is made on the basis of observing behavior - no blood tests, no single defining symptom
Clinicians must be careful in determining whether a child’s difficulties and behaviors are related to autism or better described by another condition
Multidisciplinary assessment is best practice, but diagnosis can be made by a pediatrician, child psychiatrist trained in ASD assessment
OT’s may be part of the diagnostic process
Autisum and OT
Diagnosis as part of a multidisciplinary team (cant diagnose independently)
Assessment – developing family centered goals
Evidence-based intervention which support meaningful childhood occupations
