Table of Contents

 

 

 

SECTION I

OCCUPATIONAL THERAPY: THE PROFESSION

 

Chapter 1

Introductory Questions

 

 

What Is Occupational Therapy?

 

 

Are There Different Levels of the Occupational therapy Practitioner?

 

 

What Does an Occupational Therapy Practitioner Do?

 

 

Do Occupational Therapy Practitioners Help People Get Jobs?

 

 

Why Refer to Both “Patient” and “Client”?

 

 

Are There Personality Characteristics Best Suited for a Career Choice in Occupational Therapy?

 

 

What Does an Occupational Therapy Educational Program Cover?

 

 

What Is the Main Emphasis of Occupational Therapy Curricula?

 

 

Who Are the People Served and What Kinds of Problems or Disabilities are Addressed by Occupational Therapy?

 

 

How Are These Services Delivered and in What Kinds of Settings?

 

 

What Kinds of Activities are used by the Occupational therapy Practitioner during Intervention?

 

 

Occupational Therapy Intervention Across the Life Span: A Photographic Essay

 

 

Summary

 

Chapter 2

Looking Back: A History of Occupational Therapy

 

 

Eighteenth and Nineteenth Centuries

 

 

Moral Treatment

 

 

Early Twentieth Century and the Beginning of the Occupational Therapy Profession

 

 

Founders of the Profession

 

 

National Society for the Promotion of Occupational Therapy

 

 

Philosophical Base: Holistic Perspective

 

 

World War 1

 

 

Post-World War I Through the 1930s

 

 

Progress of the Profession

 

 

World War II: 1940-1947

 

 

Post-World War II: 1950s-1960s

 

 

New Drugs and Technology

 

 

Rehabilitation Movement

 

 

Federally Mandated Health Care

 

 

Changes in the Profession

 

 

1970s Through 1980s

 

 

Prospective Payment System

 

 

Gary Kielhofner: Return to Occupation

 

 

Advances at AOTA

 

 

State Regulation of Occupational Therapy

 

 

A Return to the Roots of the Profession: Occupation

 

 

1990s to the Present

 

 

Occupational Therapy Entry-Level Education, Continuing Competence, and Recertification

 

 

Occupation-Based Practice

 

 

Summary

 

Chapter 3

Philosophical Principles and Values in Occupational Therapy

 

 

Understanding Philosophy

 

 

Philosophical Base of Occupational Therapy

 

 

What Is Humankind?

 

 

How Does a Person Know What He Knows?

 

 

What Is Desirable?

 

 

What Are the “Rules of Right Conduct”?

 

 

Summary

 

Chapter 4

Current Issues and Emerging Practice Areas

 

 

Centennial Vision

 

 

Occupation

 

 

Emerging Areas of Practice

 

 

Priorities for 2011

 

 

Aging in Place

 

 

Driver Assessments and Training Programs

 

 

Community Health and Wellness

 

 

Needs of Children and Youth

 

 

Ergonomics Consuming

 

 

Technology and Assistive-Device Devebping and Consulting

 

 

Educational Trends

 

 

State Regulation

 

 

Policy and Reimbursement

 

 

Summary

 

SECTION II

OCCUPATIONAL THERAPY: THE PRACTITIONER

 

Chapter 5

From Student to Practitioner: Educational Preparation and Certification

 

 

Accreditation of Educational Programs

 

 

Entry-Level Educational Preparation

 

 

Educational Demographics of Occupational Therapy Practitioners

 

 

Educational Preparation for the Occupational Therapist

 

 

Doctor of Occupational Therapy and Postgraduate Education

 

 

Educational Preparation for the Occupational Therapy Assistant

 

 

Entry-Level Certification and State Licensure

 

 

History of Certification and Registration

 

 

Summary

 

Chapter 6

Professional Organizations

 

 

American Occupational Therapy Association Mission

 

 

Membership

 

 

Organizational Structure

 

 

Assuring Quality of Occupational Therapy Services

 

 

Professional Development of Members

 

 

Publications

 

 

Continuing Education

 

 

Practice Information

 

 

Improving Consumer Access to Health Care Services

 

 

American Occupational Therapy Foundation

 

 

World Federation of Occupational Therapists

 

 

Summary

 

Chapter 7

The Occupational Therapy Practitioner: Roles, Responsibilities, and Relationships

 

 

Professional Roles and Career Development

 

 

Levels of Performance

 

 

Specialized Roles

 

 

Roles and Responsibilities During Service Delivery

 

 

Supervision

 

 

Levels of Supervision and Parameters That Affect Supervision Levels

 

 

Supervision of the Occupational Therapy Aide

 

 

Occupational Therapist-Occupational Therapy Assistant Partnership: Strategies for a Successful Supervisory Relationship

 

 

Health Care Teams and Teamwork

 

 

Lifelong Learning and Professional Development

 

 

Strategies for Professional Development and Continuing Competence

 

 

Summary

 

Chapter 8

Practicing Legally and Ethically

 

 

Practicing Ethically

 

 

American Occupational Therapy Association Code of Ethics

 

 

Principle 1: Bene/icence

 

 

Principle 2: Nonmaieficence

 

 

Principle 3: Autonomy and Confidentiality

 

 

Principle 4: Social Justice

 

 

Principle 5: Procedural Justice

 

 

Principle 6: Veracity

 

 

Principle 7: Fidelity

 

 

Solving Ethical Problems

 

 

Practicing Legally

 

 

Federal Statutes

 

 

State Statutes

 

 

State Regulation of Occupational Therapy

 

 

Disciplinary Processes

 

 

Summary

 

SECTION III

THE PRACTICE OF OCCUPATIONAL THERAPY

 

Chapter 9

Occupational Therapy Practice Framework: Domain and Process

 

 

Areas of Occupation

 

 

Activities of Daily Living

 

 

Instrumental Activities of Daily Living

 

 

Rest and Sleep

 

 

Education

 

 

Work

 

 

Play

 

 

Leisure

 

 

Social Participation

 

 

Analysis of Occupational Performance

 

 

Case Application

 

 

Occupational Therapy Process

 

 

Intervention Plan

 

 

Create/Promote (Health Promotion)

 

 

Establish/Restore (Remediate)

 

 

Maintain

 

 

Modify (Compensation, Adaptation)

 

 

Prevent

 

 

Types of Occupational Therapy Interventions

 

 

Outcomes

 

 

Summary

 

Chapter 10

Occupational Therapy Across the Life Span

 

 

Infancy

 

 

Developmental Tasks of Infancy

 

 

Diagnoses and Settings

 

 

Intervention

 

 

Childhood

 

 

Developmental Tasks of Childhood

 

 

Diagnoses and Settings

 

 

Intervention

 

 

Adolescence

 

 

Developmental Tasks of Adolescence

 

 

Diagnoses and Settings

 

 

Intervention

 

 

Young and Middle Adulthood

 

 

Developmental Tasks of Young and Middle Adulthood

 

 

Diagnoses and Settings

 

 

Intervention

 

 

Later Adulthood

 

 

Developmental Tasks of Later Adulthood

 

 

Diagnoses and Settings

 

 

Intervention

 

 

Summary

 

Chapter 11

Treatment Settings and Areas of Practice

 

 

Characteristic of Settings

 

 

Administration of Setting

 

 

Levels of Care

 

 

Areas of Practice

 

 

Settings

 

 

Occupational Therapy Employment Trends

 

 

Summary

 

Chapter 12

Occupational Therapy Process: Evaluation, Intervention, and Outcomes

 

 

Evaluation Process

 

 

Referral

 

 

Screening

 

 

Occupational Profile

 

 

Occupational Performance Analysis

 

 

Interview

 

 

Developing Observation Skills

 

 

Formal Assessment Procedures

 

 

Intervention Process

 

 

Intervention Planning; Problem Identification, Solution Development, and Plan of Action

 

 

Implementation of the Plan

 

 

Intervention Review

 

 

Transition Services

 

 

Discontinuation of Services

 

 

Outcomes Process

 

 

Summary

 

Chapter 13

Service Management Functions

 

 

Maintaining a Safe and Efficient Workplace

 

 

Safe Environment

 

 

Ordering and Storing Supplies

 

 

Infection Control

 

 

Scheduling

 

 

Documenting Occupational Therapy Services

 

 

Reimbursement for Services

 

 

Public Funding Sources

 

 

Private Funding Sources

 

 

Other Funding Sources

 

 

Coding and Billing for Services

 

 

Program Planning and Evaluation

 

 

Integrating Professional Development Activities and Evidence-Based Practice into the Workplace

 

 

Marketing and Public Relations

 

 

Summary

 

Chapter 14

Models of Practice and Frames of Reference

 

 

Understanding Theory

 

 

Why is it Important to Know About and Use theory in Occupational Therapy Practice?

 

 

Model of Practice

 

 

Case Application

 

 

Model of Human Occupation

 

 

Canadian Model of Occupational Performance

 

 

Person-Environment Occupation-Performance

 

 

Occupational Adaptation

 

 

Frames of Reference

 

 

Population

 

 

Continuum of Function and Dysfunction

 

 

Theories Regarding Change

 

 

Principles

 

 

Role of the Practitioner

 

 

Assessment Instruments

 

 

Why Use a Frame of Reference?

 

 

Application of Two Frames of Reference

 

 

Using Multiple Frames of Reference

 

 

Evaluating Frames of Reference

 

 

Case Application

 

 

Summary

 

Chapter 15

Intervention Modalities

 

 

Therapeutic Use of Occupations and Activities

 

 

Preparatory Methods

 

 

Sensory Input

 

 

Therapeutic Exercise

 

 

Physical Agent Modalities

 

 

Orthotics

 

 

Purposeful Activity

 

 

Simulated or Contrived Activity

 

 

Occupation-Based Activity

 

 

Consultation

 

 

Education

 

 

Activity Analysis

 

 

Activity Synthesis

 

 

Summary

 

Chapter 16

Therapeutic Relationships

 

 

Psychology of Rehabilitation

 

 

Therapeutic Relationship

 

 

Intentional Relationship Model

 

 

Basic Therapeutic Use of Self Principles

 

 

Self-Awareness

 

 

Skills for Effective Therapeutic Relationships

 

 

Developing Trust

 

 

Developing Empathy

 

 

Communication

 

 

Verbal Communication

 

 

Nonverbal Communication

 

 

Using Active Listening

 

 

Application of Therapeutic Use of Self to Occupational Therapy

 

 

Group Leadership Skills

 

 

Summary

 

Chapter 17

Clinical Reasoning

 

 

Elements of Clinical Reasoning

 

 

Thought Process During Clinical Reasoning

 

 

Clinical Reasoning Strategies

 

 

From Novice to Expert: Development of Clinical Reasoning Skills

 

 

Techniques to Develop Clinical Reasoning Skills

 

 

Summary

 

Appendix A

Occupational Therapy Code of Ethics and Ethics Standards (2010)

 

Appendix B

Standards of Practice for Occupational Therapy

 

Appendix C

Key Information from the Occupational Therapy Practice Framework

 

Appendix D

Resources

 

 

Glossary

 

 

Index