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caydel29

Clinical Reasoning in School Based OT - 0 views

www.med.unc.edu/...ocsci

shared by caydel29 on 19 Oct 15 - No Cached
  • caydel29 on 19 Oct 15
     
    The scope of this handout created by North Carolina Department of Public Instruction is a guide for school based therapist when determining if a child is in need of services in the school. This document states that if the child cannot have access to their education or will not experience educational benefit then occupational therapy services are relevant and could be necessary in order to enhance the child's educational success. Alternatively, this handout also addresses when occupational therapy services are not warranted. Some indicators to know when services are not needed include 1) the needs can be addressed by a special educator or school faculty 2) can needs be addressed during non school hours and/or 3) will providing services lead to an unnecessary gaps or contraindications with other necessary services. These simple guidelines can help the therapist to clinically reason if the student requires services and why or why not. Another great piece of this handout is discussing when occupational therapy services can be discontinued. This section helps the therapist walk through the necessary step in order to accurately determine if services are still needed.
kweithman28

Effectiveness of School-Based Occupational Therapy Intervention on Handwriting - 1 views

ajot.aota.org/Article.aspx

shared by kweithman28 on 20 Nov 14 - No Cached
  • kweithman28 on 20 Nov 14
     
    In this study, 38 students between the ages 7-10 who showed poor handwriting legibility were observed over the course of one school year. 29 of the students received regular occupational therapy services, 9 received no services. Each student was evaluated at the beginning and end of the school year in the areas of Visual-motor, visual-perception, in-hand manipulation, handwriting legibility, and speed. Students who received occupational therapy services showed more improvement in in-hand manipulation, position in space scores, and handwriting legibility scores than those students who did not receive occupational therapy services. Students who received occupational therapy services increased legibility with an average of 14.2%. Students who did not receive occupational therapy services increased legibility with an average of only 5.8%. However, students who did not receive occupational therapy services had more improved handwriting speed than those who did receive services. Overall, one may conclude that students with poor handwriting legibility who receive occupational therapy services will improve their handwriting legibility skills but not necessarily their ability to write with increased speed. During my fieldwork experience in the school system I was able to work with many students on handwriting goals. Regular occupational therapy can greatly improve a student's handwriting abilities. I saw positive results with many of my students after only 12 weeks of intervention.
anthonyroscoe

Managed Mental Health Care: Reflections in a Time of Turmoil - 1 views

The consumer's growing acceptance of treatment for those with mental health issues and substance abuse problems have increased the demand for services in these areas. However, even though there is ...

http:__ajot.aota.org_article.aspx?articleid=1865039&resultClick=3 Ethics

started by anthonyroscoe on 29 Nov 16 no follow-up yet
lwasil08

Effects of Partnerships Between People With Mobility Challenges and Service Dogs - 1 views

ajot.aota.org/article.aspx

shared by lwasil08 on 28 Jul 14 - No Cached
  • lwasil08 on 28 Jul 14
     
    I thought this was a great article relating to the psychosocial needs of clients. Working in an SCI unit, a lot of our clients have mobility issues and quite a few of them have service dogs. In reading this article, it discusses how social participation for people with disabilities is an important factor for OT's to consider. This research helps to demonstrate that having a service dog helps clients to increase leisure activities and community participation. It also found that the use of service dogs, allow people to participate more in meaningful occupations.
meganthompson

Ethical Issues Around Payment for Services - 0 views

www.aota.org/...ecadv-pymt.pdf

shared by meganthompson on 21 Jul 14 - No Cached
  • shaemckay on 21 Jul 14
     
    This article, found on AOTA's website, discussed an ethical issue that we, as practitioners, will face that I hadn't really thought about. As therapists we will be faced with the issue of treating two individuals who have the same diagnosis and prognosis, but have different insurances! One individual will more than likely get more minutes and resources based on their insurance compared to the other. This is definitely an ethical dilemma I hadn't thought about.
  • meganthompson on 06 Aug 14
     
    This article, written by the American Occupational Therapy Association, outlines various ethical issues concerning payment for services occupational therapy practitioners may face. For instance, occupational therapy practitioners may encounter situations where two individuals have the same diagnosis but are entitled by differing insurance plans to varying levels of services at different levels of reimbursement. Sadly, differences in insurance plans can pose inevitable differences in patients' care. I have been able to witness this scenario first hand, as some insurance companies will only pay a flat rate for 30 minutes of occupational therapy services for a skilled patient versus another insurance company allowing a patient to receive ninety minutes of skilled occupational therapy services per day, when both patients have the same diagnosis and deficits. It stands to reason that individuals who are able to receive more intensive services will receive a higher level of care as more time can be devoted to addressing deficits. All of the issues presented in this document can pose potential ethical dilemmas for occupational therapy practitioners; however, utilizing the AOTA Code of Ethics can enable practitioners to make effective, ethical decisions in the best interest of their patients.
cwaits23

Evidence for the Effectiveness of Different Service Delivery Models in Early Interventi... - 0 views

ajot.aota.org/article.aspx

shared by cwaits23 on 17 Nov 14 - No Cached
  • cwaits23 on 17 Nov 14
     
    The authors of this systematic review sought to gather the available evidence base in order to determine best practice in terms of service delivery models and methods used in early intervention. The results of the initial search were categorized into one of 3 categories of service delivery: family centeredness, service setting, and type of parent participation. Through analysis of 18 articles, the authors determined that: parents' perceptions of efficacy and satisfaction increased when interventions were embedded in family routines and settings; these studies support the use of combined approaches across environments, though they did not specifically compare differences in outcomes in varying environments; and parenting classes were found to decrease stress, improve parents' relationships, as well as lead to improved cognitive scores in children when added to early intervention services. The implications of this review on OT practice support the continued use of family-centered approaches, individually tailored interventions, post-intervention assessments to determine effectiveness of interventions, and therapist feedback to increase outcomes.
cassyschulte

Outcomes in Hand Rehabilitation Using Occupational Therapy Services - 0 views

The purpose of this study was to measure functional outcomes after outpatient occupational therapy for clients who had upper-extremity injury and surgery or both. A sample of 33 clients referred t...

started by cassyschulte on 01 Aug 17 no follow-up yet
laurenmbaker

New Functional Limitation Reporting Requirements - 0 views

This article is from 2013, but I thought it was an interesting read. I feel I am constantly trying to understand billing more and more. This article discusses physical therapists (PTs), occupation...

started by laurenmbaker on 01 Oct 15 no follow-up yet
kolodziejs

Psychosocial Needs - 1 views

King, G., Tucker, M., Baldwin, P., Lowry, K., Laporta, J., & Martens, L. (2002). A Life Needs Model of Pediatric Service Delivery. Phys Occup Ther Pediatr Physical & Occupational Therapy in Pediatr...

started by kolodziejs on 17 Aug 15 no follow-up yet
asteele2

Training Needs of Pediatric Occupational Therapists in Assistive Technology. - 0 views

Toby M. Long, Maria Woolverton, Deborah F. Perry, M. Janet Thomas; Training Needs of Pediatric Occupational Therapists in Assistive Technology. Am J Occup Ther 2007;61(3):345-354. doi: 10.5014/ajot...

started by asteele2 on 23 Oct 17 no follow-up yet
kdoug2016

Higher Spending on OT Services Reduces Hospital Readmission Rates - 1 views

This is a great read that includes information analyzed by public health professionals that could be used when discussing the value of OT with doctors and hospital executives. The authors looked at...

occupational therapy hospital readmission acute

started by kdoug2016 on 07 Nov 16 no follow-up yet
kaleycloud

Quantifying Function: The Rest of the Measurement Story | American Journal of Occupatio... - 0 views

ajot.aota.org/article.aspx

shared by kaleycloud on 27 Nov 16 - No Cached
  • kaleycloud on 27 Nov 16
     
    This article discusses the challenge OT is facing to validate and justify its services due to health care reform, funding caps, and decreased access to services. This can be difficult as the core of OT lies in evaluating and treating function, however, due to the wide scope of practice defining and measuring function in a unified way can be difficult. For example there are two widely used ways of looking at function: the top-down and the bottom-up approaches. There is also challenges because some facilities rely on "house assessments" versus utilizing standardized assessments. A more unified method of measuring and defining function needs developed in order to show OTs value across the board.
arikamarie

Practice Advisory: Services Provided by Students in Fieldwork Level II Settings - 1 views

www.aota.org/...%20FW%20Level%20II%20final.pdf

shared by arikamarie on 18 Aug 15 - No Cached
  • arikamarie on 18 Aug 15
     
    Practice Advisory: Services Provided by Students in Fieldwork Level II Settings This resource is provided by AOTA and is a practice advisory about Level II fieldwork students, the services they provide and their supervision. It states that Level II fieldwork students are able to provide occupational therapy services under the supervision of a qualified occupational therapist or occupational therapy assistant in compliance with state and federal regulations. The supervision of Level II fieldwork students should protect consumers and provide a positive role modeling of occupational therapy practice. The supervisor is encouraged to recognized when supervision is needed and still nurturing the student's growth. Supervision should begin at line of sight and gradually decrease as the student's experience, competence, and confidence increases.
asteele2

Guidelines for Supervision, Roles, and Responsibilities During the Delivery of Occupati... - 0 views

Guidelines for Supervision, Roles, and Responsibilities During the Delivery of Occupational Therapy Services. Am J Occup Ther 2014;68(Supplement_3):S16-S22. doi: 10.5014/ajot.2014.686S03. This art...

started by asteele2 on 24 Jul 17 no follow-up yet
asteele2

Factors Influencing Occupational Therapy Practitioners' Use of Push-In and Pull-Out Ser... - 0 views

Heather Watt, OTD, OTR/L, Lorie Gage Richards, PhD, OTR/L, FAHA; Factors Influencing Occupational Therapy Practitioners' Use of Push-In and Pull-Out Service Delivery Models in the School System. Am...

started by asteele2 on 24 Oct 17 no follow-up yet
Megan Applegate

Guidelines for Documentation - 1 views

www.dhs.state.mn.us/...dhs16_158230.pdf

Documentation

shared by Megan Applegate on 15 Nov 16 - No Cached
  • Megan Applegate on 15 Nov 16
     
    Documentation is extremely important in the OT profession, and is necessary whenever professional services are provided to a client. The AOTA standard's of practice state that, "an OT practitioner should document OT services and abide by the time frames, format, and standards established by practice settings, governmental agencies, payers, AOTA documents, and external accreditation agencies." This document is based on the AOTA framework and describes and defines the various components of documentation so that OT practitioners have a clearer idea of what documents are and how they can be used to document client services. I believe this document will be beneficial to us as we begin to start our jobs as practitioners and will assist us in the documentation process.
arikamarie

Guidelines to the Occupational Therapy Code of Ethics - 1 views

www.pacificu.edu/...delinestoCodeofEthics-AOTA.pdf

shared by arikamarie on 18 Aug 15 - No Cached
  • arikamarie on 18 Aug 15
     
    Guidelines to the Occupational Therapy Code of Ethics This is a really handy resource that provides a quick glance at the different elements of the Occupational Therapy Code of Ethics. It lists ten sections of professional behaviors under the code of ethics and each have a subset of behaviors which are appropriate under that section. The first professional behavior listed is honesty. "Professionals must be honest with themselves, must be honest with all whom they come in contact with, and must know their strengths and limitations" (AOTA, 2005). The second behavior listed is communication. "Communication is important in all aspects of occupational therapy. Individuals must be conscientious and truthful in all facets of written, verbal, and electronic communication" (AOTA, 2005). The third area of professional behavior is ensuring the common good. "Occupational therapy personnel are expected to increase awareness of the profession's social responsibilities to help ensure the common good" (AOTA, 2005). The fourth professional behavior is competence. "Occupational therapy personnel are expected to work within their areas of competence and to pursue opportunities to update, increase, and expand their competence" (AOTA, 2005). The fifth area of professional behavior is confidential and protected information. "Information that is confidential must remain confidential. This information cannot be shared verbally, electronically, or in writing without appropriate consent. Information must be shared on a need-to-know basis only with those having primary responsibilities for decision making" (AOTA, 2005). The sixth professional behavior area is conflict of interest. "Avoidance of real or perceived conflict of interest is imperative to maintaining the integrity of interactions" (AOTA, 2005). The seventh professional behavior area is impaired practitioner. "Occupational therapy personnel who cannot competently perform their duties after reasonable accommodati
kelseyanne44

Evidence Based Practice - 2 views

As discussed in this article and throughout much of our curriculum, there is a push for occupational therapists to base their treatments on sound evidence. WIth the cost of healthcare and out of po...

started by kelseyanne44 on 12 Aug 15 no follow-up yet
legark

Ethical Issues Around Payment for Services - 0 views

www.aota.org/...ecadv-pymt.pdf

shared by legark on 31 Oct 14 - No Cached
  • legark on 31 Oct 14
     
    This article discusses various ethical issues that occupational therapists face when dealing with payment for services. Insurance companies all differ in the amount and type of services that they will pay for and occupational therapists need to have a thorough understanding of these limitations when setting up a client's rehabilitation plan.
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