Classifying and Analyzing Occupation Foundations of Practice and Occupation Based Practice I

Content Focus Core skills for practice Core skills for practice Taxonomies- language for practice, past and present Taxonomies- language for practice, past and present Occupational & activity analysis Occupational & activity analysis

Occupational Performance Occupational performance is affected by lots of things: Individual factors Individual factors Family situations Family situations Cultural background Cultural background Socio-economic factors Socio-economic factors and none of these is a disease!!

Person-Environment Interaction Occupational performance is affected by: Occupational performance is affected by: Intrinsic factors Intrinsic factors Extrinsic factors Extrinsic factors There are a variety of ways these are described in the literature There are a variety of ways these are described in the literature

Taxonomies Used in Occupational Therapy Uniform Terminology III (AOTA-really old) Uniform Terminology III (AOTA-really old) Occupational Therapy Practice Framework, (AOTA-old) Occupational Therapy Practice Framework, (AOTA-old) Occupational Therapy Practice Framework, 2 nd Edition (AOTA-new) Occupational Therapy Practice Framework, 2 nd Edition (AOTA-new) International Classification of Function (WHO-pretty new) International Classification of Function (WHO-pretty new)

Background In 1980, the World Health Organization (WHO) developed a “family” of classification systems beginning in In 1980, the World Health Organization (WHO) developed a “family” of classification systems beginning in International Classification of Diseases (ICD) The latest revision is titled the International Statistical Classification of Diseases and Related Health Problems (ICD-10). International Classification of Diseases (ICD) The latest revision is titled the International Statistical Classification of Diseases and Related Health Problems (ICD-10). The ICD led to the development of over 8000 recognized diseases with assigned codes used for reimbursement and record keeping. The ICD led to the development of over 8000 recognized diseases with assigned codes used for reimbursement and record keeping. “IDC-9 Codes” or “IDC-10” Codes “IDC-9 Codes” or “IDC-10” Codes

ICIDH-2 or International Classification of Functioning, Disability and Health (ICF) Published in Published in Began with a consensus-based process in Began with a consensus-based process in Synthesis of the medical and social models of illness and function. Synthesis of the medical and social models of illness and function. Structured around social perspectives not pathology. Structured around social perspectives not pathology. Focus on healthy functioning than on pathology and limitations. Focus on healthy functioning than on pathology and limitations.

Who uses the ICF? Social Security system Social Security system Managed health care systems Managed health care systems Local, national, and international social policy organizations Local, national, and international social policy organizations Research organizations Research organizations Clinicians Clinicians Vocational rehabilitation professionals Vocational rehabilitation professionals Educators Educators

Comparing Classifications

Let’s try them out Look at the Mary Feldhaus Weber story (pg. 50) & focus on the 6 mos. after section Look at the Mary Feldhaus Weber story (pg. 50) & focus on the 6 mos. after section Using information from this story, match it up with each taxonomy Using information from this story, match it up with each taxonomy OT Framework OT Framework ICF ICF