1. Occupational Therapy Process

2. Stages of OT Process Referral Screening Assessment Intervention Plan
Transition services
Discontinuation of Services
Service Management

3. Stages of OT Process: Referral
Point at which initial request for services for particular client at a change in the degree and direction of services is made
Self – referral
Referred by a physician, another professional, or another agency

4. Stages of OT Process: Screening
gather preliminary information about the client

5. Screening process may involve: review of the client’s records
use of screening test
interview with the client and caregiver
observation of the client
discussion of the client’s referral source
determine whether further evaluation and OT intervention is warranted

6. Stages of OT Process: Assessment and Evaluation
Assessment – sum of the evaluation results which provide a composite picture of the client’s level of function
Process where:
data gathered about the client
problems are identified
hypothesis is formulated
decisions are made for treatment intervention

7. Stages of OT Process: Assessment and Evaluation
Evaluation – series of test used to measure an individual skills and deficits
Evaluation Procedure - specific methods or techniques used to collect information during the evaluation stages

8. Forms of Evaluation Procedure
Medical record review
Skilled observation
Interview
Tests (standardized and non-standardized)

9. Stages of OT Process: Treatment Plan
is the recommendations made for OT intervention based on an analysis of the information accumulated during assessment

10. Factors to Considers in Treatment Planning
strengths and weaknesses
interest of the client and caregivers
estimation of rehabilitation potential
expected outcome
frequency and duration of treatment
recommended methods and media
apparent environmental and time constraint
identification of a plan for re-evaluation
discharge planning

11. Stages of OT Process: Implementation of Treatment and Re – Evaluation
Treatment implementation
putting the treatment plan in place, working with the client through to reach treatment goals
educating the client, family and caregiver

12. Stages of OT Process: Implementation of Treatment and Re - Evaluation
Re-evaluation - an on-going process to:
keep up to date on changes
remain aware of circumstances or needs that arises
change the direction of treatment, temporarily or permanently

13. Stages of OT Process: Transition Services
is the coordination or facilitation of services for the purpose of preparing the client for a change
it may involve a change to a new functional level, life stage, program, or environment
are individualized to meet the goals, needs and environmental consideration of each client

14. Stages of OT Process: Service Discontinuation
client is discharged from OT when he has reached the goals delineated in the treatment plan or when it is determined that he or she has realized the maximum benefits of OT services

15. Discharge Plan and Summary
Discharge plan – conforms to the personal goals and addresses the resources available in the community
Discharge summary – summary of the status of the client’s functional level at the time of discharge, it may contain the plans for discharge, equipment and services recommended after discharge

16. The Process of Occupational Therapy
Highlights of the Process of OT (OTPF)
Process is dynamic and interactive in nature
Context is an overarching, underlying, embedded influence on the process of service delivery

17. The Process of Occupational Therapy
Highlights of the Process of OT (OTPF)
Client is used to name the entity that receives OT services
Client – centered approach is used throughout the framework

18. The Process of Occupational Therapy
Highlights of the Process of OT (OTPF)
“Engagement in Occupation” is viewed as the overarching outcome of the OT process

19. The Process of Occupational Therapy
Evaluation
Evaluating occupational needs, problems and concerns
Intervention
Focus is on occupation and to foster engagement in such
Targeting Intervention Outcomes

21. Framework Process Organization

22. Framework Process Organization
Evaluation
Occupational Profile
Analysis of Occupational Performance

23. Framework Process Organization
Intervention
Intervention Plan
Intervention Implementation
Intervention Review

24. Framework Process Organization
Outcome
Engagement in Occupation to Support Participation

25. Types of Outcomes

26. Framework Process Organization