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Administration
Levels of care
Areas of Practice
What are the different types of settings which OT practitioners are employed can be characterized according to?
Public
Private not-for-profit
Private for-profit
Health care agencies can be categorized as
Administration
It refers to the system's organization and management.
Levels of care
It define the type of service and length of time a client receives services.
Areas of practice
It relate to the types of conditions that the setting serves.
Public agencies
are operated by federal, state, or county governments.
Private not-for-profit agencies
receive special tax exemptions and typically charge a fee for services and maintain a balanced budget to provide services.
Private for-profit agencies
are owned and operated by individuals or a group of investors. These agencies are in business to make a profit.
Continuum of care
Health care is provided to the consumer along a continuum, as the client's needs dictate.
Acute care
It’s the first level on the continuum. A client at this level ha a sudden and short-term need for services and is typically seen in a hospital.
Diagnosis-related groups
Depending on the client's diagnosis, hospitals are paid a predetermined, fixed fee, based on
Subacute care
Shorter hospital stays created a need for an interim level of care. At this level, the client still needs care but does not require an intensive level or specialized service.
Long-term care
serves clients who are medically stable but who have a chronic condition requiring services over time, potentially throughout life.
Biological
Pyschological
Sociological
Areas of Practice
Biological
This refers to medical problems caused by disease, disorder, or trauma.
Psychological
Other health organizations focus on helping clients manage ————— problems such as emotional, cognitive, and affective or personality disorders.
Sociological
Health care settings may also emphasize —————- issues to help clients meet the expectations of society.
Occupational therapists
primarily work in rehabilitation facilities, school systems, skill nursin facilities, and acute care.
Occupational therapy assistants
work primarily in skilled nursing facilities, and acute care
Medical facilities
address biological o medical issues of clients.
Biological Focus
what area of practice in settings is (hospitals, clinics, and home health agencies)?
Hospitals
generally focuses on medical and functional concerns.
Clinics
generally serve clients with disabling conditions on an outpatient bases.
Home Health Agencies
provide therapy in the client's home. The practitioners works on problems related to performance in self-care, home management, work, and school, or play and leisure.
Social Emphasis
what area of practice in settings is schools and special education, day treatment, and workshops)?
Education for All handicapped Children Act
known as Public Law, making public school education available to all children, regarless of handicap or disability.
Day treatment
serve people who need daytime supervision or are able to live in the community (rather than in an institution or full-care facility) but who require some assistance.
Workshops
provide special workshops for people who are not able to seek employment in competetive job market.
Psychological Emphasis
what area of practice in settings is (institutions, community mental health centers, and supervised living)?
Settings with a Psychological Emphasis
A variety of settings on improving psychological functioning for occupational performance. These settings are regarded primarily as psychiatric or mental health settings but also address social difficulties.
Deinstitutionalization
implemented in 1970s, refers to moving clients who have mental illness from institutions (such as state mental hospitals) back into the community.
Community mental health centers
emerged with the closing of institutions and are organized differently in regions and towns. may offer medication clinics an counseling, crisis units, or day treatment
Supervised living
refers to partially or fully supervised housing for people whose problems do not warrant institutional care but who are not ready or able to manage on their own.
All-inclusive settings
include long-term care facilities that provide occupational therapy services that address biological, psychological, and sociological functions.
All-inclusive facility
provides residence for people for long periods of time.
Self-employment or Private settings
may take individual referrals and administer treatment in private homes, or have clients come to their facilities.
Note
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