Treatment Settings and Models of Health Care – OTA 102 (Chapter 14)

Vocabulary flashcards summarizing key terms, laws, service models, and practice settings from Chapter 14 on treatment settings and health-care models in occupational therapy.

Public Agency

A health-care organization run by federal, state, or county government and funded by public money.

Federal Agency

Nationally run health program such as the Veteran’s Administration or Indian Health Services.

State Agency

Health-care facility operated by a state, e.g., correctional facilities, mental-health centers, medical-school hospitals.

County Agency

County-operated hospital or clinic; similar services to state/federal facilities but locally regulated.

Private Not-for-Profit Facility

Organization with tax-exempt status that reinvests surplus funds; examples: religious-affiliated hospitals, Easter Seals, United Cerebral Palsy.

Private For-Profit Facility

Health-care enterprise owned by individuals or investors, often specializing in areas such as skilled-nursing facilities or inpatient rehabilitation hospitals.

Continuum of Care

The complete range of health-care services from acute through long-term care, arranged by intensity and need.

Acute Care

Short-term, high-cost medical services for sudden illness or injury delivered primarily in hospitals.

Balanced Budget Act of 1997

Federal legislation designed to control Medicare spending, influencing hospital reimbursement for OT services.

Subacute Care

Intermediate level of care for clients who are medically stable but still require 1–4 weeks of rehabilitation.

Long-Term Care

Services for medically stable clients with chronic conditions provided in nursing facilities, residential programs, or at home.

Biological Practice Area

OT domain focused on clients with medical or physical health issues.

Psychological Practice Area

OT domain addressing emotional, cognitive, or mental-health disorders that hinder occupational engagement.

Sociological Practice Area

OT domain helping clients meet societal expectations, often involving developmental delays or long-term emotional problems.

Hospital (OT Setting)

Inpatient medical center where OT practitioners provide acute or specialized rehabilitation services.

Clinic

Outpatient facility offering scheduled OT interventions without overnight stay.

Home Health Agency

Organization that delivers OT services in the client’s residence.

Schools & Special Education

Educational settings where OT supports children’s participation as mandated by federal law.

Education for All Handicapped Children Act (1975)

Law guaranteeing public education and related OT, PT, SLP services to all children with disabilities.

Individuals with Disabilities Education Act (IDEA)

Updated federal statute that expands services, technology access, and reasonable accommodations in schools.

Day Treatment Program

Structured daytime rehabilitation or mental-health program where clients return home each evening.

Workshop (e.g., Beacon Group)

Sheltered or supported employment site providing vocational training and paid work for individuals with disabilities.

Institution (State Hospital)

Large residential facility for mental-health care; some still offer traditional OT (crafts, recreation, outings).

Deinstitutionalization

1970s movement relocating mental-health clients from hospitals to community living situations.

Community Mental Health Center

Outpatient facility offering medication management, counseling, crisis units, and life-skills day programs.

Supervised Living

Partially or fully staffed housing such as halfway houses, group homes, or assisted-living facilities.

Correctional Facility

Jail or prison where OT addresses functional skills, wellness, and vocational training for inmates.

Hospice

End-of-life care setting focusing on comfort, quality of life, and meaningful occupation.

Therapeutic Riding (Hippotherapy)

Use of horseback riding movement to improve motor, sensory, and psychosocial outcomes.

Aquatherapy

Water-based therapeutic exercise and activity used by OT for mobility and strength goals.

Homeless Population Services

OT interventions aimed at daily living skills, employment readiness, and community integration for individuals without stable housing.

Senior Citizen Center

Community site offering social, wellness, and leisure programs for older adults with OT involvement.

Disaster Victim Services

OT support for individuals affected by natural or human-made disasters, focusing on coping and occupation restoration.

Private Practice (OT)

Independent business in which an OT bills directly for services provided to clients or organizations.

Consulting (OT)

Professional service involving expert advice to agencies, schools, or businesses on occupation-based solutions.

Medicare Part B Coverage (1988)

Federal policy allowing OT practitioners to bill Medicare directly for outpatient and private-practice services.

Medicare Provider Number

Credential that permits an OT to act as an independent Medicare billing provider.

Independent Provider

OT practitioner qualified to deliver and bill for services without affiliation to a larger institution.

Inpatient Rehabilitation Hospital

Facility providing intensive multidisciplinary rehabilitation, often owned by for-profit entities.

Skilled Nursing Facility (SNF)

Licensed long-term or post-acute care institution offering 24-hour nursing and rehabilitative therapies, including OT.