Occupational Therapy Practice Framework (OTPF-4)

Basics of OTPF-4

Official AOTA document

Revised every 5 years

Describes OT scope of practice

Delineates domains (what we do)

Delineates process (how we do it)

OT language

Demonstrates our skill

Occupational Therapy

Therapeutic use of everyday life occupations with persons, groups, populations for purpose of enhancing/enabling participation

Occupational Therapy Practitioner (OTP)

OTs and OTAs

Types of Clients

persons, groups, and populations

Persons (Client)

individual and their caregivers

Groups (client type)

collections of individuals having shared characteristics or purpose

Populations (client type)

Aggregates of people with common attributes

Domains

Occupation

Contexts

Performance Patterns

Performance Skills

Client Factors

Process

Evaluation (Occupational profile and performance assessment)

Goal-setting

Intervention

Outcome

Performance Assessment

Assess strength, mobility, or action of occupation

Occupational profile

- The initial step in the evaluation process

- Provides understanding of client's occupational history, experiences, patterns of daily living, interests, values, and needs.

- Identify client concerns of occupational performance

- Identify client's priorities

Health

State of complete physical, mental and social well-being

Not merely absence of disease of infirmity

Well-being

general term encompassing all human domains (physical, mental, social) that make up "good life"

Engagement

performance of meaningful occupations within supportive context

Occupations

ADL, IADL, Health Management, Rest & Sleep, Education, work, play, leisure, social participation

IADLS

Instrumental Activities of Daily Living

- Activities to support daily living within home and community

- Ex. caring for others, managing communication, driving

Motor performance skills

performance skills relating to moving oneself or moving and interacting with tangible task objects

Processing Skills

actions related to selecting, interacting with, and using tangible objects for tasks

Social Interaction Skills

Skills related to communicating and interacting with others

OT Process

1. Evaluation

2. Plan/Goals

3. Intervention

4. Outcomes

Evaluation (OT Process)

Occupational Profile

Performance Assessment

Occupational Profile

Occupational history/experience

Patterns

Interest/values

Problems

Priorities

Performance Assessment

Gauge abilities, skills, client factors

Plan/Goals (OT Process)

Theories, evidence, FOR

Client goals and occupational needs

Approach

Desired Outcomes

Intervention (OT Process)

Action to influence performance and participation (treatment)

Goal Directed

Outcomes (OT Process)

Review plan and progress

Modify plan as needed

Determine future action (Discharge, schedule further visits)

OT Approaches

Create/promote

Establish/Restore

Maintain

Modify

Prevent

Create/Promote (Approach)

health promotion

When no disability is present

Establish/Restore (Approach)

habilitation/remediation

Change client so skill is developed or restored

Maintain (Approach)

Provide support to preserve capabilities

Modify (approach)

Change activity/environment to support client performance

Prevent (Approach)

addressing needs of people at ricks for occupational performance problems

Intervention Types

Occupations

Activities

PAMS and modalities

Orthotics nd prosthetics

Assistive tech and environmental modifcation

wheeled mobility

Self regulation

education

training

Advocacy/Self advocacy

Group intervention

Virtual/telehealth

Outcomes

Occupational performance

improvement

enhancement

prevention

health and wellness

quality of life

participation

role competence

well-being

occupational justice

Outcome Measures

Valid

Personal Facotrs

Background of someone's life

Unique features of the person not related to health condition/state

Ex. age, sexual orientation, fitness, upbringing

Occupation (Domain)

Everyday activities people take part in

Bring purpose and meaning to life

Contexts (Domain)

environmental factors and personal factors

Performance Patterns (Domain)

Habits, routines, roles, rituals

Performance Skills

Observable goal directed actions contributing to performance of ADLs

Motor skills, process skills, social interactions

Client factors (Domain)

Values, beliefs, and spirituality

Body structures

Body functions