1.3 OTPF Process

process

client centered delivery of OT processes through evaluation, intervention, and outcomes

direct service approach

OT is directly working 1:1 with clients

indirect service approach

OT’s advocate indirectly on behalf of clients

occupational analysis

performed with understanding of client’s specific situation and contexts in mind

activity analysis

more generic, decontextualized analysis to understand typical activity demands within a given culture

professional reasoning

used to identify multiple demands, required skills, and potential meanings of activities and occupations

evaluation

focused on finding out what client wants and needs to do, determining what clients can do and has done, identifies support and barriers to health, well-being, and participation

occupational profile

summary of client’s occupational history, experiences, patterns of daily living, interests, values, needs, etc.

analysis of occupational performance

the client’s ability to effectively complete desired occupations as identified

intervention process

consists of services provided by OT’s in collaboration with clients to facilitate engagement in occupation related to health, well-being, and achievement of established goals

occupations and activities

type of OT intervention designed to meet therapeutic goals and addresses the underlying needs of the client’s mind, body, and spirit; practitioner considers activity demands and client factors in relation to the client’s therapeutic goals and contexts

interventions to support occupations

type of OT intervention that are methods and tasks that prepare the client for occupational performance used as part of treatment sessions in preparation for or concurrently with occupations and activities to a client as a home-based engagement to support daily occupational performance

education and training

type of OT intervention that involves giving client information and knowledge about occupation, health, well-being, and participation to help them acquire helpful behaviors, habits, and routines

Advocacy

type of OT intervention where efforts are directed toward promoting occupational justice and empowering clients to seek and obtain resources to support health, well-being, and occupational participation

Group intervention

type of OT intervention where the use of distinct knowledge of the group dynamics and social interaction and leadership techniques facilitate learning and skill acquisition across the lifespan

Virtual interventions

type of OT intervention using simulated, real-time, and near-time technologies for service delivery absent of physical contact, such as telehealth

create, promote

approach to intervention that does NOT assume disability is present or that any aspect would interfere with performance, designed to provide rich contextual activity experiences that will enhance performance

establish, restore

approach to intervention designed to change client variables to establish a skill or ability that has not yet developed or to restore a skill or ability that has been impaired

maintain

approach to intervention designed to provide supports that will allow client to preserve the performance capabilities that they have regained and that continue to meet their occupational needs

modify

approach to intervention directed at finding ways to revise the current context or activity demands to support performance in the natural setting

prevent

approach to intervention designed to address the needs of clients with or without a disability who are at risk for occupational performance problems

intervention plan

OT approaches and types of interventions selected for use in reaching a client’s targeted outcomes

intervention implementation

putting an intervention plan into place

intervention review

continuous process of reviewing and reevaluation of the intervention plan, its effectiveness and progress toward outcome

outcomes

emerge from the OT process and describe results to clients can achieve through OT intervention

occupational performance

OT outcome measured by the act of doing and accomplishing a selected action activity or occupation that results from the dynamic transaction among the client, the context, and the activity

improvement

the OT outcome measured by increased occupational performance through adaptation when a performance limitation is present

enhancement

OT outcome measured by development of performance skills and performance patterns that augment existing performance of life occupations when a performance limitation is not present

prevention

OT outcome where education or health promotion efforts are designed to identify, reduce, or stop the onset and reduce the incidence of unhealthy conditions, risk factors, diseases, or injuries

Health and wellness

OT outcome measured by achieving a state of physical, mental, and social well-being which is an active process through which individuals become aware of and make choices towards a more successful existence

Quality of life

OT outcome where there is dynamic appraisal of the client’s life satisfaction, hope, self-concept, health and functioning, and socioeconomic factors

Participation

OT outcome where engagement in desired occupations in ways that are personally satisfying and congruent with expectations within the culture

Role competence

OT outcomes where client has the ability to meet the demands of the roles in which one engages

Well-being

OT outcome where one achieves contentment with one’s health, self-esteem, sense of belonging, security, and opportunities for self-determination, meanings, roles, and helping others

Occupational justice

OT outcome where one gains access to and participation in the full range of meaningful and enriching occupations afforded to others

outcome measurement

measurable and tangible aspects of improved performance

Patient Recorded Outcomes (PRO’s)

any report of the status of a patient’s health condition that comes directly from the patient

transition planning

may be needed when a client moves from one setting to another or ages out of one program to a new one

discontinuation

occurs when client has met all short term and long-term goals or chooses to discontinue receiving services