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To develop and implement community-based OT practice, OT practitioners needs to be competent in program planning and needs assessment
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What is a program?
planned and coordinated for a specific purpose, addresses a specific need, outlines activities, and measures effectiveness
What is program development?
process involving continuous cycles of needs assessment, planning the intervention, implementation, and evaluation with feedback at each step to revise or improve previous steps
What is a needs assessment?
process determining the gaps between the current state and the desired outcomes; show how you will accomplish your goals
The cycle of program development….
preplanning
needs assessment
determine priorities
program plan development
implementation
process evaluation
impact/outcome evaluation
share results
revise, expand, or terminate
Community Program Planning- Best practice
plan with people (involve stakeholders)
plan with data (demonstrate community needs- prevalence, epidemiological data, incidence)
plan for performance (sustainability planning)
plan for priorities (focus on greatest community needs)
plan for evaluation (are we doing it right, are we doing the right things, how do we measure our impact)
plan for clear and measurable program outcomes
Program development vs. OT Process
Preplanning (Occupational profile)
Assessment (analysis of performance)
Program planning (intervention plan)
Program implementation (intervention implementation)
Program evaluation (intervention review)
Sustainability planning (outcomes)
What is a community needs assessment?
analysis of health problem based on info gathered about those with the need and the environment
systematic process for collecting information
involves understanding of the needs
What is a target population?
group of persons or population who share characteristics that identify them as the focus of health programming or have an unment health need
Community needs assessment process includes…
population description
problems or need description
identification of unment needs
environmental description and context
prioritized needs, goals, and targeted outcomes
Needs assessment general steps:
describe the population (gather data to get an accurate pic of the need of target population)
describe the environment (gather data about the physical and social environment of the target population)
analysis of needs (mixing of data and providing clear and realistic picture of programing needed)
Needs assesment data includes primary and secondary…
Primary data (data collected to support program)
interviews, focus groups, surveys, community forums, asking key informants and stakeholders
Secondary data (existing data to help support community need)
birth and death records, census data, prevalence data on diseases, disabiltiy, illness, injury, and risk, demographic data, social indicators
Example of community programming:
Target pop: elementary aged children in low income community with high rates of obesity
Community program: teach healthy habits through school-based gardening program
Data sources:
primary: interview children on healthy food knowledge
secondary: local obesity rates tracked by local health department
Statement of purpose:
after the needs assessment, set the stage for the program
significance to OT- why an OT can address this need
theory that guides your program and addresses your need
contains evidence (data that informs decision-making)