consultation

what is consultation

the interactive process of helping others solve existing problems by identifying and analyzing issues, developing strategies to address problems and preventing future problems from occurring

theoretical models of consultation

collegial or professional model

behavioral model

educational model

organizational developmental model

process mngt model

program development model 

social action model

systems model 

consulting setting and services - children

EI

SBP

recreational programs

paid for by govt and foundations

consulting settings and services - adults

accessibility

ADA compliance

AT

mental health

paid for by govt orgs, companies, private pay

consulting settings and services - workers

job analysis

injury analysis

ergonomics

paid for by companies, govt labor agencies, worker unions

consulting settings and services - older adults 

aging in place 

home mods

activity programs 

LTC 

paid for by private pay, insurance companies, govt agencies  

consultation is a

multidimensional, highly complex, and dynamic activity. it takes knowledge, skill, and grounding in the theoretical foundations of the activity to be successful

the consultation process 

1. entry into system 

2. negotiation of contract 

3. diagnostic analysis leading to problem identification 

4. goal setting and planning through est of trust 

5. maintenance phase of intervention and feedback 

6. eval 

7. termination 

   1. possible renegotiation 

entry into the system

planned entry

opportunistic entry

uninvited entry

invited entry

planned entry

indiv develops a strategy and presents a proposal

opportunistic entry 

situation arises spontaneously, and indiv seizes the moment 

uninvited entry

indiv perceives a need and attempts to enter the system

invited entry 

indiv is invited bc of specific skills (ultimately u have to be invited) 

negotiation is a contact

usually a formal document both parties sign

defines purpose of the consultation

describes qualifications of the consultant

identifies the obligation, expectation of both parties

delineates procedures, time constraints, and the method and amount of compensation

assessment and communication

diagnostic analysis leads to problem identification (just life our traditional role as OTs)

the consultant must develop a good working relationship with the client to identify the desired outcomes of the consultation, knowledge of formal and informal lines of communication, system politic, key power figures, and the ways in which decision making occurs in the system will enhance the planning phase

collaborative decision making with the client after info has been shared

maintenance 

during this phase, internal and external communication network or feedback system is developed that supports a review of obs, perceptions, and progress

evaluation

an integral part of planning and implementation, providing the data nec to clarify goals, refine or revise intervention strategies and develop future plans 

termination

can occur at any time during the process, either when the consultant or client mutually agree that goals have been achieved or when further int is no longer appropriate

possible renegotiation

any time, allows for changes or expansion of goals