Chapter 14: Treatment Settings and Models of Health Care (Intro to OT, 6th ed.)

Vocabulary flashcards covering administration types, levels of care, areas of practice, employment settings, legislation, community programs, and trends relevant to Chapter 14.

Public Agencies

Government-run facilities at the federal (e.g., Veterans Administration), state (e.g., mental health centers), or county level (e.g., county hospitals).

Private Not-for-Profit Agencies

Health-care organizations that receive tax exemptions; may be faith-based or charitable (e.g., Easter Seals, United Cerebral Palsy).

Private For-Profit Agencies

Health-care facilities owned by individuals or investors that operate to generate profit, such as skilled nursing facilities or inpatient rehabilitation hospitals.

Acute Care

Short-term, high-cost medical services for sudden conditions; hospital reimbursement is diagnosis-based to control expenses.

Balanced Budget Act of 1997

U.S. legislation aimed at controlling Medicare costs, leading to shorter hospital stays and stricter reimbursement.

Subacute Care

Intervention level for patients who are medically stable but still need intensive services, typically 1–4 weeks of rehabilitation.

Long-Term Care

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

Biological Area of Practice

OT services addressing medical issues that affect bodily structures or functions.

Psychological Area of Practice

OT services for clients with emotional, cognitive, or mental-health disorders that limit occupational engagement.

Sociological Area of Practice

OT interventions helping clients fulfill societal roles when facing developmental delays, intellectual disabilities, or long-term emotional problems.

Hospital (Employment Setting)

Primary medical facility where OT practitioners deliver acute, subacute, or specialty care services.

Clinic (Employment Setting)

Outpatient facility offering focused medical or rehabilitative OT services.

Home Health Agency

Organization providing OT and other services in the client’s residence to promote safety and independence.

Education for All Handicapped Children Act (1975)

Law mandating public education for all children and requiring OT/PT/SLP support in schools.

Individuals with Disabilities Education Act (IDEA)

Updated federal law ensuring special-education services plus access to technology and reasonable accommodations.

Day Treatment Program

Community-based service where clients receive structured OT and other therapies during daytime hours and return home at night.

Workshop (Sheltered Workshop)

Vocational setting (e.g., Beacon Group) where individuals with disabilities receive paid work and skill development.

Institution (State Hospital)

Residential mental-health facility that may still offer traditional OT such as crafts or community outings.

Deinstitutionalization (1970s)

Movement that relocated clients from large mental hospitals to community-based living environments.

Community Mental Health Center

Facility offering medication management, counseling, crisis units, and day programs focused on life skills.

Supervised Living

Partially or fully supported housing such as halfway houses, substance-abuse programs, or assisted-living facilities.

Non-Traditional OT Settings

Emerging practice areas including correctional facilities, hospice, therapeutic riding, aquatherapy, homeless shelters, senior centers, and disaster response.

Private Practice (OT)

Independent provision of OT services; allows direct billing when the therapist holds a Medicare provider number.

Medicare Part B Coverage (1988)

Policy change enabling qualified OT practitioners to bill Medicare directly for outpatient and private practice services.

Consultation in OT

Professional service in which an experienced practitioner provides expert advice to organizations or individuals without direct treatment.