OT Practice Settings and Role in Work Programs-NBCOT-Week 1

What are the three overarching types of OT Practice Settings?

Medical, Community/Social Care and Education

What are OT consultants?

OTs who have a goal to provide education and information only

What are some unique traits of OT consultants?

Insurance cannot be billed for an individual client

Paid privately

More fiscally advantageous

What is the acute care setting for?

Medically unstable and injured patients that need 24/7 care

What is the acute rehab setting?

For Medically stable patients who can tolerate three hours of combined therapy 5 days a week

What is Subacute Rehab?

Pace of intervention varies and three hours is not mandatory. It is a slower pace than acute because client endurance influences frequency

What is a Skilled Nursing Facility?

Meets Medicare/Medicaid criteria for skilled nursing care, OT can be provided to those in or not in subacute rehab

What is Home Health?

Patients at home, meet the criteria of being unable to leave the home unassisted. They can leave to go to medical appointments, church, AA meetings and the salon

What is an ALF?

More help is available than at home, but less help than a SNF. Clients pay to stay and get medical/non-medical help. Clients can get up to 45 minutes a day of ADL help

What is Outpatient?

Clients arrive to sessions independently

What is work hardening?

Focused on outcomes and returning to work. Use work conditioning programs. This is multidisciplinary. Functional capacity evaluation determines readiness to return to work

What is school based?

School aged kids 4-21, IEPs and 504s

What is EI and Pre-K?

0-3, least restrictive environment, goals and treatment plans through IFSP. PreK 3-5, IEP dictates goals

What is Vocation Rehab?

OT provides help finding appropriate employment based on client’s cognitive and leisure interests. Can be for clients with a cognitive delay or recent onset of physical limitations/illness preventing them from former employment.

What is Pre-Vocational training?

Prepares a client for placement in employment settings and address independent living skills with vocational skills/ Not necessarily an OT setting

What are work tolerance screenings?

Suggestions are made for weight limitation guidelines fore lifting, ergonomics and proper body mechanics. Completed on the job. Not a work hardening program

What is Transitional Employment?

Internship/apprenticeship, gives clients opportunity to learn job skills ands refine already learned skills. Can be part of an IEP.

What is clubhouse?

Similar to day treatment program. Client enters by their own choice. Focus is not on diagnosis but client’s strength. Normally done in groups.

What are the five roles OTs can play in Work Programs?

Evaluation and Education

Injury Prevention

Health and Wellness

Prep. Accommodations and Adaptations

Rehab and Return to Work

What 3 things does an OT do during Prevention for Mental Health at Work?

Educate leaders and coworkers about mental health at work

Promote work-life balance and strategies to manage stress

Support development of psychiatric health and safety policies

What 4 things do OTs do for Return to Work?

Help navigate complex process of sick leave and return to work(custom plan including job supports)

Assess the fit between job demands, work environment and work capabilities

Build cognitive, physical, and emotional readiness for return to work

Provide work-focused interventions such as work simulation

What 3 steps do OT’s do during stay at work?

Help you develop skills and confidence to manage stress, conflict and work relationships

Enable healthy lifestyle habits and promote resilience

Identify workplace supports and job accommodations

OT is the only profession that?

Looks at the whole person and provides supports to address client factors, job demands, and environmental factors