Occupational Therapy Fundamentals and OTA Professional Roles

A comprehensive set of vocabulary flashcards covering Occupational Therapy history, professional roles, supervision levels, philosophical bases, and the OTPF-4 domain and process.

Professional roles

The responsibilities and expectations associated with a specific job within the occupational therapy field.

Service competency

A useful mechanism to ensure that services are provided at the same level between two practitioners, often demonstrated in assessments and group work.

Direct care

Occupational therapy services provided through one-on-one (1:1) interaction with a patient.

Indirect care

Occupational therapy services provided through someone else rather than directly to the client.

Screening

A quick $2-3$ minute look at a chart to determine if someone could be a potential candidate for services.

Evaluation

The process that occurs once there is a referral or doctor's order, such as conducting an ADL assessment.

Entry level practitioner

The first level of performance for a practitioner entering the field.

Intermediate level practitioner

A practitioner who has developed a professional identity and pursued significant education.

Advanced level practitioner

A seasoned practitioner with $5-6$ years of experience.

Direct supervision

A collaborative 1:1 partnership where the OTA works under the OT every day, typical for students or the first $3-6$ months of employment.

Close supervision

Direct and daily supervision where the OT may not necessarily be on-site.

Routine supervision

Supervision that occurs once a week or every other week, either in person or by phone.

General supervision

Supervision that occurs on a face-to-face basis, required by the $10\text{th}$ visit.

Occupational Justice

The opportunity for everyone to participate in their desired occupations regardless of laws, government policies, or access issues.

William Rush Dunton

Known as the father of OT, he emphasized social participation.

Herbert Hall

Associated with the arts and crafts movement, he worked with debilitative patients under medical supervision to improve health and financial status.

Thomas Kidner

An architect who included space for OT in TB treatments and created workshops for practitioners to work.

George Barton

An architect who opened the "consultation house" or "after care house" in New York for people out of the hospital.

Susan Tracy

Considered the first OT, she authored the book "Invalid Occupations" and worked with arts and crafts in acute care hospital settings.

Susan Cox Johnson

A designer who wanted to increase educational training standards, marking the start of formal education for the profession.

Eleanor Clarke Slagle

A social worker who developed "habit training," which involved putting patients in psychiatric hospitals on specific schedules to provide normalcy.

Adolph Meyer

A Swiss psychiatrist who provided a holistic perspective (bio-psycho-social) and emphasized balancing work, play, rest, and sleep.

Medicare

A funding source established in $1965$ primarily for older adults aged $65$ and up.

Medicaid

A funding source provided for people of lower income or lower economic status.

Mary Reilly

An OT leader who famously stated, "Man through the use of his hands, as they are energized by mind and will, can influence the state of his own health."

Mildred Schwagmeyer

The Assistant Director who coined the term "COTA."

Metaphysics

The branch of philosophy concerned with the nature of humankind, specifically the mind and body.

Epistemology

The branch of philosophy related to the nature, origin, and limits of human knowledge and truth.

Axiology

The study of values within a professional philosophy.

Occupation as Means

Using an occupation as a tool to bring about change, such as using an ADL session to improve social skills.

Occupation as End

When engaging in the occupation itself is the final goal of the intervention.

Adaptation

The human capacity for change, where the OT or OTA adapts tasks to facilitate a specific response.

OTPF Domain

The component of the OTPF-4 that outlines what OTs know, including occupations, client factors, performance skills, performance patterns, and contexts.

OTPF Process

The component of the OTPF-4 that outlines what OTs do, including evaluation, intervention, and outcomes.

ADLs (Activities of Daily Living)

Oriented toward taking care of one's own body, including bathing, toileting, dressing, eating/feeding, and functional mobility.

IADLs (Instrumental Activities of Daily Living)

Activities to support daily life within the home and community, such as pet care, financial management, and meal preparation.

Health management

Activities related to developing, managing, and maintaining health and wellness routines, such as medication management and physical activity.

Habits

Acquired tendencies to respond and perform in certain consistent ways in unchanging environments or situations; they occur automatically.

Routines

Patterns of behavior that are observable, regular, and repetitive and that provide structure for daily life, such as a morning routine.

Rituals

Shared social actions with cultural, spiritual, or symbolic meaning that contribute to a client's identity.

Roles

Sets of behaviors expected by society and shaped by culture and context that may be further conceptualized and defined by the client.