Occupational Therapy Practice Framework Domain And Process Pdf

occupational therapy practice framework domain and process pdf

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Occupational therapy is an evolving profession. Over the years, the study of human occupation. Process also referred to in this document as the Framework is the next evolution in a series of.

As occupational therapy celebrates its centennial in , attention returns to the profession's founding belief in the value of therapeutic occupations as a way to remediate illness and maintain health.

Occupational therapy

Occupational therapy OT is the use of assessment and intervention to develop, recover, or maintain the meaningful activities, or occupations , of individuals, groups, or communities. It is an allied health profession performed by occupational therapists and occupational therapy assistants OTA.

OTs often work with people with mental health problems, disabilities, injuries, or impairments. The American Occupational Therapy Association defines an occupational therapist as someone who "helps people across their lifespan participate in the things they want and need to do through the therapeutic use of everyday activities occupations. Common occupational therapy interventions include helping children with disabilities to participate fully in school and social situations, injury rehabilitation, and providing supports for older adults experiencing physical and cognitive changes.

Typically, occupational therapists are university-educated professionals and must pass a licensing exam to practice. The earliest evidence of using occupations as a method of therapy can be found in ancient times.

Later, the Roman Celsus prescribed music, travel, conversation and exercise to his patients. However, by medieval times the use of these interventions with people with mental illness was rare, if not nonexistent. In 18th-century Europe, revolutionaries such as Philippe Pinel and Johann Christian Reil reformed the hospital system. Instead of the use of metal chains and restraints, their institutions used rigorous work and leisure activities in the late 18th century. This was the Moral Treatment era, developed in Europe during the Age of Enlightenment , where the roots of occupational therapy lie.

It re-emerged in the early decades of the 20th century as Occupational Therapy. The Arts and Crafts movement that took place between and also impacted occupational therapy. In the US, a recently industrialized country, the arts and crafts societies emerged against the monotony and lost autonomy of factory work. Slagle, who was one of the founding members of the National Society for the Promotion of Occupational Therapy NSPOT , proposed habit training as a primary occupational therapy model of treatment.

Based on the philosophy that engagement in meaningful routines shape a person's wellbeing, habit training focused on creating structure and balance between work, rest and leisure. Although habit training was initially developed to treat individuals with mental health conditions, its basic tenets are apparent in modern treatment models that are utilized across a wide scope of client populations.

In Slagle opened the first occupational therapy training program, the Henry B. Slagle went on to serve as both AOTA president and secretary. The health profession of occupational therapy was conceived in the early s as a reflection of the Progressive Era.

Early professionals merged highly valued ideals, such as having a strong work ethic and the importance of crafting with one's own hands with scientific and medical principles. Other titles such as "work-cure","ergo therapy" ergo being the Greek root for "work" , and "creative occupations" were discussed as substitutes, but ultimately, none possessed the broad meaning that the practice of occupational therapy demanded in order to capture the many forms of treatment that existed from the beginning.

The emergence of occupational therapy challenged the views of mainstream scientific medicine. Instead of focusing purely on the medical model , occupational therapists argued that a complex combination of social, economic, and biological reasons cause dysfunction. Principles and techniques were borrowed from many disciplines—including but not limited to physical therapy , nursing , psychiatry , rehabilitation , self-help , orthopedics , and social work —to enrich the profession's scope.

Between and , the founders defined the realm of practice and developed supporting theories. By the early s, AOTA had established educational guidelines and accreditation procedures.

The early twentieth century was a time in which the rising incidence of disability related to industrial accidents, tuberculosis, World War I, and mental illness brought about an increasing social awareness of the issues involved. The entry of the United States into World War I was also a crucial event in the history of the profession.

Up until this time, occupational therapy had been concerned primarily with the treatment of people with mental illness.

However, U. The military enlisted the assistance of NSPOT to recruit and train over 1, "reconstruction aides" to help with the rehabilitation of those wounded in the war. With entry into World War II and the ensuing skyrocketing demand for occupational therapists to treat those injured in the war, the field of occupational therapy underwent dramatic growth and change.

Occupational therapists needed to be skilled not only in the use of constructive activities such as crafts, but also increasingly in the use of activities of daily living. There was a struggle to keep people in the profession during the post-war years. Emphasis shifted from the altruistic war-time mentality to the financial, professional, and personal satisfaction that comes with being a therapist.

To make the profession more appealing, practice was standardized, as was the curriculum. Entry and exit criteria were established, and the American Occupational Therapy Association advocated for steady employment, decent wages, and fair working conditions.

Via these methods, occupational therapy sought and obtained medical legitimacy in the s. Eleanor Clarke Slagle proposed a month course of training in , and these standards were adopted in Educational standards were expanded to a total training time of months in to place the requirements for professional entry on par with those of other professions. The first textbook was published in the United States for occupational therapy in , edited by Helen S. Willard and Clare S. The profession continued to grow and redefine itself in the s.

The profession also began to assess the potential for the use of trained assistants in the attempt to address the ongoing shortage of qualified therapists, and educational standards for occupational therapy assistants were implemented in New developments in the areas of neurobehavioral research led to new conceptualizations and new treatment approaches, possibly the most groundbreaking being the sensory integrative approach developed by A.

Jean Ayres. The profession has continued to grow and expand its scope and settings of practice. Occupational science , the study of occupation, was created in as a tool for providing evidence-based research to support and advance the practice of occupational therapy, as well as offer a basic science to study topics surrounding "occupation".

In addition, occupational therapy practitioner's roles have expanded to include political advocacy from a grassroots base to higher legislation ; for example, in PL titled the Patient Protection and Affordable Care Act had a habilitation clause that was passed in large part due to AOTA's political efforts as noted in AOTA's Centennial website AOTA, The World Federation of Occupational Therapist's Resource Centre has many position statements on occupational therapy's roles regarding their participation in human rights issues.

The philosophy of occupational therapy has evolved over the history of the profession. The philosophy articulated by the founders owed much to the ideals of romanticism , [13] pragmatism [14] and humanism , which are collectively considered the fundamental ideologies of the past century. One of the most widely cited early papers about the philosophy of occupational therapy was presented by Adolf Meyer , a psychiatrist who had emigrated to the United States from Switzerland in the late 19th century and who was invited to present his views to a gathering of the new Occupational Therapy Society in At the time, Dr.

Meyer was one of the leading psychiatrists in the United States and head of the new psychiatry department and Phipps Clinic at Johns Hopkins University in Baltimore, Maryland. William Rush Dunton , a supporter of the National Society for the Promotion of Occupational Therapy, now the American Occupational Therapy Association, sought to promote the ideas that occupation is a basic human need, and that occupation is therapeutic.

From his statements came some of the basic assumptions of occupational therapy, which include:. These assumptions have been developed over time and are the basis of the values that underpin the Codes of Ethics issued by the national associations. The relevance of occupation to health and well-being remains the central theme. In the s, criticism from medicine and the multitude of disabled World War II veterans resulted in the emergence of a more reductionistic philosophy.

While this approach led to developments in technical knowledge about occupational performance, clinicians became increasingly disillusioned and re-considered these beliefs. Three commonly mentioned philosophical precepts of occupational therapy are that occupation is necessary for health, that its theories are based on holism and that its central components are people, their occupations activities , and the environments in which those activities take place.

However, there have been some dissenting voices. Mocellin, in particular, advocated abandoning the notion of health through occupation as he proclaimed it obsolete in the modern world. As well, he questioned the appropriateness of advocating holism when practice rarely supports it. In recent times occupational therapy practitioners have challenged themselves to think more broadly about the potential scope of the profession, and expanded it to include working with groups experiencing occupational injustice stemming from sources other than disability.

An occupational therapist works systematically with a client through a sequence of actions called the occupational therapy process.

There are several versions of this process as described by numerous scholars. All practice frameworks include the components of evaluation or assessment , intervention, and outcomes. This process provides a framework through which occupational therapists assist and contribute to promoting health and ensures structure and consistency among therapists. The OTPF framework is divided into two sections: domain and process.

The domain includes environment, client factors, such as the individual's motivation, health status, and status of performing occupational tasks. The domain looks at the contextual picture to help the occupational therapist understand how to diagnose and treat the patient. The process is the actions taken by the therapist to implement a plan and strategy to treat the patient.

A central element of this process model is the focus on identifying both client and therapists strengths and resources prior to developing the outcomes and action plan. The following are examples of such occupations:. According to the Salary and Workforce Survey by the American Occupational Therapy Association, occupational therapists work in a wide-variety of practice settings including: hospitals The broad spectrum of OT practice makes it difficult to categorize the areas of practice, especially considering the differing health care systems globally.

In this section, the categorization from the American Occupational Therapy Association is used. Occupational therapists work with infants, toddlers, children, youth, and their families in a variety of settings, including schools, clinics, homes, hospitals, and the community. In planning treatment, occupational therapists work in collaboration with parents, caregivers, teachers, or the children and teens themselves in order to develop functional goals within a variety of occupations meaningful to the young client.

Early intervention is an extremely important aspect of the daily functioning of a child between the ages of birth-3 years old. This area of practice sets the tone or standard for therapy in the school setting. OT's who practice in early intervention develop a family's ability to care for their child with special needs and promote his or her function and participation in the most natural environment as possible. It's possible for an OT to serve as the family's service coordinator and facilitate the team process for creating an IFSP for each eligible child.

Objectives that an occupational therapist addresses with children and youth may take a variety of forms. In the United States, pediatric occupational therapists work in the school setting as a "related service" for children with an Individual Education Plan IEP.

Department of Education, As a related service, occupational therapists work with children with varying disabilities to address those skills needed to access the special education program and support academic achievement and social participation throughout the school day AOTA, n.

Occupational therapists have specific knowledge to increase participation in school routines throughout the day, including:. Other settings, such as homes, hospitals, and the community are important environments where occupational therapists work with children and teens to promote their independence in meaningful, daily activities. This therapy, provided by experienced and knowledgeable pediatric occupational therapists, was originally developed by A. Jean Ayres, an occupational therapist.

Recognition of occupational therapy programs and services for children and youth is increasing worldwide. As of , there are over , occupational therapists working worldwide many of whom work with children and academic institutions providing occupational therapy instruction.

According to the American Occupational Therapy Association's AOTA Occupational Therapy Practice Framework , 3rd Edition, the domain of occupational therapy is described as "Achieving health, well-being, and participation in life through engagement in occupation".

By examining an individual's roles, routines, environment, and occupations, occupational therapists can identify the barriers in achieving overall health, well-being and participation.

OT Practice Framework

Occupational therapy OT is the use of assessment and intervention to develop, recover, or maintain the meaningful activities, or occupations , of individuals, groups, or communities. It is an allied health profession performed by occupational therapists and occupational therapy assistants OTA. OTs often work with people with mental health problems, disabilities, injuries, or impairments. The American Occupational Therapy Association defines an occupational therapist as someone who "helps people across their lifespan participate in the things they want and need to do through the therapeutic use of everyday activities occupations. Common occupational therapy interventions include helping children with disabilities to participate fully in school and social situations, injury rehabilitation, and providing supports for older adults experiencing physical and cognitive changes. Typically, occupational therapists are university-educated professionals and must pass a licensing exam to practice.

To browse Academia. Skip to main content. By using our site, you agree to our collection of information through the use of cookies. To learn more, view our Privacy Policy. Log In Sign Up. Download Free PDF. Application of the Occupational Therapy Practice Framework and evidence-based practice in a clinical situation.


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How to cite “Occupational therapy practice framework” by American Occupational Therapy Association

Made with FlippingBook. Occupational Therapy - 19 are held captive, they are likely to miss out on impor- tant developmental and life milestones. These disruptions have the potential to affect the individual in varied contexts and environments, and over the lifespan. In the World Federation of Occupational Therapy WFOT recognized sex trafficking as an area of need for occupational therapy research and inter- vention. We are calling on AOTA as our national organization to help support educational efforts to raise awareness of, and provide interventions for victims and survivors of sex trafficking.

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Occupational Therapy - 2015

Using the Occupational Therapy Practice Framework-ll to treat a rare condition - brain abscess and empyema. Brain abscess and Empyema are potentially disabling conditions with lifelong consequences, yet there is a paucity of literature on occupational therapy assessment and treatment of these patients. A recent record review found that the most important presenting problems were neuro- musculoskeletal, movement and mental deficits. Based on this review, and the lack of literature on the guidelines for assessment and treatment of these conditions, the need for an occupational therapy practice guideline was established. The Occupational Therapy Practice Framework- II was used as a scaffold to draw up a guideline that will give occupational therapy clinicians working with this group of rare conditions a guideline for rehabilitation priorities for intervention. Brain abscess or cerebral abscess and empyema are festering infections in the central nervous system 1,2. Both disorders are rare with an international incidence of approximately 2- 3 patients per million per year 4.

As occupational therapy celebrates its centennial in , attention returns to the profession's founding belief in the value of therapeutic occupations as a way to remediate illness and maintain health. The founders emphasized the importance of establishing a therapeutic relationship with each client and designing an intervention plan based on the knowledge about a client's context and environment, values, goals, and needs. In addition to the creation of a new preface to set the tone for the work, this new edition includes the following highlights: a redefinition of the overarching statement describing occupational therapy's domain; a new definition of clients that includes persons, groups, and populations; further delineation of the profession's relationship to organizations; inclusion of activity demands as part of the process; and even more up-to-date analysis and guidance for today's occupational therapy practitioners. Read more Read less. Save on selected Penguin Classics and Popular Penguin books. View our selection and latest deals. Click to explore.

Introduction Occupational Therapy Practice Framework; Framework Clients Persons including families, caregivers, teachers, employers, and relevant others Organizations businesses, industries, or agencies Populations refugees, veterans who are homeless, and people with chronic health disabling conditions 4. All aspects of the domain are equal value, and together they interact to influence the client s engagement in occupations, participation, and health. About the aspects of the OT domain and apply this knowledge to the intervention process as they work to support the health and participation of their clients. Those that implicitly involve two or more individuals may be termed co-occupations. The activities intrinsic to this social interaction are reciprocal, interactive, and nested co-occupations.


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OTPF 4TH EDITION CITATION

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