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Healthcare is shifting towards a holistic, whole person approach to improve population health, decrease cost of care, and improve patient, and provider experiences. To achieve this, the primary care sector is adopting an integrated, interprofessional care team model which addresses both biomedical and behavioral health, and includes preventative care, population health management, technology, and innovative strategies to increase access to care. Occupational therapy (OT) is uniquely positioned to add their distinct whole person mental/behavioral health and medical care scope and skill to these teams to address patient needs. As this is an emerging practice area for OT, and no guidelines specific to primary care exist, this book will be a first of its kind text for occupational therapy practitioners (OTP) in primary care settings. As OTPs work with habits, roles, and routines that affect health, OT in primary care promotes health and improves patient self-management of medical conditions and lifestyles, reducing patient dependence on costly health care services. This timely clinical manual guides best practices for primary care OT. It helps OTPs fit into the quick paced primary care practice model. In traditional OT settings, intervention sessions are longer, and focus on acute rehabilitation or mental/behavioral health conditions. In primary care, visits are brief, and address patient needs in the context of their presenting issue. No other published guide meets the unique needs of this emerging practice area. Authors provide administrative information specific to OT in primary care, and interventions for specific health conditions, including chronic conditions, common to this setting. Written by experts in the field, Primary Care Occupational Therapy is the definitive resource for all primary care OTPs or those interested in lifestyle-based interventions for conditions frequently seen in primary care. It is also a useful guide for behavioral health care providers and administrators of general medical practices.
As occupational therapy celebrates its centennial in 2017, 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. Using today's lexicon, the profession's founders proposed a vision for the profession that was occupation based, client centered, and evidence based--the vision articulated in the third edition of the Occupational Therapy Practice Framework: Domain and Process. The Framework is a must-have official document from the American Occupational Therapy Association. Intended for occupational therapy practitioners and students, other health care professionals, educators, researchers, payers, and consumers, the Framework summarizes the interrelated constructs that describe occupational therapy practice. 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. Achieving health, well-being, and participation in life through engagement in occupation is the overarching statement that describes the domain and process of occupational therapy in the fullest sense. The Framework can provide the structure and guidance that practitioners can use to meet this important goal.
The purpose of this project was to study issues related to occupational therapists integrating into primary care settings, as part of a team-based approach and to best meet the needs of the clients. This is a mixed methods study that examined quantitative and qualitative data for members of the primary care team and occupational therapists working in primary care clinics. The Team Climate Inventory-14 (Kivimaki & Elovainio, 1999) was selected as the quantitative measure because it examines themes related to team functioning, which include vision, participative safety, task orientation, and mutual support. Participants completed a semi-structured interview that examined themes related to the principles of a team-based approach. There was no statistical association (p
Primary care within the United States' health care system is evolving to address increases in chronic conditions across the lifespan that impact individuals' daily lives, and the health care system's performance and cost. Even as interprofessional primary care teams aim to manage a large majority of health needs over time, these teams often lack the skilled professionals necessary to address function in daily life. Occupational therapy's distinct value as experts in evaluation and intervention for health-related occupational development, adaptation, prevention and management can address this problem. However, continued education and additional tools are necessary for occupational therapists to increase their knowledge of the profession's role in primary care, increase self-efficacy in promoting occupational therapy to stakeholders, and increase self-efficacy to utilize resources for research and establishing occupational therapy in primary care settings. The Incorporating Occupational Therapy into the Medical Field learning modules are specifically targeted to health care professionals to educate and make them aware of occupational therapy and the benefits of utilizing the services. Data on theoretical and historical evaluation of occupational therapy in health care supports and understands the problem and mechanisms that can help navigate efforts to include occupational therapy in primary care. Diffusion of Innovations and Adult Learning Theory guides the course's phases of development and dissemination. This project is a timely contribution to the emerging area of occupational therapy in primary care that supports the American Occupational Therapy Association Vision Statement to improve the individual experience of care, and maximize health, well-being and quality of life for all people (AOTA, 2022).
Designed to help students become effective, reflective practitioners, this fully updated edition of the most widely used occupational therapy text for the course continues to emphasize the “whys” as well as the “how-tos” of holistic assessment and treatment. Now in striking full color and co-edited by renowned educators and authors Diane Powers Dirette and Sharon Gutman, Occupational Therapy for Physical Dysfunction, Eighth Edition features expert coverage of the latest assessment techniques and most recent trends in clinical practice. In addition, the book now explicitly integrates “Frames of Reference” to help students connect theories to practice and features a new six-part organization, thirteen all-new chapters, new pedagogy, and more.
For occupational therapists who want to incorporate health promotion or prevention into their practices, here is a thought-provoking new volume. Health Promotion and Preventive Programs highlights existing models of occupational therapy practice, targeting populations ranging from infants to the elderly, that incorporate principles of prevention and health promotion into traditional health care practice arenas. This important new book describes a variety of occupational therapy services, each of which uses principles of primary, secondary, or tertiary prevention principles, including a health education program for parents of well babies and toddlers, a community outreach program for preschool children who are at risk for emotional problems, a community support group formed by adults who have been hospitalized for psychiatric illnesses, a program designed to prevent industrial accidents through on-the-job training, and a home safety program for the elderly. The effective case study approach will allow occupational therapists to learn about and compare various models of practice, and includes elements necessary for development, organization, and design of health promotion and disease prevention programs. Together the chapters provide theoretical concepts of health promotion and injury prevention and offer a framework by which professionals can analyze material, determine whether or not programs can be appropriately replicated, or design new and original occupational therapy programs having a focus on health promotion and/or disease prevention.
This book is a comprehensive textbook for occupational therapy students and occupational therapists working in the field of mental health. It presents different theories and approaches, outlines the occupational therapy process, discusses the context of practice and describes a wide range of techniques used by occupational therapists. These include physical activity, cognitive approaches, group work, creative activities, play and life skills. The book covers all areas of practice in the field, including mental health promotion, acute psychiatry, community work, severe and enduring mental illness, working with older people, child and adolescent mental health, forensic occupational therapy, substance misuse and working with people on the margins of society. The theory chapters are written by occupational therapists who are recognised experts in their fields and the applied chapters are written by practitioners. An innovation in this edition is the inclusion of commentaries by service users on some of the chapters. This fourth edition has been extensively revised and updated. The new structure reflects changes in service delivery and includes sections on: philosophy and theory base the occupational therapy process ensuring quality the context of occupational therapy occupations client groups. Important new areas that are covered include mental health promotion, evidence-based practice, community development and continuing professional development. Addresses the needs of the undergraduate course - covers all the student needs for this subject area in one volume. Links between theory and practice are reinforced throughout Written by a team of experienced OT teachers and practitioners Comprehensive - covers theory, skills and applications as well as management The clear structure with the division of chapters into six distinct sections makes it easy to learn and revise from as well as easy to refer to for quick reference in the clinical situation. Provides key reading and reference lists to encourage and facilitate more in-depth study on any aspect. It is written in a style that is easy to read and understand; yet there is enough depth to take students through to their final year of education. Chapters on the application of occupational therapy are written by practising clinicians, so they are up-to-date and realistic. For qualified occupational therapists, the book includes a review of current theories and approaches to practice, with references so that they can follow up topics of particualr interest. Suitable for BSc and BSc (Hons) occupational therapy courses.
Occupational therapy is an allied health profession with an underlying belief that engaging in occupations promotes both health and wellness. This comprehensive text lays the foundation for occupation-based practice and addresses the contextual issues of working within the acute care setting. The chapters help to demystify medical conditions and issues routinely encountered by occupational therapists working in this practice area. Detailed research covers the importance of occupational therapists' knowledge of how diseases affect the human body, including the cardiovascular, nervous, and endocrine systems. Chapters review the evaluation process, including chart review, measures, and interpretations and recommendations for intervention to ensure the ultimate level of independence for each patient. Occupational Therapy in Acute Care is designed specifically for therapists working in a hospital setting to acquire better knowledge of the various body systems, common conditions, diseases, and procedures. Students and educators will find this new publication to be the most useful text available on the topic. The book features color illustrations of the human body's systems and functions, as well as tables delineating the signs and symptoms for various diseases. HIGHLIGHTS include: * Evaluation of the Acute Care Patient * The Intensive Care Unit (ICU) * The Cardiac System * The Vascular System * The Pulmonary System * The Nervous System * Orthopedics and Musculoskeletal Disorders * The Endocrine System * The Gastrointestinal System * The Genitourinary System * Oncology * Infectious Diseases and Autoimmune Disorders * Dysphagia * Transplantation * Burns * Appendices -- Common diagnostic tests, medications, deconditioning and immobility, energy conservation, patients with altered mental status, low vision, bariatrics, vertigo, safe patient handling, pain management, evidence-based practice, ethics, discharge planning, blood disorde
The extensively updated Second Edition of Case Studies Through the Health Care Continuum: A Workbook for the Occupational Therapy Student is a versatile resource that focuses on assisting students through the use of case studies. Through these 34 cases, students learn about the many possible choices in the clinical decision-making process, and how these different choices can lead to many equally successful outcomes. Case Studies Through the Health Care Continuum, Second Edition by Nancy Lowenstein and Patricia Halloran encompasses new and revised case studies across the health care continuum, from early intervention to older adults. These cases involve situations that students might encounter during their interventions and require them to think about issues that might occur to disrupt their original intervention plan. Inside Case Studies Through the Health Care Continuum, Second Edition, new questions on theory and evidence will allow students to think of theory-driven and evidence-based practice concepts, as well as search the literature to support their interventions. Care was also taken to avoid using a specific frame of reference or theoretical model to enable instructors to use various frames of reference and theories with different cases. New to the Second Edition: Each case allows the student to consider the client’s occupations, performance patterns, performance skills, client factors, contexts, and environments Case studies are now formatted around an Occupational Profile and an Analysis of Occupation, adhering to the AOTA’s Occupational Therapy Practice Framework language Pediatric case studies Increased number of community case studies Case study on primary care, an emerging practice area in occupational therapy Case studies involving complex conditions, not just one condition Case Studies Through the Health Care Continuum: A Workbook for the Occupational Therapy Student, Second Edition is a valuable learning tool for any occupational therapy or occupational therapy assistant student as it provides a way to put theories and clinical reasoning into practice through the use of case studies.
This textbook explores recent theoretical models that enable occupational therapists to practice and interact with families in a more holistic and occupation-centered manner. It offers the latest information on viewing the broader contexts of environment and family in order to meet diverse occupational needs in a range of settings. The editor presents a variety of case scenarios that feature culturally diverse populations and varying diagnoses of children with occupational needs. With contributions from 11 leaders in occupational therapy, this comprehensive text is designed to increase awareness and understanding of theoretical models and their relationship to current occupational therapy practice with today's children and families. Traditional frames of reference in pediatric practice are explored, including sensory integration and neurodevelopmental treatment. Some current theoretical models discussed include the Model of Human Occupation, the Person-Environment-Occupation model, the Ecology of Human Performance model, and the Occupational Adaptation model. The new Occupational Therapy Practice Framework is incorporated throughout the text. Overall the textbook employs a practical approach to this significant aspect of pediatric practice in occupational therapy.