OTA 210 - Therapeutic Practices in Occupational Therapy

1. Articulate the importance of using statistics, tests, and measurements for the purpose of delivering evidence-based practice.
2. Articulate the importance of balancing areas of occupation with the achievement of health and wellness for the clients.
3. Demonstrate task analysis in areas of occupation, performance skills, performance patterns, activity demands, context(s) and environments, and client factors to implement the intervention plan.
4. Identify interventions consistent with models of occupational performance.  
5. Describe basic features of the theories that underlie the practice of occupational therapy.
6. Describe basic features of models of practice and frames of reference that are used in occupational therapy.
7. Gather and share data for the purpose of evaluating client(s)’ occupational performance in activities of daily living (ADLs), instrumental activities of daily living (IADLs), education, work, play, rest, sleep, leisure, and social participation. Evaluation of occupational performance includes:
   • The occupational profile, including participation in activities that are meaningful and necessary for the client to carry out roles in home, work, and community environments.
   • Client factors, including values, beliefs, spirituality, body functions (e.g., neuromuscular, sensory and pain, visual, perceptual, cognitive, mental) and body structures (e.g., cardiovascular, digestive, nervous, genitourinary, integumentary systems).
   • Performance patterns (e.g., habits, routines, rituals, roles).
   • Context (e.g., cultural, personal, temporal, virtual) and environment (e.g., physical, social).
   • Performance skills, including motor and praxis skills, sensory-perceptual skills, emotional, regulation skills, cognitive skills, communication and social skills.
8. Articulate the role of the occupational therapy assistant and occupational therapist in the screening and evaluation process along with the importance of and rationale for supervision and collaborative work between the occupational therapy assistant and occupational therapist in that process.
9. Identify when to recommend to the occupational therapist the need for referring clients for additional evaluation.
10. Document occupational therapy services to ensure accountability of service provision and to meet standards for reimbursement of services, adhering to the requirements of applicable facility, local, state, federal, and reimbursement agencies. Documentation must effectively communicate the need and rationale for occupational therapy services.
11. Assist with the development of occupation-based intervention plans and strategies (including goals and methods to achieve them) on the basis of the stated needs of the client as well as data gathered during the evaluation process in collaboration with the client and others. Intervention plans and strategies must be culturally relevant, reflective of current occupational therapy practice, and based on available evidence. Interventions address the following components:

• The occupational profile, including participation in activities that are meaningful and necessary for the client to carry out roles in home, work, and community environments.
• Client factors, including values, beliefs, spirituality, body functions (e.g., neuromuscular, sensory and pain, visual, perceptual, cognitive, mental) and body structures (e.g., cardiovascular, digestive, nervous, genitourinary, integumentary systems).
• Performance patterns (e.g., habits, routines, rituals, roles).
• Context (e.g., cultural, personal, temporal, virtual) and environment (e.g., physical, social).
• Performance skills, including motor and praxis skills, sensory-perceptual skills, emotional regulation skills, cognitive skills, and communication and social skills.

12. Provide therapeutic use of occupation, exercises, and activities (e.g., occupation-based intervention, purposeful activity and preparatory methods).
13. Grade and adapt the environment, tools, materials, occupations, and interventions to reflect the changing needs of the client and the sociocultural context.
14. Monitor and reassess, in collaboration with the client, caregiver, family, and significant others, the effect of occupational therapy intervention and the need for continued or modified intervention, and communicate the identified needs to the occupational therapist.
15. Recommend to the occupational therapist the need for termination of occupational therapy services when stated outcomes have been achieved or it has been determined that they cannot be achieved. Assist with developing a summary of occupational therapy outcomes, recommendations, and referrals.
16. Document occupational therapy services to ensure accountability of service provision and to meet standards for reimbursement of services. Documentation must effectively communicate the need and rationale for occupational therapy services and must be appropriate to the context in which the service is delivered.
17. Demonstrate knowledge of various reimbursement systems (e.g., federal, state, third party, private payer) and documentation requirements that affect
18. Participate in the documentation of ongoing processes for quality improvement and implement program changes as needed to ensure quality of services.
19. Articulate the importance of how scholarly activities and literature contribute to the development of the profession.
20. Effectively locate and understand information, including the quality of the source of information.
21. Identify how scholarly activities can be used to evaluate professional practice, service delivery, and/or professional issues (e.g., Scholarship of Integration, Scholarship of Application, Scholarship of Teaching and Learning).
22. Demonstrate the skills to read and understand a scholarly report.
23. Identify and appreciate the varied roles of the occupational therapy assistant as a practitioner, educator, and research assistant.

1. Demonstrate mastery of the occupational therapy foundational content requirements.
2. Discuss the basic tenets of occupational therapy.
3. Conduct and document a screening and evaluation process.
4. Intervene and implement occupational therapy processes.
5. Describe the context of occupational therapy services.
6. Assist in the management of occupational therapy services.
7. Read and use professional literature in the field of occupational therapy.

• Critical Thinking - Critical thinking finds expression in all disciplines and everyday life. It is characterized by an ability to reflect upon thinking patterns, including the role of emotions on thoughts, and to rigorously assess the quality of thought through its work products. Critical thinkers routinely evaluate thinking processes and alter them, as necessary, to facilitate an improvement in their thinking and potentially foster certain dispositions or intellectual traits over time.
• Responsibility - Responsibility encompasses those behaviors and dispositions necessary for students to be effective members of a community. This outcome is designed to help students recognize the value of a commitment to those responsibilities which will enable them to work successfully individually and with others.
• Quantitative and Symbolic Reasoning - Quantitative Reasoning encompasses abilities necessary for a student to become literate in today’s technological world. Quantitative reasoning begins with basic skills and extends to problem solving.
• Written Communication - Written Communication encompasses all the abilities necessary for effective expression of thoughts, feelings, and ideas in written form.