Occupational Therapy Standards of Practice PDF

OCCUPATIONAL THERAPY STANDARDS OF PRACTICE Jordan University of Science & Technology OT 201 - Occupational Therapy Fundamentals Lecture 4  LEARNING OBJECTIVES List and define the OT practice standards Identify practice standards on the OT servic...

OCCUPATIONAL THERAPY STANDARDS OF PRACTICE Jordan University of Science & Technology OT 201 - Occupational Therapy Fundamentals Lecture 4  LEARNING OBJECTIVES List and define the OT practice standards Identify practice standards on the OT services delivery. Understand the OT code of ethics List the major components of Standards for Continuing Competence 2  OCCUPATIONAL THERAPY PROFESSIONALS Occupational Therapist (OT): holds a bachelors degree (4-years program) in occupational therapy from a university. Occupational Therapy Assistant/Aid (OTA) - Occupational Therapist Assistants are required to have an associate degree or a certificate from an accredited community college or technical school. - Occupational Therapy Aides usually receive most of their training on the job. - Work under the supervision of occupational therapists to provide rehabilitative services to clients 3  OCCUPATIONAL THERAPY STANDARDS OF PRACTICE Are requirements for occupational therapists for the delivery of occupational therapy services Sets the guidelines for providing OT services Governs the actions and behavior of the occupational therapist 4  OCCUPATIONAL THERAPY STANDARDS OF PRACTICE (CONT.) 1. Standard I. Professional Standing and Responsibility 2. Standard II. Screening, Evaluation, and Re‐evaluation 3. Standard III. Intervention 4. Standard IV. Outcomes 5  STANDARD I. PROFESSIONAL STANDING AND RESPONSIBILITY The Occupational Therapy (OT) practitioner: 1. Delivers OT services that reflect the philosophical base of occupational therapy and are consistent with the established principles and concepts of theory and practice. 2. Is knowledgeable about and delivers OT services in accordance with standards, policies, and guidelines relevant to practice and service delivery. 3. Maintains current licensure, registration, or certification as required by law or regulation. 4. Abides by the Occupational Therapy Code of Ethics. 6  STANDARD I. PROFESSIONAL STANDING AND RESPONSIBILITY (CONT.) 5. Abides by the Standards for Continuing Competence by establishing, maintaining, and updating professional performance, knowledge, and skills. 6. Is responsible for all aspects of OT service delivery and is accountable for the safety and effectiveness of the OT service delivery process. 7. Maintains current knowledge of legislative, political, social, cultural, societal, and reimbursement issues that affect clients and the practice of occupational therapy. 7  STANDARD I. PROFESSIONAL STANDING AND RESPONSIBILITY (CONT.) 8. Is knowledgeable about evidence-based research and applies it ethically and appropriately to provide OT services consistent with best practice approaches. 9. Respects the client’s sociocultural background and provides client-centered and family-centered OT services. 10. The occupational therapy assistant (OTA) is responsible for providing safe and effective occupational therapy services under the supervision of and in partnership with the occupational therapist and in accordance with laws or regulations. 8  STANDARD II. SCREENING, EVALUATION, AND RE‐EVALUATION The Occupational Therapy (OT) practitioner: 1. Is responsible for all aspects of the screening, evaluation, and re-evaluation process. 2. Accepts and responds to referrals in compliance with laws, other regulatory and payer requirements, and AOTA documents. 3. Collaborates with the client, evaluates the client’s ability to participate in daily life by considering the client’s history, goals, capacities, and needs; the activities and occupations the client wants and needs to perform; and the environments and context in which these activities and occupations occur. 9  STANDARD II. SCREENING, EVALUATION, AND RE‐EVALUATION (CONT.) 4. Initiates and directs the screening, evaluation, and re-evaluation process and analyzes and interprets the data in accordance with law, other regulatory and payer requirements, and AOTA documents. 5. An OT practitioner uses current assessments and assessment procedures and follows defined protocols of standardized assessments during the screening, evaluation, and re-evaluation process. 6. Educates current and potential referral sources about the scope of occupational therapy services and the process of initiating occupational therapy services. 7. Completes and documents occupational therapy evaluation results. An occupational therapy assistant contributes to the documentation of evaluation results. 10  STANDARD II. SCREENING, EVALUATION, AND RE‐EVALUATION (CONT.) 8. Communicates screening, evaluation, and re-evaluation results within the boundaries of client confidentiality and privacy regulations to the appropriate person, group, organization, or population. 9. Recommends additional consultations or refers clients to appropriate resources when the needs of the client can best be served by the expertise of other professionals or services. 10. An occupational therapy assistant (OTA) contributes to the screening, evaluation, and re- evaluation process by implementing delegated assessments and by providing verbal and written reports of observations and client capacities to the occupational therapist in accordance with laws, other regulatory and payer requirements 11  STANDARD III. INTERVENTION The Occupational Therapy (OT) practitioner : 1. Is responsible for the development, documentation, and implementation of the occupational therapy intervention based on the evaluation, client goals, best available evidence, and professional and clinical reasoning. 2. Ensures that the intervention plan is documented within the time frames, formats, and standards established by the practice settings, agencies, external accreditation programs, state and federal law, and other regulatory and payer requirements. 3. Collaborates with the client to develop and implement the intervention plan, on the basis of the client’s needs and priorities, safety issues, and relative benefits and risks of the interventions. 12  STANDARD III. INTERVENTION (CONT.) 4. Coordinates the development and implementation of the occupational therapy intervention with the intervention provided by other professionals, when appropriate. 5. Uses professional and clinical reasoning to select the most appropriate types of interventions, including therapeutic use of self, therapeutic use of occupations and activities, consultation, education, and advocacy. 6. An occupational therapy assistant (OTA) selects, implements, and makes modifications to therapeutic interventions that are consistent with the occupational therapy assistant’s demonstrated competency and delegated responsibilities, the intervention plan, and requirements of the practice setting. 13  STANDARD III. INTERVENTION (CONT.) 7. An occupational therapist modifies the intervention plan throughout the intervention process and documents changes in the client’s needs, goals, and performance. 8. An occupational therapy assistant contributes to the modification of the intervention plan by exchanging information with and providing documentation to the occupational therapist about the client’s responses to and communications throughout the intervention. 9. An occupational therapy practitioner documents the occupational therapy services provided within the time frames, formats, and standards established by the practice settings, agencies, external accreditation programs, federal and state laws, other regulatory and payer requirements, and AOTA documents. 14  STANDARD IV. OUTCOMES 1. An occupational therapist is responsible for selecting, measuring, documenting, and interpreting expected or achieved outcomes that are related to the client’s ability to engage in occupations. 2. An occupational therapist is responsible for documenting changes in the client’s performance and capacities and for transitioning the client to other types or intensity of service or discontinuing services when the client has achieved identified goals, reached maximum benefit, or does not desire to continue services. 3. An occupational therapist prepares and implements a transition or discontinuation plan based on the client’s needs, goals, performance, and appropriate follow-up resources. 15  STANDARD IV. OUTCOMES 4. 4. An occupational therapy assistant (OTA) contributes to the transition or discontinuation plan by providing information and documentation to the supervising occupational therapist related to the client’s needs, goals, performance, and appropriate follow-up resources. 5. 5. An occupational therapy practitioner facilitates the transition or discharge process in collaboration with the client, family members, significant others, other professionals (e.g., medical, educational, or social services), and community resources, when appropriate. 16  OT CODE OF ETHICS BENEFICENCE Principle 1. Occupational therapy personnel shall demonstrate a concern for the well-being and safety of the recipients of their services. NONMALEFICENCE Principle 2. Occupational therapy personnel shall refrain from actions that cause harm. AUTONOMY Principle 3. Occupational therapy personnel shall respect the right of the individual to self-determination, privacy, confidentiality, and consent. 17  OT CODE OF ETHICS (CONT.) JUSTICE Principle 4. Occupational therapy personnel shall promote fairness and objectivity in the provision of occupational therapy services. VERACITY Principle 5. Occupational therapy personnel shall provide comprehensive, accurate, and objective information when representing the profession. FIDELITY Principle 6. Occupational therapy personnel shall treat clients, colleagues, and other professionals with respect, fairness, discretion, and integrity. 18  STANDARDS FOR CONTINUING COMPETENCE Standard 1. Knowledge: Occupational therapy practitioners shall demonstrate understanding and integration of the information required for the multiple roles and responsibilities they assume. Standard 2. Critical Reasoning: Occupational therapy practitioners shall use reasoning processes to make sound judgments and decisions. The individual must demonstrate Standard 3. Interpersonal Skills: Occupational therapy practitioners shall develop and maintain their professional relationships with others within the context of their roles and responsibilities 19 STANDARDS FOR CONTINUING COMPETENCE (CONT.) Standard 4. Performance Skills: Occupational therapy practitioners shall demonstrate the expertise, proficiencies, and abilities to competently fulfill their roles and responsibilities by employing the art and science of occupational therapy in the delivery of services Standard 5. Ethical Practice: Occupational therapy practitioners shall identify, analyze, and clarify ethical issues or dilemmas to make responsible decisions within the changing context of their roles and responsibilities 20 Thank You!