Chapter 14 Treatment Settings & Models of Health Care PDF

Chapter 14  Treatment Settings and Models of Health Care 1  Objectives Characterize settings in which OT practitioners are employed by types of administration, levels of care, and areas of practice. Identify the primary healt...

Chapter 14  Treatment Settings and Models of Health Care 1  Objectives Characterize settings in which OT practitioners are employed by types of administration, levels of care, and areas of practice. Identify the primary health problems addressed in different settings. Describe how treatment setting influences the focus of OT intervention. Describe workforce trends in occupational therapy. 2  Key Terms  acute care  psychological sphere  biological sphere  public agencies  continuum of care  sociological sphere  diagnosis-related groups  subacute care (DRGs)  long-term care  private for-profit agencies  private not-for-profit agencies 3  Characteristic of Settings  The different types of settings in which OT practitioners are employed can be characterized according to: (1) administration, (2) levels of care, and (3) areas of practice. 4  Administration of Setting  Public agencies  Private not-for-profit agencies  Private for-profit agencies 5  Levels of Care Continuum care  Acute care  Diagnosis-related groups (DRGs)  Subacute care  Long-term care 6  Areas of Practice  Biological aspects  Psychological aspects  Sociological aspects 7  Settings  Occupational therapists primarily work in  hospitals (29%),  school systems (19%)  and skilled nursing facilities (15%) (AOTA, 2020).  Occupational therapy assistants work primarily in  skilled nursing facilities, (43%),  schools (15%)  and hospitals (11%) This Photo by Unknown Author is licensed under CC BY (AOTA, 2020). 8  Spheres of Practice Biological Psychological Sociological Nature of health Emotional, cognitive Expectations of society 9  Biological Focus HOSPITALS CLINICS HOME HEALTH AGENCIES 10 Settings with a Social Emphasis Schools and Special Education Day Treatment Workshops 11 Settings with a Psychological Emphasis Behavioral Health Centers Community Mental Health Centers Supervised Living 12 Settings with Special Emphasis All-Inclusive Community Settings Based Settings LTC Prison, Hospice 13  Private Practice and Consulting  Specialty practice areas  Pediatrics  Hand therapy  School consultation  Skilled nursing facilities Copyright © 2018 by Elsevier Inc. All rights reserved. Future Practice Areas  Future practice areas targeted for growth include the following:  broader scope in schools,  bullying and cyberbullying,  digital ADLs,  autism in adults,  veterans and wounded warriors,  birth and death doulas,  cancer care and oncology,  accessibility design,  artificial intelligence,  justice-based settings  health and wellness, This Photo by Unknown Author is licensed under CC BY 15  Occupational Therapy Employment Trends  Since 2006, more OT practitioners have moved to urban areas to meet the demand of services.  46 % of occupational therapists and 40% of OTAs now work in urban areas (AOTA, 2020).  Currently, fewer than 40% of OT practitioners work in suburban and rural areas (BLS, 2022).  More than half of occupational therapists (51%) work in offices or hospitals, followed by schools and early intervention centers (12%) (AOTA, 2020).  Skilled nursing facilities tend to be the choice for practitioners pursuing secondary income. This Photo by Unknown Author is licensed under CC BY 16  Summary OT practitioners are employed in a (1) administration of the setting, variety of settings which may be (2) levels of care, characterized according to and (3) areas of practice. They view the biological, sociological, and psychological functioning of clients within the context of their environment. The workforce can be employed in an organization, self-employed, own a private practice, or practice in a combination of ways. OT is a growing profession with many career opportunities that currently exist and have yet to come. 17