OT And Otas: A Case Study

of the therapy, the client meets the therapist to describe specific problems and to set goals they

A clinical assessment is then conducted for treatment needs. Different treatment plans are made for each client. Individualized treatment plans are used to make referrals and they are updated periodically.”

The MOHO is a client-centered holistic conceptual model for practice while the OTPF emphasizes a client-centered approach in data collection identifying what is important and meaningful to the client. The MOHO uses an open system approach to assess: Input, Person, Occupational Performance, and the Environment. In contrast, the OTPF considers how Client factors (MOHO Volitional subsystem), performance skills, performance patterns (MOHO Habituation subsystem) and contexts and environment (part of MOHO) impact occupational performance. Both MOHO and OTPF emphasize client-centered analysis. The MOHO has specific assessment tools while the OTPF indicates the occupational profile should include information that is similar to MOHO, regarding client values, interests, daily routines, patterns of engagement and feelings related to occupational function (AOTA, 2014, p. S13). Additionally, MOHO indicates data is collected and discussed with the client to help the client gain an understanding of their subsystems and how these impacts occupational performance (Cole & Tufano, 2014). The OTPF indicates data is collected to create an occupational profile through analysis of occupational performance skills. While both, MOHO and OTPF support interventions that are specific, meaningful, and focused on occupational performance. Also, the OTPF expands interventions to include therapist skills related to clinical reasoning, therapeutic use of self and activity analysis (AOTA, 2014). Both reflect practice guidelines appropriate for use across age spans and varying levels of need. I feel MOHO works well within the OTPF based on the open system, use of Volition, Habituations, and Mind-brain-body subsystems. Additionally, MOHO’s consideration of both physical and social environments aligns with the

Please explain how psychosocial factors have influenced your clients' ability to engage in occupations during treatment.

OT and COTA collaboration: Both the registered occupational therapist (OT) and the certified occupational therapy assistant (COTA), should collaborate over the course of the client’s evaluation, treatment, and discharge. There is a hierarchy of supervision regarding an OT and a COTA, but nevertheless, both clinicians should have a professional team approach and partnership with the common core of serving the client. The team approach relationship should have sound partnership factors such as communication, trust, knowledge, and respect. Both clinicians would communicate clearly to one another of any client concerns, integration of activities within the intervention process, positive treatment outcomes, etc.

The counselor intervention that would help the client overcome each barrier is helping client plan out their schedule. The counselor will sit down with the client and organize and prioritize

Constructing a treatment and service plan for a client involves various components. Prior to starting a treatment plan the professional should carry out a client evaluation. The evaluation should determine the basis of the difficulty or issues and assess the back ground of the client. After the completion of the evaluation, a professional can start constructing an agreement to fulfill the needs of the client. The treatment plan should include goals that relate to the difficulties and issues the client is experiencing, this assessment will discuss the components of Mr. McCunes personalized treatment program.

Referrals ~ Referring the individual to further services or organisations which the client could benefit from. These do not need to offer further counselling, but social groups or support (educational support, financial support, etc.)

Furthermore, a multidisciplinary team meeting will be presented to identify the impact of different health care professionals such as a physiotherapist, an occupational therapist and a nurse have on a patient with complex need and how the patient receives the care needed due to the collaborative practice. In addition, a comparison between physiotherapy, occupational therapy and nursing practice will be outlined regarding professional regulation and both pre-registration and continuing

rest of the food will be canned and used for wintertime feasts. Plans are to

Bensalih reported that she has completed her rule 25 assessment at Tubman and has upcoming treatment sessions with her therapist and with her group. Also, CPSW asked Ms. Bensalih her process regarding Associate clinic psychology. Ms. Bensalih reported that she has not seen her therapist lately and planning to go back and schedule appointment with Associate clinic associate asap. Ms. Bensalih reported that she will let this writer know her up coming appointments with tubman and ASC. CPSW encouraged Ms Bensalih to go back at Associate Clinic Associate for the mental health assessment. CPSW asked about her supervision and needing to schedule appointment asap. Ms. Bensalih stated that she has been busy and stressed about all the work she needs to complete regarding the

The proposed call RCS-1 would change the system to emphasize patient clinic characteristics and not services received. The new system does not receive payment on a number of services provided, but how much services the patient would receive based on the identification of patient characteristics. This approach could dramatically affect a number of therapy services provided to the client. Additionally, CMS would remove the existing 14, 30, 60, and 90-day PPS assessments and only require the initial and discharge assessments, with significant change assessments if applicable. Further, this could be a noteworthy change in the number of assessments used to determine payment and may not capture changes in patient status. Couple concerns relate to the proposed RCS-1 affect the provision of and access to occupation therapist and AOTA mention in part of those limitations when the patients receive therapy and whether they receive the appropriate amount of therapy. Improving the PPS system could have beneficial effects on patients and on practitioners but AOTA does not believe this proposed system has enough safeguards in place for

While implementing the client's treatment plan, I would conduct individual, family, and group therapy sessions that provides various of interventions and strategies to which the client would be able to use when services

The patient was placed on HOLD to see the writer to address his non-compliance with treatment. The patient was reminded about his Step 3 of the patient engagement. According to the patient as the writer reviewed the patient case history of his no show for counseling, group attendance, and continuously AWOL, the patient only response was, " I, know." The writer then inquired of the patient efforts to engage in mental health services through ICRC. The patient admits that he haven't done the intake when the deadline was extended for the third time. The writer discussed with the patient about the risk of facing an intent to discharge due to his non-compliance and addressed alternatives such as suboxone and transferring to a clinic in Massachusetts to accommodate the work location. The patient declines the writer's suggestion as he wants to remain with HCRC-Hartford due to the positive treatment and said. " You guys really care....I do not want to be discharge.....I, mean what is the process of the intent of discharge?" The writer explained to the patient about the appeal process as his record will be reviewed by the Practice Manager to determine as to whether or not to forward with the discharge or the discharge to be overturn.

These relationships have helped me to embrace cultural norms, routines and rituals. Personal Context defines me as a middle class individual working hard to get my masters of occupational therapy degree in two and half years from Barry University. Significant part of my daily life revolves around atmosphere in which communication is conducted via virtual medium; computers, cell phone. Process Intervention process of Occupational Therapy contains evaluation, intervention, and outcome. However, occupation therapy focuses on occupation throughout the process, thereby making it unique. To make the process clearer and easy to understand, a visual illustration is enclosed labeled, (Figure 2). Occupational profile is an initial phase in my evaluation process, involving my occupational history, patterns of daily living, interests, etc. which are explained above. My motive for pursuing corrections in occupational disruptions is due to my full time work and school related obligations. Now with my busy schedule I have to hire a caregiver and modify my house for my aunt. Effective time management is also my top priority because of my educational