Terminology & Vocabulary for Community-Based Practice
-Client-centered approach
--what is important to them
--what do they need
-Community
-Community-based practice
-Community-centered initiative/intervention
-Community health promotion
-Community-level intervention
-Dynamical systems approach
-Ecological ap
History of Community-Based Practice in Occupational Therapy
-Early 1900s (1914) Consolation House opened in New York by George Barton and Eleanor Clark Slagle
-Hull House (1915) Chicago
-Banyai (1938) writes about the care of individuals with tuberculosis
-Literature in the 1960s claims that occupational therapy f
Health Agent Role for OT's
-what is out there
-what is available
-how to promote these different programs
Other Occupational Therapist Roles
-Advocate
-Case Manager
-Community Organizer
-Consultant
-Program Developer
--ex. program for older adults to get out into the community
A Modern Perspective for Community-Based Practitioners
1) Gain knowledge about operations of community organizations and institutions (understand and try to make changes)
2) Understand and communicate unique services offered by occupational therapy practitioners.
3) Provide strategic development of knowledge
Characteristics of Effective Community-Based Practitioners
-Sense of positive hopefulness (be positive)
-Understanding of individuals in their specific personal circumstances (therapeutic use of self)
-Creativity to envision a variety of possibilities
-Ability to set aside one's cultural, personal, and profession
AOTA Standards for Continuing Competency
1) Knowledge required for multiple roles
--what do you wanna do, what do you wanna be?
--CCU courses
2) Critical reasoning necessary for decision-making in those roles
3) Interpersonal abilities to establish effective relationships with others
4) Performa
Paradigms
-Is the cultural core of the discipline
-Provides professional identity
A discipline specific paradigm (ex. an OT paradigm) determines:
-How professionals view their phenomenon of interest
-What puzzles, problems, or questions practitioners will seek out in their own work
-What solutions will emerge
-What goals will be set for the direction of the profession
Paradigm Shifts
-Pre-paradigm
-Paradigm
-Crisis
-New Paradigm
Paradigm Shifts in Occupational Therapy
-Moral Treatment
-Paradigm of Occupation
-Crisis
-Medical Model Paradigm
-Crisis
-COMMUNITY PARADIGM
Characteristics of an Occupational Therapy Community Practice Paradigm
-Based on Dynamic Systems Theory
-Client-Centered
-Ecologically Sound
-Occupation-Based
-Strengths-Based
-Supported with Evidence
Strengths-Based
-Identify strengths and talents
-Integrate strengths into client identity and occupational therapy process
-Change behavior
Client-Centered Approach
-Focus is on issues most important to client and caregivers
-make a difference to them
Occupation-Based
Interventions support meaningful engagement and participation
General Systems Theory
-Focuses on larger units, or systems conceptualized as patterns/configurations
--looking at bigger populations
--how do we meet their needs
--how do we expand to be inclusive
-Interdependent/Interrelatedness of all phenomena
-Circular/Spiral Models
-Dynam
Ecological Approach
-client capabilities:
--psychological, physiological, cognitive, neurobehavioral, spiritual
-client constraints:
--occupational risk factors, poor health status, occupational performance limitations
-environmental enablers:
--cultural and social influence