Admission in acute care hospital is for what disabilities?
medical or psychiatric dx w/ acute exacerbation of a chronic illness
LOS in acute care?
1-7 days
What is OT tx focus in acute care?
stabilization of clients status that affects functioning
Admission criteria in a sub-acute/intermediate care facility?
medical or psychiatric dx that hs progressed from an acute stage but has not stabilized sufficiently to be treated on outpatient basis
LOS is sub acute/intermediate care facility?
5-30 days
OT eval in sub acute facility includes?
more in depth assessment and more thorough observation of clients fxl performance
OT eval in acute care?
quick and accurate screening of major difficulties impeding function
OT tx in sub acute/intermediate care?
fxl improvements in performance components and performance areas, active engagement of the client in tx planning, implementation, and re-eval process, d/c planning to expected environment
Sub acute care and intermediate care facilities are typically housed where?
SNF & hospitals
Admission criteria for long term acute care hospital (LTAC)?
chronic or catastrophic illnesses or disabilities that require extensive medical care and/or dependence on life support or ventilators (pts often have multiple dx w/ complications)
Average LOS in long term acute care hospital (LTAC)?
greater than 25 days
OT eval in long term acute care?
limited to severe and complex medical needs. Often involves palliative care and prevention of complications (such as positioning to prevent sores & contractures)
Admission criteria in rehab hospitals?
disability that is medically stable but has residual fxl deficits requiring skilled rehab services
LOS in rehab hospitals?
1 week to multiple months; documentation is req'd for extended LOS & typically LOS is determined by coverage
OT eval in rehab hospital?
extensive and focus on all areas of occupation, performance skills, and occupational roles that will be req'd in the expected environment
OT tx in rehab hospital
fxl improvement in performance areas, skills, & occupational roles, develop of compensatory strategies, use of a.e., modification of d/c environment, education
OT admission criteria for long-term hospitals
medical or psychiatric dx w/ long term chronic effects & symptoms that cannot be treated as outpatient
LOS in long term hospital
1 mo to years
Admission criteria for SNF/extended care facilities?
medical or psychiatric dx that is stable w/ no acute symptoms but req skilled care
LOS in SNF/extended care?
1 mo to lifetime
OT eval & tx in SNF/extended care?
improve residual fxl deficits & may include palliative care or maintaining QOL
admission criteria for forensic setting?
engagement in criminal activity w/ psychiatric dx (jail, prison, or forensic psychiatric hospital or unit)
LOS in forensic setting?
determined by court ordered directives and criminal sentences
OT eval & tx in forensic settings?
community reintegration, fxl performance & occupational roles, structured programs to enable highest level of functioning, restoration of competency to stand trial in forensic setting
Admission criteria for outpatient services?
an individual who does not require hospitalization but has fxl deficits req'ing eval and tx
OT eval and tx in outpatient?
diagnostic evaluations, interventions to increase fxl performance, education, prevention
acceptance criteria for early intervention OT?
typically a 33% delay in one area or 25% delay in 2 areas and/or established dx/disability
Early intervention length of OT services?
6 mo reviews are submitted by all professionals to determine if services should continue
Acceptance criteria for OT services in schools?
child req special ed, decreased school performance, referrals
Length of OT services provided in schools?
IEP review annually to determine if services should continue
Criteria for prevocational programs?
adolescents or adults who require intervention to develop skills that are prereq's for work due to developmental delay or disability
LOS for prevocational programs
determined by agency funding and attainment of goals, typically d/c to vocational program/work setting
OT in prevocational programs
improvement in task skills and social skills are prereq to vocational training or work. Includes developing work habits and abilities, and exploration of work interests
Criteria for acceptance in vocational program
development of specific vocational skills but req' training for specific job and or ongoing structure, support, and supervision to maintain employment. Person has to develop work capacities at an acceptable level for competitive employment
OT focus in vocational program
remediation of work related skills, development of general work abilities and specific job skills, consultation to and or supervision of vocational direct care staff, ID and implementation of reasonable accommodations, referral to state offices of vocatio
Admission for residential programs?
conditions that resut in fxl deficits taht impeded independent living but are not severe enough to req hospitilization
LOS for residential programs?
long term to permanent, depending on funding
OT intervention and eval for residential programs?
focused on assessment of individuals skills for living in the community and social/environmental resources/supports needed to maintain the current and expected living environment
Treatment length for partial hospitalization or day hospital programs?
up to 5 days a week & can vary from 1 week to 6 months
OT eval & tx for partial hospitalization and day programs?
fxl skills & deficits in performance areas, development of skills for community living and ID of community supports
WHat is a clubhouse program
membership open to adults and elders with current mental illness or hx of mental illness who pose a threat to the safety of community. No formalized OT eval and tx
LOS in clubhouse program?
indefinite & can come and go at will
Explain adult day care
for adults and elders w/ chronic impairments but are semi-independent w/ flexible scheduling
LOS in adult day care
indefinite; can include 1 afternoon a week or 5 full days
LOS in outpatient care?
30 - 60 min session up to 5 days a week; length determined by coverage and need
admission for HH care?
presence of a condition that is not serious enough to warrant hospitalization or for a condition that has sufficiently stabilized to enable the individual to be discharged from a hospital but that still has remaining symptoms req active tx
LOS for HH?
60 min session up to 5 days a week, determined by coverage. Length is determined by dx, response to tx, and ability to pay a fee for services
Admission criteria for hospice?
terminal illness w/ life expectancy of less than 6 mo
Acceptance of wellness/prevention programs?
self-referral to meet a person need for by referral of employer to serve populations considered "at risk
LOS in wellness/prevention program?
determined by individual, length of program (such as 6 wk joint protection plan), or by achievement of desired outcome (smoking cessation)
OT intervention focus on wellness/prevention programs?
disease prevention, health promotion, traditional domain of OT (safety, occupational performance, home modifications, etc...)