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Flashcards in Chapter 1 Deck (50):
1

We envision that OT is a powerful, widely recognized, science-driven, and evidence-based profession with a globally connected and diverse workforce meeting society's occupational needs.

centennial vision

2

Centennial vision's 6 practice areas:

1. Children and youth
2. Productive aging
3. Mental health
4. Rehabilitation, work, and industry
5. Disabilities and participation
6. Health and wellness

3

This was established in 1914 in New York by George Barton, who was disabled by tuberculosis and a foot amputation.

Consolation house

4

In 1915, Eleanor Clarke Slagle developed a program to provide persons with mental or physical disabilities an opportunity to work and become self-sufficient. Where was this project located?

Hull House in Chicago

5

In 1938, who emphasized the need to follow patients into the community after discharge from the institution?

Banyai

6

In the 1970's and 80's, examples of outreach in the community were:

-independent living project for the elderly
-San Francisco project for pregnant teenage girls
-prevention services for the well elderly

7

Three major obstacles to community based practice in the 70's and 80's:

-practical constraints
-historical factors within the discipline
-gaps in knowledge and theory related to community based practice

8

In 1968, this physician strongly supported the validity of occupational therapy services in the community.

Bockhoven

9

Finn, in the 1971 Eleanor Clarke Slagle lecture stated "Occupational therapists are being asked to move beyond the role of therapist to that of ______ ______."

Health agent

10

The ability to realize aspirations, to satisfy needs, and to change or cope with the environment.

Health

11

A social unit in which there is a transaction of common life among the people making up the unit.

community

12

Includes a broad range of health-related services: prevention and health promotion, acute and chronic medical care, habilitation and rehabilitation, and direct and indirect service provision, all of which are provided in community settings.

community-based practice

13

Any combination of educational and social supports for people taking greater control of, and improving their own or the health of a geographically defined area.

community health promotion

14

Attempt to modify the socio-cultural, political, economic and environmental context of the community to achieve health goals

community level interventions

15

These are often generated by leaders and members of the community and typically utilize existing community resources.

Community centered initiatives/interventions

16

True or false: Occupational therapists in community settings earn less than their counterparts in more traditional settings.

False- the median salary for occupational therapists in community settings was actually more than the median salary of occupational therapists across all settings.

17

West described 4 emerging roles that in 1967 were adding new dimensions to the traditional role of the clinically based occupational therapist. What are they?

Evaluator
Consultant
Supervisor
Researcher

18

This person provides input and shapes legislation and government policies

community health advocate

19

This person helps others solve existing or potential problems by identifying and analyzing issues, developing strategies to address problems and preventing future problems from occurring.

consultant

20

This person ensures access to community services and resources. They may also assist in the development of independent living skills.

case manager

21

This is a person who organizes a business venture, manages its operation, and assumes the risks associated with the business.

private practice owner/entrepreneur

22

This person ensures safe and effective delivery of occupational therapy services and foster professional competence and development.

supervisor

23

This person is responsible for the overall design, development, function, and evaluation of a program; budgeting; and staff hiring and supervision.

program manager

24

Competencies and characteristics classified into these 5 categories used in AOTA standards for continuing competence

1. Knowledge required for multiple roles
2. Critical reasoning necessary for decision making in those roles
3. Interpersonal abilities to establish effective relationships with others.
4. Performance skills and proficiencies for practice
5. Ethical reasoning for responsible decision making

25

A 6th category added to AOTA Standards for Continuing Competence.

Traits, qualities, and characteristics

26

These following attributes and skills are recommended for those contemplating practice in community settings.

-Comfort with indirect service provision
-Grant-writing skills
-Networking skills
-Organizational skills
-Professional autonomy
-Program planning and evaluation skills
-Public relations skills

27

A conceptual framework that allows explanation and investigation of phenomena. A university recognized scientific achievements that for a time provide model problems and solutions to a community of practitioners.

paradigm

28

When a discipline abandons one view of the world for another, it has undergone a revolution, a drastic conceptual restructuring called what?

paradigm shift

29

Paradigm shifts occur in 4 stages:

preparadigm
paradigm
crisis
return to paradigm

30

Competencies and Characteristics needed for emerging practice areas.

See box 1-1 on p. 9

31

The first paradigm crisis is evident in 1950's when increasing pressure from medicine to be more ____ led to the question of the paradigm of occupation.

scientific

32

Occupational therapy practice aligned itself more closely with the medical model and adopted the medical paradigm of _____

Reductionism

33

Another term for reductionistic paradigm of the 1960's

mechanistic

34

In the 1970's practitioners dropped "______" from therapy in favor of exercise, talk groups, specialized treatment techniques, and modalities.

occupations

35

The reductionistic, or mechanistic, paradigm was not and is not altogether negative. What new items emerged from this approach?

New assistive devices and technology, new techniques (SI and neurodevelopmental treatment), and a greater respect from the medical community

36

Kielhofner suggests a new paradigm is emerging that does what?

Recommits itself to the core construct of occupation and attempts to regain the profession's identity and holistic orientation.

37

In community settings, OT's must modify terminology from PATIENT to what?

client

38

In community settings, OT's must modify terminology from TREATMENT to what?

Intervention

39

In community settings, OT's must modify terminology from REIMBURSEMENT to what?

Funding

40

In this paradigm, professionals need to relinquish responsibility, power, and control to the recipient of services, client, or community member.

community practice

41

In the community, professionals function as facilitators whose role is to build and reinforce capacity and develop leadership in others. This requires what?

Humility
Ability to share successes with others
Patience

42

This approach focuses on the issues that are most important to the person and his or her family.

Client-centered approach

43

This looks at the world in terms of the inter-relatedness and interdependence of all phenomenon, and in this framework in integrated whole whose properties cannot be reduced to those of its parts

systems theory

44

complete interconnectedness

dynamic systems

45

When subsystems settle into preferred, although not predictable patterns

attractor states

46

The relation of elements to one another when they are unranked, or when they possess the potential for being ranked in a number of different ways.

heterarchy

47

This approach recognizes the complexity of the social history of health and provides a framework for assessment and intervention at various levels of systems, including individual, interpersonal, organizational, community, and public policy levels.

dynamical systems approach

48

This approach considers the client embedded in and interacting with a variety of environments and contexts.

ecological approach

49

This approach is based on what the client can do- assets, talents, resources, and capabilities.

strengths-based

50

Development of strengths is a 3 step process:

1. Identify strengths and talents
2. Incorporate strengths and talents into the client's view of himself or herself
3. Change behavior