TABLE 10. OCCUPATIONAL THERAPY PRACTICE FRAMEWORK PROCESS ...static.crowdwisdomhq.com › ... › downloads › figure2_3.pdf · Ongoing interaction among evaluation, intervention,

TABLE 10. OCCUPATIONAL THERAPY PRACTICE FRAMEWORK PROCESS SUMMARY Evaluation

Analysis of Occupational Occupational Profile Performance

• Who is the client? • Synthesize information from the occupational • Why is the client profile. seeking services?

• Observe client’s • What occupations and performance in desired activities are successful occupation/activity. or are causing

problems? • Note the effectiveness of performance skills and • What contexts support patterns and select or inhibit desired assessments to identifyoutcomes? factors (context or

• What is the client’s contexts, activityoccupational history? demands, client factors)

• What are the client’s that may be influencing priorities and targeted performance skills and outcomes? patterns.

• Interpret assessment data to identify facilitators and barriers to performance.

• Develop and refine hypotheses about client’s occupational performance strengths and weaknesses.

• Collaborate with client to create goals that address targeted outcomes.

• Delineate areas for intervention based on best practice and evidence.

Intervention

Intervention Plan Intervention Implementation Intervention Review

Develop plan that • Determine types of • Reevaluate plan relative includes occupational therapy to achieving targeted – objective and interventions to be used outcomes. measurable goals and carry them out. • Modify plan as needed.with timeframe, • Monitor client’s response • Determine need for– occupational therapy according to ongoing continuation,intervention approach assessment and discontinuation, orbased on theory and reassessment. referral. evidence, and– mechanisms forservice delivery.

Consider dischargeneeds and plan.

Select outcome measures.

Make recommendation or referral to others as needed.

Outcomes Engagement in Occupation

to Support Participation

• Focus on outcomes as they relate toengagement inoccupation to supportparticipation.

• Select outcomemeasures.

• Measure and useoutcomes.

•

•

•

•

Continue to renegotiate intervention plans and targeted outcomes.

Ongoing interaction among evaluation, intervention, and outcomes occurs throughout the process.

The American Journal of Occupational Therapy 629

Figure 2.3. Occupational Therapy Practice Framework process summary. American Occupational Therapy Association. (2002). Occupational therapy practice framework: Domain and process. American Journal of Occupational Therapy, 56, 629. Copyright © 2002 by the American Occupational Therapy Association. Used with permission.