Intro to Occupational Therapy – Quiz 1 – Flashcards
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What is OT?
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Practice that uses goal-directed activity to promote independence in function
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What is AOTA's definition of OT?
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"The therapeutic use of everyday life activities (occupations) with individuals or groups for the purpose of participation in roles and situations in home, school, workplace, community, and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and to those who have or are at risk for developing illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational Therapy addresses the physical, cognitive, psychosocial, and other aspects of performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life."
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Occupation
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Activity in which one engages
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Therapy
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Treatment of an illness or disability
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Goal
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End toward which effort is directed
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Activity
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state or condition or being involved
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Independence
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State or condition of being self-reliant
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Function
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Action for which a person of specifically fitted
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OT practitioners
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Has more extensive education and training in theory and evaluation Master's degree and/or Clinical Doctorate degree Performing at a "professional" level
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OTA Practitioners
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Works under the supervision of an OT 2 yr associates degree program Performing at a "technical" level
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Delivery and Service
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Help clients engage in occupations Recipients of therapy include people who have problems in everyday activities Range of areas including but not limited to: genetic, neurological, orthopedic, musculoskeletal, immunological, and cardiac dysfunction disorders Physical, cognitive, psychological, and/o psychosocial impairments Variety of age ranges (infants to older adults)
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Settings of OT
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Hospitals Inpatient, outpatient, acute Clinics Schools Client's homes Community settings Prisons Consultation within workplaces Consultation within specialty settings Hospice
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Difference between Job and Career
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Job: Work...you go to make money Generally not a lot of training or formal education needed Acronym: "Just Over Broke" Meaning: requires a lot of work that does not really lead you to your "dream job" Career: Path created by you Generally require special training and allow you to build skills and experience (over time) Payoff: flexibility, responsibility, great sense of security Offer an opportunity to challenge self, nurture growth, and feel like one makes a difference in the world
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Marketing Yourself
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Professional Path Organization/Schedule Communication with everyone and everything Representing yourself, the profession and CSM at all times Start now.... Sounds crazy, but if you wait till end of your didactic work, you will be consumed with exams/boards; getting a plan now will decrease stress before you graduate
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What are you graded on?
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PERFORMANCE
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Dress code for OT
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Khaki pants Polo shirts Closed toe shoes/tennis shoes nametag Keep in mind: Keep your nails neat, clean and short Strength of perfume Jewelry Shoes Make-up Hair
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Adult Learner
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More self-directed in obtaining information Role of a doer Knows how they learn best in order to be successful Will question information More internally motivated
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Auditory Learner
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"I am a 'talker'" "I like telling long stories and jokes."
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Visual Learner
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"I learn best when I'm shown how to do something." "I like written directions."
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Kinesthetic Learners
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"I find it hard to sit still." "I have great physical coordination."
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Purpose of Fieldwork
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Provide opportunity to apply and practice skills acquired through classroom learning in OT practice setting
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What is ACOTE?
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Accreditation Council for Occupational Therapy Education Educational standards
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What does Level I Fieldwork consist of?
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Enrich learning through clinical observation and selected participation in the OT process Focus is not independent performance Integrated throughout the OT curriculum Provides opportunity for clinical observation and supervised participation in diverse OT practice settings (not all in state) Fieldwork assignments
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Level II Fieldwork
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IIA (OTH 674) and IIB (OTH 675) Plan to travel out of the area/state Equivalent of 24 full-time weeks (ACOTE, 2013) Entry level competency skills
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Fieldwork Requirements
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Background Check Prior to Level I and Level II Health Clearance card TB test-annual Updated immunizations Drug screen CPR certification Site specific requirements Proof of medical insurance HIPAA/Blood borne pathogen training Professional Dress and Appearance Hair Nails Jewelry Tattoos Make-up Uniform/Shoes
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Age of Enlightenment or Age of Reason
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1700-1899 -logical thinking was the most trustworthy way of knowing -support of the arts and sciences -common themes: goals of progress; increase tolerance, and dedication to removal of abuses of church and state (persecution and corruption) -Beginning of Industrial Revolution
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Historical Context for 18th and 19th centuries
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- Mental Health and Mental Disorders -belief that life's goodness should be available for all people -previously thought: - possessed by the "devil"; - feared by society - locked away like criminals -often chained, abused and/or ignored -Concept of Moral Treatment developed
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Moral Treatment
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Grounded in philosophy that all people are entitled to consideration and human compassion The movement brought the idea of "purposeful activity" to individuals with disabilities Movement Credited by: Philippe Pinel and William Turke
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Philippe Pinel
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France -superintendent of asylums in Paris -ordered removal of chains from some inmates -actions repeatedly described as emblematic of the societal movement -1801 - "work treatment" which included: physical exercise, work, music, and literature
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William Tuke
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- England -philanthropist and businessman -appalled by inhumane conditions he observed at an asylum and sought a more compassionate approach - 1813 approached patients with kindness and consideration -eliminated restraints and physical punishment -encouraged conditions of self control and improvement of self-esteem through participation in leisure and work activities
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What did the participants in the Moral Treatment find?
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- establishing structure -engage in simple work tasks - organized activities -individualized routine schedule -personal caretaking -productive involvement By the mid 1800's the term "moral treatment" started to fade out; however many concepts of "moral treatment" continued....the practice of OT eventually emerged
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Benjamin Rush
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US first physician to institute Moral Treatment practice
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What did Moral Treatment influence?
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Social Services - The Hull House
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What is the Hull House and who founded it?
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One of the first settlement houses in US; became the largest settlement house in US Co-founded in 1889 by Jane Adams and Ellen Gates Starr Located on west-side of Chicago Women's movement to promote education, autonomy, and break into "traditional male dominated occupations." Became a "community of university women" who provide social and educational opportunities for working class people
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What are the 3 R's, who published them and what year?
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Residence, Research, and Reform Jane Adams 1882
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Women of Hull House
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were active in social reform on the local, state, and national levels re: child labor, education, women's suffrage, immigration policies, worker's compensation, occupational safety, and other significant social issues
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How long did Jane Adams run Hull House?
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Until her death in 1935
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When did the Hull House Association close?
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Hull House Association officially closed January 2012- after 122 years of services -original building is now a museum
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John Locke
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- physician and philosopher - credited with advancing many ideas that later influence the philosophy and practices of OT (including sensory learning and pragmatism)
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Adolf Meyer
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-Swills-educated physician -came to US in 1892 head psychiatrist of an Illinois asylum -introduced an individualized approach to treatment -visited Hull House and was impressed -this experience influenced his thinking about connections between occupation and mental illness
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Prehistory of OT
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By 1899 OT has not been established although the "seeds" of the profession have been planted However, even with the moral treatment movement, a shortage of well-trained physicians in asylums, as well as cost concerns, led to standard of care that fell short for these individuals The ideas that would come together during initial meetings for the Society for the Promotion of OT would be nurtured and applied by many other individuals in a variety of settings before it would be established in the US
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20th century - Progressive Era
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(Beginning of Profession) -Assassination of President McKinley -Succeeded by Theodore Roosevelt -started the Panama Canal project -created a powerful navy -established a national park system to preserve federal lands -Other US Presidents included: President Taft and President Wilson Despite efforts for peace, US was drawn into war (WWI) Due to the war, and veterans returning home with disabilities, a huge push for rehabilitation and vocational reeducation to return back to civilian employment
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Who's assassination was a precursor to efforts affecting general medicine and psychiatry?
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President McKinley (1900-1920)
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20th century (1900-1920)
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Changes at the end of 19th century and into the 20th century accelerated life (i.e. transportation and new modes of communication). Until this time, individuals with a disability either got "better" or was denied competitive involvement in life. Desire for more options Increase in awareness of abilities of persons with disabilities
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Founders of the Profession
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Herbert Hall George Edward Barton Dr. William Rush Dunton, Jr. Eleanor Clark Slagle Susan Cox Johnson Thomas Kidner
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Herbert Hall
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At the turn of the century, chronic illness and disability was on the rise -such as **TB, neurasthenia, and industrial accidents -He developed a treatment concept providing medical supervision of crafts for purpose of improving health -coined "work cure" -alternative to the "rest cure" -Physician by trade who graduated from Harvard Medical School -Not present at the founding meeting of OT; however, his work with occupational was widely recognized by the other founders -Served as President of the National Society for the Promotion of Occupational Therapy from 1920-1923
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George Edward Barton
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London architect After personally experiencing a number of disabling conditions, he became determined to improve individuals quality of life. Opened up a place in NY where occupation was used as a method of treatment. Study rehabilitation and made contact with people dedicate to transforming asylums (including the individuals influenced by the Moral Treatment Movement)
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Dr. William Rush Dunton Jr.
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Considered the "father of occupational therapy" -Psychiatrist who spent his career treating psychiatric patients -1910 the hospital he was working at introduced crafts to their patients -patients were expected to actively participate hospital staff performed medical procedures and structured environment -Known for his writings on the value of occupation for treatment -Published: Occupational Therapy: A Manual for Nurses -Served as Treasurer and President of the National -Society for the Promotion of Occupational Therapy
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Eleanor Clark Slagle
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-Considered the "mother of occupational therapy" -Student of social work -Studies in Chicago and the school/courses were affiliated with the Hull House and Jane Addams -1912 she asked by Adolf Meyer to direct a new occupational therapy department at Johns Hopkins Hospital in Maryland -this is were she developed the area of "Habit training" -Soon after returning to Chicago in 1914, she organized the first professional school for OT practitioners -Her home was the Associations first unofficial headquarters -She served as Executive Secretary for 14 years -In 1953, AOTA (formerly known as the National Society for the Promotion of Occupational Therapy) established the Eleanor Clark Slagle Lectureship Award --> Promoted organization growth by networking through women's clubs and establishing national office in NY
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Susan Tracy
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-Nursing instructor -Trained in training nurses to utilize occupations with treatment -Her book, Studies in Invalid Occupations, is the first-known book written on occupational therapy -practical use of arts and craft activities for patients -She believed only nurses were qualified to practice occupations and tried to make it a nursing specialty. -She didn't attend the first meeting but was active serving as Chair on the Committee of Teaching Methods.
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Susan Cox Johnson
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-Designer and an Arts and Crafts teacher -Later became Director of Occupations a the NY State Department of Public Charities -Occupations could be morally uplifting -Occupations could improve mental and physical state of patients -Advocate for high educational standards - training for competent practitioners versus training large number of practitioners
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Thomas Kidner
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-Friend and fellow architect-teacher with George Barton -Influential in establishing a presence for OT in vocational rehabilitation and TB treatment -Constructed institutions for individuals with physical disabilities -many of the drawings had a specific area for OT -1920 US passed the Vocational Rehabilitation Act, Kidner encouraged OTs to capitalize on the opportunity -Interest in TB grew as more disabled veterans were returning to US with TB after WWI
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What was March 15, 1917
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Formal "birth" of the profession of Occupational Therapy Small group of people with varied backgrounds met and produced the Certificate of Incorporation of the National Society for Promotion of Occupational Therapy The purpose was "to study and advance curative occupations for invalids and convalescents; to gather news of progress in occupational therapy and to use such knowledge to the common good; to encourage original research, to promote cooperation among occupational therapy societies, and with other agencies of rehabilitation." September 1917, 26 men and women held the first annual meeting of the organization
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When did the US declare war into WWI?
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April 1917
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What happened in May 1917?
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the military initiated a reconstruction program Purpose: rehab soldiers to return to either active military duty or to be employed in a civilian job.
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What did the Military Reconstruction program include?
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Supervision for orthopedic professionals OT aids Physiotherapy aids Vocational evaluators
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Where was it trialed?
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Walter Reed Hospital in Washington DC
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What did the programs include?
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-Hundreds of women trained to be practitioners -Implemented overseas (aids sent to France) to assist in -rehab of soldiers -With NO rank, uniforms, materials, equipment or prepared work areas -Treated "shell shock" with involvement of activities -Army immediately saw improvement and requested/demanded for more services throughout the war -Supply-Demand concept: More demand means more supply which in turned mean more training needed
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How did they meet new demands? What were the requirements and what did they consist of?
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-Existing schools had to add "quick training programs" -New programs had to be created to meet demands Requirements: High School diploma Some had previous training in social work, teaching or arts At the time the programs consisted of: Instruction of arts and crafts Medical lectures Hospital etiquette Practical experience (hospital or clinic)
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What were the pros and cons of the programs?
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Pros: Meeting demands Expanding the fields Cons: Concern the programs will be developed too quick Concern about the proficiency of newly trained practitioners
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What are Dunton's Principles of OT?
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Any activity should have a cure as its objective The activity should be interesting There should be a useful purpose other than to merely gain the patient's attention and interest The activity should preferably lead to an increase in knowledge on the patient's part Activity should be carried on with others, such as a group The occupational therapist should make a careful study of the patient and attempt to meet as many needs as possible through activity Activity should cease before the onset of fatigue Genuine encouragement should be given whenever indicated Work is much to be preferred over idleness, even when the end product of the patient's labor is of poor quality or is useless
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How did Adolf Meyer contribute to the philosophy of OT?
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Not present at the first meeting Swiss Physician Came to US in 1892 Point of view became the philosophical base of OT profession Committed to holistic perspective Meaningful activity was a distinct human characteristic Philosophy of OT was later published in 1922 in first journal of the organization
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What happened November 1918?
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War ended Many women who were trained for the war left the field and went back to their prior roles At least 200 reconstruction aides were serving in 20 base hospitals in France Only a small percentage of aides were actually OTs Others became OTs after the war Many of the training programs closed
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What did federal legislations develop in the 1930s (post-war)?
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Vocational rehab programs
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What were the 2 Rehab Programs they developed?
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-Soldiers Rehabilitation Act -Civilian Vocations Rehabilitation Act
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Soldiers Rehabilitation Act
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For soldiers disabled on active duty OTs had a role helping soldiers "adjust" to industrial responsibilities in civilian life
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Civilian Vocations Rehabilitation Act
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-Match funds to states on a 50-50 matching basis -Provide vocational rehab services to civilian's with physical disabilities -To apply: had to be unable due to disability to successfully gain employment -Funds were provided for vocational guidance, training, occupational adjustments, prosthetics, and placement services -Beginning of federal government's involvement in healthcare services
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When did Eleanor Slagle promote organization growth by networking through women's clubs and establishing national office in NY?
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Post War Era - 1930s
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When was Thomas Kidner instrumental in promoting OT services for TB?
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Post War Era - 1930s
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When did they change the name to AOTA?
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1921
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Dr. Frank H. Krusen
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-The rise of physical medicine and rehab as specialty of medicine influenced the practice of OT -His leadership made two disciplines merge (PT and OT) - Produces graduates who could be dually credentialed due to training programs combining theories and practice
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What were the standards for OT in the post war era?
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Many schools remained open to train and recruit practitioners Training varied considerably from school to school Needed to be uniformed to advance AOTA could close the doors not meeting standards but would only endorse schools that did Prerequisites: Minimum of 1 yr With 8-9 months of medical and craft training With 3-4 months of clinical work Revisions were made twice in the 1920s but with both revisions increasing training time
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How did the education grow?
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Emphasize on publication Within 5yrs, it published a journal specifically to the profession Informally known at the time as AJOT Post war allowed OT become closely coupled with medicine and the medical model of education Which led to specialization and a more scientific approach
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When was the Great Depression?
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1930-1939
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What was the "New Deal"?
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by President Franklin D. Roosevelt Social Security, higher taxes on wealthy, new control over banks and public utilities, and enormous work relief program for unemployed, as well as repair of public buildings
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How did the Great Depression affect OT?
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Slowed the development of OT: Closing of schools Closing of departments Reduction of OT staffed positions Membership declined in associations Attention to rehab care did not re-emerge until WWII which brought similar needs like in WWI
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When was WWII and what caused it?
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1939-1945 Pearl Harbor
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What events of WWII contributed to OT?
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-0 military status -Few OTs were employed in the Army or in Army hospitals when WWII broke out -Due to war emergent need/causes new training courses were developed to quickly train OTs -In 1945 there was 2177 members -So in 1945, AOTA required that a person needed to successful compete an examination in order to practice as an OT -Initially a essay format -Adapted into a more objective test
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Facts of WWII
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-WWII killed more people, destroyed more property, and was among the most devastating in history -16 million serving in the armed forces -More than 291,000 American deaths -Global fatalities vary by source; however, the generally accepted number exceeds 60 million lives
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What changes were made after WWII?
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Neuroleptic drugs Technologies Rehabilitation Movement Federally Mandated Health Care -Domestically, 6% of world's population but produced half of the world's goods -Socially, the post-World War II era marked the start of the Cold War -Russia (communist beliefs) and US (democratic philosophies) tensions were high
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Post WWII Facts
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1963 Martin Luther King's famous speech Construction of Berlin Wall Advancement of Space Science Cuban Missile Crisis Vietnam War Civil Rights Act of 1964 signed by President Johnson (LBJ) "Great Society", which was designed to reducing poverty By 1960s, healthcare had been modernized
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Karl and Berta Bobath (1940-1959)
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Neurodevelopmental treatment (NDT) Designed originally for clients with CP Their techniques stilled utilized in OT and PT today
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Ruth A. Robinson (1940-1959)
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Army colonel who helped create OT educational programs Proposed accelerated training program to meet demands
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Margaret Rood (1940-1959)
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OT and PT who is credited for early theories on motor control Stressed importance of reflexes in early development Facilitation and Inhibition techniques, expanded later on by Bobaths
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Mary Reilly (1960-1979)
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-Distinguished clinician in US Army Medical Corps -Occupational behavior should serve as the foundation for OT (frame of reference of occupational behavior) -Emphasized importance of occupational skills begin in children as forms of play
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A. Jean Ayres (1960-1979)
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Neuroscience to practice Tools of practice Integrated sensory processing (Sensory Intergration and Praxis Tests) Theories and influence continue today
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Gail Fidler (1960-1979)
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Occupation as a mean for emotional expression Studies of interpersonal theory, self-esteem, and ego development Wrote Introduction to Psychiatric Occupational Therapy with her husband
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Ann Mosey (1960-1979)
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Advanced Fidler's ideas by developing the object relations/psychodynamic frame of reference Concepts integral to understanding the use of activities and groups in therapy
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Lorna Jean King (1960-1979)
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Applied sensory integrative theories to persons with schizophrenia
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Claudia Allen (1960-1979)
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Developed theories of cognition to guide therapy for persons with chronic mental illness Allen's Cognitive Level Screen (ACLS)
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Elizabeth Yerxa (1960-79)
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Successor to Mary Reilly Emphasized the importance of advancing theory to benefit practice Take steps towards professionalism, research, focus on unique assets of the profession
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Changes in Profession
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Improve overall function AOTF was founded in 1965 Promote research through financial support Expansion of knowledge due to expansion of client care needs "imported" techniques from other professions such as PT Instead of "arts and crafts" shift to more medical and scientific approach Increase of therapists working in medical and rehab services; there became shortage in psychiatric settings This led to the development of OTA (1956)
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What happened from 1980-1999?
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End of the Cold War Collapse of the Soviet Union Removal of the Berlin Wall President Regan took office and the space shuttle program began Other highlights Personal computers were introduced Increase in drug and alcohol Small pox eradicated New disease, no cure (AIDS) Important legislation was passed with persons with disabilities were passed ADA, IDEA, BBA Each legislation increased the demand for OT services 1983 President Regan signed the Social Security Amendments into law Information Age Societal climate Two income families Individuals living with disabilities increasing Increase in number of individuals living over the age of 65
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What advanced in the AOTA?
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Lobbying became a function of the organization Growth in the number of educational programs that offered a graduate degree 1986 separated membership and certification procedures Upon completion of all requirements, an OT practitioner is certified through NBCOT and AOTA membership is separate and voluntary
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Florence Clark (1980-99)
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Completed her PhD in Education Respected scientist in OT Argued occupational science (humans as occupational beings) is appropriate academic discipline to serve as a foundation for occupational therapy practice Gained recognition for studying the effect of lifestyle-orientated activity programs for maintaining health and preventing cognitive decline in elders remain in their homes and communities
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Gary Kielhofner
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Developed the Model of Human Occupation (MOHO) as graduate student Over 30 years he furthered developed and refined the model Prolific scholar Published 19 textbooks Over 150 journal articles Provided feedback to 21 assessments Provided the profession with evidence to support occupation based practice and tools Bridge the gap between academics and practice Notably, he worked to help persons with HIV/AIDS re-engage in meaningful occupations and experience a quality of life
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2000-Present
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2000 historically close presidential election that was decided by the Supreme Court 2001 Terrorist Attack Creation of Homeland Security Patriot Act Which suspended some civil liberties in the service of national defense Stock Market decline and eventual collapse of the market in 2008 Global warming First African-American President elected in 2008 President Obama Growth of digital communication accelerated Social Legislation during this period (Medicare Part D, ACA)
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OT - 2000-Present
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Influenced by federal and state legislation Health care experts urged the country to focus on population-based approaches to deliver health care that would emphasize prevention and promotion 2007 the AOTA and AOTF pushed the agenda to emphasize the importance of providing a strong infrastructure for supporting research in OT that would demonstrate the efficacy of services 2010 Statistics based on membership: 27% school-based services/early intervention 28% hospitals 16% long term care facilities 7% homes health and community 3% mental health
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Education of OT - 2000-Present
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Growth of clinical doctorate programs escalated at this time Online and hybrid programs also increased Social Networking Online social networking New digital learning technologies Advent of mobile wireless smartphones and tablets
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M. Carolyn Baum, PhD, OTR, FAOTA
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President of AOTA July 2016 Amy Lamb, OTD, OTR/L, FAOTA Initiated strategic planning to develop Centennial Vision
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Ann Wilcock
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Australia One of the first scholars to emphasize the idea of OT as a key contribution to population health
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Elizabeth Townsend
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Canada Worked with Wilcock to develop and advance the concept of occupational justice Global influence Concept grounded in the belief that opportunities to engage in meaningful occupation are a prerequisite to health and well-being
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Professional Philosophy
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-Set of values, beliefs, truths, and principles that guide the practitioners practice -Theories, models of practice, FOR, and intervention approaches are all guided by the philosophy of the practice -Defines: Nature of profession Guides actions Supports the profession's domain
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When was the Philosophical Basis of OT adopted and reaffirmed?
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Adopted in 1979 and reaffirmed in 2004
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Metaphysical component
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Refers to questions concerned with the nature of humankind -From beginning of OT, we have always had a holistic approach -Which is traced back to Adolf Meyer -Emphasis on the organic and functional relationship between parts and the whole being -What does that mean? -A person is a whole and if one element/subsystem is negatively affected it will disrupt and reflect on the whole -The belief of a holistic approach is a core concept of the OT profession. -Which means that evaluations and intervention planning should reflect the needs of the whole person not only parts -OT views humans as "active beings" -Humans are "actively" involved in controlling and determining their own behavior -Humans are capable of change -Humans have a continuous interaction between the person and their environment -Person's behavior influence the physical and social environment; therefore the person is affected by changes in the environment
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Epistemology
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Investigates the nature, origin, and limits of human knowledge Humans learn through experience - thinking, feeling, and doing OT emphasizes doing as the primary mechanism for learning and re-learning various skills This component of OT philosophy Base of understanding motivation, change, and learning
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Occupation (Philosophy)
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Fulfill each individual's need for security, belonging, physiological esteem, and self-actualization Engagement and participation in occupations are essential to one's identity and well-being Refers to: The ordinary and familiar things that people do everyday Capture the meaning of "everyday life activity"
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Classifications of Occupations
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ACTIVITIES OF DAILY LIVING INSTRUMENTAL ACTIVITIES OF DAILY LIVING SELF-CARE EDUCATION WORK PLAY LEISURE PARTICIPATION IN SOCIAL ACTIVITIES
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Aspects of Occupations
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PERFORMANCE IN AREAS OF OCCUPATION PERFORMANCE SKILLS PERFORMANCE PATTERNS INTERNAL AND EXTERNAL CONTEXT ACTIVITY DEMANDS CLIENT FACTORS
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Tasks
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Considered the basic units of behavior and are the simplest form of an action (i.e. reaching for a ball)
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Activity
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Describes a general class of human actions that are goal directed
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Occupation as a a means to an end
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Multiple levels Coordination between person's sensorimotor, cognitive, and psychosocial system s are necessary to engage in occupations and activities. In OT: Occupation as a means Use of specific occupation to bring about change to the client's performance Occupation as an end Desired outcome or product of intervention and derived from a person's values, experiences, and culture
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"Knowing by doing"
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Persons learn to adapt Philosophical base of occupational therapy defines adaptation as: A change in function that promotes survival and self-actualization Adolf Meyer Adaptation takes part as normal developmental process, in the process of adjusting to stress or change As practitioners of OT, optimistic each individual has the potential to grow, adapt, and change
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Axiology
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Concerned with the study of values What is considered just and right Client-centered care, quality of life, and ethics Client is actively involved Helps us understand the individuals idea of "quality of life." Involve client's family, significant others in the process Client-centered approach Concerned with the study of values
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Rules of Conduct
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Emerged from Moral Treatment Era Value based on humanism Humanistic perceptive Values and attitudes AOTA: Core Values and Attitudes of OT Altruism, equality, freedom, justice, dignity, truth and prudence
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Altruism
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Unselfish concern for the welfare of others
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Equality
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Treating all individuals equally with an attitude of fairness and impartiality and respecting each individual's beliefs, values, and lifestyles in the day-to-day interaction
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Freedom
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Individual's right to exercise choice
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Justice
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Laws that govern the practice and to respect the legal rights of the client
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Dignity
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Uniqueness of each individual is emphasized
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Truthfulness
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Demonstrated through behavior that is accountable, honest, and accurate
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Prudence
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Ability to demonstrate sound judgment, care and discretion