OTPF: Big Picture
The OTPF is revised every ____ years
5
TRUE/FALSE: An OT should focus mostly on the domains of occupation, performance skills, and client factors, and focus less on the domains of contexts and performance patterns.
FALSE: All aspects of the domain have a dynamic interrelatedness. All aspects are of equal value and together interact to affect occupational identity, health, well-being, and participation in life.
Define the term “therapeutic use of self”
An integral part of the occupational therapy process is therapeutic use of self, in which occupational therapy practitioners develop and manage their therapeutic relationship with clients by using professional reasoning, empathy, and a client-centered, collaborative approach to service delivery
TRUE/FALSE: When the OTPF refers to “occupational therapy practitioners” it is referring to licenced occupational therapists, occupational therapy assistants, and occupational therapy fieldwork students who are providing OT services under the supervision of a licenced OT.
FALSE: it is referring to licenced occupational therapists and occupational therapy assistants.
Define the OT domain of “occupation.”
Occupations refer to the everyday activities that people do as individuals, in families, and with communities to occupy time and bring meaning and purpose to life. Occupations include things people need to, want to and are expected to do
The two sections of the OTPF include domain and process. What are the 3 aspects of the occupational therapy process?
Evaluation, Intervention/treatment, and Outcomes
Name at least two modifications made to the OTPF in its most recent revision.
Changes made to the OTPF in most recent revision:
The focus on group and population clients is increased, and examples are provided for both.
Cornerstones of occupational therapy practice are identified and described as foundational to the success of occupational therapy practitioners.
Occupational science is more explicitly described and defined.
The terms occupation and activity are more clearly defined.
For occupations, the definition of sexual activity as an activity of daily living is revised, health management is added as a general occupation category, and intimate partner is added in the social participation category
The contexts and environments aspect of the occupational therapy domain is changed to context on the basis of the World Health Organization taxonomy from the International Classification of Functioning, Disability and Health (ICF) in an effort to adopt standard, well-accepted definitions
For the client factors category of body functions, gender identity is now included under “experience of self and time,” the definition of psychosocial is expanded to match the ICF description, and interoception is added under sensory functions.
For types of intervention, “preparatory methods and tasks” has been changed to “interventions to support occupations”
For outcomes, transitions and discontinuation are discussed as conclusions to occupational therapy services, and patient-reported outcomes are addressed
Five new tables are added to expand on and clarify concepts
Throughout, the use of OTPF rather than Framework acknowledges the current requirements for a uniqueidentifier to maximize digital discoverability and to promote brevity in social media communications. It also reflects the longstanding use of the acronym in academic teaching and clinical practice.
Figure 1 has been revised to provide a simplified visual depiction of the domain and process of occupational therapy
The two sections of the OTPF include domain and process. What are the 5 aspects of the occupational therapy domain?
The 5 aspects of the OT domain:
Occupations
Contexts
Performance patterns
Performance skills
Client factors
The OT process section of the OTPF discusses service delivery approaches. What is the difference between direct and indirect service delivery approaches?
Direct vs indirect services
Direct Services: Services are provided directly to clients using a collaborative approach in settings such as hospitals, clinics, industry, schools, homes, and communities. Direct services include interventions completed when in direct contact with the client through various mechanisms such as meeting in person, leading a group session, and interacting with clients and families through telehealth systems
Indirect Services: When providing services to clients indirectly on their behalf, occupational therapy practitioners provide consultation to entities such as teachers, multidisciplinary teams, and community planning agencies.
What is the purpose of the OTPF?
Purpose of the OTPF:
Used to guide OT practice in conjunction with the knowledge and evidence relevant to occupation and occupational therapy within the identified areas of practice and with the appropriate clients.
Describes the central concepts that ground OT practice
Builds a common understanding of the basic tenets and vision of the profession
Does not serve as a taxonomy, theory, or model of occupational therapy
Can be used as a valuable tool in the academic preparation of students, communication with the public and policymakers, and provision of language that can shape and be shaped by research
Explain the purpose of the domain section of the OTPF
Outlines the profession’s purview and the areas in which its members have an established body of knowledge and expertise
_________________ is a skilled part of the OT process and involves understanding “the specific situation of the client and therefore . . . the specific occupations the client wants or needs to do in the actual context in which these occupations are performed.”
Occupational Analysis
What are the 4 cornerstones of OT practice that distinguish it from other professions?
Cornerstones of OT:
Core values and beliefs rooted in occupation
Knowledge of and expertise in the therapeutic use of occupation
Professional behaviors and dispositions
Therapeutic use of self
Explain the difference between performance patterns and performance skills
Performance patterns are the acquired habits, routines, roles, and rituals used in the process of engaging consistently in occupations and can support or hinder occupational performance; they help establish lifestyles. Performance skills are observable, goal-directed actions and consist of motor skills, process skills, and social interaction skills.
Advocacy is an important part of the OT process. Provide at least two examples of population-level advocacy that OT practitioners can engage in.
Population-level advocacy examples:
Talking with legislators about improving transportation for older adults
Developing services for people with disabilities to support their living and working in the community of their choice
Establishing meaningful civic engagement opportunities for underserved youth
Assisting in the development of policies that address inequities in access to health care