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Occupational Therapy Association of the Philippines, Inc.

Standards of Practice for Occupational Therapy

Official Document of the Occupational Therapy Association of the Philippines, Inc.

Standard IX: Continuous Quality Improvement


1. An occupational therapy practitioner shall monitor and document the continuous quality improvement of practice, which may include outcomes of services, using predetermined practice criteria reflecting professional consensus, recent developments in research, and specific employing facility standards. 2. An occupational therapy practitioner shall monitor all aspects of individual occupational therapy services for effectiveness and timeliness. If actual care does not meet the prescribed standard, it must be justified by peer review or other appropriate means within the practice setting. Occupational therapy services shall be discontinued when no longer necessary. 3. A registered occupational therapist shall systematically assess the review process of patient care to determine the success or appropriateness of interventions.

STATEMENT

Occupational Therapy Referral


This OTAP Statement is based on the Official Document of the American Occupational Therapy Association (AOTA) on Occupational Therapy Referral. The Occupational Therapy Association of the Philippines, Inc. (OTAP) issues this statement to clarify its official position regarding referral. Referral is the process of directing initial request for service or changing the degree and direction of service. The Occupational Therapy Association of the Philippines, Inc. does not uphold that occupational therapy practitioners must be aware of or adhere to the referral requirements of national, provincial, and local government agencies, third party payors, regulatory and national agencies, government and private insurance systems, and individual facilities. Registered occupational therapists act on request for services, whatever their sources. They may accept and enter cases at their own professional discretion and based on their own level of competency. Certified Occupational therapy technician under the close supervision and direction of a registered occupational therapist, and in compliance with OTAPs Standards of Practice for Occupational Therapy (1998) and Occupational Therapy Code of Ethics (1998), may acknowledge requests for services, whatever their source. Certified occupational therapy technicians shall not accept and enter cases at their own professional discretion without the close supervision and direction of registered occupational therapists. Both registered occupational therapists and certified occupational therapy technicians should educate current and potential referral sources about the process of initiating occupational therapy services.

Standard X: Management
1. A registered occupational therapist shall provide the management necessary for efficient organization and provision of occupational therapy services.

Created in September 2003 for Occupational Therapy Association of the Philippines Approved and Adopted by the Board of Directors, March 1998

4. The occupational therapy practitioner shall determine the effectiveness of transition programs and the extent to which individuals have achieved desired transition outcomes (e.g., degree to which the individual is integrated and successful in community living and work environments). This is done in conjunction with the individual and other team members, where appropriate.

Preface
This material is an official document of the American Occupational Therapy Association (AOTA), Inc. It has been adopted with minor revisions for the use of the Occupational Therapy Association of the Philippines (OTAP), Inc. and its members. These Standards are intended as recommended guidelines to assist occupational therapy practitioners in the provision of occupational therapy services. These standards serve as a minimum standard for occupational therapy practice and are applicable to all individual populations and the programs in which these individuals are served. These standards apply to those registered occupational therapists and certified occupational therapy technicians who are in compliance with regulation, as it exists. The term occupational therapy practitioner refers to the registered occupational therapist and to the certified occupational therapy technician, both whom are in compliance with regulation as it exists. The minimum educational requirements for the registered occupational therapist are described in the OTAP Accreditation Protocol (OTAP, Inc. 1997)

Standard VIII. Discontinuation


1. A registered occupational therapist shall discontinue service when the individual has achieved predetermined goals or has achieved maximum benefit from occupational therapy services. 2. A registered occupational therapist shall prepare and implement a discharge plan that is consistent with occupational therapy goals, individual goals, interdisciplinary team goals, family goals, and expected outcomes. The discharge plan shall address appropriate community resources for referral for psychosocial, cultural, and socioeconomic barriers and limitations that may need modification. 3. A registered occupational therapist shall document the changes between the initial and current states of functional ability and deficit in performance areas, performance components, and performance contexts. 4. An occupational therapy practitioner shall allow sufficient time for the coordination and effective implementation of the discharge plan. 5. A registered occupational therapist shall document recommendations for follow-up or re-evaluation when applicable.

Standard I: Professional Standing


1. An occupational therapy practitioner shall maintain a current license, registration, or certification as required by law. 2. An occupational therapy practitioner shall practice and manage occupational therapy programs in accordance with applicable national laws and regulations. 3. An occupational therapy practitioner shall maintain and abide by OTAPs (1996) Occupational Therapy Code of Ethics. 4. An occupational therapy practitioner shall maintain and update professional knowledge, skills, and abilities through appropriate continuing education or in-service training or higher education. The nature and minimum amount of continuing education must be consistent with national law and regulation. 5. A certified occupational therapy technician must receive supervision and guidance from a registered occupational therapist as defined Occupational Therapy Law, and /or by the official OTAP documents. The nature and amount of supervision must be provided in accordance with the current law and regulation. 6. An occupational therapy practitioner shall provide direct and indirect services in accordance with OTAPs standards and policies. The nature and scope of occupational therapy services provided must be accordance with the law and regulation. 7. An occupational therapy practitioner shall maintain current knowledge of legislative, political, social, cultural issues that affect the profession.

6. A registered occupational therapist shall periodically reassess and document the individuals level of functioning and levels of functioning in the performance areas, performance components, and performance contexts. 7. A registered occupational therapist shall formulate and implement program modifications consistent with changes in the individuals response to the intervention. 8. An occupational therapy practitioner shall document the occupational therapy services provided, including the frequency and duration of the services within the time frames and according to the standards established by the employing facility, government agencies, accreditation programs, and third-party payers.

Standard VII: Transition Services


1. The occupational therapy practitioner shall provide community- referenced services, as necessary; to identify occupational performance needs related to transition. Transition involves outcome-oriented actions which are coordinated to prepare or facilitate and individual for change, such as from one functional level to another, from one life stage to another, from one program to another, or from one environment to another. 2. The occupational therapy practitioner shall participate, when appropriate, in preparing a formal individualized transition plan based on the individuals needs and shall assist in the fulfillment of life roles (e.g., independent or community living, self-care, care for others, work, play, and leisure) through activities in such a plan. 3. The occupational therapy practitioner shall facilitate the transition process in cooperation with the individual and the multidisciplinary team or other community support systems (including family members), when appropriate. The registered occupational therapist shall initiate referrals to appropriate community agencies to provide needed services (e.g., direct service, consultation, monitoring).

Standard II: Referral


1. A registered occupational therapist shall accept referrals in accordance with OTAPs Statement of Occupational Therapy Referral (OTAP, Inc., 1997) and in compliance with appropriate laws.

f. Determining the frequency and occupational therapy services. g. Identifying a plan for reevaluation h. Discharge planning

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4. A registered occupational therapist shall prepare and document the intervention plan within the time frames according to the standards established by the employing practice settings, government agencies, accreditation programs, and third party payers.

Standard VI: Intervention


1. An occupational therapy practitioner shall implement a program according to the developed intervention plan. The plan shall be appropriate to the individuals age and development level, gender, education, cultural and ethnic background, health status, functional ability, interests and personal goals, and service provision setting. 2. An occupational therapy practitioner shall implement the intervention plan through the use of specified 3. An occupational therapy practitioner shall be knowledgeable about relevant research in the practitioners area of practice. A registered occupational therapist shall interpret research findings as appropriate for application to the intervention process. 4. An occupational therapy practitioner shall educate the individual, the individuals family or legal guardian, noncertified occupational therapy personnel, and nonoccupational therapy staff, as appropriate, in activities that support the established intervention plan. An occupational therapy practitioner shall communicate the risk and benefit of the intervention. 5. An occupational therapy practitioner shall maintain current information on community resources relevant to the practice area of the practitioner.

2. A registered occupational therapist may accept referrals for assessment or assessment with intervention in performance areas, performance components, or performance contexts when individuals have or appear to have dysfunctions or potential for dysfunction. 3. A registered occupational therapist, responding to requests for service, may accept cases within the parameters of the law. 4. A registered occupational therapist shall assume responsibility for determining the appropriateness of the scope, frequency, and duration of services within the parameters of the law. 5. A registered occupational therapist shall refer individuals to other appropriate resources when the therapist determines that the knowledge and expertise of other professionals is indicated. 6. Ann occupational therapy practitioner shall educate current and potential referral source about the process of initiating occupational therapy referrals.

Standard III: Screening


1. A registered occupational therapist, in accordance with national guidelines, shall conduct screening to determine whether intervention or further assessment is necessary and to identify dysfunctions in occupational performance areas. 2. A registered occupational therapist shall screen independently or as a member of an interdisciplinary team. 3. A registered occupational therapist shall select screening methods that are appropriate to the individuals age and developmental level; gender; education; cultural background; and socioeconomic; medical; and functional status. Screening methods may include, but are not limited to, interview, structured observation, informal testing and records reviews. 4. A registered occupational therapist shall communicate screening results and recommendations to appropriate individuals.

Standard IV: Assessment


1. A registered occupational therapist shall assess an individuals performance areas, performance components, and performance context. A registered occupational therapist conducts assessments individually or as a part of a team of professionals, as appropriate to the practice settings and the purpose of the assessment. 2. An occupational therapy practitioner shall educate the individual, or the individuals family or legal guardian, as appropriate, about the purposes and procedures of the occupational therapy assessment. 3. A registered occupational therapist shall select assessment to determine the individual functional abilities and problems as related to performance areas, performance components, and performance contexts. 4. Occupational therapy assessment methods shall be appropriate to the individuals age developmental level; gender; education; socioeconomic, cultural and ethnic background; medical status; and functional abilities. The assessment methods may include some combination of skilled observation, interview, record review, or the use of standardized or criterion-referenced tests. 5. An occupational therapy practitioner shall follow accepted protocols when standardized test are used. Standardized tests are test whose scores are based on accompanying normative data that that may reflect age ranges, gender, ethnic groups, geographic regions, and socioeconomic status. If standardized tests are not available or appropriate, the results shall be expressed in descriptive reports, and standardized scales shall not be used. 6. A registered occupational therapist shall analyze and summarize collected evaluation data to indicate the individuals current functional status. 7. A registered occupational therapist shall document assessment results in the individuals records, noting the specific evaluation methods and tools used.

A registered occupational therapist shall complete and document results of occupational therapy assessments within the time frames established by practice settings, government agencies, accreditation programs, and third party payers. 8. An occupational therapy practitioner shall communicate assessment results, within the boundaries of client confidentiality, to the appropriate persons 9. A registered occupational therapist shall refer the individual to the appropriate services or request additional consultations if the results of the assessments indicate areas that require intervention by other professionals.

Standard V: Intervention Plan


1. A registered occupational therapist shall develop and document an intervention plan based on analysis of the occupational therapy assessment data and the individuals expected outcome after the intervention. 2. The occupational therapy intervention plan shall be stated in goals that are clear, measurable, behavioral, functional, and appropriate to the individuals needs, personal goals and expected outcome after intervention. 3. The occupational therapy intervention plan shall reflect the philosophical based of occupational therapy and be consistent with its established principles and concept of theory and practice. The intervention planning processes shall include a. Formulating a list of strengths and weaknesses. b. Estimating rehabilitation potential. c. Identifying measurable short term and long-term goals. d. Collaborating with the individual, family members, other caregivers, professionals and community resources. e. Selecting the media, methods, environment, and personnel needed to accomplish the intervention goals.