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Video
Study Guide
OT Referral
- A specific diagnosis or
- A functional problem
Approach
- Top-down approach
- Consider the child holistically
- Client-centered interventions and practice
- Identify the concerns and priorities of both the child and family
- Identify their interests, difficulties, and preferences
Functional Improvement
- Providing interventions to enhance performance.
- Adapting activities and modifying the environment.
- Consulting, educating, and advocating for the child.
Context
- Physical
- Social
- Cultural factors
The overall goal is to function in a safe environment to promote function, exploration, play, learning, and social interaction.
Themes
- Inclusion with peers and family
- Most natural environment
- Cultural awareness and family values
- Family composition and hierarchy
- Decision-makers
- Level of expected independence
- Feeding and sleeping practices
- Discipline
- How much help the family expects to seek
- Communication styles
- How disability is perceived
Evaluation
- Occupational profile – find out child’s functional strengths and limitations.
- Assessment and analysis of performance
- Standardized evaluations
- Structured observation
- Focused interviews
- Environment – multiple environments, constraints on the child’s functional performance.
The child’s most important occupation is play.
Designing Interventions
- Optimize the child’s active engagement.
- Provide a just-right challenge.
- Establish a therapeutic relationship, including with caregivers.
Implement assistive technology where appropriate.
Children with disabilities may often benefit from modifications to the environment.
Always consider the child’s safety and comfort.
