3. Chapter 1
Describe the history of community
based practice in OT
Describe the roles of OT in CBP
Describe characteristics of effective
CBP OTs
Describe the history of paradigm
shifts in OT
Identify key characteristics of a
community practice paradigm for OT
Chapter 2
Describe the basic constructs
associated with community and public
health, prevention, and health
promotion
Identify the determinants of health in
a community
Discuss strategies for primary,
secondary, and tertiary prevention
Describe the contributions OT can
make to Healthy People 2020
Discuss OT’s role in the context of
health promotion, community, and
public health
4. Work on course vocabulary in
small groups
Guest Speaker from IF or LC
Review Syllabus and
Expectations
Lecture
Healthy People 2020 Activity
Journal Search
5. Chapter 1
Community based practice
Community centered
initiative/intervention
Community health promotion
Community level intervention
Dynamical systems approach
Ecological approach
Paradigm shift
Strengths-based occupational therapy
Chapter 2
Community health
Public health
Community health interventions
Determinants of health
Health promotion
Health disparities
Incidence vs prevalence
Epidemiology
Preventive occupation
Primary prevention
Secondary prevention
Tertiary prevention
9. Economical
Health care costs have risen sharply
Private insurance has high costs
Community Based Practice can lower
costs
Vaccination clinics
Screening for disease
Education
Health programs
Wellness and prevention
Philosophical
People with disabilities would be best
served in their natural environment
within their community. (Scaffa,
2001).
Includes
Families
Cultural values
Community resources
Positivity
10. The AOTA Centennial Vision
“We envision that OT is a powerful,
widely recognized, science-driven,
and evidence-based profession with a
globally connected and diverse
workforce meeting society’s
occupational needs.”
(Baum, 2006, p.610)
OT started in 1917 in Community
Mental Health
Eleanor Clarke Slagle established the
work program at Hull House in
Chicago
“To provide persons with mental or
physical disabilities an opportunity to
work and become self-sufficient.”
(p.2)
11. Roles
Community health advocate
Consultant
Case manager
Private practice owner/entrepreneur
Supervisor
Program manager
Characteristics
Characteristics
Positive, creative, and independent
Ethical and critical reasoning
Interpersonal skills
Comfortable with indirect practice
Skill sets
Grant writing
Networking and organization
Program planning and evaluation
13. List of OT related journals
Find a peer-reviewed article
that relates to community-
based practice in
occupational therapy and
complete one entry in the
“Literature Review”
database in Edverum.
14. Basic Constructs
Promoting Health and Preventing
Disease
Improving Medical Care
Promoting Health-Enhancing Behaviors
Controlling the Environment
Determinants of Health
Policy Making
Social Factors
Health Services
Individual Behaviors
Biology and Genetics
“Let food be thy
medicine, and
medicine be thy
food.”
-attributed to Hippocrates
15. Primary
Secondary
Tertiary
Focuses on healthy people who could be at risk for a potential health problem
Focuses on detecting and treating disease in early stages, either pre-clinical or
clinical.
Focuses on limiting disability or complications from existing disease or
disability.
17. Meyer, Susan K. (2010). Community Practice in Occupational Therapy: A Guide to
Serving the Community. Boston, MA: Jones and Bartlett Publishers.
Scaffa, Marjorie E, and Reitz, S. Maggie. (2014). Occupational Therapy in
Community-Based Practice Settings, 2nd Edition. Philadelphia, PA: F.A. Davis
Company.
Notas del editor
Healthy People 2020 Case Studies from APTR
http://www.aptrweb.org/?SP_AlliedHealth
Major Players in Community Based Health:
Association for Prevention, Teaching, and Research (APTR)
Association of Schools and Programs of Public Health (ASPPH)
Council on Education for Public Health (CEPH)
Society for Public Health Education (SOPHE)
Groups of 3 students. Each group defines 2 terms on Shared Google Doc.
Update specifically once it is scheduled!
https://youtu.be/iJigZ1rBBn4?list=PL93ED272C8E69A6AD (3 mins) Community Garden OT
See Table 1-1 Has Historical timeline of community practice in OT
OT roots in Community Mental Health
Treatments conducted in homes, community centers, public health services
Benefits of CBP:
Decreased costs
Prevention
Health promotion
We Rock the Spectrum gym – 2 minute Video: https://www.youtube.com/watch?v=n6W2Ec6RqkQ
Social Entrepreneur – 2 minute Video: https://www.youtube.com/watch?v=7YN7XyqVWx0&feature=youtu.be
Roles
Community health advocate – advocates, lobbyists, legislation, policies to promote health
Consultant – expert advice on program development and evaluation, organizational issues, clinical concerns
Case manager – ensure access to community services and resources, assist in development independent living skills
Private practice owner/entrepreneur – requires financial management, marketing, leadership, organizational skills
Supervisor – training, supporting, and evaluating staff, manage budgets
Program manager –
OT moves from structured to non-structured work environment, must be comfortable with novelty
OT may lack mentorship, work alone, and require strong problem solving skills
Characteristics
Page 9 Box 1-1
Video
2 minutes: https://www.youtube.com/watch?v=7YN7XyqVWx0&feature=youtu.be
Watch Tedx Talk: Amy Gibson;, Exploring the Meaning of Human Potential - https://youtu.be/uM7vA02YIrA (18 minute TED talk)
Power of Civic Engagement. May not have time to watch.
http://www.washington.edu/wholeu/wp-content/uploads/2014/07/IMG_0441-1.jpg
Dasler, PJ. (1984) Deinstitutionalizing the occupational therapist. Occupational Therapy in Health Care, 1(1), 31-40.
Examples: type 2 diabetes
Primary: Community based exercise and healthy living programs for all members
Secondary: Exercise and healthy living programs for individuals with obesity and/or high cholesterol
Tertiary: Exercise and healthy living programs for individuals diagnosed with type 2 diabetes
Chapter 2
BOX 2-1: Healthy People 2020 Focus Areas – Which ones relevant to OT and how?
BOX 2-2: Selected Objectives Addressing the Needs of People with Disabilities – Which ones relevant to OT and how?
In groups of 2, choose 1 from each list and discuss