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Occupational therapy OT is the use of assessment and intervention to develop, recover, or maintain the meaningful activities, or occupationsof individuals, groups, or communities. It is an allied health profession performed by occupational therapists. OTs often work with people with mental health problems, disabilities, injuries, or impairments. The American Occupational Therapy Association defines an occupational therapist as someone who "helps people across the lifespan participate in the things they want and need to do through the therapeutic use of everyday activities occupations.

Common occupational therapy interventions include helping children with disabilities to participate fully in school and social situations, injury rehabilitation, and providing supports for older adults experiencing physical and cognitive changes.

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Typically, occupational therapists are university-educated professionals and must pass a licensing exam to practice. The earliest evidence of using occupations as a method of therapy can be found in ancient times. Later, the Roman Celsus prescribed music, travel, conversation and exercise to his patients.

However, by medieval times the use of these interventions with people with mental illness was rare, if not nonexistent. In 18th-century Europe, revolutionaries such as Philippe Pinel and Johann Christian Reil reformed the hospital system. Instead of the use of metal chains and restraints, their institutions used rigorous work and leisure activities in the late 18th century. This was the Moral Treatment era, developed in Europe during the Age of Enlightenmentwhere the roots of occupational therapy lie.

It re-emerged in the early decades of the 20th century as Occupational Therapy. The Arts and Crafts movement that took place between and also impacted occupational therapy. In the US, a recently industrialized country, the arts and crafts societies emerged against the monotony and lost autonomy of factory work.

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Posted by Aliexprdek on Feb 1st, In the early s, activists campaigned against the DSM classification of homosexuality as a disorder, protesting at APA offices.

The health profession of occupational therapy was conceived in the early s as a reflection of the Progressive Era. Early professionals merged highly valued ideals, such as having a strong work ethic and the importance of crafting with one's own hands with scientific and Online casino med dansk licensure requirements for occupational therapy principles.

The emergence of occupational therapy challenged the views of mainstream scientific medicine. Instead of focusing purely on the medical modeloccupational therapists argued that a complex combination of social, economic, and biological reasons cause dysfunction. Principles and techniques were borrowed from many disciplines—including but not limited to physical therapynursingpsychiatryrehabilitationself-helporthopedicsand social work —to enrich the profession's scope. Between andthe founders defined the realm of practice and developed supporting theories.

By the early s, AOTA had established educational guidelines and accreditation procedures. World War I forced the new profession to clarify its role in the medical domain and to standardize training and practice. In addition to clarifying its public image, occupational therapy also established clinics, workshops, and training schools nationwide. Due to the overwhelming number of wartime injuries, "reconstruction aides" an umbrella term for occupational therapy aides and physiotherapy aides were recruited by the Surgeon General.

Between andnearlywounded men were placed in hospitals upon their return to the states. The success of the reconstruction aides, largely made up of women trying to "do their bit" to help with the war effort, was a great accomplishment.

There was a struggle to keep people in the profession during the post-war years. Emphasis shifted from the altruistic war-time mentality to the financial, professional, and personal satisfaction that comes with being a therapist. To make the profession more appealing, practice was standardized, as was the curriculum. Entry and exit criteria were established, and the American Occupational Therapy Association advocated for steady employment, decent wages, and fair working conditions.

Via these methods, occupational therapy sought and obtained medical legitimacy in the s. The profession has continued to grow and expand its scope and settings of practice. Occupational sciencethe study of occupation, was created in as a tool for providing evidence-based research to support and advance the practice of occupational therapy, as well as offer a basic science to study topics surrounding "occupation". The philosophy of occupational therapy has evolved over the history of the profession.

The philosophy articulated by the founders owed much to the ideals of romanticism[9] pragmatism [10] and humanismwhich are collectively considered the fundamental ideologies of the past century. One of the most widely cited early papers about the philosophy of occupational therapy was presented by Adolf Meyera psychiatrist who had emigrated to the United States from Switzerland in the late 19th century and who was invited to present his views to a gathering of the new Occupational Therapy Society in At the time, Dr.

Meyer was one of the leading psychiatrists in the United States and head of the new psychiatry department and Phipps Clinic at Johns Hopkins University in Baltimore, Maryland.

William Rush Duntona supporter of the National Society for the Promotion of Occupational Therapy, now the American Occupational Therapy Association, sought to promote the ideas that occupation is a basic human need, and that occupation is therapeutic.

From his statements came some of the basic assumptions of occupational therapy, which include:. These assumptions have been developed over time and are the basis of the values that underpin the Codes of Ethics issued by the national associations.

The relevance of occupation to health and well-being remains the central theme. In the s, criticism from medicine and the multitude of disabled World War II veterans resulted in the emergence of a more reductionistic philosophy.

While this approach led to developments in technical knowledge about occupational performance, clinicians became increasingly disillusioned and re-considered these beliefs. Three commonly mentioned philosophical precepts of occupational therapy are that occupation is necessary for health, that its theories are based on holism and that its central components are people, their occupations activitiesand the environments in which those activities take place.

However, there have been some dissenting voices. Mocellin, in particular, advocated abandoning the notion of health through occupation as he proclaimed it obsolete in the modern world. As well, he questioned the appropriateness of advocating holism when practice rarely supports it. In recent times occupational therapy practitioners have challenged themselves to think more broadly about the potential scope of the profession, and expanded it De bedste casino siderurgia industrial piercing aftercare include working with groups experiencing occupational injustice stemming from sources other than disability.

An occupational therapist works systematically with a client through a sequence of actions called the occupational therapy process. There are several versions of this process as described by numerous scholars. All practice frameworks include the components of evaluation or assessmentintervention, and outcomes.

This process provides a framework through which occupational therapists assist and contribute to promoting health and ensures structure and consistency among therapists. The OPTF framework is divided into two sections: The domain includes environment, client factors, such as the individual's motivation, health status, and status of performing occupational tasks. The domain looks at the contextual picture to help the occupational therapist understand how to diagnose and treat the patient.

The process is the actions taken by the therapist to implement a plan and strategy to treat the patient. A central element of this process model is the focus on identifying both client and therapists strengths and resources prior to developing the outcomes and action plan.

The American Occupational Therapy Association's practice framework identifies the following Occupations: Occupational therapists work in a wide variety of practice settings, including: The broad spectrum of OT practice makes it Online casino med dansk licensure requirements for occupational therapy to categorize the areas of practice, especially considering the differing health care systems globally.

In this section, the categorization from the American Occupational Therapy Association is used. Occupational therapists work with infants, toddlers, children, and youth and their families in a variety of settings including schools, clinics, and homes.

These occupations may include: Occupational therapy with children and youth may take a variety of forms. The practice area of Health and Wellness is emerging steadily due to the increasing need for wellness-related services in occupational therapy.

A connection between wellness and physical health, as well as mental health, has been found; consequently, helping to improve the physical and mental health of clients can lead to an increase in overall well-being.

As a practice area, health and wellness can include a focus on: Mental health and the moral treatment era have been recognized as the root of occupational therapy. Mental health illnesses that may require occupational therapy include schizophrenia and other psychotic disordersdepressive disordersanxiety disorderseating disorderstrauma- and stressor-related disorders e.

Occupational therapists work with older adults to maintain independence, participate in meaningful activities, and live fulfilling lives. Some examples of areas that occupational therapists address with older adults are driving, aging in placelow visionand dementia or Alzheimer's Disease AD.

To enable independence of older adults at home, occupational therapists perform falls risk assessments, assess clients functioning in their homes, and recommend specific home modifications. When addressing low vision, occupational therapists modify tasks and the environment. Occupational therapists address the need for rehabilitation following an injury or impairment.

When planning treatment, occupational therapists address the physical, cognitive, psychosocial, and environmental needs involved in adult populations across a variety of settings.

Because of the rising need for occupational therapists in the U. Assignments can range from 8 weeks to 9 months, but typically last 13—26 weeks in length. Occupational therapists work with clients who have had an injury and are returning to work. OTs perform assessments to simulate work tasks in order to determine best matches for work, accommodations needed at work, or the level of disability.

Work conditioning and work hardening are interventions Casino spil paa nettetal abuja airport code to restore job skills that may have changed due to an illness or injury. Occupational therapists can also prevent work related injuries through ergonomics and on site work evaluations.

Worldwide, there is a range of qualifications required to practice occupational therapy.

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Many countries require a bachelor's degree e. In the United States and Canada, a master's degree is required to practice. In Europe, a bachelor's degree or a master's degree is accepted. The OT curriculum focuses on the theoretical basis of occupation and the clinical skills require to practice occupational therapy.

Students must have knowledge of physiologyanatomymedicinepsychologyand neurology to understand interventions and their client's medical history.

All OT education programs include periods of clinical education, consisting of direct work with a practicing OT. Occupational therapists use theoretical frameworks to frame their practice. Note that terminology differs between scholars. An incomplete list of theoretical bases for framing a human and their occupations include the following:. Frames of reference or generic models are the overarching title given to a collation of compatible knowledge, research and theories that form conceptual practice.

The International Classification of Functioning, Disability and Health ICF is a framework to measure health and ability by illustrating how these components impact one's function. This relates very closely to the Occupational Therapy Practice Framework, as it is stated that "the profession's core beliefs are in the positive relationship between occupation and health and its view of people as occupational beings".

What Can Occupational Therapy Do For You?

The ICF also includes contextual factors environmental and personal factors that relate to the framework's context. In addition, body functions and structures classified within the ICF help describe the client factors described in the Occupational Therapy Practice Framework. It is noted in the literature that occupational therapists should use specific occupational therapy vocabulary along with the ICF in order to ensure correct communication about specific concepts.

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