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    • ‫العالج الوظيفي المجتمعي‬ ‫: مفاهيم اساسية‬ COMMUNITYOCCUPATIONAL THERAPY: BASIC CONCEPTS DR. AHMED-REFAT Dr. Ahmed Refat AG Refat 2011 1
    • Basic Terms and Concepts Health Community Community Health Community-based rehabilitation Community –based services Dr. Ahmed Refat AG Refat 2011 2
    • Basic Terms and Concepts-cont., Health – extent to which an individual or group is able to realize aspirations & satisfy needs & to change or cope with the environment; positive concept emphasizing social & personal resources, & physical capacities Dr. Ahmed Refat AG Refat 2011 3
    • Basic Terms and Concepts-cont., Community – a collective of people identified by common values & mutual concern for the development & well-being of their group or geographical area” Dr. Ahmed Refat AG Refat 2011 4
    • Basic Terms and Concepts-cont., Community Health – both private & public efforts of individuals, groups & organizations to promote, protect & preserve the physical, mental, social, & spiritual health of those in a community . Dr. Ahmed Refat AG Refat 2011 5
    • Occupation Activities in which people are engaged to support their roles. Engagement in activities, tasks and roles for the purpose of productive pursuit; maintaining oneself in the environment; and for purposes of relaxation, entertainment, creativity and celebration; Dr. Ahmed Refat AG Refat 2011 6
    • Occupational Therapists are concerned with: Person, Environment , Occupation Interactions Dr. Ahmed Refat AG Refat 2011 7
    • Occupation OPPerson Environment Dr. Ahmed Refat AG Refat 2011 8
    • Person’s with disabilities typicallyrequire some intervention in the :  Person/Environment Fit  Limitations in Activities of Daily LivingCHANGE CHANGE OCCUPATIONAL PERFORMANCE OF MEANINGFUL ACTIVITIES Dr. Ahmed Refat AG Refat 2011 9
    • HUMANS AS OCCUPATIONAL BEINGS – PEOP MODEL(Christiansen, C. H. & Baum, C. M. (2005), Occupational Therapy; Performance, participation and well-being. Thorofare, NJ: Slack, Inc.) Physiological Social Support Social & Economic Cognitive Systems OCCUPATION PERSON Occupational ENVIRONMENT (Intrinsic Factors) Performance & Participation (Extrinsic Factors) Spiritual Culture & Values PERFORMANCE Neurobehavioral Built Environments & Technology Psychological Natural Environments WELL BEING QUALITY OF LIFE Dr. Ahmed Refat AG Refat 2011 10
    • OPDr. Ahmed Refat AG Refat 2011 11
    • Community Based Service Community Based Service – more comprehensive than rehabilitation; includes a broad range of health-related services such as prevention & health promotion; acute & chronic medical care; habilitation & rehabilitation; Dr. Ahmed Refat AG Refat 2011 12
    • Community Based Service-cont Community Based Service – direct & indirect service provision; an orientation to collective health needs in homes, workplaces, & community agencies; goal is for client & practitioner to become integral parts of the community Dr. Ahmed Refat AG Refat 2011 13
    • Community Based Rehabilitation A strategy that equalizes opportunities & social integration of all people with disabilities Dr. Ahmed Refat AG Refat 2011 14
    • Community Coalitions Partnerships & coalitions bring together members of various organizations & constituencies in the community to work together for a common purpose  Healthcare organizations  Government agencies  Neighborhood alliances  Education related groups & organizations  Advocacy groups  Business organizations  Retail outlets  Local media Dr. Ahmed Refat AG Refat 2011 15
    • The Community Occupational Therapy Service The Community Occupational Therapy Service provides help for people of all ages who experience difficulty coping with everyday activities due to disability, illness and/or the ageing process. The aim of Occupational Therapy is to provide a comprehensive service to enable people to remain as independent as possible within the community Dr. Ahmed Refat AG Refat 2011 16
    • OT & Community Level Interventions View the community as the client Assess the following variables  Demographic info about community  Risk factors & health behaviors  Health knowledge, attitudes & beliefs  Cultural habits, preferences & sensitivities  Environmental barriers  Availability of social support & health related services  Effective motivators for change Dr. Ahmed Refat AG Refat 2011 17
    • Attributes & Skills ofCommunity Practitioners Professional autonomy Flexibility & tolerance for ambiguity - Positive attitude & hopeful Collaboration & excellent interpersonal communication Strong organizational skills & problem solving skills Ability to network Program planning & evaluation skills - Visionary Good public relations skills & awareness Comfort with indirect service provision Grant-writing skills Culturally competent - Respectful & non-judgmental Dr. Ahmed Refat AG Refat 2011 18
    • Occupational Therapists areProfessionals that Serve the Public Dr. Ahmed Refat AG Refat 2011 19
    • Nature of the Work Occupational therapists (OT’s)  help people improve their ability to perform tasks in their daily living and working environments.  work with individuals who have conditions that are mentally, physically, developmentally, or emotionally disabling.  help people develop, recover, or maintain daily living and work skills.  help clients improve basic motor functions and reasoning abilities and compensate for permanent loss of function.  Ultimate goal is to help clients have independent, productive, and satisfying lives. Dr. Ahmed Refat AG Refat 2011 20
    • Client Populations Across the life-span – all ages Most medical specialty populations e.g.. cardiac, pulmonary, orthopedic, rheumatology, ophthalmology, optometry, pediatrics, geriatrics, mental health, ophthalmology, hand and upper extremity, community support grouping of client populations. Dr. Ahmed Refat AG Refat 2011 21
    • OT Occupational therapists focus on assisting people to engage in daily life activities that they find meaningful and purposeful. Occupational therapists understand occupations and use of occupation to affect human performance and improve the effects of disease and disability. Dr. Ahmed Refat AG Refat 2011 22
    • The overall goal of OT The overall goal of occupational therapy in community health is to help people develop the skills and obtain the supports necessary for independent, interdependent, productive living. Particular emphasis is given to interventions that result in improved quality of life and decrease hospitalization. Occupational therapists and occupational therapy assistants provide purposeful, goal-oriented activities Dr. Ahmed Refat AG Refat 2011 23
    • Activities of O Therapist teach and facilitate skills in: assertiveness; cognition (e.g., problem solving); independent living including using community resources, home management, time management, management of medication, and safety in the home and community; avocational interest and pursuits: self-awareness; interpersonal and social skills; stress management; activities of daily living (e.g.; hygiene); role development (e.g., parenting); self-sufficiency and interdependency; and wellness. Dr. Ahmed Refat AG Refat 2011 24
    • Occupational Therapy Services adapting the environment at home, work, and school to promote an individuals optimal functioning providing education programs, experiential learning, and treatment groups or classes; consulting with employers responding to requirements of local laws and regulations ; functional evaluation and ongoing monitoring of clients for placement in jobs and housing; providing assistance or guidance with client-run support groups; goal setting and rehabilitation plan development with client; and providing guidance and consultation to persons in all employment settings, including supportive employment. Dr. Ahmed Refat AG Refat 2011 25
    • Roles of O. Therapists Occupational therapists working in the area of community mental health are provide consultation to: adult day care centers, day treatment centers, home health agencies, community rehabilitation programs, community mental health clinics, clubhouse programs, outpatient psychiatric clinics, foster care residents, sheltered workshops, group and private homes, community support programs Dr. Ahmed Refat AG Refat 2011 26
    • Roles of O. Therapists- Occupational  courts, therapists receive  school guidance referrals from: counselors,  teachers, case managers,  foster care providers, psychiatrists,  family physicians, social workers,  vocational counselors, and psychologist,  other health nurses, professionals. clients themselves, family, Dr. Ahmed Refat AG Refat 2011 27
    • The Community Occupational Therapy Clinic The Community Occupational Therapy Clinic provides quality assessment, direct service and consultation for children and adults. Dr. Ahmed Refat AG Refat 2011 28
    • Areas of O.T The therapists work collaboratively with clients and their families within the clinic and community-based settings for those with: Developmental disorders Learning disabilities Behavior disturbances Physical challenges Neurological conditions Dr. Ahmed Refat AG Refat 2011 29
    • The Community OT Clinic The clinic was developed to meet the following goals: Provide quality, specialized OT evaluation and treatment intervention to clients Provide in-service training to pre-schools, schools, parent support programs, and agencies in the community Provide expert consultation, training and resources to community occupational therapists, other professionals and families Provide observational opportunities and resources for individuals seeking a career in OT Provide fieldwork placements for OT interns Provide research opportunities for students and faculty Dr. Ahmed Refat AG Refat 2011 30
    • The Community OT Clinic The Community Occupational Therapy Clinic is a model clinic providing holistic therapeutic interventions enhancing: Sensory integration Developmental approach Behavioral approach Dr. Ahmed Refat AG Refat 2011 31
    • Community OT ServicesCommunity Occupational Therapy Services are divided into five primary categories: Dr. Ahmed Refat AG Refat 2011 32
    • Community OT Services 1- Treatment (designed to improve skills in self-care and productivity and to promote independence) Dr. Ahmed Refat AG Refat 2011 33
    • Community OT Services 2- Assistive Technology (includes assessment for equipment needs including mobility aids/wheelchairs and assessments to determine the need for vehicle and home modifications). Dr. Ahmed Refat AG Refat 2011 34
    • Community OT Services 3- Maintenance (assessment of workers need for ongoing support; if required,) Dr. Ahmed Refat AG Refat 2011 35
    • Community OT Services 4- File Review Dr. Ahmed Refat AG Refat 2011 36
    • Community OT Services 5- Time Sensitive Referrals (medically urgent situations only) Dr. Ahmed Refat AG Refat 2011 37
    • Thank YouAny questions or comments ??!! Dr. Ahmed Refat AG Refat 2011 38