1. Occupational Therapy practice
Framework:

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3.  Introduction
 Domain of OccupationalTherapy
 Process of OccupationalTherapy
 Historical and Future perspectives on the
OccupationalTherapy Practice Framework
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4.  AOTA (AJOT)
 Promoting the health and participation of clients
through engagement in occupation.
 Not a Taxonomy, Theory, Model
 must be used in conjunction with the knowledge
and evidence relevant to occupation and
occupational therapy.
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All people need to be able or enabled to
engage in the occupations of their need and
choice, to grow through what they do, and
to experience independence or
interdependence, equality, participation,
security, health, and well-being.
Wilcock & Townsend, 2008, p. 198
Core beliefs

6. 1. Persons
2. Organizations
3. Populations within a community
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7.  including families, caregivers, teachers,
employers, and relevant others.
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businesses, industries, or agencies

9.  refugees, veterans who are homeless, and people
with chronic health disabling conditions. Moyers & Dale,2007
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The domain and Process of occupational therapy direct OT practitioners to focus on …

12.  Supporting health and participation in life through engagement in occupation
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Performance
Subjective
Emotional psychological
Objective
Physically
observable

14. An interdisciplinary academic discipline in the
social and behavioral sciences dedicated to the
study of the form, function, and the meaning of
human occupations.
Zemke & clark, 1996
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16.  Occupations often are shared.
Example:
1. Care giving => mothering
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17. “Justice related to opportunities and resources
required for occupational participation sufficient to
satisfy personal needs and full citizenship”
christiansen & Townsend,2004, p 278.
 TO experience meaning and enrichment in one’s occupations
 TO participate in a range of occupations for health and social inclusion
 TO make choices and share decision-making power in daily life
 TO receive equal privileges for diverse participation in occuapations
Townsend & wilcock, 2004.
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19.  Activities of daily living(ADL)
 Instrumental activities of daily living (IADL)
 Rest and sleep
 Education
 Work
 Play
 Leisure
 Social participation
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20.  Care of one’s own body
 BADL or PADL
 Fundamental to living in a social world
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23. Rest
and
Sleep
rest
sleep
Sleep
preparation
Sleep
participation
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Education
Formal
education
participation
Informal
personal
educational
needs or
interests
exploration
Informal
personal
education
participation

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26. Play
Play
exploration
Play
participation
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leisure
Leisure
exploration
Leisure
participation

27. Social
participation
community
familyPeer, friend
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28.  Specific abilities, characteristics, or beliefs
 May affect performance in areas of
occupation.
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Person
Organization
• Vision
statement
• Code of ethics
• Value
statement
• Esprit de corps
Population
• Emotional,
purposive,
and
traditional
perspectives

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Person
Organization
• Planning
• Organizing
• Coordinating
• And
operationalizing
the mission,
products or
services , and
productivity
Population

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Person
Organization
• Department and
departmental
relationships
• Leadership and
management,
• Performance
measures,
• And job titles.
Population

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Object and their properties
Space demands
Social demands
Sequence and timing
Required actions and
performance skills
Required body function
Required body structure

33.  Observable,
 concrete,
 goal directed actions to engage in daily life
occupations
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34. Motor and praxis skills
Sensory-perceptual skills
Emotional regulation skills
Cognitive skills
Communication and social skills
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35. Performance
patterns
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Context
customs, beliefs, activity patterns, behavior standards, and expectation accepted by the society
demographic feature of the individual such as age, gender, socioeconomic status, and
educational level
stage of life, time of day or year, duration, rhythm of activity, or history.
interaction in simulated, real-time, or near time situations absent of physical contact.
Environment
natural and built nonhuman environment and objects in them.
relationships, and expectations of persons, groups, and organizations

37. Evaluation
• Occupational profile
• Analysis of occupational performance
intervention
• Intervention plan
• Intervention implementation
• Intervention review
Outcomes
• outcomes
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39. 1. Identify the Multiple demands, skills, and
potential meanings of activity
2. Gain a deeper understanding of the
interrelationships between aspects of the
domain that affect performance and those that
will support client-centered interventions and
outcomes.
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40. 





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41. 








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42. 1.
 Objective and measurable goals with a timeframe
 Occupational therapy intervention approaches
 Mechanisms for service delivery
2.
3.
4.
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Occupational therapy
intervention approaches

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1.
2.

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46. 1. Re-evaluating the plan
2. Modify the plan
3. Determining the need for continuation or
discontinuation of OT services
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47. • Occupational performance
• Adaptation
• Health and wellness
• participation
• prevention
• Self-advocacy
• Quality of life
• Occupational justice
• Role competence
• Comparing progress
toward goal achievement
• Assessing outcome use and
results to make decisions
about the future direction
of intervention
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48. American OccupationalTherapy Association:
Occupational therapy practice framework:
domain and process, 2nd edition,
am j OccupTher 62:625-683, 2008
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