Therapeutic skills in occupational therapy include the legitimate tools used to practice occupational therapy effectively. Some of the main therapeutic skills discussed are: 1) Therapeutic use of self which involves building rapport with clients through empathy, active listening, and being genuine. 2) The occupational therapy treatment process which follows the stages of assessment, planning, treatment, and evaluation. 3) The occupational therapy treatment continuum which involves different stages of treatment from preparatory methods to occupational performance. 4) Therapeutic use of activities which includes analyzing, grading, and adapting activities for use in occupational therapy sessions.

2. THERAPEUTIC SKILLS IN
OCCUPATIONAL THERAPY
Shamima Akter
B. Sc (Honours) in Occupational Therapy
& M. Sc in Rehabilitation Science
Assistant Professor,
Department of Occupational Therapy
Bangladesh Health Professions Institute (BHPI)
Centre for the Rehabilitation of the Paralysed (CRP)
Chapain, Savar

3. – Instructor will say her name using an adjective started
with the first alphabet of her name
– Next participant will remember her name and also
say her own name according to previous rule.
– Continuing among all…
– Last participant will say all the name!!!
– Good luck!!!
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4. Ground Rules of Class
• Pin point silent
• Eye contact with teacher
• Prepare daily task daily
• Keep confidentiality of classes
• Zero tolerance for
– Cheating
– Talking with others during lecture
– Absent in class without enough reason
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6. OCCUPATION
Occupation is everyday life activities. It can be
defined as an activity or task with which one
occupies oneself.
According to the Canadian Association of
Occupational Therapists (cited in Radomski and
Latham, 2014), occupation is…
“Groups of activities and tasks of everyday
life, named, organized and given value and
meaning by individuals and a culture”.
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7. OCCUPATION
OCCUPATIONAccording to Canadian Association of Occupational
Therapist,
“Occupations are everything people do to occupy
themselves, including looking after themselves (self-
care), enjoying life (leisure), and contributing to the
social and economic thread of their communities
(productivity)”.
(CAOT, 1997, pp. 31 & 181)
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8. THERAPY
It can be defined as any form of treatment
for any illness or disorder.
For example,
Antacid is a form of therapy for acidity,
Rehabilitation is a form of therapy for drug
addiction,
Exercise is a form of therapy for obesity and
Occupational therapy is a form of therapy for
stroke patient.
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9. OCCUPATIONAL THERAPY
According to World Federation of Occupational
Therapists (2012)
“Occupational therapy is a client-centred health
profession concerned with promoting health and well
being through occupation.
The primary goal of occupational therapy is to
enable people to participate in the activities of
everyday life.
Occupational therapists achieve this outcome by
working with people and communities to enhance their
ability to engage in the occupations they want to, need
to, or are expected to do, or by modifying the
occupation or the environment to better support their
occupational engagement”.
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10. Occupational Science
According to University of British Columbia,
– Occupational Science is the study of human
participation/occupational engagement.
– Research in this area often focuses on specific
populations (such as children, the elderly, or those
with MS) and their unique challenges to engage in
meaningful activities.
– Occupational scientists study ways of measuring
participation, develop new and innovative
methods of intervention to help individuals engage
in activities, and examine the impact of participation
on an individual’s health and well-being.
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11. Occupational Deprivation
• According to a position statement by the
Australian Occupational Therapy Association,
– “a state of preclusion from engagement in
occupations of necessity and/or meaning due to
factors that stand outside the immediate control
of the individual” (Whiteford, 2010, p. 201).
– Physical, social, attitudinal, discriminatory,
professional, institutional, racial, legislative, and
political impediments to participation in any
occupation that a person needs or wants to do
could potentially be regarded as occupationally
depriving.
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12. Occupational Deprivation continue...
According to the Australian Occupational Therapy
Association (AOTA),
– individuals who are incarcerated
– refugees and asylum seekers who are placed in
detention and processing centres both in Australia
and offshore
– people with disability or mental illness
– Aboriginal and Torres Strait Islander peoples
– those living in geographically isolated environments
(for example, Australian rural locations categorized as
“remote”)
– those living on or below the minimum income
– people experiencing homelessness
– people experiencing long term unemployment.
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13. Occupational Justice
• Occupational justice is a term that emphasizes
rights, responsibilities, and liberties that enable
the individual to experience health and quality of
life through engagement in occupations
(Townsend & Whiteford, 2005; Wilcock and
Townsend, 2000).
• In an occupationally just environment, individuals
have access to adequate supports and resources
to participate in occupations that are necessary
and meaningful to them (Townsend & Wilcock,
2004).
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14. Occupational Therapy is practiced in-
A wide range of public, private and voluntary sector
settings, such as,
• the person’s home environment;
• schools;
• Workplaces;
• Health centers;
• Supported accommodation;
• Housing for seniors
• Rehabilitation centers;
• Hospitals; and
• Forensic servicesTS1_Shamima_2018

15. • Therapeutic: Therapeutic refers to healing,
such as a medicine or therapy that has healing
or curative capability for treatment of disease
or disability.
• For example: therapeutic effect of yoga,
therapeutic effect of exercise & therapeutic effect
of sensory integration therapy
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16. • Skill: The ability, coming from one's
knowledge, practice, aptitude, etc., to do
something well.
• Competent in doing (Merriam-Webster Online, 2011,
cited in Radomski and Latham, 2014, 7th ed., p19).
• For example: grooming skill, writing skill
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17. THERAPEUTIC SKILLS
This presents the use of self and the use of
occupation as therapeutic mediums to use in
assessment and therapy session with effective
therapeutic reasoning.
For example: Activity analysis skill, rapport
building skills, assessment skills and treatment
skills
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18. Importance of studying therapeutic skills
• This subject presents the use of self and the use of
activity as therapeutic mediums.
• It also presents and discusses skills in analyzing,
adapting and grading activities to use in assessment
and therapy session.
• It also presents awareness of activity demands,
contexts and safe implementation of tasks by
activity analysis.
• It also represents individual and group treatment
session with effective therapeutic reasoning.
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19. Individual Therapy
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20. Group Therapy
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21. THE LEGITIMATE TOOLS OF THERAPEUTIC SKILLS
• Therapeutic use of self
• Occupational therapy treatment process
• Occupational therapy treatment continuum
• Therapeutic use of activity
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22. THE LEGITIMATE TOOLS OF THERAPEUTIC SKILLS
• Therapeutic use of self
- Therapeutic relationship/ Therapeutic rapport/Rapport building
through using unconditional acceptance, empathy, genuineness, attending
and listening, open-ended question and silence .
• Occupational therapy treatment process
- Assessment, planning, treatment implementation and evaluation
guidelines according to theoretical framework
• Occupational therapy treatment continuum
- Different stages of treatment (Adjunctive method, Enabling activities,
Purposeful activity and Occupational performance & occupational roles)
• Therapeutic use of activity
- Analysis, grading and adaptation of activity with an intention to use in
occupational therapy treatment process
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23. Therapeutic Use of Self
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24. Occupational therapy treatment process
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25. Occupational Therapy Treatment Continuum
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26. Therapeutic Use of Activity
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27. Grading of Activity
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28. Adapting Activity
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29. Terminology
• Legitimate- to make something legal or acceptable
• Unconditional- Complete & whole
• Preclusion- to prevent the presence, existence, or occurrence
of; make impossible
• Acceptance- Agreement that someone should be in group
• Empathy- the ability to share someone else's feelings or
experiences by imagining what it would be like to be in that
person's situation
• Genuineness- honest and sincere
• Attending and listening- to give attention to what someone is
saying
• Adapting- to change something to suit different conditions or
uses
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30. Probable Questions
• Define occupational therapy. Why it is important to study
therapeutic skills in occupational therapy?
• What is therapeutic skills? Write down the legitimate
tools of therapeutic skills for practicing occupational
therapy?
• Define the following terminology:
– Skills
– Therapeutic
– Occupation
– Therapy
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31. REFERENCE
• Trombly CA 1996, Occupational Therapy for
Physical Dysfunction, 5th ed, Mosby Company,
Philadelphia
• Radomski and Trombly-Latham 2008,
Occupational Therapy for Physical
Dysfunction (6th Ed). Philadelphia: Lippincott,
Williams and Wilkins.
• Radomski and Trombly-Latham 2014,
Occupational Therapy for Physical
Dysfunction (7th Ed). Philadelphia: Lippincott,
Williams and Wilkins.
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32. THE MORE YOU
ASK THE MORE
YOU LEARN

33. EXAM ON THE NEXT CLASS!
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