This document outlines the topics that will be covered in the first two chapters of a course on community-based occupational therapy practice. Chapter 1 will discuss the history and roles of OT in community-based practice as well as characteristics of effective community-based OTs. It will also cover paradigm shifts in OT. Chapter 2 will address concepts in community and public health, determinants of health, and strategies for prevention. It will discuss OT's contributions to Healthy People 2020 and its role in health promotion. The schedule includes lectures, small group work, and a guest speaker.

1. Sheryl Ryan, PhD, OTR/L

2. Week 1

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

7. IF or Life College

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

12. Client-centered
Occupation-based
Supported with evidence
Based on dynamic systems
theory
Ecologically sound
Strengths-based
“It is time to start living out of our imagination, not
out of our memory alone” (Dasler 1984).

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.

16. Small Group Activity

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.