Hello Chuck: Thanks for the quick feedback. I can appreciate your comments. Given my previous stances on PAM's, I should have used a different example. I picked PAM's because it's the last thing mentioned in the interventions section. In general, I don't have a problem with PAM's being in the practice act.
Also, thanks for including the Act, I wanted to but didn't want to step on AOTA's copywrite toes. :-) I have already provided feedback to my RA, David Clark. Additionally, the link on AOTA's web site for providing feedback about the draft does not appear to be working. Can you help? Ron ================================================================= On Wednesday, March 24, 2004, you wrote: CW> Hi Ron, CW> Thanks for reading the Model Definition of Occupational Therapy CW> Practice for the AOTA Model Practice Act which was published in the CW> March 3, 2004 issue of OT practice and is available online at: CW> http://www.aota.org/members/area6/links/link92.asp?PLACE=/members/area6/links/link92.asp CW> (I'll paste it below as well). CW> Here is some background from the AOTA President's Report: CW> In 2003 the Representative Assembly (RA) charged the President and the CW> Speaker to ensure that core documents reflect consistency with the CW> Occupational Therapy Practice Framework. The Definition of Occupational CW> Therapy Practice for the AOTA Model Practice Act is used by legislators CW> and regulators to define occupational therapy practice in state law. A CW> cross-functional team of AOTA staff met over a period of 6 months to CW> draft a revised definition. The draft was sent to a broad spectrum of CW> stakeholders for review and comment, including state regulatory boards CW> and councils, educators, state association presidents, RA CW> representatives, and Board members. Stakeholder comments were integrated CW> into the revised definition. The revised definition will replace the CW> current definition in the AOTA Model Practice Act and will be CW> distributed to state regulatory boards, state associations, and other CW> interested parties. CW> ********** CW> I can appreciate your comments, staff prepare and edited 13 version of CW> the document and it is not final yet, so your suggestions are welcome. CW> I think one thing to keep in mind is that this model definition is for CW> state statute/regulation. In my view the top section of the definition CW> applies to the rest of the definition. You mention PAMs. In my view CW> the occupation context would apply to OT's use of modalities. The other CW> thing that must be considered is how this will be used. Other CW> professions and payers look to state practice acts to determine in a CW> certain practice is in the scope of practice or not (or whether or not CW> it will be covered when provided by an OT, ie orthotics). Whatever you CW> think about PAMs, the fact is that some OTs use modalities and they CW> should be mentioned in the definition for state regulation. CW> We published the definition in OT Practice so that all members could CW> review it and provide feedback to their Representative Assembly members. CW> I encourage you and other members of the OTnowlist that are AOTA CW> members to do the same. This is a proposed draft definition that will CW> be considered at AOTA Annual Meeting in May 2004. CW> Chuck Willmarth CW> Manager, State Affairs CW> AOTA CW> *************************************************************** CW> Definition of Occupational Therapy Practice for the AOTA Model Practice CW> Act CW> ************************************************************** CW> Draft Draft Draft Draft Draft Draft CW> The practice of occupational therapy means the therapeutic use of CW> everyday life activities (occupations) with individuals or groups for CW> the purpose of participation in roles and situations in home, school, CW> workplace, community, and other settings. Occupational therapy services CW> are provided to those who have or are at risk for developing an illness, CW> injury, disease, disorder, condition, impairment, disability, activity CW> limitation, or participation restriction. Occupational therapy addresses CW> the physical, cognitive, psychosocial, sensory, and other aspects of CW> performance in a variety of contexts to support engagement in everyday CW> life activities that affect health, well-being, and quality of life. CW> The practice of occupational therapy includes: CW> A. Methods such as: CW> 1. Establishment, remediation, or restoration of a skill or ability CW> that has not yet developed or is impaired. CW> 2. Compensation, modification, or adaptation of activity or environment CW> to enhance performance. CW> 3. Maintenance and enhancement of capabilities without which CW> performance in everyday life activities would decline. CW> 4. Health and wellness promotion to enable or enhance performance in CW> everyday life activities. CW> 5. Prevention of barriers to performance, including disability CW> prevention. CW> B. Evaluation of factors affecting activities of daily living (ADL), CW> instrumental activities of daily living (IADL), education, work, play, CW> leisure, and social participation, including: CW> 1. Client factors, including body functions (e.g., neuromuscular, CW> sensory, visual, perceptual, cognitive) and body structures (e.g., CW> cardiovascular, digestive, integumentary systems). CW> 2. Habits, routines, roles, and behavior patterns. CW> 3. Cultural, physical, environmental, social, and spiritual contexts CW> and activity demands that affect performance. CW> 4. Performance skills, including motor, process, and CW> communication/interaction skills. CW> C. Interventions and procedures to promote or enhance safety and CW> performance in activities of daily living (ADL), instrumental activities CW> of daily living (IADL), education, work, play, leisure, and social CW> participation, including: CW> 1. Therapeutic use of occupations, exercises, and activities. CW> 2. Training in self-care, self-management, home management, and CW> community/work reintegration. CW> 3. Development, remediation, or compensation of physical, cognitive, CW> neuromuscular, and behavioral skills. CW> 4. Therapeutic use of self, including one's personality, insights, CW> perceptions, and judgments, as part of the therapeutic process. CW> 5. Education and training of individuals, including family members, CW> caregivers, and others. CW> 6. Care coordination, case management, and transition services. CW> 7. Consultative services to groups, programs, organizations, or CW> communities. CW> 8. Modification of environments (home, work, school, or community) and CW> adaptation of processes, including the application of ergonomic CW> principles. CW> 9. Assessment, design, fabrication, application, fitting, and training CW> in assistive technology, adaptive devices, and orthotic devices, and CW> training in the use of prosthetic devices. CW> 10. Assessment, recommendation, and training in techniques to enhance CW> mobility, including wheelchair management and adaptive driving. CW> 11. Management of feeding, eating, and swallowing to enable eating and CW> feeding performance. CW> 12. Application of physical agent modalities, and use of a range of CW> specific therapeutic procedures (e.g., wound care management; techniques CW> to enhance sensory, perceptual, and cognitive processing; manual therapy CW> techniques) to enhance performance skills. CW> **** END DRAFT ***** >>>> [EMAIL PROTECTED] 3/24/2004 12:10:47 PM >>> CW> Hello All: CW> I was reading over AOTA's proposed Model Practice Act. I am CW> really CW> disappointed in the act because it seems so dang confusing. CW> The first sentence of the Act states: CW> "The practice of occupational therapy means the therapeutic CW> use of CW> everyday life activities (occupations) with individuals or CW> groups for CW> the purpose of participation in roles and situations in home, CW> school, CW> workplace, community, and other settings." CW> The Act then goes on to describe a whole host of: CW> "Interventions and procedures to promote or enhance safety CW> and CW> performance in activities of daily living (ADL), instrumental CW> activities CW> of daily living (IADL), education, work, play, leisure, and CW> social CW> participation, including"... CW> These interventions are pretty inclusive of the things that OT's do. CW> This whole thing is confusing because on one hand the act says that CW> we are CW> about "the therapeutic use of everyday life activities" but then it CW> ends with CW> things like PAMs. CW> So which is it??? Are we about therapeutic use of occupations or CW> about the CW> treatments that are supposed to facilitate engagement in occupations.? CW> If you are an AOTA member, you may read the proposed practice act CW> online at: CW> http://www.aota.org/members/area4/links/link02C.asp CW> Ron CW> _______________________________________________ CW> To unsubscribe, visit: CW> http://otnow.com/mailman/listinfo/otlist_otnow.com CW> The OTnow Mail Archive: CW> www.mail-archive.com/[EMAIL PROTECTED] CW> =============================================== _______________________________________________ To unsubscribe, visit: http://otnow.com/mailman/listinfo/otlist_otnow.com The OTnow Mail Archive: www.mail-archive.com/[EMAIL PROTECTED] ===============================================
