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Journal Articles
The American Journal of Occupational Therapy, 2005, Vol. 59(2), 157–164.
Published: 01 March 2005
Abstract
Articles pertaining to evidence-based practice have become increasingly visible in occupational therapy literature. Authors have defined and described evidence-based practice for occupational therapy (Lloyd-Smith 1997; Taylor 1997), identified resources that therapists can draw upon to inform their practice (Hayes & McGrath, 1998; Lieberman & Scheer, 2002), and articulated strategies to gather research evidence in practice (Tickle-Degnen 2000a; Unsworth, 2000). As associate editor of the American Journal of Occupational Therapy Evidence-Based Practice Forum, Tickle-Degnen has also written a series of articles that explain how to engage clients in the research process, and communicate research evidence to clients and families (1998, 2002).
Journal Articles
The American Journal of Occupational Therapy, 1992, Vol. 46(10), 917–925.
Published: 01 October 1992
Abstract
This paper introduces a practice model based on the occupational adaptation frame of reference (Schkade & Schultz, 1992). The occupational adaptation practice model emphasizes the creation of a therapeutic climate, the use of occupational activity, and the importance of relative mastery. Practice based on occupational adaptation differs from treatment that focuses on acquisition of functional skills because the practice model directs occupational therapy interventions toward the patient’s internal processes and how such processes are facilitated to improve occupational functioning. The occupational adaptation practice model is holistic. The patient’s occupational environments (as influenced by physical, social, and cultural properties) are as important as the patient’s sensorimotor, cognitive, and psychosocial functioning and the patient’s experience of personal limitations and potential is validated. The integration of these concepts drives the treatment process. Through a description of treatment with a variety of patients, this paper presents the model’s diversity and illustrates the relationship between the concepts. The occupational adaptation practice model reflects the uniqueness of occupational therapy and integrates the profession’s historical practice with contemporary interventions and methods.
Journal Articles
The American Journal of Occupational Therapy, 1992, Vol. 46(9), 829–837.
Published: 01 September 1992
Abstract
A theoretical perspective designed for clinical application and based on fundamental occupational therapy principles is offered. This perspective, the occupational adaptation frame of reference, is presented as an articulation of (a) a normal developmental process leading to competence in occupational functioning;(b) the process through which the benefits of occupational therapy occur; and (c) a perspective that promotes holistic practice. The person is viewed as operating occupationally through an idiosyncratic configuration of sensorimotor, cognitive, and psychosocial systems, all of which are inevitably involved in each occupational response. This occupational functioning is described as occurring through interaction of the person with a work, play and leisure, or self-care context that has distinctive physical, social, and cultural properties (i.e., the occupational environment). Occupational adaptation is a perspective that can influence practice, education, and research.
Journal Articles
The American Journal of Occupational Therapy, 1990, Vol. 44(9), 792–795.
Published: 01 September 1990
Abstract
The shortage of occupational therapists choosing to practice in mental health and the increase of therapists electing to specialize in other areas led to a pilot study designed to gather information regarding the value of psychosocial Level II fieldwork. A survey was mailed to 152 practicing occupational therapists who had graduated from Colorado State University in Fort Collins between 1983 and 1988; of the surveys returned, 116 were used in this study. The results indicate that the psychosocial Level II fieldwork experience provides therapists with valuable training and experience regardless of their current area of practice or specialization. The results also suggest that to preserve the holistic approach that occupational therapists offer their clients, psychosocial Level II fieldwork must remain a requirement of occupational therapy programs.
Journal Articles
The American Journal of Occupational Therapy, 1986, Vol. 40(2), 117–121.
Published: 01 February 1986
Abstract
There is a growing concern that extensive specialization in occupational therapy may so fragment the profession that it may be lost in the changes taking place in the delivery and payment of health care services. The early concepts of occupation and purposeful, developmentally appropriate activities are giving way in some settings to the use of highly specialized technologies. This article examines the trend of leaving occupational behaviors and adopting activity of a more technical nature and offers a conceptual model to preserve the traditional holistic approach to the practice of occupational therapy in today’s climate of specialization. The approach is seen as important to the viability of the profession in a modern competitive health care market.