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Developing guidelines for client-centred occupational therapy practice.

E Townsend1, S Brintnell, N Staisey

  • 1School of Occupational Therapy, Dalhousie University, Halifax, Nova Scotia B3H 3J5.

Canadian Journal of Occupational Therapy. Revue Canadienne D'Ergotherapie
|April 1, 1990
PubMed
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The Canadian Guidelines for client-centred occupational therapy practice were developed to ensure health service quality. These national guidelines cover occupational performance, intervention, and outcome measurement, with ongoing efforts to update them.

Area of Science:

  • Occupational Therapy
  • Health Services Quality Assurance

Background:

  • National consensus guidelines were developed to address concerns about health service quality.
  • Three volumes of guidelines were created between 1979 and 1987 by successive Task Forces.
  • The guidelines focus on client-centred practice in occupational therapy.

Purpose of the Study:

  • To outline a conceptual framework for occupational therapy's central concern: occupational performance.
  • To detail stages in client-centred occupational therapy practice, including assessment and program planning.
  • To provide guidelines for intervention, discharge, follow-up, and evaluation, and address outcome measurement.

Main Methods:

  • Development of national, generic, consensus guidelines.
  • Creation of three volumes covering conceptual framework, practice stages, intervention, and outcome measurement.

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  • Overview of guideline development and author's hopes for their influence.

    • Main Results:

    • Volume I presents a conceptual framework for occupational performance within environmental contexts and practice stages.
    • Volume II details intervention processes and evaluation.
    • Volume III addresses outcome measurement related to occupational performance.

    Conclusions:

    • The guidelines provide a comprehensive framework for client-centred occupational therapy practice.
    • While formal documentation of use is lacking, projects are emerging from the guidelines.
    • An updating process for the guidelines is being proposed by the Canadian Association of Occupational Therapists Client-Centred Practice Committee.