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Documentation of occupational therapy services: a process model.

L A Llorens, K Donaldson

    Canadian Journal of Occupational Therapy. Revue Canadienne D'Ergotherapie
    |November 7, 1983
    PubMed
    Summary
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    This study introduces a process model for occupational therapy and the Occupational Therapy Sequential Client Care Record (OTSCCR). The OTSCCR ensures thorough documentation of client care from start to finish.

    Area of Science:

    • Occupational Therapy
    • Healthcare Documentation
    • Process Modeling

    Background:

    • Effective documentation is crucial for occupational therapy services.
    • Existing documentation methods may not fully capture the continuum of care.
    • A standardized process model can enhance service delivery and record-keeping.

    Purpose of the Study:

    • To describe a novel process model for occupational therapy.
    • To introduce the Occupational Therapy Sequential Client Care Record (OTSCCR).
    • To demonstrate how the OTSCCR integrates the process model for comprehensive documentation.

    Main Methods:

    • Development of a conceptual process model for occupational therapy.
    • Design of the Occupational Therapy Sequential Client Care Record (OTSCCR).

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  • Integration of the process model within the OTSCCR framework.

    • Main Results:

    • A defined process model for occupational therapy practice.
    • The Occupational Therapy Sequential Client Care Record (OTSCCR) as a tool for comprehensive documentation.
    • Demonstration of the OTSCCR's utility from client referral to intervention outcomes.

    Conclusions:

    • The described process model and OTSCCR provide a structured approach to occupational therapy documentation.
    • The OTSCCR facilitates comprehensive tracking of occupational therapy services.
    • This model and record system can improve the continuity and quality of occupational therapy care.