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Occupational Therapy Practice Guidelines for Children and Youth Ages 5-21 Years
Susan M Cahill1, Stephanie Beisbier2
1Susan M. Cahill, PhD, OTR/L, FAOTA, is Associate Professor and Occupational Therapy Department Chair, MSOT Program, Lewis University, Romeoville, IL.
Summary
Activity- and occupation-based interventions effectively enhance participation and performance in children and youth (ages 5-21). Occupational therapy practitioners should collaborate with families and use natural contexts for interventions.
Area of Science:
- Occupational Therapy
- Pediatric Rehabilitation
- Evidence-Based Practice
Background:
- Increasing demand for activity- and occupation-based interventions for children and youth.
- Need for guidance in service delivery for optimal participation.
Purpose of the Study:
- Develop a Practice Guideline for activity- and occupation-based interventions.
- Support best practices in service delivery for children and youth (ages 5-21).
Main Methods:
- Systematic reviews (SRs) of activity- and occupation-based interventions.
- Synthesis and translation of SR findings into recommendations.
- Inclusion of 185 articles across three SRs.
Main Results:
- Evidence supports interventions for daily living, mental health, social participation, and school engagement.
- Interventions address typical concerns managed by occupational therapy practitioners.
- Positive outcomes demonstrated for various functional areas.
Conclusions:
- Collaborate with families and provide services in natural contexts.
- Utilize group and peer mediation models for enhanced participation.
- Prioritize skills-based training and therapeutic practice in valued occupations over isolated approaches.
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