7 Steps to a Highly Effective Occupational Therapy Service – Intervention


Working with people, you will find that there is no one theory, practice or strategy that will help solve all the persons issues or problems. As an occupational therapist you have been dual trained, so you can select the best fit for your client.

In this series of 7 blogs, I have illustrated how the OT process can be used over and over again, in a micro or macro context, in any area of practice.

Each blog is designed so each section of the process stands alone, and you can begin at the beginning, middle or at the end, depending on your burning issue.

In this blog I have focused on intervention, the bit that enables the change to occur.

By this point you will have received your referral, and clarified the areas that require an Occupational Therapist. You will have prioritised all the areas that have been identified, consulted with the client and listened to hear the most meaningful difference you could make to their lives.

Now it’s your job to ensure that this is achieved and there is no fail. The way you do this is through activity analysis. So clarifying the activity and breaking it down to its component parts, and then maybe depending on your client breaking it down some more so that the first step is always achievable.

That can be as small as flexion and extension of a thumb, which can be measured by degrees, or as large as applying for a job, which can be measured by someone getting a job, and staying in a job for over 6 months.

This is the absolute core skill of an Occupational Therapist, breaking down activities into achievable steps and working with the client to achieve them. You are using all your skills and abilities to enable, advocate and collaborate with your client so that they are doing something that is meaningful for them.

There are lots of complex batteries and assessments out there, and you can use any of them that you find the most useful. They will all require you to break down tasks, and break them down some more, until they are achievable and record then the progress.

Measuring change and progress is in my next blog – outcome measurement.

If you have any questions or comments I would love to hear from you.

Just email me on margaret@ot360.co.uk or you can visit my website www.margaret@ot360 if you would like a bit more information about me
will help solve the all the persons issues or problems.

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About Margaret Spencer

For the kind of collaborative supervision you have always wanted. Are you are passionate and enthusiastic about occupational therapy? Are you working in the NHS, third sector, independently or for a private company? Would you like your supervision to enhance, and develop your professional practice? If you answer yes to any of the above I would love to hear from you. Have a look at my website www.ot360.co.uk to see where we could work together. I have supported many occupational therapists in developing a service from scratch,. I have worked with OT's to design training packages for support staff in older adult falls services, I continually carriy out audits in psychiatric intensive care units, and learning disabilities forensic services. On behalf of commissioners I have completed service reviews in learning disabilities from 2002 onwards. I complete individual HCPC audits with OT staff in many different clinical areas, am involved in yearly appraisals, and monthly supervision sessions. I also critique, design and write job descriptions. I shortlist and interview for all levels of OT post from Band 5-8. What ever your needs I can support you.

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