“Accident, illness and ageing can turn everyday activities into challenges which reduce independence and undermine our sense of identity. Occupational therapists recognise that being able to perform these daily activities is crucial to health and wellbeing.” College of Occupational Therapy (2016)
All residents within Northern Healthcare can access Occupational Therapy based on their individual needs identified within the clinical pathway. The pathway ensures consistency across the units in delivering a high quality service to its residents in terms of assessment and access to treatment interventions. The pathway also aims to improve the communication of professionals, give clear markers of improvements for residents and produces outcome measures to demonstrate clinical effectiveness.
The MOHO (Model of Human Occupation, Kielhofner, 2002) is the chosen Occupational Therapy model integrated into clinical practice within Northern Healthcare. The model offers a range of standardised, formal assessments which focus on how the environment influences occupational performance, how people are motivated and make choices for participation in occupation, how routines of everyday occupational life are established and maintained and how an individual organises his / her occupational performance.
A number of standardised assessments based on this model as well as additional formal and in-house developed assessments are used to inform treatment and to assess specific areas of functioning and risk.
The battery of assessment tools available within Northern Healthare include;
- Observational Single Assessment MOHOST to ascertain the residents general functioning within the service and in specific environments.
- OSA (Occupational Self-Assessment) to obtain the resident’s view of his functioning and to further develop OT treatment aims.
- Observational single assessment MOHOST to ascertain group / interpersonal functioning in a group setting.
- The Functional Living Scale (UK version)for Increased understanding of levels of skill, increased ability to treatment plan and prepare people for moving on
- Cooking Assessment (MOHOST)
- ADL Assessment to establish a baseline in current level of functioning
- OCAIRS (Occupational Circumstances Assessment and Interview Rating Scale)
- Community Assessment can include accessing transport (MOHOST)
- VQ (Volitional Questionnaire)
- ACIS (Assessment of Communication and Interaction Skills)
- Occupational performance history interview (OPHI)
- Cognitive Assessments such as the CAM (Cognitive Assessment of Minnesota)
- Basic skills education assessments in Numeracy and Literacy
A range of report formats can be generated by the Occupational Therapist to meet the needs of the resident, referrer and ongoing clinicians involved in the care of our residents these include CPA reports, Case Formulations, reports to assess level of functioning for funding panel requirements and discharge reports.
Occupational Therapists will be available to attend referrals to the service if required and will be part of the pre-admission review where information is disseminated and potential initial treatment needs can be discussed. The OT will liaise with other health professionals and services known to the resident to gather information.
OT treatment plans are devised in collaboration with the resident reflecting the assessment outcomes and will be regularly reviewed.
All residents will be offered and actively encouraged to engage with established community based resources as part of their ongoing recovery journey. OT’s will signpost residents to relevant services and the level of support can be graded to suit the individual’s needs. These can include;
- Vocational opportunities (such as engaging in volunteering opportunities or paid work schemes)
- Education (supporting individuals to access local adult learning facilities or supporting distance learning projects)
- Leisure (centres, groups, outdoor and indoor activities)
- Social (clubs, support groups, religious)
Individual’s equality and diversity needs will also be taken into consideration when signposting to community based resources.