OT Corner: Client-Centered Practice in Pediatrics
[Source: Handwriting is Fun]
by Katherine Collmer, OTR/L
In recent years, the role of OT, in general, has been changing with the waves of healthcare and education reforms. Despite a certain amount of turmoil and confusion where those changes may have thrown us a curve ball, most often they have provided us with an opportunity to make a difference in an area in which we’ve longed to see an improvement. Client involvement is an excellent example of a concept that can turn the tide in school-based and pediatric practice. Although this concept is relatively new in pediatrics, it remains an important one to embrace as we enter this new generation of healthcare and education perspectives. In that light, this week’s article focuses upon the concepts that define a client-centered therapeutic approach and the implications for its use in all facets of occupational therapy, including pediatrics and in the schools.
The Rehabilitation Process and Client Centered Practice: Defined
The rehabilitation process can be defined as a “reiterative, active, educational, problem solving process focused on a patient’s behavior (disability)” that uses assessment, goal setting, intervention, and evaluation tools to achieve its objectives. The objective of the rehabilitation process includes maximizing the client’s participation in his or her environment and to minimize the effects of pain and distress on the client and client families. (1) In recent years, the approach to rehabilitation has moved from a “predominantly medical one to one in which psychological and sociocultural aspects are equally important.” This has resulted in transforming the rehabilitation process into a client-centered practice where the personal perspectives and backgrounds of the client are becoming increasingly important.
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