Transcript Document
1990-1999 Joanne Haggar Chelsea Townsend Maggie High Jocelyn Thankachan Historical Events • 1989-1993- President George H. W. Bush • 1993-2001- President Bill Clinton • 1990- World Wide Web invented • 1991- Collapse of the Soviet Union • 1992- Official end of the Cold War • 1997- Scientists clone sheep Health Care Events • 1990- Human Genome Project was established • 1990- Nutrition Labeling Education Act • 1990- Ryan White Comprehensive AIDS Resources Emergency (CARE) Act • 1991 - AOTA Accreditation Committee changed its name to AOTA Accreditation Council for Occupational Therapy Education (ACOTE) • 1993- President Clinton proposes a national insurance Health Security Plan • 1993- Vaccine for Children Program • 1996-1997- Medical Savings Account plan was introduced • 1997 - ACOTE accreditation to OT programs outside the US Americans with Disabilities Act of 1990 • Goal: Include people with disabilities into the mainstream of American life • Areas: Public accommodations, public transportation, telecommunications, employment, and state and local government services • Occupational therapists consulted with public institutions and employees to help them comply with the new laws of ADA • Examples Restaurants Public Transportation Individuals with Disabilities Education Act (IDEA) • 1990- Replaced the Education of the Handicapped Act • All children with disabilities are entitled to a free appropriate public education • Requires Individualized Education Programs (IEPs) for each child • Occupational therapists incorporate IEPs into treatment • Amendments of 1997 HIPAA • Protects privacy • New technologies pose new security risks • OT’s to keep records secure Balanced Budget Act of 1997 Purpose • Enacted by Bill Clinton • Intended to tighten Medicare payments to health care providers/plans, protecting and cutting taxes for middle class families • Extends health insurance coverage for millions of children What it means for OT • Affects how much therapy a person can get each year, preventing them to live life to its fullest • Affects nursing homes, hospitals, clinics, and rehabilitation agencies • In 2013, cap is set at $1900 for occupational therapy services Florence Clark (Slagle Lecture 1993) • Associate Dean, Chair member, and Professor at USC • Well Elderly Studies at USC Lead researcher OT and the aging process • Occupational story-telling (past) Means by which therapists can better understand the person as a whole, instead of just a patient • Occupational story-making (future) Creating stories for the future Problems and solutions • Find occupations that join the old self with the new self Catherine A. Trombly (Slagle Lecture 1995) • “Both occupation-as-end and occupation-as-means garner their therapeutic impact from the qualities of purposefulness and meaningfulness” (Trombly, 1995). • Co-author of Occupational Therapy for Physical Dysfunction David Nelson (Slagle Lecture 1996) • Defines occupation as “the relationship between an occupational form and occupational performance.” • Occupational performance- “the doing” • Occupational form- “the thing, or format, that is done” • Subjective aspects of occupation: • Meaning • Purpose • Model of Practice • Recommendations for the future of OT: • Greater influence on research • Support the idea of occupation as therapy Anne Fisher (Slagle Lecture 1998) • Occupation: A noun of action • Occupation is an “…activity that is both meaningful and purposeful to the person who engages in it” (Fisher, 1998). • Intervention Process Model Use of top-down approach to evaluate Serves as a framework for healthcare practitioners References Clark, F. (1993). Occupation embedded in a real life: Interweaving occupational science and occupational therapy. Retrieved from https://www.aota.org//media/Corporate/Files/Publications/AJOT/Slagle/1993.pdf Driscoll, A., & Nagel, N. (2010, July 20). Individuals with disabilities education act (IDEA). Education.com. Retrieved from http://www.education.com/reference/article/individualsdisabilities-education-act/ Fisher, A. (1998). Uniting practice and theory in an occupational framework. Retrieved from https://www.aota.org/-/media/Corporate/Files/Publications/AJOT/Slagle/1998.pdf History of AOTA Accreditation. (n.d.). Retrieved from http://www.aota.org/educationcareers/accreditation/overview/history.aspx Individuals with disabilities education act (IDEA). (2014, January 1). Retrieved from http://www.apa.org/about/gr/issues/disability/idea.aspx Kornblau, B. (2000). Occupational therapy and the americans with disabilities act (ada). American Journal of Occupational Therapy 54(6) 622-625 References Nelson, D. L. (1997). Why the profession of occupational therapy will flourish in the 21st century. American Journal of Occupational Therapy, 51, 11-24. Occupational Therapy in School Settings. (2010, January 1). AOTA.org. Retrieved from http://www.aota.org//media/Corporate/Files/AboutOT/Professionals/WhatIsOT/CY/Fact Sheets/School%20Settings%20fact%20sheet.pdf Office of the Professions. (n.d.). Retrieved September 15, 2014. Summary of the HIPAA Security Rule. (n.d.). Retrieved September 15, 2014. The Medicare part B outpatient therapy caps. (2014, January 15). Retrieved from http://www.aota.org/-/media/corporate/files/conferencedocs/hillday/medicaretherapycaponepager-2013 Trombly, C. (1995). Occupation: Purposefulness and meaningfulness as therapeutic mechanisms. American Journal of Occupational Therapy, 960-972.