82 terms

Ethics, Standards of practice, Emerging practice, Professional Associations, Licensure


Terms in this set (...)

branch of philosophy involves systemic study and reflection on morality
social conventions about right and wrong sets the stage for ethical behavior
Moral reasoning
used to reflect on ethical issues ethics provides the mechanism for this process moral reasoning results in a course of action
Moral distress
occurs when practitioners know the right thing to do but cannot achieve it because: external barriers or uncertainty about the outcome
Common causes of moral distress
Confidentiality and disclosure
Quality of life
Issues related to client decision‐making capacity and participation
Professional boundaries
Conflicts with organizational policies
Resource allocation and priorities in tx Cultural, religious, and family considerations Balancing benefits and burdens in care Reimbursement Difficult client behaviors Conflicting values surrounding goals of care
Virtues of health care professionals
Ethical issues should be distinguished from..
Clinical issues
Legal issues
a form of self‐assessment that can be used to improve practice Values clarification
Use of oral and written narratives
Principle‐based approach
Virtue‐and character‐based ethics
Regulatory agencies
State Regulatory Boards
Occupational therapy code of ethics and ethics standards (2015)
public statement of principles used to promote and maintain high standards of conduct within the profession

Identify and describe the principles supported by the OT profession
Educate the general public and members regarding established principles to which OT personnel are accountable

Socialize OT personnel to expected standards of conduct
Assist OT personnel in recognition and resolution of ethical dilemmas
Most prevalent OT ethical concerns in..
Education Research Practice
Applicable to:
Occupational Therapists Occupational Therapy Assistants Students in all roles
Core values and attitudes of OT practice
Altruism Equality Freedom Justice Dignity Truth Prudence
Principle 1: Beneficence
OT personnel shall demonstrate concern for the
wellbeing and safety of the recipients of their
All forms of action intended to benefit other
Mercy Kindness Charity Requires you to take action by helping others
Principle 2: Non- maleficence
Occupational therapy personnel shall refrain from actions that cause harm.
Refrain from: Causing harm Inflicting injury Wronging others
Principle 3: Autonomy
Occupational therapy personnel shall respect the right of the individual to self-determination, privacy, confidentiality, and consent.
The right to make a determination regarding care decisions that directly impact the life of the service recipient
Principle 4: Justice
OT personnel shall promote fairness and objectivity in the provision of OT services.
Fair Equitable Appropriate distribution of resources
Principle 5: Veracity
OT personnel shall provide comprehensive,
accurate, and objective information when
representing the profession.
Based on virtues of: Truthfulness Candor Honesty
Comprehensive, accurate, and objective
transmission of information and includes fostering the client's understanding of such information.
General Communication Documentation Marketing & Advertising Contracts Employer and Student Evaluations Writings & Publications
Principle 6: Fidelity
OT shall treat clients, colleagues and other professionals with respect, fairness, discretion, and integrity.
Good‐faith relationships between various service providers & recipients. Maintaining collegial and organizational relationships. Practitioners, educators, and researchers must balance their duties to: Service recipients, students, research participants Other professionals Organizations that may influence decision‐making and professional practice.
AOTA disciplinary actions
Probation of membership
Revocation of membership
NBCOT Principle 1
Certificants shall provide accurate and truthful representations to NBCOT concerning all information related to aspects of the Certification Program, including, but not limited to, the submission of information.
NBCOT Principle 2
Certificants who are the subject of a complaint shall cooperate with NBCOT concerning investigations of violations of the NBCOT Practice Standards, including the collection of relevant information.
NBCOT Principle 3
Certificants shall be accurate, truthful, and complete in any and all communications, direct or indirect, with any client, employer, regulatory agency, or other parties as relates to their professional work, education, professional credentials, research and contributions to the field of OT.
NBCOT Principle 4
Certificants shall comply with laws, regulations, and statutes governing the practice of occupational therapy.
NBCOT Principle 5
Certificants shall not have been convicted of a crime, the circumstances of which substantially relate to the practice of occupational therapy or indicate an inability to engage in the practice of occupational therapy safely, and/or competently.
NBCOT Principle 6
Certificants shall not engage in behavior or conduct, lawful or otherwise that causes them to be, or reasonably perceived to be, a threat or potential threat to the health, well‐being, or safety of recipients or potential recipients of occupational therapy services.
NBCOT Principle 7
Certificants shall not engage in the practice of occupational therapy while one's ability to practice is impaired due to chemical (i.e., legal and/or illegal) drug or alcohol abuse.
Children and Youth
Broader Scope in Schools
Childhood Obesity
Driving for Teens
Transitions for Older Youth
Mental Health
Sensory Approaches to Mental health
Recovery and Peer Support Model
Veterans and Wounded Warriors
Health & Wellness
Chronic Disease Management
Productive Aging
Alzheimer's Disease & Dementia
Low Vision
Aging in Place & Home Modification
Community Mobility & Older Drivers
Rehabilitation, Disability & Participation
Autism in Adults
Hand Transplants & Bionic Limbs
Veterans and Wounded Warrior Care
Cancer Care & Oncology
New Technology for Rehab
Work & Industry
Aging Workforce
New Technology at Work
Distance Learning
Standards of Practice
Standard I : Professional Standing & Responsibility
Standard II: Screening, Evaluation, Re-evaluation
Standard III: Intervention
Standard IV: Outcomes

Apply to the OT and the OTA
Help to define the delivery of OT services
o Client centered
o Interactive in nature

Identify minimum standards for OT practice
Education, Examination, Licensure
• must practice under federal and state law
• accredited by the Accreditation Council for Occupational Therapy Education
• successfully completed a period of supervised fieldwork experience
• passed a nationally recognized entry-level examination for occupational therapists
• fulfills state requirements for licensure, certification, or registration
Standard 1: Professional Standing & Responsibility
• Licensure • Philosophical base of OT • Standards for Continuing Competency • Ethics • Standards of Practice • Research knowledge • Effectiveness of treatment
Standard 2: Screening, Evaluation, and Re-evaluation
• Referrals -Response to referrals -Referral to resources -Education about OT services
• Screening for OT needed services -OT and OTA - • Evaluation

can treat without a referral
referral is for reimbursement purposes
Standard 3: Intervention
• Implementation -OTA implements under direction of OT
OTA can assist with implementation but cannot change anything
• Documented within time frames •
• Goals are: -Client centered; contextually relevant
-Clear & measurable
-Functional; appropriate to clients' needs
Standard 4: Transition, D/C, and Outcomes
• Implementation of intervention plan -Purposeful activities / Therapeutic methods
• OTA may implement the plan under supervision of OT
• Informs client of TX •
• Re-evaluation
• Modification of intervention
• Documentation
Transition Services
• Plan for transition -OTA contributes •
• Cooperative effort

-Community resources
• Client achieved goals
• Maximum benefit
• Desires to discontinue services
• Discharge Plan
• Documentation -OTA contributes -Follow-up -
Core Values & Attitudes
• Altruism • Equality • Freedom • Justice • Dignity • Truth • Prudence •
engaged in a profession; requires specialized education and training
line of business or a way of making a living
Professional Identity includes:
Is a Developmental process.
Professional organizations enhance :
individuals' professional identity
the profession

Occupational therapy students

Occupational therapy assistants

Occupational therapists
Professional Associations
American Occupational Therapy Association (AOTA)

American Occupational Therapy Foundation (AOTF)

National Board for Certification in Occupational Therapy (NBCOT)

Florida Occupational Therapy Association (FOTA)

Canadian Association of Occupational Therapists (CAOT)

Association of Caribbean Occupational Therapists (ACOT)

Confederación Latinoamericana de Terapeutas Ocupacionales (CLATO)

Australian Association of Occupational Therapists

American Society of Hand Therapists (ASHT) (could be joined by OT and PT)

Rehabilitation Engineering and Assistive Technology Society of North America (RESNA)
(could be joined by OT and PT)
Our national association is..
The state association is..
Florida Occupational Therapy Association (FOTA)
Established in 1917 as the NSPOT

Professional voice of the profession in the public, legal, and professional communities

Membership Benefits:
Continuing Education
Special Interest Sections

voluntary member organization in the United States, responsible for:

Guiding and developing occupational therapy's standards and code of ethics

Defining the profession's scope of practice
AOTA Centennial Vision (2017)
"We envision that OT is a powerful, widely recognized, science-driven, and evidence-based profession with a globally connected and diverse workforce meeting society's occupational needs"
Representative Assembly (RA)
Elected by state or area members

Deal with the policies, procedures and make sure OT is recognized within the public and that they know of our services
AOTA officers and directors
Four elected officials
Board of Directors
Do not receive salary for being president (Dr. Amy Lamb), its voluntary
Commission on Practice (COP)
serves in representative assembly to promote quality of practice; set the standards for service delivery for OT and OTA
Commission on Education (COE)
main task is dealing with issues related to education
Standards and Ethics Commission (SEC)
deals with ethical issues
Roster of Accreditation Evaluators (RAE)
part of committee who accredits academic institutions
Special Interest Sections Council (SISC)
deals with issues specific to administration and management, developmental disabilities, education early intervention, school, gerontology, home health, mental health, physical disabilities, SI, work, technology
Assembly of Student Delegates (ASD)
students' direct input into AOTA
Vote on the RA of AOTA
Input into the Executive Board of AOTA

The students voice in AOTA
Bring issues to the RA that relate to the students (OT and OTA)
Strategic Goals of AOTA:
Building the profession's capacity to fulfill its potential and mission

Demonstrating and articulating our values to individuals, organizations, and communities

Linking education, research and practice

Creating an inclusive community of members

Securing financial resources to invest in the profession's ability to respond to societal needs
The Fund to Promote Awareness of OT
Committee that promotes and markets OT

Publish ads in non professional publications to promote OT
American OT Political Action Committee (AOTPAC)
group that advocates for legislation

very active in the legal and legislative arenas
Part of AOTA

Supports development of OT knowledge base

Funded research

Student scholarships

Accreditation Council for Occupational Therapy Education (ACOTE)
Under the umbrella of AOTA

Develops and implements standards

Evaluates educational programs for accreditation
Is the state level organization whose mission is to serve as a collective body to support, develop and represent the occupational therapy profession for the advancement of the practice and to better serve the consumer

annual conference held in November
Relationship and Autonomy

Do not alter the ultimate autonomy of each entity

Each State Affiliate (and AOTA) remain solely responsible for its own assets and liabilities.
WFOT (World Federation of OT)
International representative for Occupational Therapy around the world

Official international organization for the promotion of occupational therapy
Independent national credentialing agency

Administers the OT certification examination

Responsible for disciplinary actions

Is NOT part of AOTA
Different from the licensure board
Provides you with the R in OTR
Does NOT provide license, just the test
State Regulatory Boards
Each state or jurisdiction regulates occupational therapy.
Licensure board or regulatory agency.
Regulatory guidelines are established by each state and may vary somewhat

Graduated from an accredited occupational therapy program (ACOTE accredits this)

Successfully passed the certification examination of the NBCOT

License renewed every 2 years
Florida Licensure Board
Located in Tallahassee
Once you pass NBCOT exam they give you the license to practice in FL
Chapter 468 (Part III)
commonly referred to as the "Occupational Therapy Practice Act"
The Florida Statutes
Laws of the state that are created and passed by the Florida Legislature
Florida Board of OT Practice
o legislatively established
o minimum requirements for safe practice
o responsible for licensing, monitoring, disciplining and educating occupational therapists to assure competency and safety to practice in Florida
Can remove your license if you act a fool
Occupational Therapy Practice Act
provide for the regulation of persons offering OT services to the public in order to:
• safeguard the public health, safety, and welfare
• protect the public from being misled by incompetent, unscrupulous, and unauthorized persons
• assure the highest degree of professional conduct on the part of occupational therapists and occupational therapy assistants
• assure the availability of occupational therapy services of high quality to persons in need of such services
Requirements for licensure
o written application with application fee showing to the satisfaction of the board that she or he:
• is of good moral character
• successfully completed the academic requirements of an educational program in occupational therapy recognized by the board
• successfully completed a period of supervised fieldwork. a minimum of 6 months for OT; a minimum of 2 months for OTA

Has passed an examination by the board
Temporary license
• Only one shall be issued to an applicant, nonrenewable
• Good for 3 months or until certification exam is taken
CE requirements - 1st time License
1 hour of HIV/AIDS Course - BOARD APPROVED
CE requirements ‐ License Renewal
o 2 hours of medical errors - BOARD APPROVED
o 2 hours of OT laws and rules‐ BOARD APPROVED
o 22 hours - Not board approved but reputable
o Totaling 26 Continued Education Units (CEUs)
The Board does not provide individual course approval. It allows the professional licensee to determine if a course is appropriate for CE credit/requirements.
Licensees may receive CE credit for courses that have not been pre‐approved by the Board of Occupational Therapy Practice nor sponsored by an approved provider, including out of state courses taken for other state(s) CE requirements, if such courses meet the same criteria as needed for provider approval.
Electrical Stimulation Device
• prescription is required
• employs transcutaneous electric current (direct, alternating, or pulsatile) for therapeutic purposes

o Supervised treatment sessions
• PT/PTA, OT/L and/or OTA/L who have completed 4 hours of coursework in the use of electrical stimulation devices and five (5) supervised treatments

o Students can now also get certified by following the same steps.
o Online courses are NOT approved for the didactic or performance training.

Includes Ultrasound
Student can treat Medicaid and Medicare patients