Comprehensive occupational therapy evaluation scale.

ABSTRACT This paper presents the Comprehensive Occupational Therapy Evaluation Scale (COTE Scale) for use by occupational therapists in short-term, acute-care psychiatric facilities. The scale defines 25 behaviors that occur in and are particularly relevant to the practice of occupational therapy. The scale is used as an initial evaluation, as a record of patient progress, and as a means of communicating the evaluation, progress, and treatment to other hospital departments. Ratings of patients that indicate improvement and readiness for discharge are supported by the evaluations of other disciplines.

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    ABSTRACT: Many clients treated by occupational therapists in psychiatric settings are survivors of sexual abuse. The diagnosis of post-traumatic stress disorder (PTSD) and multiple personality disorder (MPD) most accurately reflect the experience of these clients, yet misdiagnosis is common. An overview of these diagnoses is presented. Psychotherapeutic principles are reviewed and a dual approach to occupational therapy is suggested. Within this dual approach, the model of human occupation (Kielhofner & Burke, 1980) is useful in addressing a client's present daily living concerns. Object relations theory guides an occupational therapy focus on recall and emotional recovery from past abuse experiences. A case study illustrating a dual approach to occupational therapy is presented.
    Occupational Therapy in Health Care 01/1992; 8(2-3):1-25.
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    ABSTRACT: The Activity Card Sort (ACS) is a widely used measure for assessing participation in instru-mental, leisure, and social-cultural activities. The ACS addresses previous and current acti-vities but not future activity plans. The purpose of the study was to extend the ACS to include future planning. Previous research indicates that participation in activities and future plan-ning is positively related to life satisfaction, and increased well-being and that these positive effects were most pronounced for adults 60 years and older. The current study participants were 60 Israeli adults aged 55 -74 years. The research finds future planning to be widespread, common and significant among older adults. Moreover, it was found that older people planned to continue previous activities more that they planned new activities for the future, indicating more continuity than innovation among the par-ticipants in this study. Participants with higher current or past activity levels planed a greater number of future activities. Construct validity using known group method showed the ex-tended ACS to have discriminant validity with respect to age (younger participants were more active) and gender (highly physical activities were favored by men). MANOVA repeated mea-sures and Pearson correlations demonstrated moderate-high test-retest reliability for the ex-tended ACS.
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    ABSTRACT: The Family plays a critical role in the care of the person with Alzheimer's disease (AD). Caregiving requires the family to assume multiple roles and interact with both formal and informal service providers. The Functional Behavior Profile (FBP) identifies the remaining strengths of the person with AD. This information can be used to foster communication between the caregiver and the professional so they can jointly plan strategies to maximize function and at the same time minimize the burden of care. The FBP provides the structure for the caregiver's observations of the capacities of the person with AD in the areas of problem solving, task performance, and socialization. Examples are presented of how a caregiver can use this information to support continued engagement of the person with AD in meaningful activities.
    Alzheimer's care today 03/2003; 4(2):108-118.