Comprehensive occupational therapy evaluation scale


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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    • "Group size was 8–12 persons. In order to measure outcomes, the occupational therapists used concepts from the 'Occupational Therapy Task Observation Scale' (Margolis et al., 1996) and 'Comprehensive Occupational Therapy Evaluation' (Brayman et al., 1976) to design their own assessment tool, called 'Task Behavioural Scale' (TBS). This is an observer-rated scale of eight items, namely engagement, following instructions, quality of work, initiative, concentration, cooperation, interpersonal skills and communication. "
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    ABSTRACT: Statement of context: In April 2011, a contract between Singapore Prison Service and Institute of Mental Health paved the way for setting up the first occupational therapy service within the prisons. A well-defined workflow was put in place and a variety of group activities were drawn up to improve life management and social skills among offenders. Critical reflection on practice: Occupational therapists found it challenging to provide authentic occupations for offenders within the custodial prison setting, but were able to gradually create pockets of opportunities to improve socialization and assign worker roles for them. After 1 year of occupational therapy intervention, the offenders showed an improvement in all functional domains of the adapted Task Behavioural Scale. Through close collaboration, correctional officers were also gradually supportive of new therapeutic initiatives. Summary: Overall, the occupational therapists found that they had gained new valuable skills in adjusting therapy to cater to different risk levels.
    Full-text · Article · Jun 2015
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    • "Many evaluation tools assess occupational performance [29] [30], however very few assess leisure and IADL activities in an ecological context [31]. Although a few assessment tools assess the leisure and IADL occupational domains, most are structured as questionnaires or scales (e.g., COTE [32], COPM [33]). The uniqueness of the ACS lies in the life-like pictures it presents to the person to sort. "
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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.
    Full-text · Article · Feb 2013 · Health
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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.
    No preview · Article · Dec 1992 · Occupational Therapy in Health Care
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