Discussion 1



Corevalues underlying the predominant practice methodologies and methodsin Setting A

  • Collaboration – therapy practitioners meet each morning to determine how client caseload is distributed and how members collaborate throughout the day to enhance intervention ideas (Schell et al, 2013).

  • Prioritization of self-care (ADL) activities – each client has priorities beyond instrumental ADL which are created when creating occupational spaces.

  • Leadership role of designing the group to determine how projects can be completed over 3-5 days, focusing on individual goals or group aspects for each occupational project.

  • Focusing on client interests – the projects are completed through steps and tasks aimed at meeting the clients’ interests successfully (Schell et al, 2013).

  • Discharge planning – to ensure that the tasks and environments of the clients reflect their performance patterns and contexts.

Corevalues underlying the predominant practice methodologies and methodsin Setting B

  • Independence – Therapy practitioners plan for daily clients’ caseloads such that they work independently of each other

  • Same tasks for all clients – occupational therapy for ADL among all clients is provided in the morning and individual sessions are provided thereafter as scheduling practice to enhance productivity.

  • Physical components of function are emphasized rather than the goals or interests of clients (Schell et al, 2013).

  • Discharge planning, splinting and staff meetings are done in the kitchen to avoid client distractions.


Basedon my experience in OTA and conceptualization of OTRresponsibilities, I prefer the first setting (A) because it enhancescollaboration among the therapy practitioners in all occupationalprojects and planning (Schell et al, 2013). It also focuses on theinterests and goals of clients. Therefore, therapeutic activities andpractitioners’ planning and care can achieve the desired outcome ofeach client’s care and therapy.


Schell,B. A. B., Gillen, G., &amp Scaffa, M. E. (2013). Willard&amp Spackman`s occupational therapy.ISBN-13 # 978-1-4511-1080-4.