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Occupational therapists’ use of occupation-focused practice in secure hospitals Practice guideline

Occupational therapists’ use of occupation-focused practice in secure hospitals Practice guideline College of Occupational Therapists Specialist Section – Mental Health, Forensic Forum. Key objective of guideline. To provide specific recommendations to support the use of occupation-focused

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Occupational therapists’ use of occupation-focused practice in secure hospitals Practice guideline

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  1. Occupational therapists’ use of occupation-focused practice in secure hospitals Practice guideline College of Occupational Therapists Specialist Section – Mental Health, Forensic Forum

  2. Key objective of guideline To provide specific recommendations to support the use of occupation-focused occupational therapy in secure hospitals. The guideline is relevant to high, medium and secure hospitals.

  3. Recommendation areas Model of Human Occupation Framework: • Volition • Habituation • Performance capacity • Environmental considerations

  4. Methodology 2. Guideline scope defined involving stakeholders 1. Guideline development group established 4. Screen findings 3. Literature search 5. Critically appraise articles 7. Peer review, stakeholder and service user consultation 6. Development of practice guideline recommendations 8. Final draft approved by COT Practice Publications Group 9. Published by COT 2012

  5. Evidence-based recommendations Recommendations are based on the evidence available within 34 critically appraised papers. Each recommendation is assigned: • A strength scoring 1 or 2 (Strong or Conditional) • A quality grading A, B, C or D (High, Moderate, Low or Very Low)

  6. Volition

  7. Habituation

  8. Performance capacity

  9. Environmental considerations

  10. Impact of practice guideline for you • Challenges / affirms your current practice. • Informs your practice. • Provides evidence to support your practice (completion of Audit Form). • Provides a vehicle for you to justify your practice.

  11. Impact of practice guideline for managers • Provides evidence of the need for occupation-focused occupational therapy for adults in secure hospitals. • Provides a structure to audit the work of occupational therapists within the service to improve service quality. • Provides a vehicle for justifying service provision.

  12. Impact of practice guideline for patients • In being adopted by services and occupational therapists, the guideline should improve the consistency and quality of intervention for users of services. • Gives assurance that practitioners use the available evidence to support interventions.

  13. Impact of practice guideline for commissioners • Articulates the need for occupation-focused occupational therapy interventions within secure hospital services. • Can help educate commissioners to identify learning needs for the workforce. • Associated audit form provides a mechanism to review service delivery in accordance with the evidence.

  14. Help from COT/BAOT • Link up with your BAOT networks to gain advice and support. Find out through your BAOT regional group or the COT Specialist Section you belong to whether they have resources that can help you. • iLOD is designed to be a one-stop shop for all your CPD needs and it was developed to make it simple for BAOT members to meet the HCPC’s baseline standards for CPD. If you are having difficulties or need support contact professional.enquiries@cot.co.uk

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