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26 Cards in this Set

  • Front
  • Back

Moral Treatment Movement

- Began in the 1700s/1800s


- All people are entitled to consideration and human compassion


- Sought ways to make the existence of those confined more bearable (through purposeful activity)


- Found that having structure and activities to engage in increased health


- Founding of the movement:



*Philippe Pinel -> work treatment for psych. pts.



*William Tuke -> created the York retreat



- Movement spread through America via Benjamin Rush

Arts & Crafts Movement

- Founders:



* John Ruskin


* William Morris



- Advocated the making of homemade goods, since society was becoming more industrialized

Herbert Hall

- Physician that applied the principles of the Arts & Crafts movement to the medical field


- Purpose was to improve not only his pts. financial independence, but their health as well

George Edward Barton

- American architect / Protege of William Morris


- Helped to improve the care of convalescent people


- Opened the Consolation House in NY


William Dunton Rush, Jr.

- Father of OT


- Physician working with psych pts. @ Sheppard Asylum in Maryland


- 1915, published "OT: A Manual For Nurses"

Eleanor Clarke Slagle

- Mother of OT


- Developed "habit training"


- Organized 1st professional school for OT practitioners

Susan Tracy

- Nurse educator that helped to train nurses in the use of occupations


- Tried to keep OT as a nursing specialty only

Susan Cox Johnson

- Designer and Arts & Crafts teacher


- Director of Occupations in NY


- Sought to prove that occupation could be morally uplifting, improve mental health, and increase physical wellness. Also, that individuals could contribute to their self support

Thomas Kidner

- Canadian architect


- Designed hospitals for TB pts, as well as a vocational rehab system for Canadian WWII veterans

March 15, 1917

- First meeting of the "National Society for the Promotion of OT" met in NY


- In attendance:


*George Barton


*William Dunton


*Eleanor Clarke Slagle


*Susan Cox Johnson


*Thomas Kidner

Adolf Meyer

- Swiss physician/psychiatric professor at John Hopkins University


- Promoted the perspective of holism in the OT field

WWI

- Creation of reconstruction aides to help with President Wilson's reconstruction program for veterans


- Purpose was to rehab vets to return to active duty or to work


- War ended in 1918, which lead to a decrease in reconstruction aides. The Great Depression also contributed to this decrease.


- After the war, two acts were created:



1. Soldiers Rehabilitation Act (1918)


- Voc. rehab for active duty soldiers



2. Civilian Vocational Rehabilitation Act (1920)


- Matched federal funds 50/50 for civilians with


disabilities

1921

- NSPOT changed name to American Occupational Therapy Association (AOTA)

1923

- AOTA created minimum standards for OT course training

WWII

- Created more demand for OTs

Deinstitutionalization Plan

- During mid-1950s


- Development of new psychiatric drugs helped to control psychotic behavior


- Lead to a national release of pts.

Rehabilitation Movement

- 1942 -> 1960


- Increase in the employment of OTs at the VA; saw a shift from tx of psychiatric and TB pts to a focus on physical rehabilitation


- "Women's Specialist Corps" created to commission female OTs, PTs, and dieticians in the Army


- Due to vaccine, drug, medical technology, and medical procedures advances, more people were living with disabilities which helped to increase the growth of OT professionals

Medicare

- Created in 1965


- Aimed at individuals who are 65 (+) years-old, and persons with disabilities

Rehab Act of 1973

- Emphasized priority tx for persons with the most severe disabilities


- Mandated that state agencies establish an order of selection that would place the most severely disabled person 1st for service


- Development of set standards by which the impact of rehab services could be assessed


- Emphasized the need for rehab research


- Equal opportunities for persons with disabilities

Education For All Handicapped Children Act of 1975

- Children have the right to free and appropriate education


- Includes OT as a related service


- Requires written Individualized Education Plan (IEP) for each student


- Renamed "Individuals With Disabilities Education Act" (IDEA) in 1991


- IDEA adds that education must take place in the least restrictive environment and mandates that local schools are responsible for providing assistive technology devices and related services as appropriate

Handicapped Infants & Toddlers Act

- 1986, passed as an amendment to theEducation for All Handicapped Children Act


- Includes children from 3 - 5 yo


- Initiates new early intervention programs for children ages 0 - 3 yo

Technology Related Assistance For Individuals With Disabilities Act of 1988

- Addresses the availability of assistive technology devices and services to individuals with disabilities

Prospective Payment System (PPS)

- Linked with Medicare


- Level of payment is set by descriptive categories according to an individual's dx (DRGs)


- Fixed payment for Diagnostic Resource Groups (DRGs)

Gary Kielhofner

- Developed the Model of Human Occupation (MOHO)


- Contributed greatly to OT research

Americans With Disabilities Act of 1990 (ADA)

- Provides civil rights to pts. with disabilities

Balanced Budget Act of 1997 (BBA)

- Purpose is to reduce Medicare spending


- Creates incentives for the development of managed care plans


- Encourages enrollment in managed care plans


- Limits fee-for-service payments and programs


- Under Medicare B Outpatient Rehab Benefits, there is an annual $1,500 cap for each person receiving OT services