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From The CriticsReviewer: Meryl M Picard, MSW, OTR (Seton Hall University School of Graduate Medical Education)
Description: The continued drive toward occupation-based client-centered practice has been noted in the majority of practice-related textbooks published over the past several years. The three primary authors, known for their combined and individual abilities to articulate and communicate the need for this type of practice in occupational therapy, have produced a user-friendly workbook to enable students and therapists to negotiate their way through the critical thinking and learning process to enhance occupation-based practice. This book is the outcome of a self-study with contributing authors representing a diverse group of faculty and clinical instructors from McMaster University and Washington University.
Purpose: This workbook promotes the development of a thoughtful, person-environment-occupation and systems-based model of practice for current practitioners and students, with acknowledgement of changes in global healthcare practice. This conceptual task housed within a workbook format is unique in its ability to provide therapists with a systematic method for assessing and developing ways to incorporate these models into practice. There is a strong need for this type of format as continuing competency guidelines develop for self-assessment and documentation of learning for practicing therapists. The authors also describe the erosion of the traditional medical model of practice in healthcare and the monumental shifts in occupational therapy practice over the past several decades. A focus on occupational performance is not new, but the value of function is now recognized by most health professions and payers as the benchmark for outcomes, therefore there is a compelling need for occupational therapists to clearly define the uniqueness of our professional practice.
Audience: The suggested audience is practitioners, students, and educators, although I believe that practitioners will benefit the most from the use of this text. AOTA and NBCOT have or are in the process of developing documents to facilitate self-assessment of continuing competence. The practical nature of this workbook, with numerous case studies representing a diverse mix of traditional and non-traditional 'clients', targets this self-assessment process in a sequential, systematic format and should facilitate the process of setting personal learning objectives. The workbook also offers occupational therapy departments in all practice arenas an alternative quality assurance project by using the workbook to critically examine their current models and methods of practice.
Features: The book guides the reader from the theoretical to performance-based practice through carefully constructed cases designed to examine the process of client engagement, assessment, intervention, outcomes, and a final incorporation of all the elements into a more cohesive whole. The clients described in the case studies are diverse, complex, and incorporate all areas of occupational therapy from individual to consultative arenas. The first chapter provides an overview and guideposts for the rest of the workbook. The authors frame occupation-based practice in light of the ICF (International Classification of Functioning, WHO, 2001), occupational therapy models and paradigms of practice that are consistent with occupation-based practice, and provide the initial steps to begin to organize a self-learning plan. The workbook does not provide an in-depth examination of the practice models since those are amply available in other texts. This is not a book that is likely to sit on the bookshelf as a reference. This workbook is designed to demand active participation in the process and provides adequate space in the workbook to answer the questions posed. What distinguishes this from other workbooks sharing equally interesting case studies is the provision of both blank spaces designed to elicit personal responses and teaching areas where examples of each desired skill are articulated for the reader. Textbooks, unfortunately, cannot provide direct feedback to the learner, but the design of the teaching-learning segments in the workbook are woven effectively into each case in order to facilitate the critical reasoning process desired by the chapter. There is little waste of space in this book; the entire workbook is printed in black and white and without photographs. What the workbook offers are targeted series of diagrams to aid in the organization of the case material and facilitate the occupational performance objectives.
Assessment: The authors continue to take the pulse of the profession and have produced a concise, well-framed workbook to enable a large audience to learn practical strategies for incorporating the best of what we do into practice. There are textbooks on the market that incorporate many of the same concepts, but none that will be as useful for guided learning of occupation-based practice. Since the cost of the paperback should be appreciably less than a hardcover, practicing therapists should take advantage of the self-study opportunity offered to enhance their learning to provide state-of-the-art practice to their clients and to also enhance their professional identity.