By Gloria Frolek Clark, PhD, OTR/L, SCSS, BCP, FAOTA, and Dottie Handley-More, MS, OTR/L
School accountability has become a fundamental aspect of education policy. Education law mandates rigorous academic standards, measuring student progress against these standards, and establishing consequences for the outcomes. Occupational therapy practitioners are held accountable for their services in schools, and documentation provides a trail of data that supports it.
When documentation provides quantitative data, an education team can determine the significance of a problem and monitor change with instruction or intervention. When a student’s performance is compared to expectations on the basis of school policy, curricula standards, teacher expectations, or peer performance, discrepancy in a student’s performance can be measured for decision making.
Simple but effective documentation allows occupational therapy practitioners to efficiently use their professional judgment. With clear explanations and more than 40 forms, this book facilitates gathering data in all aspects of providing occupational therapy services in schools.
Contents
Chapter 1. Introduction to Documentation in Schools
Chapter 2. Data Collection
Chapter 3. Tiered Support: Screening and Evaluation
Chapter 4. Intervention: Planning, Implementation, and Review
Chapter 5. Outcomes and Program Evaluation
Chapter 6. Supervision of Occupational Therapy Assistants in Schools
Chapter 7. Documentation for Medicaid Services in Schools
Appendixes
Appendix A. Guidelines for Documentation of Occupational Therapy
Appendix B. Standards of Practice for Occupational Therapy
Appendix C. School Practice Documentation: Documenting and Organizing Quantitative Data
Appendix D. Guidelines for Supervision, Roles, and Responsibilities During the Delivery of Occupational Therapy Service
Appendix E. AOTA Resources for School-Based Practice and Documentation
Appendix F. AOTA Occupational Profile Template
Appendix G. New Occupational Therapy Evaluation Coding Overview
A flash drive containing fillable forms provides readers with examples of effective documentation that can be used in practice.
978-1-56900-399-2, 150 pages, 2017