September 2015

Regulatory Topics

Regulatory topicswithexamples / Resources
(College documents can be found in the Library of the College’s website (
  1. Boundaries
    (Personal and Professional)
  • Client–therapist relationship
  • Professional relationship, not friendship
  • No dating
  • Possibly dress code issues
/ Main resources:
College of Occupational Therapists of British Columbia. (2006). Drawing the line: Guidelines for establishing professional boundaries to prevent sexual misconduct.
Additional:
College of Occupational Therapists of British Columbia. (2006). Code of ethics — Dignity and worth,Trusting and respectful work environment,andAccountability.
College of Occupational Therapists of British Columbia. (n.d.). COTBC communiqué— Sexual misconduct —What you should know.
  1. Consent for OT services
  • Permission or authority to proceed
  • Client acknowledgement of risks, benefits, and alternatives
  • Documentation in client record
/ Main Resources:
College of Occupational Therapists of British Columbia. (2008, March). Practice guideline: Obtaining consent to occupational therapy services.
Health Care (Consent) and Care Facility (Admission) Act, Revised Statues of British Columbia (2014). Retrieved from the BC Laws website:
Adult Guardianship Act, Revised Statues of British Columbia (2014). Retrieved from the BC Laws website:
Additional:
College of Occupational Therapists of British Columbia. (2006). Code of ethics—Accountability.
Regulatory topicswithexamples / Resources
  1. Collecting, recording, and protecting client information
  • Accuracy
  • Clarity
  • Privacy
  • Client access to information
  • Remedy of a security breach
/ Main resources:
College of Occupational Therapists of British Columbia. (2014, December). Managing Client Information Standards.
College of Occupational Therapists of British Columbia. (2010, October). Advisory statement: Providing clients access to and releasing occupational therapy information.
College of Occupational Therapists of British Columbia. (2009, July). Advisory statement: Remedying a breach of security —COTBC reporting requirements.
College of Occupational Therapists of British Columbia. (2001). College of Occupational Therapists of British Columbia Bylaws (Part 6).
Limitations Act. Retrieved from:
Additional:
College of Occupational Therapists of British Columbia. (2006). Code of ethics — Confidentiality.
Freedom of Information and Protection of Privacy Act, Revised Statues of British Columbia (1996). Retrieved from the Office of the Information and Privacy Commissioner for British Columbia website:
Paul, S., & Corbett, K. (2013, December). You asked! Do I keep rough notes or data sheets? Instep. Retrieved from
Westmacott, A. (2006, Fall).An overview of the requirements for management of client records under part 6 of the College Bylaws. Instep, 2–5. Retrieved from
Regulatory topicswithexamples / Resources
  1. Capability of Occupational Therapist to Work
  • Fitness to practise: physical, mental, psychosocial
  • Professional misconduct
/ Main resource:
College of Occupational Therapists of British Columbia. (2001). College of Occupational Therapists of British Columbia Bylaws (68[1]).
Additional:
College of Occupational Therapists of British Columbia. (2006). Code of ethics — Accountability.
  1. Duty to report
  • Other OTs
  • Clients who are in danger
  • Other health professionals
  • Therapist him/herself
/ Main resources:
College of Occupational Therapists of British Columbia. (2001). College of Occupational Therapists of British Columbia Bylaws (90[1]).
Corbett, K. (2011, Summer). Duty to report — Worth the call. Instep, 4–5. Retrieved from
Ministry of Child and Family Development.(n.d.). Reporting child abuse. Retrieved from
Child, Family and Community Service Act — Part 3, Section 14 (1996). Retrieved from the BC Laws website:
Additional:
Health Professions Act — Section 32.2 (2013). Retrieved from the BC Laws website:
  1. Client Autonomy
  • Right to live at risk
  • Assessment of risk
  • Acknowledgement of risk by client and/or family
/ College of Occupational Therapists of British Columbia. (2006). Code of ethics — Individual autonomy.
  1. Conflict of interest
  • Bias
  • Preferential treatment
  • Self-, business, or family interest
/ College of Occupational Therapists of British Columbia. (2006). Code of ethics — Honesty and transparency.
Coming later in 2015:
College of Occupational Therapists of British Columbia. Conflict of Interest Practice Standards.
Regulatory topicswith examples / Resources
  1. Duty of care
  • Can’t refuse to treat (e.g., human rights)
  • Quality of care
  • Continued care
  • Conflict between personal values and need for care
/ Main resource:
College of Occupational Therapists of British Columbia. (2001). College of Occupational Therapists of British Columbia Bylaws (68[1][i]).
Additional:
College of Occupational Therapists of British Columbia. (2006). Code of ethics — Fairness, Dignity and worth.
  1. Professional accountability
  • Individual responsibility
  • Workforce demands
  • Prioritization of care
  • Autonomy of practice
  • Understanding standards
  • Scope of practice and competence
  • Use of title
/ Main resources:
College of Occupational Therapists of British Columbia. (2011, November). Advisory statement: Use of title.
Health Professions Act — Occupational therapists regulation (2008). Retrieved from the BC Laws website:
Ministry of Health. (n.d.). Health Professions Council reserved acts list. Retrieved from
Additional:
College of Occupational Therapists of British Columbia. (2006). Code of ethics — Accountability and Safe, competent and ethical care.
10. Supervising support personnel
  • Assignment of tasks (e.g., to support personnel)
  • Consent from client for assignment
/ Main resource:
College of Occupational Therapists of British Columbia. (2011). Practice guideline: Supervising support personnel.
Additional:
College of Occupational Therapists of British Columbia. (2006). Code of ethics — Individual autonomy.
College of Occupational Therapists of British Columbia. (2008, March). Practice guideline: Obtaining consent to occupational therapy services.

Clinical Practice Resources

This is not intended as a complete list but may help occupational therapists to identify resources to assist them in keeping current in their practice context(s).Generally, resources are organized into practice contexts as reflected in the Quality Assurance Program’s blueprint. As with the resources listed under the regulatory topics, these resources are those most frequently used by the occupational therapists to develop the cases and questions in the program, including the Continuing Competence Exam.

ADULT & OLDER ADULT PHYSICAL AND NEUROLOGICAL PRACTICE

Textbooks

Atchison, B., & Dirette, D. (2012). Conditions in occupational therapy: Effect on occupational performance (4th ed.). Baltimore, MD: Lippincott Williams & Wilkins.

Bossers, A., Miller, L. T., Polatajko, H. J., & Hartley, M. (2001). Competency based fieldwork evaluation for occupational therapists.Albany, NY: Delmar.

Crepeau, E.B., Cohn, E. S., & Schell, B. A. T. (Eds.).(2009). Willard and Spackman's occupational therapy(11th ed.). Baltimore, MD: Lippincott Williams & Wilkins.

Davidson, S. (Ed.). (2011).Living with Alzheimer's Disease and related dementias: A manual of resources, references and information(2nd ed.) Ottawa, ON: CAOT Publications ACE.

Fearing, V. G., & Clark, J. (2000). Individuals in context: A practical guide to client-centered practice. Thorofare, NJ: Slack Incorporated.

Grieve, J., & Gnanasekaran, L. (2009). Neuropsychology for occupational therapists: Cognition in occupational performance (3rd ed.). Hoboken, NJ: John Wiley & Sons.

Gutman, S. A. (2008). Quick reference neuroscience for rehabilitation professionals: The essential neurological principles underlying rehabilitation professionals. Thorofare, NJ: Slack Incorporated.

Harder, H. G., & Scott, L. R. (2005). Comprehensive disability management. Toronto, ON: Elsevier Science Limited.

Jacobs, M., Austin, N. (2002). Splinting the hand and upper extremity: Principles and process. Baltimore, MD: Lippincott Williams & Wilkins.

Kielhofner, G. (2002). Model of human occupation (3rd ed.). Baltimore, MD: Lippincott Williams & Wilkins.

Law, M., Baum, C., & Dunn, W. (Eds.) (2005). Measuring occupational performance: Supporting best practice in occupational therapy(2nd ed.). Thorofare, NJ: Slack Incorporated.

Neistadt, M. E. (2000). Occupational therapy evaluation for adults: A pocket guide. Baltimore, MD: Lippincott Williams & Wilkins.

Radomski, M.V., & Latham, C. A. T. (Eds.).Occupational therapy for physical dysfunction(6th ed.). Baltimore, MD: Lippincott Williams & Wilkins.

Smith-Gabai, H. (Ed.).Occupational therapy in acute care. Betheseda, MD: AOTA Press.

Sumsion, T. (Ed.). (1999). Client-centred practice in occupational therapy: A guide to implementation. Toronto, ON: Churchill Livingstone.

Townsend, E. (Ed.). (1997). Enabling occupation: An occupational therapy perspective. Ottawa, ON: CAOT Publications ACE.

Townsend, E., & Polatajko, H. (Eds.). (2007). Enabling occupation II: Advancing an occupational therapy vision for health, well-being & justice through occupation. Ottawa, ON: CAOT Publications ACE.

Journal Articles

Bodenheimer, T., Lorig, K., Holman, H., & Grumbach, K. (2002). Patient self-management of chronic disease in primary care. JAMA, 288(19), 2469–2475. doi:10.1001/jama.288.19.2469.

Krause, N., Frank, J. W., Dasinger, L. K., Sullivan, T. J., & Sinclair, S.J. (2001). Determinants of duration of disability and return-to-work after work-related injury and illness: Challenges for future research. American Journal of Industrial Medicine, 40, 464–484. Retrieved from

Mackenzie, L., Byles, J., & Higginbotham, N. (2002). Reliability of the Home Falls and Accidents Screening Tool (HOME FAST) for identifying older people at increased risk of falls. Disability and Rehabilitation, 24, 266–274.

Midthun, S. J. (2004). Criteria For Urinary Tract Infection in the Elderly: Variables that Challenge Nursing Assessment. Urologic Nursing, 24 (3), 1570162, 166-169.

Staley, M., & Richard, R. (1996). Critical pathways to enhance the rehabilitation of patients with burns. Journal of Burn Care and Rehabilitation, 17(6), S12–S14.

Vrkljan, B., McGrath, C. E., & Letts, L. J. (2011). Assessment tools for evaluating fitness to drive: A critical appraisal of evidence. Canadian Journal of Occupational Therapy, 78(2), 80–96.

Whitney, J. C., Lord, S. R., & Close, J. C. T. (2005). Streamlining assessment and intervention in a falls clinic using the Timed Up and Go Test and Physiological Profile Assessments. Age and Ageing, 34, 567–571.

Practice Articles

Gauthier, R., Straathof, T., & Wright, S. (2006). The Ottawa Hospital Occupational Therapy Prioritization Guidelines. Occupational Therapy Now, 8(6), 10–12.

Gonzalez, J . L. (2005). How to use an interpreter effectively. Occupational Therapy Now, 7(2), 7-9.

Groves, D., Coggles, L., Hinrichs, J., Berndt, S., & Bright, L. (2010). Cognitive Assessment Tool Inventory‚ Adult Acute Care Sites, Alberta Health Services Calgary. In An innovative algorithm for cognitive assessments. Occupational Therapy Now, 12(2), 20–23.

Schryburt-Brown, K., Dixon, C., Paton, D., Connolly, S., & Craik, J. (2004). Occupational therapy assessment toolkit of fall risk in the elderly: A review of the literature. Occupational Therapy Now, 6(6), 17–23.

Practice Guidelines and Resources

Association of Canadian Occupational Therapy University Programs, Committee on University Fieldwork Education. (2011). Canadian guidelines for fieldwork education in occupational therapy (CGFEOT) (Rev. ed.).

Canadian Association of Occupational Therapists. (2010). CAOT position statement: Feeding, eating and swallowing and occupational therapy.

Canadian Association of Occupational Therapists, CanadianAssociation of Speech-Language Pathologists and Audiologists, & CanadianPhysiotherapy Association. (2011). Caseload Management Planning Tool.

Canadian Coalition for Senior Mental Health. (n.d.). Clinician pocket-card: Suicide:Assessment & prevention for older adults.

Schaber, P. (2010). Occupational therapy practice guidelines for adults with Alzheimer's disease and related disorders.

Vancouver Coastal Health. (n.d.). Patient health education resource materials catalogue. Retrieved from topics such as Halo-thoracic orthosis; Before, during and after hip and knee replacement surgery: A patient's guide; Vista cervical orthosis.

BC Government Resources

Ministry of Justice, British Columbia. (n.d.). Driver medical fitness. Retrieved from

Ministry of Public Safety and Solicitor General, British Columbia. (2010). 2010 BC guide in determining fitness to drive. Retrieved from

Public Guardian and Trustee of British Columbia. (2011, October). Guidelines for issuing a Certificate of Incapability under the Patients Property Act.

Websites and Online Resources

Canadian Best Practice Recommendations for Stroke Care.

Canadian Coalition for Seniors’ Mental Health. (2006). Canadian national guidelines for assessment and treatment of delirium. Retrieved from

Canadian Diabetes Association. (n.d.) Diabetes and you. Retrieved from

Canadian Interprofessional Health Collaborative. (2010). A national interprofessional competency framework. Retrieved from

Evidence-Based Review of Stroke Rehabilitation.

HealthLinkBC. (n.d.).Medications that interact with alcohol. Retrieved from

Rehabilitation Measures Database. Available at:

StrokEngine-Assess.

WorkSafe BC. (2006). Handle with care: Patient handling and the application of ergonomics (MSI) requirements. Retrieved from

WorkSafe BC. (2009). How to make your computer workstation fit you. Retrieved from

Wheelchair Assessment Websites


CHILD AND YOUTH RESOURCES

Textbooks

Bruce, M. A., & Borg, B. (2002). Psychosocial frames of reference: Core for occupation-based practice (3rd ed.). Thorofare, NJ: Slack Incorporated.

Bruni, M. (2006). Fine motor skill for children with Down Syndrome: A guide for parents and professionals (2nd ed.). Bethesda, MD: Woodbine House.

Case-Smith, J., & O'Brien, J. C. (Eds.). (2010).Occupational therapy for children (6th ed.). Maryland Heights, MO: Mosby.

Kraus, E. (2006). Handedness in children. In Henderson, M. & Pehoski, C. (eds) Functional hand use in children: Foundations for remediation. Mosby Elsevier: St. Louis, MO.

Mulligan, S. E. (2003). Occupational therapy evaluation for children: A pocket guide.Baltimore, MD: Lippincott Williams & Wilkins.

Wolf, L. S. & Glass, R. P. (1992). Feeding and swallowing disorders in infancy. San Antonio, Texas: Therapy Skill Builders. (p. 20)

Journal Articles and Book Chapters

Ashburner, J. K., Rodger, S. A., Ziviani, J. M., & Hinder, E. A.(2014).Optimizing participation of children with autism spectrum disorder experiencing sensory challenges: Clinical reasoning frameworkCanadian Journal of Occupational Therapy, 81(1), 29-38.

Avery, W. (2008). Dysphagia. In M. V. Radomski & C. A Trombly (Eds.), Occupational therapy for physical dysfunction, (6th ed.) (pp. 1324). Lippincott Williams and Wilkins, Baltimore, MD

Batorowicz, B., Missiuana, C., & Pollock, N. (2012). Technology supporting written productivity in children with learning disabilities: A critical review. Canadian Journal of Occupational Therapy, 79(4), 211–224.

Feder, K. P., Racine, M. B., & Majnemer, A. (2008). A review of handwriting performance and interventions: Does remediation work? Israeli Journal of Occupational Therapy, 17, 69–88.

Freeman, A. R., Mackinnon, J. R., & Miller, L. T. (2005). Keyboarding for students with handwriting problems: A literature review. Physical and Occupational Therapy in Pediatrics, 25(1–2), 119–147. doi: 10.1080/J006v25n01_08

Flatt, A. E. (2005). The trouble with pinkies. Baylor University Medical Center Proceedings, 18, 341–344.

Freeman, A. R., Mackinnon, J. R., & Miller, L. T. (2005). Keyboarding for students with handwriting problems: A literature review. Physical and Occupational Therapy in Pediatrics, 25(1–2), 119–147. doi: 10.1080/J006v25n01_08

Hodgetts, S., Magill-Evans, J., & Misiaszek, J. E. (2011). Weighted vests, stereotyped behaviors and arousal in children with autism. Journal of Autism andDevelopmental Disorders, 41, 805–814. doi: 10.1007/s10803-010-1104-x

Hoy, M. M. P., Egan, M. Y., & Feder, K. P. (2011). A systematic review of interventions to improve handwriting. Canadian Journal of Occupational Therapy, 78(1), 13–25.

Johnson, C. L., Schwanholt, C., Daugherty, M. B., Gaboury, T., & Warden, G. D. (1992). Splinting the pediatric palmar burn. Journal of Burn Care & Research, 13(4), 460–464. Available from

Kushki, A., Chau, T., & Anagnostou, E. (2011). Handwriting difficulties in children with autism spectrum disorders: A scoping review. Journal of Autism and Developmental Disorders, 41, 1706–1716. doi: 10.1007/s10803-011-1206-0

McKee, Pat (2010). Objectives, design, and terminology. In Orthotics in rehabilitation: Splinting the hand and body. (p. 7). Philadelphia: F.A. Davis Company.

Novak I., McIntyre S., Morgan C., Campbell L., Dark L., Morton N., Stumbles E., Wilson S. A., Goldsmith S. (2013). A systematic review of interventions for children with cerebral palsy: state of the evidence. Developmental Medicine and Child Neurology, 55, 885-910.

Pogrund, R. L., & Fazzi, D. L. (Eds.). (2002). Vision focus: Understanding the medical and functional implications of vision loss. In Early focus: Working with young children who are blind or visually impaired and their families (2nd ed., pp. 89–101). New York, NY: American Foundation for the Blind.

Rethlefsen, S., Deidre, R., & Kay, M. (2010). Classification system in Cerebral Palsy. Orthop Clin North Am., 41(4), 457-67.

Shahid, M. (2004) Buggy-to-wheelchair progression for children with cerebral palsy: Parents' and therapists' opinions. International Journal of Therapy and Rehabilitation, 11, 560-566.

Shangraw, K. (2012). Austism Spectrum Disorde in B.J. Atchison and D.K. Diretter, Eds. Conditions in Occupational Therapy: Effect on performance (4th ed). Lippincott

Schneck, C. M., & Amundson, S. J. (2010). Chapter 19: Prewriting and handwriting skills. In J. Case-Smith & J. C. O'Brien (Eds.), Occupational therapy for children (6th ed., pp. 557–560). Maryland Heights, MO: Mosby.

Schwellnus, H., Carnahan, H, Kushki, A., Polatajko, H., Missiuna, C., & Chau, T. (2012). Effect of pencil grasp on the speed and legibility of handwriting after a 10-minute copy task in Grade 4 children. Australian Occupational Therapy Journal, 59(3),180–187.

Schwellnus, H., Carnahan, H., Kushki, A., Polatajko, H., Missiuna, C., & Chau, T. (2012). Effect of pencil grasp on the speed and legibility of handwriting in children. American Journal of Occupational Therapy, 66(6), 718–726.

Stephenson, J., & Carter, M. (2009). The use of weighted vests with children with autism spectrum disorders and other disabilities. Journal of Autism and Developmental Disorders, 39, 105–114. doi: 10.1007/s10803-008-0605-3

Wattendorf, D. J., & Muenke, M. (2005). Fetal alcohol spectrum disorders. American Family Physician, 72(2), 279–285.

Weierink, L., Vermeulen, R. J., & Boyd, R.N. (2013). Brain structure and executive functions in children with cerebral palsy: A systematic review. Research in Developmental Disabilities, 34(5), 1678-1688. doi: 10.1016/j.ridd.2013.01.035

Practice Articles

Alberta College of Occupational Therapists Adhoc Task Force. (2009, December). Commentary on l'Ordre des ergothérapeutes du Québec's position statement on use of weighted covers. Retrieved from

Fehlings, D., Yeung, K., & Teplicky, R. (2002). The use of botulinum toxin in children with muscle stiffness: An update (Keeping Current #02-1). Retrieved from McMaster University website:

Health Technology Inquiry Service, Canadian Agency for Drugs and Technologies in Health. (2010, July). Patient lifts and transfer equipment: A review of clinical and cost-effectiveness and guidelines. Retrieved from

Lam-Damji, S., & Fehlings, D. L. (2006). An update on constraint therapy in children with hemiplegia (Keeping Current #04-2006). Retrieved from McMaster University website:

Livingstone, R. (2011). Evidence for practice: Power mobility for infants and preschool children. Retrieved from Sunny Hill Health Centre for Children website:

MIssiuna, C. (2003). Children with Developmental Coordination Disorder: At Home and in the Classroom. Canchild Centre for Childhood Disability Research. Retrieved from

Missiuna, C. & Pollock, N. (2007). Recognizing and referring children with developmental coordination disorder: The role of the occupational therapist. Retrieved from

Pollock, N. (2009). Sensory integration: A review of the current state of the evidence. Occupational Therapy Now, 11(5), 6–10.

Teplicky, R., Russell, D., & Law, M. (2003). Casts, splints, and orthoses - Upper extremity: Review of effectiveness literature for children with neurological disorders (Keeping Current #03-8). Retrieved from McMaster University website:

Practice Guidelines

Agency for Healthcare Research and Quality. Spasticity in children and young people with non-progressive brain disorders: management of spasticity and co-existing motor disorders and their early musculoskeletal complications. Retrieved from:

British Columbia Provincial Nursing Skin and Wound Committee. (2012). Guideline: Prevention of skin breakdown due to pressure, friction, shear and moisture in adults & children.Retrieved from Connecting Learners with Knowledge website:

Cincinnati Children's Hospital Medical Center. (2009). Evidence-based care guideline: Pediatric constraint induced movement therapy. Retrieved from

BC Government Resources

Child, Family and Community Service Act, Revised Statues of British Columbia (1996, c. 46). Retrieved from the BC Laws website:

Websites and Online Resources

Assisting Hand Assessment (2003). Retrieved from

Children's & Women's Health Centre of British Columbia. (2003). Nasogastric Tube Feeding at Home: A Guide for Families and Caregivers retrieved May 23,2014, from

GMFCS Growth curves

Johnson, G. (2010). Sleep disorders. Retrieved from

Power Mobility for School Aged Children 2012 (PDF) available at:

Public Health Agency of Canada. (2012). Joint Statement on Safe Sleep: Preventing Sudden Infants Death in Canada retrieved May 19, 2014, from

Stokes, R. (2010). Basics of pediatric feeding and swallowing, module 5: Next steps. Retrieved from

Sunny Hill Centre for Children. (n.d.).Sunny Hill E4P Reviews.Retrieved from

Sunny Hill Centre for Children. (2014). Prerequisites to printing for success 2014. Retrieved from

Transport Canada. (2012). Car Seats, Seat Belts and Your Child: Important Tips. Retrieved from

Other Publications

Carwana, K., & Duivestein, J. (2012). Introduction to the assessment and management of eating, drinking and swallowing difficulties. Vancouver, BC: Authors.

ADULT AND OLDER ADULT MENTAL HEALTH PRACTICE RESOURCES

Textbooks

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author.

Anthony, W., Cohen, M., Farkas, M. & Gagne, C. (Eds.) (2002). Psychiatric Rehabilitation, 2nd Ed. Boston: Centre for Psychiatric Rehabilitation, Trustees of Boston University.

Atchison, B., & Dirette, D. (2012). Conditions in occupational therapy: Effect on occupational performance (4th ed.). Chapters 5 & 6. Baltimore, MD: Lippincott Williams & Wilkins.