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Americans with Disabilities Act of 1990 Goal: Include people with disabilities into the mainstream of American life Areas: Public accommodations, public transportation, telecommunications, employment, and state and local government services Occupational therapists consulted with public institutions and employees to help them comply with the new laws of ADA Examples Restaurants Public Transportation
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1990-1999Joanne Haggar
Chelsea TownsendMaggie High
Jocelyn Thankachan
Historical Events • 1989-1993- President George
H. W. Bush • 1993-2001- President Bill
Clinton• 1990- World Wide Web
invented• 1991- Collapse of the Soviet
Union• 1992- Official end of the Cold
War• 1997- Scientists clone sheep
Health Care Events• 1990- Human Genome Project was
established • 1990- Nutrition Labeling Education Act• 1990- Ryan White Comprehensive
AIDS Resources Emergency (CARE) Act
• 1991 - AOTA Accreditation Committee changed its name to AOTA Accreditation Council for Occupational Therapy Education (ACOTE)
• 1993- President Clinton proposes a national insurance Health Security Plan
• 1993- Vaccine for Children Program • 1996-1997- Medical Savings Account
plan was introduced • 1997 - ACOTE accreditation to OT
programs outside the US
Ame ric an s w ith Dis abil itie s A ct of 1 99 0
• Goal: Include people with disabilities into the mainstream of American life
• Areas: Public accommodations, public transportation, telecommunications, employment, and state and local government services
• Occupational therapists consulted with public institutions and employees to help them comply with the new laws of ADA
• Examples Restaurants Public Transportation
Individuals with Disabilities Education Act (IDEA)
• 1990- Replaced the Education of the Handicapped Act
• All children with disabilities are entitled to a free appropriate public education
• Requires Individualized Education Programs (IEPs) for each child
• Occupational therapists incorporate IEPs into treatment
• Amendments of 1997
HIPAA• Protects privacy• New technologies
pose new security risks
• OT’s to keep records secure
Balanced Budget Act of 1997Purpose• Enacted by Bill Clinton• Intended to tighten Medicare payments to
health care providers/plans, protecting and cutting taxes for middle class families
• Extends health insurance coverage for millions of children
What it means for OT • Affects how much therapy a person can get
each year, preventing them to live life to its fullest
• Affects nursing homes, hospitals, clinics, and rehabilitation agencies
• In 2013, cap is set at $1900 for occupational therapy services
Florence Clark (Slagle Lecture 1993) • Associate Dean, Chair member,
and Professor at USC• Well Elderly Studies at USC
Lead researcher OT and the aging process
• Occupational story-telling (past) Means by which therapists
can better understand the person as a whole, instead of just a patient
• Occupational story-making (future) Creating stories for the future Problems and solutions
• Find occupations that join the old self with the new self
Catherine A. Trombly (Slagle Lecture 1995)
• “Both occupation-as-end and occupation-as-means garner their therapeutic impact from the qualities of purposefulness and meaningfulness” (Trombly, 1995).
• Co-author of Occupational Therapy for Physical Dysfunction
David Nelson (Slagle Lecture 1996)• Defines occupation as “the relationship between an occupational form
and occupational performance.”• Occupational performance- “the doing” • Occupational form- “the thing, or format, that is done”
• Subjective aspects of occupation: • Meaning• Purpose
• Model of Practice • Recommendations for the future of OT:• Greater influence on research• Support the idea of occupation as therapy
Anne Fisher (Slagle Lecture 1998)
• Occupation: A noun of action• Occupation is an “…activity
that is both meaningful and purposeful to the person who engages in it” (Fisher, 1998).
• Intervention Process Model Use of top-down approach
to evaluate Serves as a framework for
healthcare practitioners
ReferencesClark, F. (1993). Occupation embedded in a real life: Interweaving occupational
science and occupational therapy. Retrieved from https://www.aota.org/-/media/Corporate/Files/Publications/AJOT/Slagle/1993.pdf
Driscoll, A., & Nagel, N. (2010, July 20). Individuals with disabilities education act (IDEA). Education.com. Retrieved from http://www.education.com/reference/article/individuals-disabilities-education-act/
Fisher, A. (1998). Uniting practice and theory in an occupational framework. Retrieved from https://www.aota.org/-/media/Corporate/Files/Publications/AJOT/Slagle/1998.pdf
History of AOTA Accreditation. (n.d.). Retrieved from http://www.aota.org/education-careers/accreditation/overview/history.aspx
Individuals with disabilities education act (IDEA). (2014, January 1). Retrieved from http://www.apa.org/about/gr/issues/disability/idea.aspx
Kornblau, B. (2000). Occupational therapy and the americans with disabilities act (ada). American Journal of Occupational Therapy 54(6) 622-625
ReferencesNelson, D. L. (1997). Why the profession of occupational therapy will flourish in the 21st
century. American Journal of Occupational Therapy, 51, 11-24.
Occupational Therapy in School Settings. (2010, January 1). AOTA.org. Retrieved from http://www.aota.org//media/Corporate/Files/AboutOT/Professionals/WhatIsOT/CY/FactSheets/School%20Settings%20fact%20sheet.pdf
Office of the Professions. (n.d.). Retrieved September 15, 2014.
Summary of the HIPAA Security Rule. (n.d.). Retrieved September 15, 2014.
The Medicare part B outpatient therapy caps. (2014, January 15). Retrieved from http://www.aota.org/-/media/corporate/files/conferencedocs/hillday/medicaretherapycap-onepager-2013
Trombly, C. (1995). Occupation: Purposefulness and meaningfulness as therapeutic mechanisms. American Journal of Occupational Therapy, 960-972.