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Intervention and Evaluation
This page sets out the principles by which Occupational Therapists will work with children and young people through formal intervention.
Standard 1
Intervention should be based upon goals and objectives that have been identified and negotiated with the client.
By:
- Selecting the media or activities on the basis of which offer the best option for achieving the agreed therapeutic goals and have most meaning for the client.
- E.g. Using a client-centred approach
- Carrying out the intervention in a suitable environment.
- Making the best use of existing resources.
- Working in collaboration with other professionals to fit in with the overall programme of intervention the client is receiving.
- Engaging the client in activities which have been selected, adapted, graded and sequenced according to their needs.
- Managing and documenting any decisions or actions taken where there is an element of risk in planning and/or respecting the client's choice.
- (Risk assessment, Near-miss Assessment, Moving and Handling Assessment)
- Documenting and explaining any unmet needs.
- Respecting the choice of the client, if at any time they wish to discontinue intervention.
- Ensuring consent (verbal/written) is receiving for intervention and documented.
Standard 2
Intervention should be in accordance with the best or evidence-based practice.
By:
- Developing an information and evidence resource to support clinical practice.
- Seeking evidence or descriptions of best practice to justify interventions or approaches.
- Evaluating this evidence and incorporating findings within intervention.
Standard 3
Intervention should only be delegated to another member of staff or person in care role if they are deemed competent.
By:
- Only providing those services and techniques which are within your professional competence and which you are qualified to employ by education and training and/or experience.
- Referring to other professional is skills and knowledge are too limited.
- Ensuring that person to whom tasks or actions are delegated; such as students and support worker; is competent to carry them out.
- Retaining ultimate responsibility for the care being given to the client.
Standard 4
The occupational therapist should monitor and review the effectiveness of an activity or intervention, revising it as necessary to ensure progress.
By:
- Identifying a baseline from which to measure any change in the client's functional abilities and thereby to evaluate treatment, reflect and audit practice.
- Using assessment tools incorporating outcome measures, where formal evaluation is required.
- Understanding the purpose and accuracy of the outcome measure being used, so that the result can be interpreted correctly.
- Documenting the process and result of intervention, using the records and outcome measures to ensure that progress is being made towards the agreed goals and objectives.