Joanne Haggar Chelsea Townsend Maggie High Jocelyn Thankachan

Historical Events President George H. W. Bush President Bill Clinton World Wide Web invented Collapse of the Soviet Union Official end of the Cold War Scientists clone sheep Health Care Events Human Genome Project was established Nutrition Labeling Education Act Ryan White Comprehensive AIDS Resources Emergency (CARE) Act AOTA Accreditation Committee changed its name to AOTA Accreditation Council for Occupational Therapy Education (ACOTE) President Clinton proposes a national insurance Health Security Plan Vaccine for Children Program Medical Savings Account plan was introduced ACOTE accreditation to OT programs outside the US

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

Individuals with Disabilities Education Act (IDEA) 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 1997 Purpose 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

References Clark, F. (1993). Occupation embedded in a real life: Interweaving occupational science and occupational therapy. Retrieved from /media/Corporate/Files/Publications/AJOT/Slagle/1993.pdf /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 disabilities-education-act/ disabilities-education-act/ Fisher, A. (1998). Uniting practice and theory in an occupational framework. Retrieved from History of AOTA Accreditation. (n.d.). Retrieved from careers/accreditation/overview/history.aspxhttp:// careers/accreditation/overview/history.aspx Individuals with disabilities education act (IDEA). (2014, January 1). Retrieved from Kornblau, B. (2000). Occupational therapy and the americans with disabilities act (ada). American Journal of Occupational Therapy 54(6)

References Nelson, D. L. (1997). Why the profession of occupational therapy will flourish in the 21 st century. American Journal of Occupational Therapy, 51, Occupational Therapy in School Settings. (2010, January 1). AOTA.org. Retrieved from Sheets/School%20Settings%20fact%20sheet.pdf Sheets/School%20Settings%20fact%20sheet.pdf Office of the Professions. (n.d.). Retrieved September 15, Summary of the HIPAA Security Rule. (n.d.). Retrieved September 15, The Medicare part B outpatient therapy caps. (2014, January 15). Retrieved from onepager onepager-2013 Trombly, C. (1995). Occupation: Purposefulness and meaningfulness as therapeutic mechanisms. American Journal of Occupational Therapy,