(特價優惠-恕不退換)Occupational Therapy in Community-Based Practice Settings 2e(IE)

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亞洲版2018年出版/高等考試職治參考用書

Preface
This book is the culmination of one aspect of the professional journey of Marjorie Scaffa that started when she was an undergraduate major in psychology with a minor in health education and continued on in an entry-level master’s program to become an occupational therapist. During her years as an occupational therapy student at Virginia Commonwealth University, she was introduced to the Model of Human Occupation by Dr. Kielhofner and became in- creasingly excited about the potential for practice in nonmedical settings. When given the opportunity to choose a topic for a paper, Marjorie wrote about occupational therapy’s role
in community health, and the seeds of what would later become this book were sown.
As a practicing occupational therapist, she gained experience in a variety of settings
but was most energized and excited by home health practice. Providing services in the
home enabled her to become part of the person’s daily life context in which the client
participated in self-care, work, and leisure. Marjorie was impressed by how much more
meaningful occupations were to individuals and their families in real-life environments.
Through our practice and further education, we both came to believe firmly that if
occupation could restore function and enhance the quality of life for individuals with
disabilities and their families, then it could also be used to prevent injuries and promote
health in communities. Thus began our quests for doctorates in health education. We
quickly realized that much of what we had learned in occupational therapy would be
useful in community-based prevention and health promotion, but that we needed to be-
come acculturated to the mind-set and conceptual frameworks of health educators, which
were quite different from those of occupational therapy practitioners. We were exposed to
planning, implementing, and evaluating preventive interventions directed at groups and
populations rather than rehabilitative interventions directed at individuals.
Through time we were able to assimilate both of our professional identities as occupa-
tional therapists and health educators, which enabled us to envision this Second Edition.
It is clearly and straightforwardly an occupational therapy text with an appreciation of the
importance of community as a context for health.
We hope that you find the Second Edition of the book to be a useful and more developed
discussion of the issues related to present-day community practice in occupational therapy
and descriptions of a variety of settings in which this practice currently occurs. The book has
grown from 18 chapters in the original edition to 29 chapters in this Second Edition, with
sections devoted to each of the six areas of the American Occupational Therapy Association’s
Centennial Vision. Chapters have been added on community mental health services for
children and youth as well as on forensic transition services. The number of chapters on
productive aging has increased from one to five, with chapters being added on driving and
community mobility, low-vision services, fall prevention, and aging in place. Chapters related
to work have increased from one to three, with new chapters on ergonomics and welfare
to work programs being the enhancements to this edition. The ability to add chapters on
Lifestyle Redesign, technology in community-based practice, as well as chapters on health
promotion in faith-based organizations, primary care settings, and academic communities
together with the other additional chapters exemplifies how the profession’s contributions
to community health and well-being have significantly expanded since the first edition of
this book.

Contents
SECTION  I   Basic Principles and Relevant Issues 1
Chapter 1    Community-Based Practice: Occupation in Context  1
MARJORIE E. SCAFFA , PH D, OTR/L, FAOTA
Introduction 2
Historical Perspectives of Community-Based Practice 2
Definitions of Terms 4
Health 4
Community 5
Community-Based Practice 5
Community Health Promotion 5
Community-Level Intervention 5
Community-Centered Initiatives/Interventions 5
Trends and Roles in Community-Based Practice 6
Role Descriptions 6
Characteristics of Effective Community-Based Occupational Therapy Practitioners 7
Paradigm Shifts in Occupational Therapy 8
Community Practice Paradigm 11
Characteristics of the Community Practice Paradigm 12
Conclusion  15
Chapter 2    Public Health, Community Health, and Occupational Therapy  19
MARJORIE E. SCAFFA , PH D, OTR/L, FAOTA, AND  COURTNEY S. SASSE , MA ED L, MS, OTR/L
Introduction 19
Public Health 20
Prevention 21
Health Promotion 21
Community Health 21
National Health Goals and Objectives for the United States 22
A Global Perspective 25
Improving Health and Well-Being Through Occupation 26
Practitioner Roles in Health Promotion and Community Health 27
Conclusion  27
Chapter 3    Theoretical Frameworks for Community-Based Practice  31
S. MAGGIE REITZ , PH D, OTR/L, FAOTA, MARJORIE E. SCAFFA , PH D, OTR/L, FAOTA,
AND M. BETH MERRYMAN , PH D, OTR/L, FAOTA
Introduction 31
Review of Terminology 32
Concepts and Constructs 32
Principle 32
Model 32
Theory 32
Paradigm 33
Conceptual Model of Practice 33

xiii


Theories Related To Community-Based Practice 33
Community Organization Approaches 33
Selected Health Education and Public Health Models and Theories 35
Social Cognitive Theory 35
Health Belief Model 37
Transtheoretical Model of Health Behavior Change 37
PRECEDE-PROCEED Planning Model 40
Diffusion of Innovations Model 41
Selected Occupational Therapy Models 42
Model of Human Occupation 42
Ecology of Human Performance 44
Person-Environment-Occupation Model 46
Examples of Research Using the PEO Model 46
Conclusion  47

Chapter 4    Legislation and Policy Issues  51
M. BETH MERRYMAN , PH D, OTR/L, FAOTA, AND  NANCY VAN   SLYKE , ED D, OTR/L, FAOTA
Introduction 51
Legislation and Disabilities 53
Protection and Care Referenced Legislation 54
Educational and Developmental Referenced Legislation 54
Medical Rehabilitation Referenced Legislation 55
Civil Rights Referenced Legislation 56
Environment Referenced Legislation 56
Consumer Referenced Legislation 57
Federal and State-Level Policy and Community Practice 57
Advocacy Activities That Support Community Practice 58
Conclusion  58

📷SECTION  II   Community-Based Program Development  61<br/>Chapter 5    Program Planning and Needs Assessment  61<br/>MARJORIE E. SCAFFA , PH D, OTR/L, FAOTA, AND  CAROL A. BROWNSON , MSPH
Introduction 62<br/>Environmental Scanning and Trend Analysis 62<br/>Program Planning Principles 63<br/>Plan the Process 63<br/>Plan With People 63<br/>Plan With Data 64<br/>Plan for Performance 64<br/>Plan for Priorities 64<br/>Plan for Evaluation 64<br/>Plan for Measurable Outcomes 64<br/>The Planning Process 64<br/>Preplanning 65<br/>Needs Assessment 66<br/>Program Plan Development 71<br/>Planning With Evidence  77<br/>

Chapter 6    Program Design and Implementation  80<br/>JOY   D. DOLL , OTD, OTR/L
Introduction 80<br/>Mission Statement 81<br/>Implementation Plan 82<br/>Program Goals and Objectives 82<br/>Participant Recruitment 84<br/>Location and Space Issues 85<br/>Supplies and Equipment 86<br/>Staffing and Personnel 86<br/>Compliance With Practice Regulations 87<br/>Financing Options 87<br/>Start-Up Costs 87<br/>Funding Sources 87<br/>Establishing Fees for Service 88<br/>Budgeting 88<br/>Team Development 89<br/>Establishing Partnerships 90<br/>Program Management 91<br/>Program Sustainability 92<br/>Developing a Sustainability Plan 93<br/>Conclusion  93<br/>Chapter 7    Program Evaluation 96<br/>DAVID ENSMINGER , PH D, MARJORIE E. SCAFFA , PH D, OTR/L, FAOTA,
AND S. MAGGIE REITZ , PH D, OTR/L, FAOTA
Introduction 96<br/>Purpose of Program Evaluation 97<br/>Focus of Program Evaluations 97<br/>Needs Assessment 98<br/>Program Theory Evaluation 98<br/>Program Implementation Evaluation 99<br/>Program Impact Evaluation 100<br/>Program Efficiency Evaluation 100<br/>Approaches to Program Evaluation 101<br/>Objectives Approach 101<br/>Managerial Approach 102<br/>Participatory Approach 103<br/>Utilization-Focused Approach 104<br/>Appreciative Inquiry Approach 105<br/>The Process of Planning and Conducting Evaluations 105<br/>Identifying Stakeholders 105<br/>Developing Evaluation Questions 106<br/>Determining Data Needs 106<br/>Choosing Evaluation Methods 107<br/>Utilizing Evaluation Results 108<br/>Communicating Evaluation Results 109<br/>Ethical Issues in Community-Based Program Evaluation 109<br/>

Chapter 8    Entrepreneurship and Innovation in Occupational Therapy  114<br/>MARJORIE E. SCAFFA , PH D, OTR/L, FAOTA, MICHAEL A. PIZZI , PH D, OTR/L, FAOTA,
AND  WENDY M. HOLMES , PH D, OTR/L
Introduction 114<br/>Research on Entrepreneurs 115<br/>The Entrepreneurial Mind-Set 115<br/>The Entrepreneurial Process 115<br/>Intrapreneurship 116<br/>Social Entrepreneurship 117<br/>Entrepreneurship and Innovation 118<br/>Occupational Therapy Entrepreneurship 119<br/>Identification of Trends 119<br/>Characteristics of Effective Entrepreneurs 119<br/>Importance of Research, Skill Building, and Planning 120<br/>Benefits and Barriers to Starting a New Business 120<br/>Starting a New Business: The Basics 120<br/>For-Profit or Nonprofit 121<br/>Incorporation Process 122<br/>Starting a For-Profit Business 122<br/>Developing a Business Plan 123<br/>Starting a Non-Profit Organization 124<br/>Strategic Planning 124<br/>Fund-Raising 125<br/>Grant Writing 127<br/>Grant Proposals 128<br/>Conclusion  129<br/>📷SECTION  III   Children and Youth  133<br/>Chapter 9    Early Intervention Programs 133<br/>DONNA A. WOOSTER , PH D, OTR/L, AND  ABIGAIL BAXTER , PH D
Introduction 134<br/>EI Programs 134<br/>Components of Early Intervention 135<br/>Individualized Family Service Plan 136<br/>Team Members 136<br/>Transition Planning 137<br/>Occupational Therapy Services in EI 137<br/>Occupational Therapy Evaluation 137<br/>Sensory Processing and Neuromotor Status 140<br/>Occupational Therapy Interventions 140<br/>Conclusion 145<br/>Case Study 9-1 Juan 145<br/>Case Study 9-1 Discussion Questions  146<br/>Chapter 10    Community-Based Services for Children and Youth With Psychosocial Issues  148<br/>LAURETTE OLSON , PH D, OTR/L, FAOTA, AND  COURTNEY S. SASSE , MA ED L, MS, OTR/L
Introduction 148<br/>Mental Health Disorders in Children and Youth 149<br/>Evaluation of Children and Youth in Community-Based Settings 151<br/>

Considerations in Designing Interventions for Children and Youth 152<br/>Intervention Approaches for Community-Based Programming 153<br/>Interventions to Develop Self-Regulation 154<br/>Interventions to Increase Social and Task Competence 154<br/>Family-Based Interventions 155<br/>After School Programs 156<br/>Family-Based Programming in ASPs 157<br/>Summer Camps 158<br/>Conclusion 159<br/>Case Study 10-1 Sean and Serena 160<br/>Case Study 10-1 Discussion Questions  161<br/>📷SECTION  IV   Productive Aging  167<br/>Chapter 11    Driving and Community Mobility for Older Adults  167<br/>WENDY B. STAV , PH D, OTR/L, SCDCM, FAOTA
Introduction 168<br/>Contributions of Driving and Community Mobility 168<br/>Consequences of Not Engaging in Community Mobility 169<br/>Alternatives to Driving 169<br/>Driving and Community Mobility Practice 171<br/>Driving Rehabilitation Program Development 171<br/>Role of Occupational Therapy Practitioners in Interventions 174<br/>Interventions With the Person 174<br/>Interventions With Organizations 175<br/>Interventions With Populations 176<br/>Conclusion 177<br/>Case Studies 177<br/>Case Study 11-1 Mr. Martin 177<br/>Case Study 11-1 Discussion Questions 177<br/>Case Study 11-2 Mrs. Brown 178<br/>Case Study 11-2 Discussion Questions  178<br/>Chapter 12    Adult Day Services Programs and Assisted Living Facilities  180<br/>COURTNEY S. SASSE , MA ED L, MS, OTR
Introduction 180<br/>Regulatory and Accrediting Agencies 181<br/>Continuum of Care and Program Models 181<br/>Adult Day Services Programs and Home Care Agencies 182<br/>Independent Living Communities 183<br/>Assisted Living Facilities 183<br/>Nursing Homes 184<br/>Occupational Therapy Roles 185<br/>Maintaining and Maximizing Independence 185<br/>Managing Chronic Conditions 186<br/>Enhancing Quality of Life 186<br/>Safety, Security, and Support for Caregivers and Community 187<br/>Conclusion 187<br/>Case Study 12-1 Nina and Jim 188<br/>Case Study 12-1 Discussion Questions  189<br/>

Chapter 13    Low Vision Services in the Community  191<br/>THERESA  MARIE SMITH , PH D, OTR/L, CLVT
Introduction 191<br/>Low Vision and Occupational Performance 192<br/>Low Vision Rehabilitation Team 193<br/>Occupational Therapy for Clients With Low Vision 193<br/>Low Vision Practice Settings 193<br/>Referrals for Occupational Therapy 194<br/>Intervention for Clients With Low Vision 195<br/>Person 195<br/>Environment 196<br/>Occupation 196<br/>Psychosocial Issues Associated With Low Vision 196<br/>Low Vision Community Support 197<br/>Funding and Billing Issues for Low Vision Occupational Therapy Services 197<br/>Conclusion 198<br/>Case Study 13-1 Mrs. Kindred 198<br/>Case Study 13-1 Discussion Questions  199<br/>Chapter 14    Fall Prevention  201<br/>KIMBERLY MANSFIELD CALDEIRA , MS, AND  MARY BECKER -OMVIG , MS, OTR/L
Introduction 201<br/>Fall Prevention in a Rural Senior Center 201<br/>Overview of the Project 201<br/>Needs Assessment 202<br/>Program Planning 202<br/>Program Implementation 204<br/>Program Evaluation 204<br/>Aging in Place Initiative 205<br/>Conclusion 207<br/>Case Study 14-1 Ms. Fay 207<br/>Case Study 14-1 Discussion Questions  208<br/>Chapter 15    Aging in Place and Naturally Occurring Retirement Communities  210<br/>PEGGY STRECKER  NEUFELD , PH D, OTR/L, FAOTA
Introduction 210<br/>Societal Trends Impacting Aging in Place and Implications 211<br/>NORC: A Solution for Successful Aging in Place 212<br/>Research Evidence Linking Healthy Aging, Community Characteristics,
and Occupations 214<br/>Occupational Therapy Roles in Aging in Place Communities and NORCs 214<br/>Conclusion 217<br/>Case Study 15-1: Morris, Finding Purpose in Helping Others 218<br/>Case Study 15-1 Discussion Questions  219<br/>📷SECTION  V   Work and industry  223<br/>Chapter 16    Ergonomics and Prevention of Work-Related Injuries  223<br/>PETER BOWMAN , OTD, MHS, OTR/L, OT(C), DIP  COT
Introduction 224<br/>Ergonomics Definitions and History 224<br/>

Role of Occupational Therapy in Community Ergonomics 225<br/>General Ergonomic Considerations 225<br/>Posture, Positioning, and Lifting 225<br/>Cognitive Workload 226<br/>Psychosocial Factors 228<br/>Sites for Community Ergonomics 228<br/>Home 229<br/>Recreation Sites 229<br/>Workplace 230<br/>Universal Design 230<br/>Occupational Risks and Common Work Injuries 232<br/>Injury Prevention 233<br/>Comprehensive Work-Related Ergonomic Evaluation: Worker Assessment 235<br/>Objective Assessment 235<br/>Work Location Assessment 236<br/>Occupational Therapy Intervention Evidence 236<br/>Return to Work and Work Modification 237<br/>Computer Equipment and Accessories 238<br/>Laptop/Notebook Computer Issues 238<br/>Program Development and Business Consultation 239<br/>Conclusion 239<br/>Case Study 16-1 Sandy 239<br/>Case Study 16-1 Discussion Questions  241<br/>Chapter 17    Work and Career Transitions  243<br/>SUSAN M. NOCHAJSKI , PH D, OTR/L, AND S. MAGGIE REITZ , PH D, OTR/L, FAOTA
Introduction 243<br/>Transitioning From School to Employment 244<br/>Role of Occupational Therapy in School to Work Transition 244<br/>Community-Based School to Work Transition Programs 245<br/>School to Work Transitions Program 245<br/>Transitioning to Work Following a Disability 248<br/>Transitioning to Active Duty or Civilian Employment 249<br/>Transition to Retirement 251<br/>Occupation-Based Retirement Planning 251<br/>Bridge Employment 251<br/>Legacy Planning in Employment and Volunteer Settings 252<br/>Conclusion 252<br/>Case Study 17-1 Carol 253<br/>Case Study 17-1 Discussion Questions  254<br/>Chapter 18    Welfare to Work and Ticket to Work Programs  257<br/>EMILY  WILSON MOWREY , MS, OTR/L, AND  LAUREN ASHLEY RIELS , MS, OTR/L
Introduction 257<br/>Welfare to Work 258<br/>History of Welfare Reform 258<br/>Recipient and Participant Demographics 258<br/>Assessment of Welfare to Work Programs 259<br/>Issues Related to Welfare to Work Transition 259<br/>Causes of Low Job Retention 259<br/>Enhancing Success in Welfare to Work Programs 260<br/>

Occupational Therapy in Welfare to Work Programs 260<br/>Occupational Therapy Roles 261<br/>Barriers to Occupational Therapy Practice in Welfare to Work Programs 262<br/>The Future of Occupational Therapy in Welfare to Work Programs 263<br/>Ticket to Work Programs 263<br/>Background 264<br/>Employment Networks 264<br/>Implementation Process 264<br/>Payment Systems 265<br/>Benefits and Limitations of the Ticket to Work Program 265<br/>Implications for Occupational Therapy 267<br/>Conclusion 267<br/>Case Study 18-1 Aundria 268<br/>Case Study 18-1 Discussion Questions 268<br/>Case Study 18-2 Austin 269<br/>Case Study 18-2 Discussion Questions  269<br/>📷SECTION  VI   Mental Health  271<br/>Chapter 19    Community Mental Health Programs  271<br/>RUTH RAMSEY , ED D, OTR/L
Introduction 272<br/>Theoretical and Conceptual Models 273<br/>Stress-Vulnerability Model 274<br/>Psychiatric/Psychosocial Rehabilitation Models 274<br/>Recovery Model 275<br/>Occupation-Based Approach 275<br/>Community-Based Services for People With Serious Mental Illness 276<br/>Partial Hospitalization/Intensive Outpatient Programs 276<br/>Home Health Services 277<br/>Peer Support and Peer-Run Programs 278<br/>Supported Education Programs 278<br/>Veterans Support Services 279<br/>Transitional Housing 279<br/>Evidence-Based Practices 280<br/>Assertive Community Treatment 280<br/>Supported Employment 281<br/>Permanent Supportive Housing 282<br/>Illness Management and Recovery 283<br/>Family Support and Education 283<br/>Occupational Therapy in Community Mental Health Settings 284<br/>Role of Occupational Therapists 284<br/>Occupational Therapy Evaluation and Interventions 284<br/>Funding For Community-Based Mental Health 286<br/>Conclusion 287<br/>Case Study 19-1 Antonio 287<br/>Case Study 19-1 Discussion Questions  288<br/>

Chapter 20    Community-Based Approaches for Substance Use Disorders  292<br/>MARJORIE E. SCAFFA , PH D, OTR/L, FAOTA, LAUREN  ASHLEY RIELS , MS, OTR/L, PENELOPE A. MOYERS , ED D, OTR, FAOTA, AND  VIRGINIA C. STOFFEL , PH D, OT, BCMH, FAOTA
Introduction 292<br/>Substance Use Terminology 293<br/>Substance Use Disorders and Occupation 293<br/>Community-Based Substance Abuse Services 295<br/>Crisis Intervention 295<br/>Intensive Outpatient Programs 296<br/>Evidence-Based Practices 298<br/>Brief Interventions 298<br/>Motivational Approaches 299<br/>Motivational Interviewing 300<br/>Motivational Enhancement Therapy 301<br/>Cognitive-Behavioral Approaches 301<br/>Occupational Therapy in Substance Abuse Programs 303<br/>Conclusion 304<br/>Case Study 20-1 Richard 305<br/>Case Study 20-1 Discussion Questions  306<br/>Chapter 21    Forensic Mental Health Practice Within the Community  309<br/>ROXANNE CASTANEDA , MS, OTR/L, AND S. MAGGIE REITZ , PH D, OTR/L, FAOTA
Introduction 309<br/>Entry Process to Criminal Justice System and/or the Forensic Mental Health System:
Client, Defendant, or Inmate? 310<br/>Court System 310<br/>Criminal Justice System 311<br/>Forensic Mental Health System 311<br/>Route to Community Reintegration 311<br/>Defendant/Inmate 311<br/>Adjudicated Not Criminally Responsible 312<br/>Role of Occupational Therapy Community Re-entry With Forensic Clients 312<br/>Challenges to Community Intervention 313<br/>Public Safety 313<br/>Cultural Dynamics of Criminal Justice and Forensic Mental Health Contexts 314<br/>Institutional Jail/Maximum Security Hospital 314<br/>Person 315<br/>Community Agency Context 315<br/>Mental Health Recovery Movement 315<br/>Occupational Therapy Community Practice With Persons With Mental Health and
Criminal Justice/Forensic Involvement 316<br/>Occupational Therapy Community Consultation-Liaison Service 316<br/>Conclusion 318<br/>Case Study 21-1 Aretha 318<br/>Case Study 21-1 Discussion Questions  319<br/>

📷SECTION         Rehabilitation and Participation  321<br/>Chapter 22    Accessibility and Community Integration  321<br/>JANIE B. SCOTT , MA, OT/L, FAOTA
Introduction 322<br/>Accessibility Issues 322<br/>Home Accessibility 323<br/>Community Accessibility 323<br/>Community Mobility 324<br/>Personal Transportation 324<br/>Public Transportation 325<br/>Transportation Safety 325<br/>Community Integration 325<br/>Community Integration Post-Injury or Illness 326<br/>Leisure and Recreation 327<br/>Work 327<br/>Wounded Warrior Project 328<br/>Advocacy 328<br/>Conclusion 328<br/>Case Study 22-1 Veretta 329<br/>Case Study 22-1 Discussion Questions 329<br/>Case Study 22-2 Paul 330<br/>Case Study 22-2 Discussion Questions  330<br/>Chapter 23    Independent Living Centers  332<br/>COURTNEY S. SASSE , MA ED L, MS, OTR/L
Introduction 332<br/>History and Philosophy of the Independent Living Movement 333<br/>History 333<br/>Philosophy 334<br/>Leaders and Advocates of the Independent Living Movement 334<br/>Independent Living Programs: Meaningful Participation in the Community 336<br/>The Four Core Services of Independent Living Programs and Centers 337<br/>The Role of Occupational Therapy in Independent Living Centers 338<br/>Preventive Occupational Therapy Services 339<br/>Health Promotion Services 339<br/>Services for Special Populations 340<br/>The Future of Independent Living Centers 341<br/>Conclusion 342<br/>Case Study 23-1 Marianne 343<br/>Case Study 23-1 Discussion Question  344<br/>Chapter 24    Technology and Environmental Interventions in Community-Based Practice  346<br/>REBECCA I. ESTES , PH D, OTR/L, PAULA LOWREY , MOT, OTR/L,
AND  MARY FRANCES  BAXTER , PH D, OT, FAOTA
Introduction 346<br/>Technology and Environmental Intervention Outcomes 347<br/>Universal Design 348<br/>Wheeled Mobility 349<br/>

Communication Technology 351<br/>Computer Access 352<br/>Universal Design in Computer Use 353<br/>Adaptations for Computer Access 353<br/>Home Modifications and Electronic Aids to Daily Living 354<br/>Electronic Aids to Daily Living 355<br/>Funding for Home Modification 355<br/>Advanced Training in Home Modification 356<br/>Conclusion 356<br/>Case Study 24-1 RP 357<br/>Case Study 24-1 Discussion Questions  357<br/>📷SECTION         Health Promotion and Wellness  359<br/>

Chapter 25    Occupational Therapy in Faith-Based Organizations  359
LYNN M. SWEDBERG , MS, OT, AND  SHIRLEY A. BLANCHARD , PH D, ABDA, OTR/L, FAOTA
Introduction 360
Historical Background 360
Faith Community as a Resource 360
Faith Communities and Health 360
Spirituality and Health 361
Occupational Therapy and Spirituality 361
Need for Occupational Therapy Involvement in Faith-Based Organizations 362
Health Ministry 362
Functions and Roles of the Faith-Community Practitioner as Health Minister 363
Disability Ministry 367
Missions and Outreach 367
Other Community-Based Occupational Therapy Roles in Faith-Based
Organizations 368
Recommended Training and Experience 369
Ethical Considerations 370
Self-Care 370
Future Directions 370
Conclusion 371
Case Study 25-1 Elaine 372
Case Study 25-1 Discussion Questions  372
Chapter 26    Lifestyle Redesign Programs  377
CAMILLE DIETERLE , OTD, OTR/L
Introduction 377
Lifestyle Redesign Defined 378
Development of Lifestyle Redesign 379
Key Components of the Lifestyle Redesign Intervention Created for the USC
Well Elderly Study 381
Lifestyle Redesign Programs and Applications Since the USC Well Elderly Study 382
Lifestyle Redesign Weight Management Program 383
Lifestyle Redesign for Diabetes 385
Lifestyle Redesign for Chronic Headaches 385
Lifestyle Redesign for the College Student 385


Lifestyle Redesign for Mental Health 385
Lifestyle Redesign Interventions Outside of USC Settings 386
Reimbursement for Lifestyle Redesign 386
Conclusion 386
Cases Study 26-1 Linda 387
Case Study 26-1 Discussion Questions  387
Chapter 27    Occupational Therapy in Primary Health Care Settings  390
S. BLAISE CHROMIAK, MD, MARJORIE E. SCAFFA, PHD, OTR/L, FAOTA, AND SHANNON NORRIS, OTR/L
Introduction 390
Primary Health Care Services 391
Health Promotion in Primary Care Settings 393
Weight Loss 395
Tobacco Use and Smoking Cessation 396
Low Back Pain 397
Family and Intimate Partner Violence 397
Mental Health 398
Integrating Health Promotion Practices Into Routine Primary Care 400
Brief Office Interventions 400
Health Literacy Interventions 401
Chronic Disease Self-Management 401
Developing Health Promotion Programs for Primary Care 402
Working With Primary Care Physicians 404
Marketing Occupational Therapy Services to Physicians in Primary Care 404
Funding Occupational Therapy Services in Primary Care 405
Conclusion 405
Case Study 27-1 Doris 406
Case Study 27-1 Discussion Questions  406
Chapter 28    Health Promotion Initiatives Within Academic Communities  409
JENNA YEAGER , PH D, OTR/L, S. MAGGIE REITZ , PH D, OTR/L, FAOTA, M. BETH MERRYMAN ,
PH D, OTR/L, FAOTA , AND  SONIA LAWSON , PH D, OTR/L
Introduction 409
Policy Support for Occupational Therapy Involvement in Health Promotion in
Academic Communities 410
Healthy Campus Task Force 411
Promoting a More Inclusive Environment for Individuals With Psychiatric
Disabilities 412
Stroke Support Group 413
General Education/Core Curriculum Courses 415
Leisure and Health Course: Overview 415
Leisure and Health Course: Philosophical and Theoretical Foundation 415
Flow Theory 416
Model of Human Occupation 416
Health Belief Model 416
Leisure and Health Course: Assignments 416
Leisure and Health Course: Assessment 417
Leisure and Health Course: Replicability 417
Conclusion  418

📷SECTION  IX   Looking Ahead  421<br/>Chapter 29    Future Directions in Community-Based Practice  421<br/>MARJORIE E. SCAFFA , PH D, OTR/L, FAOTA, ERIN GUILLORY  CARAWAY , MS, OTR,
AND  SHUN TAKEHARA, OTR
Introduction 422<br/>An Ecological Worldview 422<br/>Creating Opportunities in the Community 423<br/>Innovative Ideas Put Into Action 424<br/>Transition Services for Youth With Disabilities 424<br/>Obesity Prevention and Intervention 426<br/>Driving Across the Life Span 427<br/>Aging-in-Place Home Modifications 427<br/>Telerehabilitation 428<br/>The Influence of Occupational Justice: An International Example 429<br/>Implications for Professional Preparation and Education 429<br/>Community Service Learning 432<br/>Implications for Research in Community-Based Practice 433<br/>Diffusion of Innovations 434<br/>Conclusion  434<br/>Case Study 29-1 Yuriko 435<br/>Case Study 29-1 Discussion Questions 437<br/>Index 441<br/>