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OT Code of Ethics

OT Code of Ethics

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10/04/2014

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OT 304
 – 
OT ETHICS
The Occupational Therapy Association of the Philippines (OTAP) Code of Ethics
 
The Occupational Therapist shall accept referrals for assessment and/or treatment from medicalpractitioners, colleagues, and other qualified professionals, providing he/she is dully registered and/orlicensed;
has direct access to the patient’s doctor; and where necessary, informs the latter prior
, tocommencing treatment.
 
The OTRP shall possess the personal qualification of integrity, reliability, and loyalty.
 
The OTRP shall maintain a high standard of practice at all times.
 
The OTRP shall respect confidential information available to him/her in the course of his/her professionalduties.
 
The OTRP shall consult the medical and other relevant records before commencing treatment.
 
The OTRP shall consult and cooperate with all persons responsible for the psychosocial, medical, andeducational progress of those in need for such services.
 
The OTRP shall keep reports and records clearly and concisely for the information of professionalcolleagues, and for legal purposes.
 
The OTRP shall continue growing professionally, through advance studies, researches, seminars, in-servicetrainings, and other ways to update trends in the practice of the profession.
 
The OTRP shall recognize the responsibility to promote the profession to the students, medical, and alliedhealth profession and to the public in general.
 
The OTRP shall contribute to the growth and development of the profession by supporting the professionalorganization at the local, national, and international levels.
OTAP GUIDELINES for an OTRP in PRIVATE PRACTICE
REFERRALS
 An OTRP practitioner 
shall accept referrals in accordance with OTAP’s statement of Occupational Therapy Referral.
  An OTRP acts on requests for services, whatever their sources. They may accept and enter cases at their ownprofessional discretion and based on their own level of competency. Unregistered or unlicensed OTs shall notaccept and enter cases at their own professional discretion without the close supervision and direction of an OTRP.
 An OTRP practitioner shall assume responsibility for determining the appropriateness of the scope, frequency, and duration of services.
 
This means, serving an individual only in one’s capacity as
occupational therapist, withoutattempting to deal with medical and educational problems (among others), which are better handled by a physicianor educator, for example.
 An OTRP practitioner shall refer individuals to other appropriate resources when the therapist determines that the knowledge and expertise of other professionals is indicated.
Frequency and nature of services must be determinedand assessed periodically as needs change. For example, a post-stroke individual may initially require a one-on-one session, three times a week, one hour per session in order to deal with postural and self-care difficulties. Thatsame individual may progress to a level where socialization goals are more vital; he/she may be seen in a group of three, once a week, for one hour per session.
 
 
COURSE OF TREATMENT PROGRAM
 An OTRP practitioner 
shall assess an individual’s 
 Areas of Occupation, Performance Skills, Client Factors,Performance Patterns, Activity Demands; and Context and Environment.
All areas evaluated must have afunctional implication and outcome. Likewise, the areas assessed must be addressed during intervention.
 An OTRP practitioner shall develop and document an intervention plan based on analysis of the OT assessment 
data and the individual’s expect 
ed outcome after the intervention.
The intervention plan must state goals that areclear, measurable, behavioral, achievable, functional, and appropriate to the individual. The assessment andintervention plan must be communicated to the appropriate persons.
 An OTRP practitioner shall educate the individual, significant others, or legal guardian, non-certified OT personnel,and non-OT staff, as appropriate, in activities that support the established intervention plan. The OTRP practitioner shall communicate the risks and benefits of the intervention.
Information regarding community resources relevant
to the practice of the practitioner must be maintained. For example, a pediatric OTRP should assist his client’s
family in seeking appropriate educational placement in the community.
 An OTRP practitioner shall discontinue service when the individual has achieved pre-determined goals or has achieved maximum benefits from OT services.
A discharge plan must be formulated, documenting changesbetween the initial and current states of functional ability and deficits in Areas of Occupation, Performance Skills,Client Factors, Performance Patterns, Activity Demands; and Context and Environment. Recommendations forfollow-up or re-evaluation may also be included when applicable.
The American Occupational Therapy Association (AOTA) has a publication,
 A Guide to Self-Appraisal 
, which explains issues related toestablishing, maintaining, and measuring competency in OT. An abridged version may be found in OT Week Mag
azine’s issue (June 19 1997,
vol 11, #25).
The American Occupational Therapy Association (AOTA)
 
Guidelines to the Occupational Therapy Code of Ethics
IntroductionThe Guidelines to the Occupational Therapy Code of Ethics are organized under main topics that reflect the issuesthat members of the American Occupational Therapy Association (AOTA) most frequently raise. The topic headingsare honesty, communication, ensuring the common good, competence, confidentiality, conflict of interest, theimpaired practitioner, sexual relationships, and payment for services. Following each heading is a brief descriptionof the topic and a general description of the desired behaviors. Several statements that are examples of desiredaction in more specific situations follow these descriptions. The final section of the paper describes steps that canbe taken to resolve ethical issues.The Guidelines to the Occupational Therapy Code of Ethics are overarching statements of morally correct action.The Guidelines also indicate a level of expected professional behavior. The Guidelines can be used to provideclarification when a perplexing problem arises, can be used as educational or supervisory tools, and can be used toeducate the public. The Guidelines, Core Values and Attitudes of Occupational Therapy Practice (AOTA, 1993), andthe Code of Ethics (AOTA, 1994) are all aspirational rather than legal documents. These documents are designed tobe used together in the deliberation of ethical concerns. The Guidelines are moral and philosophical statementsthat encourage occupational therapy practitioners to attain a high level of professional behavior. They also bind theprofession to the singular purpose of assuring the public of high-quality occupational therapy services. Thefollowing terms are used throughout this document and are defined as follows:Occupational Therapist - Any individual initially certified to practice as an occupational therapist or licensed orregulated by a state, district, commonwealth or territory of the United States to practice as an occupationaltherapist.
 
 
Occupational Therapy Assistant - Any individual certified to practice as an occupational therapy assistant orlicensed or regulated by a state, district, commonwealth, or territory of the United States to practice as anoccupational therapy assistant.Occupational Therapy Practitioner- A term that is inclusive of both Occupational Therapists and OccupationalTherapy Assistants.Occupational Therapy Personnel - For the purposes of this paper, this term includes all staff and personnel whowork and assist in providing occupational therapy services (e.g., aides, orderlies, secretaries, technicians).1. HONESTY:Be honest with yourself, be honest with all you come in contact with. Know your strengths and limitations.1.1
 
In education, research, and clinical practice, individuals must be honest in receiving and disseminatinginformation by providing opportunities for informed consent and for discussion of available options.1.2
 
Occupational therapy practitioners must be certain that informed consent has been obtained prior tothe initiation of services, including evaluation. If the service recipient cannot give informed consent, thepractitioner must be sure that consent has been obtained from the person who is legally responsible forthe service recipient.1.3
 
Occupational therapy practitioners must be truthful about their individual competencies as well as thecompetence of those under their supervision. In some cases the therapist may need to refer the clientto another professional to assure that the best possible services are provided.1.4
 
Referrals to other health care specialists shall be based exclusively on the other
provider’ 
s competenceand ability to provide the needed service.1.5 All documentation must accurately reflect the nature and quantity of services provided.1.5
 
Occupational therapy practitioners terminate services when the services do not meet the needs andgoals of the service recipient, or when services no longer produce a measurable outcome.1.6
 
 All marketing and advertising must be truthful and carefully presented to avoid misleading theconsumer.2. COMMUNICATION:Communication is important in all aspects of occupational therapy. Individuals must be conscientious and truthfulin all facets of written, verbal, and electronic communication.2.1 Occupational therapy personnel do not make deceptive, fraudulent, or misleading statements about thenature of the services they provide or the outcomes that can be expected.2.2 Occupational therapy personnel shall not divulge confidential information or information that may causeharm to the consumer. Caution must be taken to assure that confidentiality is maintained in verbal,written, or electronically transmitted communications.2.3 Professional contracts for occupational therapy services shall explicitly describe the type and duration of services as well as the duties and responsibilities of all involved parties.2.4 Documentation for reimbursement purposes shall be done in accordance with applicable laws andregulations.

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