Occupational Therapy Commons^™

An Occupational Therapist's Role As A Prospective Payment System Coordinator And Identifying Patient Trends In An Inpatient Rehab Center, Autumn Idalski

Capstone Projects

This capstone experience explores the role of a Prospective Payment System (PPS) Coordinator within an inpatient rehabilitation setting and how the skills of an occupational therapist qualify the profession to contribute to the success of a PPS team. A literature review revealed the importance of non-traditional education placements within the occupational therapy curriculum to provide well-rounded experiences to students to leverage their professional careers. A needs assessment revealed a need to identify patient outcome trends within different Rehabilitation Impairment Categories at the capstone site. Objectives for this capstone experience and project include gaining competence in reviewing patient charts within the …

Occupational Therapy's Impact Utilizing Trauma-Informed Care With At-Risk Youth, Kerri Lindeman

Capstone Projects

The 14-week capstone experience aimed to advocate and implement occupational therapy (OT) alongside a non-profit organization serving at-risk youth while utilizing trauma-informed care (TIC) approach. Alongside various staff and volunteers, this capstone project focused on aiding underserved children in a variety of age-specific after-school programs. This specific population of youth have limited resources at home. The families in the community have limitations with basic needs including food, water, and shelter. The organization was able to fulfill these basic needs along with activities to meet the developmental needs of each child. Due to their minimal resources, the children also have limited …

Resident Reported Changes To Social Engagement And Quality Of Life Due To Increased Physical Activity Within A Senior Living Facility, Sydney Leroy

Capstone Projects

The purpose of this Doctoral Capstone Experience (DCE) was to see if regular participation in an exercise program could promote positive changes in social engagement and overall quality of life for older adults residing in an independent or assisted living facility. A standardized assessment and interview were completed with each participating resident before and after a 6-week exercise program to assess any changes in social engagement and quality of life. As a result, recruitment for this study and overall resident participation increased by advertising new and existing exercise classes throughout the senior living facility. In addition to the already scheduled …

An Accessible Garden For Cds: Facilitating Participation, Building Skills, And Raising Awareness, Kelyn Rae Sckrabulis

Capstone Projects

The concentration area for this doctoral capstone experience (DCE) was program development, which occurred at the Community Connection Skill Building. This site provides services to adults with intellectual and developmental disabilities. Research has found that individuals with developmental and/or intellectual disabilities often face barriers to community participation which can lead to poor health outcomes, engagement in more sedentary activities, and a reduction in quality of life. Participation in garden-based activities can promote health and wellbeing and establish a sense of purpose within the community. A needs assessment at the DCE site revealed the need for additional programs that provide community …

Service Gap In Kalamazoo County: Establishing A Reimbursable, Child-Led Multidisciplinary Feeding Tube-Weaning Protocol, Piper Friend

Capstone Projects

I partnered with the feeding team at Bronson Methodist Hospital (BMH) including outpatient pediatric occupational therapy, gastroenterologists, and dietitians to implement an evidence-based tube-weaning guideline for tube-dependent infant and pediatric patients. There is limited research in the area of tube-weaning and therefore limited national standards and guidelines to support clinicians and families going through this process. Current options for feeding tube-weaning services for Kalamazoo residents include traveling to Helen DeVos’s Intensive Feeding Program in Grand Rapids which places a heavy emphasis on behavioral intervention. This does not support the autonomy of the child or support the holistic occupation of feeding. …

Integrating Occupational Therapy Strategies In Autism Community Programs, Danielle Daoud

Capstone Projects

The purpose of this 14-week Doctoral Capstone Experience (DCE) was to implement Occupational Therapy (OT) strategies into already existing Autism community programs. The capstone project took place at The Joanne and Ted Lindsay Foundation Autism Outreach Services (OUCARES) under the mentorship of Kristin Rohrbeck, M.A., Director of OUCARES. This project’s concentration area was in program and policy development, and although these programs were already established, there was a need for Occupational Therapy based strategies and recommendations to further enhance them. OUCARES offers a wide variety of programs focused on everyday life skills for individuals with Autism of all ages, along …

Dog And Owner Emotional Relationship Training, Andrea Sowles

Capstone Projects

The purpose of this capstone experience was to develop a program for emotional relationship training to create a human-animal interaction (HAI) with a dog and their owner. Along with promoting the importance of mental health and engagement in occupations. The program focused on helping the dog provide emotional support to their owner through participating in the training of the Canine Good Citizen (CGC) test. This outline helped deepen the bond between dog and owner and allowed them to become more connected as a team. There is a gap in knowledge between the use of animal assistance in therapy and the …

Impact Of Cooking Groups On Children And Adolescents With Intellectual And Developmental Disabilities, Abigail Willinger

Capstone Projects

Engagement in play and leisure activities is an important component of daily life for individuals of all ages. However, there is still a lack of leisure and recreation availability and knowledge regarding children with intellectual and developmental disabilities and their participation in daily activities specifically related to play, recreation, and socialization. With healthcare advocacy efforts on the rise, the implementation of a meaningful leisure occupation, such as cooking, through group classes is evident in order to improve one’s overall quality of life. The aim of this 14- week education and program development based capstone project is to improve inclusivity and …

The Role Of Occupational Therapy In Transition Programs For High School Students With Disabilities, Taylor Kehren

Capstone Projects

Public schools are required to provide reasonable accommodations to students with disabilities. Individualized Education Plans (IEPs) include transition planning to prepare for life after graduation focusing on employment and independent living. Although these services are required, high school students with disabilities have lower rates of employment and independent living compared to their peers. OT services are reimbursed under IEPs, but there is a gap in service with under-utilization in transition planning. The purpose of this DCE was program development with the transition program, Project SEARCH, while also exploring the role OT has in transition planning for high school students with …

The Benefits Of An Occupational Therapy Lens Within A Gymnastics Center To Promote Greater Inclusivity And Cohesion In Classes, Kimberly Ortiz

Capstone Projects

Inclusive programming has become more prevalent in many occupational pursuits for children, including that of leisure pursuits, or activities that a child engages in during their free time as they bring a sense of purpose and/or reward (Woodmansee et al., 2016). A major leisure pursuit of young children is organized sports and one that has demonstrated benefits for kids of all abilities and is growing in popularity is gymnastics (Gitimoghaddam et al., 2019; Mak & Cheung, 2018; Campain, 2014). While the benefits of participating in an inclusive gymnastics program are high for all children involved, the most benefits will be …

Interdisciplinary Amputee Care From Injury To Independence: Medical, Occupational Therapy, And Prosthetic Intervention, Amanda Fox

Capstone Projects

During my doctoral capstone experience, I focused on advanced clinical practice of hand therapy and treatment of upper extremity amputees. I had the opportunity to observe and collaborate with surgeons and prosthetists to gain an improved understanding of my patients’ multi-disciplinary care. I assisted in teaching three upper extremity courses for WMU’s OTD program. I also evaluated and treated my site’s entire amputee caseload in addition to my site mentor’s more complex cases. Utilizing what I learned, I created educational resources and HEPs specifically geared toward amputees. Theses resources were supplied throughout the patient’s POC as needed and at my …

Swim Instructor Education For Adaptive And Inclusive Swimming, Anna Griesbach

Capstone Projects

My doctoral capstone experience (DCE) focused on swim instructor education in order to promote adaptive and inclusive swimming. The mentors that I collaborated and worked with throughout the capstone experience were both certified aquatic instructors with extensive experience in instructing swim classes, adaptive classes, and one of my mentors has created and implemented an adaptive swim program in the past. The Accreditation Council for Occupational Therapy Education (ACOTE) focus area that I completed my capstone experience and culminating project was on education. I identified several gaps and areas of need within my site and the population served there that I …

Development Of A Community Living Coffee Shop, Micah Taniguchi

Capstone Projects

Providing employment opportunities for individuals with a disability has multiple benefits for the employer and for the individual (Lindsay et al., 2018). In addition, occupational therapy within a community-based living setting could decrease the risks for social isolation and increase engagement in occupation for older adults (Domville, 2019). This capstone project focused on program development at Self-Help Alternative Living of Michigan (SHALOM). SHALOM is a community-based living program who was seeking to provide additional employment opportunity for their participants with intellectual and developmental disabilities. Limited research available made it difficult to develop a training manual for coaches, participants, and volunteers …

Substance Use Disorder: Parent Support Group, Alexandra Superson

Capstone Projects

The focus of this 14-week capstone project revolved around program development and implementation of a parent support group through Wedgwood Christian Services for parents who are raising adolescents who were struggling with substance use disorder (SUD). Very little is known regarding interventions available to support affected parents to cope with the high stress that comes with navigating the waters of raising a teenager with SUD. The purpose of this project was to improve mental health, family dynamics, and overall quality of life for the affected parents who attended the support group once a week for four weeks. Evidence of stress …

Evaluation Of Soft Employability Skills In Students With Disabilities Attending A Vocational Training Program, David Gasser

Capstone Projects

The purpose of this capstone project was to create a customized assessment tool that evaluates soft employability skills and quantifiably measures progress made over time. This project was completed at the Michigan Career and Technical Institute (MCTI). MCTI is a post-secondary vocational and technical training center for adults with disabilities. This project was completed as current literature regarding vocational rehabilitation evaluation and soft employability skills is underdeveloped and requires further research. Also, existing vocational rehabilitation assessments are heavily focused on an individual's physical capabilities. Existing assessments that address soft skills also do not meet demands of MCTI and assessment customization …

Entry Level Ota Module Content: Sexual Activity As An Adl, Peightyn Larson

Capstone Projects

Sexuality is a “state of mind that represents how individuals feels about themselves, relate to other people, establish relationships, and express themselves” (AOTA, 2013). Occupational therapists and occupational therapy assistants have the skill set necessary to address sexuality in practice, however, it is neglected in occupational therapy (OT) and occupational therapy assistant (OTA) programs throughout the United States of America (Lohman et al., 2017). The absence of sexuality in curriculum stems from lack of time, low priority, and various client factors including age, marital status, therapist safety, personal beliefs, and fear of offending the client (Lohman et al., 2017; McGarth …

Occupational Therapy's Role In Medication Management With The Corewell Health System, Anthony Genna

Capstone Projects

Gap: Corewell Health lacked a competency program to assess their occupational therapist ability to provide medication management services. The occupational therapist required an educational resource to support the use of the Pill-Box Test. Additional resources were needed to identify evidence-based interventions and documentation tips to aid with reimbursement of services. The patient education library required a resource to highlight strategies to support clients in reaching their medication management goals.

Objective: To standardize practice of medication management services including evaluation, intervention, and documentation of outcomes for occupational therapy patients at Corewell health.

Outcomes: The health system was equipped with a medication …

Exploration Of Driving Rehabilitation Best Practices To Sustain An Occupation Focused Driver Rehabilitation Program, Kelsey East

Capstone Projects

In the United States driving dominates as the primary mode of transportation connecting people to resources including work, school, stores, and hospitals. Driving enables individuals to participate in the occupations they need or want to do, which is why it is a critical Instrumental Activity of Daily Living (IADL). Because driving falls within an occupational therapist’s scope of community mobility, many driving rehabilitation specialists have a background in occupational therapy. Driving rehabilitation is an expanding practice area, with emerging evidence supporting the use of an IADL based assessment for determining fitness to drive. Therefore, the main goal of this doctoral …

Advocacy Efforts For The Occupational Therapy Licensure Compact, Caitlin Cornish

Capstone Projects

Advocacy efforts for the occupational therapy profession are critical in order to promote the scope of practice and what benefits occupational therapy can provide to consumers. However, many occupational therapists and occupational therapy students find there are many barriers to becoming involved in advocacy efforts. The barriers to advocacy decrease the amount of individuals involved in advocacy efforts that allow forward progress within our profession. Clinicians and students need to be involved in the advocacy efforts at the policy level and engage in conversations with legislators. There are pieces of legislation that exist at the state-policy level that would advance …

Outcome Measures At A Private Outpatient Pediatric Occupational Therapy Clinic, Kelly Alter

Capstone Projects

My Doctoral Capstone Experience (DCE) focused on outcome measurements and better understanding business related elements within a private outpatient occupational therapy clinic. As described in the paper below, outcome measurements are important for a variety of reasons but can be difficult to implement in everyday practice for clinicians. Thus, I aimed to improve the ways that this clinic collected outcome measures so that it would be more manageable for the clinicians. For my DCE, I also sought to improve the physical environment at Sensory Systems Clinic West (SSCW) which was indicated as a barrier during the needs assessment by staff. …

Expanding Trauma Treatment With Sensory Based Occupational Therapy, Domonique Chambers

Capstone Projects

Sensory based occupational therapy is bridging the gap between the brain and body for individuals who have experienced complex trauma or have a barrier within their functional skills due to the integration of their sensory system. This can include individuals who have experienced complex trauma or individuals who are neurodivergent experiencing barriers to function in their lives. My objectives throughout my capstone experience is to support these clients seeking occupational therapy through educational handouts and videos on the what and why, pursuing grant information, and advancing my clinical skills within this outpatient clinic. These have resulted in increased resources for …

Occupational Therapy Integration In Psychosocial Rehabilitation: The Clubhouse Model, Kenzie Callahan

Capstone Projects

There is a growing need for individuals with any mental illness to receive services in community-based settings. The profession of occupational therapy uses occupation-based practice to engage people in daily activities of living, identify individualized goals, promote health, wellness, and quality of life. These practitioners are a component of the interdisciplinary care that complements holistic mental health treatment. The capstone project was designed to integrate occupational therapy practice into the clubhouse model setting. Primary modes of capstone project and experience included participating in the work-ordered day alongside members, informal assessments, lunch and learn educations, advocation for occupational therapy integration in …

Ins And Outs Of Running A Successful Non-Profit Organization At Northern Michigan Equine Therapy, Megan Morrill

Capstone Projects

My capstone experience took place at Northern Michigan Equine Therapy (NMET) and focused on leadership, administration, advocacy, education, and clinical practice skills. NMETs equine- assisted occupational therapy and HorseSense® self-development programs play an integral role in the northern Michigan community, yet insurance will not cover these services since they are flagged as “alternative” therapies due to utilizing a horse as a therapeutic tool. Because of this NMET relies on donations, grants, and fundraisers for program income. During a SWAT analysis NMET stated their biggest weakness and threat is not having enough program income to hire an additional part-time or full-time …

Improving Efficiency Of Referrals And Documentation At Drive Well Michigan Driver Rehabilitation Clinic, Paige Norgan

Capstone Projects

The doctoral capstone project focused on developing a current website for Drive Well Michigan driver rehabilitation clinic that incorporated web content accessibility strategies and increased patient autonomy by allowing them to initiate referrals, schedule appointments online, and pay online. This mechanism was concurrently developed to decrease the amount of time that occupational therapists on site previously dedicated towards completing the entire referral, scheduling and payment process over the phone. Additionally, two electronic record systems were researched, demonstrated, and presented to site mentor, and two documentation summary templates were designed to be integrated into the chosen future system. Lastly, practice management …

Communities Helping Communities: Identify Impact Through Surveys, Sarah D. Farrar

Capstone Projects

Renew Mobility started it humbles beginnings in 1993 with the intention to serve those in need of mobility equipment within Western Michigan. Since Renew Mobility opened 30 years ago it has undergone restructuring, including opening a second office to further its impact. In essence Renew Mobility aids in helping all ages and abilities of the population who need devices to increase their independence. Renew Mobility accepts donated equipment from the community, refurbishes the equipment/ recycles it, and donates it back to those in need. A hindrance of growth for our organization has been tracking outcomes. Renew Mobility has started to …

Increasing Quality Of Life: Providing Education And Resources For Parents Of Children With Autism Spectrum Disorder, Jeanette Kymes

Capstone Projects

This 14-week capstone project aimed to develop and implement meaningful modifications to an early intensive behavioral intervention center from an occupational therapy (OT) perspective. An evidence-based evaluation of the existing program was conducted, and it was identified that parents of children 18 months to 6 years old with autism lacked the awareness of available resources to support their overall quality of life. A new process was developed and implemented for parents to get connected with resources that met their current needs, resulting in a total of 18 different categories of resources. Parents also received education regarding caregiver burnout and developmental …

Features Of Optics And Mounts That Facilitate Participation In Birding For Power Wheelchair Users: An Exploratory Study, Alexander Field

Capstone Projects

Birding as a leisure task may facilitate increased quality of life and regulate the nervous system through nature-based experiences; however, there are no prior published studies that examine adaptive birding equipment, making this research a crucial addition to the field of occupational therapy. Existing birding equipment is built very heavily, making it difficult for users to apply and reposition during the act of birding. This capstone project focused on adaptive birding equipment use by power wheelchair users to determine the supportive features that best facilitated participation in birding from their mobility devices. Researchers purchased lighter weight mounts and various optics …

Hope On The Slopes: Occupational Therapy's Role In Adaptive Ski Programming, Claire Hague

Capstone Projects

Adaptive skiing and Occupational Therapy (OT) have potential to merge well together. They both aim to enable individuals, regardless of ability, to engage in a purposeful activity or occupation through providing the appropriate supports or interventions (Lundberg et al., 2021; AOTA, 2020). Although OT is acknowledged as a service delivered in community-based settings (AOTA, 2020), there is limited evidence to support a collaboration between OT and its involvement in community-based adaptive ski programing. The purpose of this Doctoral Capstone Experience (DCE) is to explore the role of OT in a community-based adaptive ski program, Challenge Mountain. Through serving alongside the …

What's Going On In This Picture? Teaching Clinical Observation Skills With Visual Thinking Strategies, Susan Noyes Phd, Otr/L

USM Research and Scholarship Symposium

No abstract provided.

Occupational Therapists' Experience Of Using Home Adaptation And Assistive Products As Interventions For Older Individuals And Persons With Disabilities In Thailand, Peeradech Thichanpiang, Veerawat Sansri, Surachart Thongchoomsin, Sutinun Juntorn, Thitiya Wangkawan, Supatida Sorasak, Phichaya Baramee, Kannika Permpoonputtana, Chirathip Thawisuk, Chutikorn Nopparat, Anuchart Kaunnil Corresponding Author

The Qualitative Report

As Thailand becomes an aged society it is important to promote advancements in geriatric medicine to provide the best care for older individuals. The right assistive facilities and household mobility equipment are essential for everyday activities. The use of home adaptations and assistive products can maximize the quality of life for older individuals and make life more convenient for those with disabilities. This study aimed to investigate the experience of occupational therapists, using home adaptations and assistive products. An individual interview was conducted with eight occupational therapists who worked at regional hospitals and centers of excellence throughout Thailand using a …