Practice FAQs

Question:
I am having a very difficult time finding the Cognitive Competency Test for purchase.

Answer:
CAOT has compiled a list of companies that offer assessments used in occupational therapy. This list is not inclusive, so if you have an assessment to add, please let us know. Also, please see the  Assessment and Treatment Resources page in the Information Sheets section of the members-only section of the CAOT web site.

Question:
I am a first-year student of occupational therapy. I am currently looking at models of practice and have been given a case study. Where can I find out more information about the Canadian Model of Occupational Performance?

Answer:
The Canadian Model of Occupational Performance (CMOP) is based on a client-centred perspective that focuses on the person, occupation, environment, and occupational performance.

Client-centred practice and the model were developed by a series of national task forces funded by the Government of Canada's Department of National Health and Welfare and CAOT (1983-1987). The publication Occupational Therapy Guidelines for Client-Centred Practice describes the conceptual framework underpinning client-centred practice, occupational therapy processes, goals and outcomes and outlines the original model. This model was further developed and documented in Enabling Occupation: An Occupational Therapy Perspective (1997; revised edition 2002).  This is a core book describing the model, key concepts and a framework for organizing occupational therapy services. There are also two accompanying workbooks that can be used as a self-study for occupational therapy students and occupational therapists who want to learn more about occupation: Spirituality in Enabling Occupation: A Learner-Centered Workbook and Enabling Occupation: A Learner-Centered Workbook.  These publications are available through CAOT's publications department.
 
A literature search on the CMOP may assist you in understanding its application to different client populations. As a CAOT student member, you can use the Information Gateway to access OTDBase, an indexing and abstracting service of national and international occupational therapy journals .

Question:
Are occupational therapists authorized to complete the disability tax credit form?

Answer: The Canada Revenue Agency (CRA), formerly Revenue Canada, recognizes occupational therapists who are members of CAOT as qualified to authorize claims for the disability tax credit. The disability tax credit provides tax assistance for individuals with a severe and prolonged mental or physical impairment by reducing their income tax payable. Form T2201E must be completed by the occupational therapist and the client.

Not all persons with disabilities can claim the disability tax credit.  Eligibility is based on the effects of the impairment such that the person is markedly restricted in their ability to perform a basic activity of daily living. CRA defines basic activities of daily living as "walking, speaking, perceiving, thinking and remembering, hearing, feeding and dressing, and eliminating bodily waste." Work, household, leisure and social activities are not included.  

CAOT does not have guidelines on how to complete Form T2201E. The evaluation of disability or problems in performing daily occupations is based on the skills, knowledge and judgement of the occupational therapists. T2201E forms and a booklet, Information Concerning People with Disabilities RC4064(E) are available through your local Canada Revenue Agency office or at the CRA the web site at the following link:

http://www.cra-arc.gc.ca/E/pub/tp/it519r2-consolid/it519r2-consolid-e.html

Question:
I am an occupational therapist who has just started working in the auto insurance sector and have a few questions about accountability. How do I maintain accountability to the client and the insurance adjuster as well as my manager? 

Answer:
CAOT recognizes that ethical questions often arise in both public and private-sector occupational therapy practice, which are becoming increasingly complex. It may be helpful for you to review the CAOT Code of Ethics.
 
You may also be interested in attending the Professional Issue Forum at the CAOT Conference 2005 in Vancouver that will debate the merits of a new CAOT Ethical Framework and Ethical Decision-Making Tool.

CAOT advises that you consult with your regulatory association to determine their guidelines regarding the occupational therapist's professional responsibilities. You will need to consider issues such as informed consent, confidentiality of client information, records and documentation, transparency and conflict of interest. 

Question:
Does CAOT have fee guidelines for occupational therapy services?

Answer:
CAOT does not recommend an average fee for occupational therapy services; the rate would depend on numerous factors such as the location of the occupational therapy practice, competition for services, type of practice, method of service provision, overhead costs and legislation. In some jurisdictions there are occupational therapy fee and utilization guidelines (e.g. Financial Services Commission of Ontario http://www.fsco.gov.on.ca/english/pubs/bulletins/autobulletins/archives/a-03_01.asp).

You may want to consult with the provincial occupational therapy association for information on fees e.g. CAOT-BC fee survey

It is important to be aware of your occupational therapy provincial regulatory association’s requirements with regards to fees and billing practices. CAOT also recommends that an occupational therapist consult with professional advisors such as a lawyer, accountant, bookkeeper and bank manager when starting and managing a small business.
Other resources : Arturi, G. (2003). Setting your fee for occupational therapy services. OT Now, 5 (3), http://www.caot.ca/default.asp?ChangeID=96&pageID=605 

Question:
I am looking for research evidence on the effectiveness of OT treatment with different populations.

Answer:
CAOT does not maintain a database of research in occupational therapy, however CAOT provides a number of different methods for accessing evidence:

  • The CAOT Information Gateway is a member-only service structured to assist occupational therapists in using evidence in their practice. Tools and resources are organized into stages of evidence-based practice (EBP): choosing a model, identifying the issues, searching the evidence, consulting with others, critical appraisal and disseminating the evidence. So, for example, in the stage searching the evidence, links to search indices and on-line databases are provided, as well as systematic reviews and critical appraisals. Occupational therapists can also access OTDBASE (an indexing and abstracting service of national and international occupational therapy journals), as well as on-line issues of the Canadian Journal of Occupational Therapy and Occupational Therapy Now
  • Networking: Occupational therapists can connect with others sharing similar practice and /or research interests through on-line discussion groups and OT Networker and OT Researcher on the CAOT website. OT Networker and OT Researcher allow members to search for other occupational therapists according to area of practice, practice setting, position/role (i.e. direct client care, research, teaching, consulting), client age, city, province/territory. In the Network Exchange section of the CAOT site, there is the For Your Information Bulletin Board, where you can post your practice or research question for other occupational therapists. This provides an opportunity to share research, practice questions and resources with other members.
  • Publications: CAOT offers a number of non-periodic publications relevant to EBP, e.g. the Evidence-Based Practice Toolkit, Programme Evaluation Workbook, Professional Development and Reflective Practice, Clinical Reasoning Workbook.
Question:Where can I find information on wages, salaries and job prospects for occupational therapists?
Answer: For information about demands for Occupational Therapists across Canada and salary information, please visit the Government of Canada website WorkinginCanada.gc.ca ( http://www.workingincanada.gc.ca/content_pieces-eng.do?lang=eng&cid=1) to find wages and salaries or employment prospects.

Question:I am considering the use of social media networking sites (e.g. Facebook, Twitter) to promote my services as an occupational therapist. What do I need to consider?
Answer: There are many factors to consider with the use of social media networking sites in order to sustain professionalism, confidentiality and self-protection. In order to uphold your professional image when using social media, please consult the Professional Image Guideline document (link to this resource sheet).
Question:
In Canada, how many occupational therapists work in the field of workplace mental health?

Answer:
You will find information about CAOT membership statistics such as the number of therapists working in the area of affective disorders, their practice setting and services provided in the CAOT Affairs section of our website.

To learn more about what occupational therapists are doing in workplace mental health, please see the September/October 2004 special issue of our practice magazine, Occupational Therapy Now. 

Question: Do you have any information on supervision of support personnel? What tasks can be assigned to support personnel?

Answer:

CAOT has developed a number of resources developed in response to members’ questions on support personnel:

The CAOT web site has a a  listing of educational programs for support personnel in Canada  

We also advise consulting with your  regulatory association  to determine its guidelines regarding supervision of support personnel.

Question:
Do you have any resources on universal design?

Answer:
Please watch for repeat presentations of the CAOT Learning Services workshop on Independent Living through Home Modifications and Universal Design. This workshop co-sponsored with Canada Mortgage and Housing Corporation and presented by Kathy Pringle, B.Sc. (O.T.). OT Reg. (Ont.), Dipl. Arch.Tech was offered in Ottawa, Ontario and St. John's Newfoundland, in 2004,

Please see CAOT web seminars on Residential Adaptations, Housing Options for People with Dementia, and Seniors’ Housing Preferences: http://www.captus.com/information/caot.htm

Canada Mortgage and Housing Corporation (CMHC) offers numerous publications on universal design such as Maintaining Seniors’ Independence through Home Adaptations, Housing for Persons with Disabilities, Housing Options for People with Dementia:  http://www.cmhc-schl.gc.ca/en/index.cfm

You may also be interested in the publication "Evaluation of Optimal Grab-bar Placement for Seniors":
http://www.cmhc-schl.gc.ca/publications/en/rh-pr/socio/socio03-010-e.pdf

You can also reach CMHC at: 1-800-668-2642.

The Centre for Universal Design located in North Carolina provides research, information, and technical assistance in universal design. http://www.design.ncsu.edu/cud/

Canadian Standards Association
Accessible Design for the Built Environment
Product B651-04
This Standard contains requirements for making buildings and other facilities accessible to persons with physical, sensory, or cognitive disabilities.
http://www.csa-intl.org/onlinestore/GetCatalogDrillDown.asp?Parent=1070

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