a population is made up of
communities
effective solutions should be
evidence based (research behind the plan and method)
triple AIM is a guiding principle of
health care and health reform (including health insurance)
components of the triple AIM
- improving individual experience of care
- improving the health of populations
- reducing the per capita cost of care
reasons why outcomes are not meeting costs
- inefficient system
- treating w/ medicine vs therapy
- pharmaceutical companies
health promotion can reduce
cost and prevent worse outcomes
CPHP
community and population health practice
ways that OT fits into the CPHP paradigm
- OT becomes more visible
- increase awareness of OT
- increase consumer demand
- influence policies
- offer OT leadership roles
- build inter professional alliances
- OT can increase understanding of societal needs
george barton
1st person to be CBP
established consolation house for those who were disabled from TB, helped them return to their occupations
eleanor clarke slagle
developed Hull house for those who needed help finding an occupation
self-sufficient basket weaving to make money
in the 60s, we emerged from medical models to
psychotropics (prozac, zoloft, antipsychotics)
moved from institutions but needed help reintegrating back into society
in the 70s, the IDEA law passed to
provide opportunity for children to stay in school if they had a disability (emerged school based practice)
in the 80s, there was an increase need for
care due to older age (baby boomers)
created aging in place, preventative programs and health promotion
3 obstacles to CBP
1) practical constraints - limited opportunities
2) historical factors - public perception of OT as medical model
3) gaps in theory - lack of research and prep due to focus on medical model
health
ability to realize aspirations, satisfy needs, change to cope with the environment
community health promotion
educational and social supports for people taking greater control of improving their health
community level interactions
- population based initiatives to health
- not individualized
- focus on having impact on systems that affect health communities
- OTs are experts
community centered initiatives
- utilize existing community resources
- client centered model
- OT is the consultant/facilitator
population
aggregate of people who may or may not know each other but share at least one common characteristic
population health
collaborative, interdisciplinary approach to maximize health equity and occupational justice in a population, based on social and health detriments/priorities of the population
CBP settings for OTs
- adult day care programs
- community residential care facilities
- group homes
- low vision programs
- senior centers
- home health
roles of OT within CBP
- direct support provider
- program planner/manager
- educator
- advocate
- policy maker
- case manager
