Assignment: Home Care Team

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Assignment: Home Care Team

Assignment: Home Care Team


nd government control are generating pressure on hospitals to share services within a geographic area. The social forces of population shifts to the cities while health resources move to the suburbs, the push for

consumer rights, the increase in the elderly and chronic disease population coupled with a declining birth rate have forced consideration of role modifications in hospitals. Political forces of government involvement, more pressures to achieve regionalization, cost containment, and

the requirement for quality control ensure more comprehensive services. We can expect to see an alteration in the thinking of institutions that will yield a more effective and accessible delivery of care for consumers (15). This means for occupational therapy that we can assist our institutions in their survival while expanding our services into a com- munity model that supports the basic concepts of our profession. We have many hospital-based occupational therapy programs currently functioning within the commu –

nity model of occupational therapy service delivery. Two that we can use as models are Memorial Hospital in Sarasota, Florida, directed by Louise Sampson, OTR, and Research Medical Center, Kansas City, Missouri, directed by Sharon East, OTR, and Gloria Scammahorn, OTR. Both programs are in community hospitals of 600 to 700 beds. At Memorial Hospital, the occupational therapy department contracts with the county school system, Head

Start, the Public Health Department, the Home Care Team, the Guidance Center, two extended care facilities, and an outpatient rehabilitation center. Groundwork has been laid for the community’s outpatient dialysis unit. Future programs include a private facility for the mentally retarded, day care centers, service programs for the elderly, and a hospice. At Research Medical Center, the occupational therapy department contracts with schools, nursing homes, and

small rural community hospitals. Future programs include industry and home health services. I asked each of these program directors to respond to the following questions: How do you view outreach in

terms of your philosophy of Occupational Therapy practice?

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