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Montana OT Scope of Practice

How is occupational therapy defined in Montana?

"Occupational therapy" means the therapeutic use of purposeful goal-directed activities and interventions to achieve functional outcomes to maximize the independence and the maintenance of health of an individual who is limited by disease or disorders, impairments, activity limitations, or participation restrictions that interfere with the individual's ability to function independently in daily life roles.

The practice encompasses evaluation, assessment, treatment, consultation, remediation, and restoration of performance abilities that are limited due to impairment in biological, physiological, psychological, or neurological processes. Occupational therapy services may be provided individually, in groups, or through social systems. 

What is included in the practice of occupational therapy?

Occupational therapy interventions include but are not limited to:

    • Evaluating, developing, improving, sustaining, or restoring skills in activities of daily living, work or productive activities, including instrumental activities of daily living, and play and leisure activities;
    • Developing perceptual-motor skills and sensory integrative functioning;
    • Developing play skills and leisure capacities and enhancing educational performance skills;
    • designing, fabricating, or applying orthotic or prosthetic devices, applying and training in the use of assistive technology, and training in the use of orthotic and prosthetic devices;
    • Providing for the development of emotional, motivational, cognitive, psychosocial, or physical components of performance;
    • Providing assessment and evaluation, including the use of skilled observation or the administration and interpretation of standardized or non-standardized tests and measurements to identify areas for occupational therapy services;
    • Adaptation of task, process, or the environment, as well as teaching of compensatory techniques, in order to enhance performance;
    • Developing feeding and swallowing skills;
    • Enhancing and assessing work performance and work readiness through occupational therapy intervention, including education and instruction, activities to increase and improve general work behavior and skill, job site evaluation, on-the-job training and evaluation, development of work-related activities, and supported employment placement;
    • Providing neuromuscular facilitation and inhibition, including the activation, facilitation, and inhibition of muscle action, both voluntary and involuntary, through the use of appropriate sensory stimulation, including vibration or brushing, to evoke a desired muscular response;
    • Application of physical agent modalities, as defined in this section, as an adjunct to or in preparation for engagement in purposeful goal-directed activity;
    • Promoting health and wellness;
    • Evaluating and providing intervention in collaboration with the client, family, caregiver, or others;
    • Educating the client, family, caregiver, or others in carrying out appropriate nonskilled interventions;
    • Consulting with groups, programs, organizations, or communities to provide population-based services; and
    • Use of prescribed topical medications.

What is specifically excluded from the practice?

N/A

Are there any special trainings or requirements?

Montana OT Physical Agent Modalities

Montana OT Topical Medications

Reference

Mont. Code Ann. § 37-24-103

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