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Texas Occupational Therapy Scope of Practice

How is the practice of Occupational Therapy defined in Texas?

A person practices occupational therapy if the person:

    • Evaluates or treats a person whose ability to perform the tasks of living is threatened or impaired by developmental deficits, the aging process, environmental deprivation, sensory impairment, physical injury or illness, or psychological or social dysfunction;
    •  Uses therapeutic goal-directed activities to:
      • Evaluate, prevent, or correct physical or emotional dysfunction; or
      • Maximize function in a person's life; or
    • Applies therapeutic goal-directed activities in treating patients on an individual basis, in groups, or through social systems, by means of direct or monitored treatment or consultation.

What is included in the practice of occupational therapy?

Methods or strategies selected to direct the process of interventions such as:

    • Establishment, remediation, or restoration of a skill or ability that has not yet developed or is impaired.
    • Compensation, modification, or adaptation of activity or environment to enhance performance.
    • Maintenance and enhancement of capabilities without which performance in everyday life activities would decline.
    • Health promotion and wellness to enable or enhance performance in everyday life activities.
    • Prevention of barriers to performance, including disability prevention

Evaluation of factors affecting activities of daily living (ADL), instrumental activities of daily living (IADL), education, work, play, leisure, and social participation, including:

    • Client factors, including body functions (such as neuromuscular, sensory, visual, perceptual, cognitive) and body structures (such as cardiovascular, digestive, integumentary, genitourinary systems).
    •  Habits, routines, roles and behavior patterns.
    • Cultural, physical, environmental, social, and spiritual contexts and activity demands that affect performance.
    • Performance skills, including motor, process, and communication/interaction skills.

Interventions and procedures to promote or enhance safety and performance in activities of daily living (ADL), instrumental activities of daily living (IADL), education, work, play, leisure, and social participation, including:

    • Therapeutic use of occupations, exercises, and activities.
    • Training in self-care, self-management, home management and community/work reintegration.
    • Development, remediation, or compensation of physical, cognitive, neuromuscular, sensory functions and behavioral skills.
    • Therapeutic use of self, including one's personality, insights, perceptions, and judgments, as part of the therapeutic process.
    • Education and training of individuals, including family members, caregivers, and others.
    • Care coordination, case management and transition services.
    • Consultative services to groups, programs, organizations, or communities.
    • Modification of environments (home, work, school, or community) and adaptation of processes, including the application of ergonomic principles,
    • Assessment, design, fabrication, application, fitting and training in assistive technology, adaptive devices, and orthotic devices, and training in the use of prosthetic devices.
    • Assessment, recommendation, and training in techniques to enhance functional mobility including wheelchair management.
    • Driver rehabilitation and community mobility.
    • Management of feeding, eating, and swallowing to enable eating and feeding performance.
    • Application of physical agent modalities and use of a range of specific therapeutic procedures (such as wound care management; techniques to enhance sensory, perceptual, and cognitive processing; manual therapy techniques) to enhance performance skills.

What services are explicitly excluded?

The practice of occupational therapy does not include diagnosis or psychological services of the type typically performed by a licensed psychologist.

Does Texas allow OTs to practice physical agent modalities?

Yes.  The practice of occupational therapy includes the applications of physical agent modalities.

Does Texas allow OTs to practice wound care?

Yes.  The practice of occupational therapy includes the use of a range of specific therapeutic procedures such as wound care.  

Can OTs practice through telehealth?

Yes.  See Texas Occupational Therapy Telehealth for details

Reference

Tex. Occ. Code § 454.002

Tex. Occ. Code § 454.006

3 Tex. Admin. Code §362.1


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