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Wisconsin OT Scope of Practice

Definition of Occupational Therapy

“Occupational therapy" means the therapeutic use of purposeful and meaningful occupations to evaluate and treat individuals of all ages who have a disease, disorder, impairment, activity limitation or participation restriction that interferes with their ability to function independently in daily life roles and environments and to promote health and wellness.

Occupational therapy,” may include the following interventions:

    • Remediation or restitution of performance abilities that are limited due to impairment in biological, physiological, psychological or neurological processes.
    • Adaptation of task, process or environment, or the teaching of compensatory techniques, in order to enhance performance.
    • Disability prevention methods and techniques which facilitate the development or safe application of performance skills.
    • Health promotion strategies and practices which enhance performance abilities.

Scope of Practice

Occupational therapy interventions include the following:

    • Screening, evaluating, developing, improving, sustaining, or restoring skills in activities of daily living, work or productive activities, instrumental activities of daily living, play, leisure activities, rest and sleep, education and social participation.
    • Evaluating, developing, remediating, or restoring sensorimotor, sensoriperceptual neuromusculoskeletal, emotional regulation, cognition, communication, social skills, or psychosocial components of performance.
    • Designing, fabricating or training in the use of assistive technology, upper extremity orthotic devices and lower extremity positioning orthotic devices.
    • Training in the use of prosthetic devices, excluding gait training.
    • Adaptation of environments and processes, including the application of ergonomic principles, to enhance performance and safety in daily life roles.
    • Application of physical agent modalities. Application is performed by an experienced therapist with demonstrated and documented evidence of theoretical background, technical skill and competence
    • Evaluating and providing intervention and case management in collaboration with the client, family, caregiver or other involved individuals or professionals.
    • 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.
    • Therapeutic use of occupations, exercises, and activities.
    • Training in self−care, self−management, health management and maintenance, home management, community work reintegration, and school activities and work performance.
    • Therapeutic use of self, including one’s personality, insights, perceptions and judgments, as part of the therapeutic process.
    • Assessment, recommendation, and training in techniques to enhance functional mobility, including management of wheelchair and other mobility devices.
    • Vision and low vision rehabilitation.
    • Driver rehabilitation and community mobility.
    • Management of feeding, eating, and swallowing to enable eating and feeding performance.
    • Facilitating the occupational performance of groups, populations, or organizations through the modification of environments and adaptation processes.
    • Use of a range of specific therapeutic procedures, including wound care management; techniques to enhance sensory, perceptual, and cognitive processing; and pain management, lymphedema management, and manual therapy techniques, to enhance performance skills.

Citations

Wis. Stat. § 448.96

Wis. Admin. Code OT 4.02

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