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direct supervision
- face-to-face contact b/w supervisor and supervisee
- includes co-treatment, observation, instruction, modeling, and discussion
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indirect supervision
- non face-to-face contact b/w supervisor and supervisee
- includes electronic, written and telephone communications
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close supervision
daily, direct contact at the site of work
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routine supervision
direct contact at least every two weeks at the site of work, with interim supervision occurring by other methods such as telephone or written communication
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general supervision
at least monthly direct contact with supervision available as needed by other methods
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minimal supervision
provided only on a needed basis, and may be less than monthly
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Who determines the type of supervision that is most appropriate?
the supervising OT
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intradisciplinary team
- one or more members of one discipline evaluate, plan, and implement tx of the individual
- other disciplines are not involved
- limited communications
- limited perspectives on case
- at risk due to potential narrowness
- holistic care questionable
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multidisciplinary team
- a number of professionals from different disciplines conduct assessments and interventions independent from another
- some formal communication b/w team members
- limited communication = lack of different perspectives
- competition may develop
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interdisciplinary team
- all disciplines relevant to the case at hand agree to collaborate for decision making
- eval and intervention still conducted independently
- greater understanding of each discipline's perspective
- not bound by discipline line-specific roles and functions
- use group process skills effectively
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transdisciplinary team
- characteristics of interdisciplinary teams are maintained and expanded upon
- members support and enhance the activities of other disciplines to provide quality, efficient, cost-effective service
- members committed to ongoing communication, collaboration, and shared decision making for the patient/client's benefit
- eval and intervention planned cooperatively
- role blurring is accepted
- must ensure professional integrity and quality of care is maintained
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consumer:
- most important and primary member of the tx team
- occupations, values, interests, and goals must be determined and used in tx
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family/primary caregiver
sociocultural background, socioeconomic status, and caregiver tasks, needs, and skills must be considered as they can impact on the outcome of intervention
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Para-professional team members:
- personal care assistants (PCAs)
- home health aides (HHAs)
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Professional team members
- alternative practitioners (massage, acupuncturists, etc)
- athletic trainer
- audiologist
- biomedical engineer
- certified orthotist
- certified prosthetist
- chiropractor
- dietician/clinical nutritionist
- expressive/creative arts therapists
- job coach
- nurse practitioner
- nurse, registered
- optometrist/vision specialist
- pastoral care
- physiatrist
- PT/PTA
- PA
- primary care physician
- psychiatrist
- psychologist
- recreational therapist/therapeutic recreation specialist
- respiratory therapy technician certified
- social worker
- special education teacher
- SLP/ST
- substance abuse counselor
- vocational rehabilitation counselor
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