Information required to support a Request for Service
When deciding whether to accept a referral, information is required on ALL of the following issues.
Health Condition
- Diagnosis
Body Function/structure
- Structure and/or function of body affected e.g.
– Structure = upper limbs, right leg
– Function = wetting, soiling, feeling pain, getting to sleep
Activity
- Watching, listening, seeing
- Writing, scissor skills
- Dressing, feeding, bathing, toileting, washing.
- Running, skipping, hopping, catching and throwing a ball
Participation
- Ability to make relationships with family
- Ability to make relationships with other children
- Other factors which limit the child’s ability to undertake activities.
Environment
- Access to property, bathroom, bedroom, garden
- Is the property/school safe?
- Position of property/school
- Condition of property/school
Context
- Is the child open to change?
- Is the family open to change?
- Is OT a priority needed at present?
- What other Services are involved?
- The impact the activity limitations has on participation.
Personal Factors
- Age
- Gender
- Lifestyle
- Coping styles
Based on the information received an OT will consider:
- The number of activities difficulties identified
- The impact of the activity difficulties on the child/family
- Evidence of parental engagement
- The severity of the activity difficulties – based on a grading of mild, moderate, severe, complete
Considering all the above factors a decision will be made to:
- Accept or reject the referral
- Offer Advice and strategies only
- Offer Parental workshop
- Offer Assessment and strategies
- Offer Intervention (1 – 6 sessions)
- Offer Group work
- Offer Equipment assessment and/or provision
- Offer assessment for Adaptations
