DOI link for Preface: Selecting
Preface: Selecting book
Thehealth caredelivery systems of the 1990s promise to be more demanding of evidence that occupational therapists provide essential services in psychosocial settings. Mandates to demonstrate predictable outcomes, .relevance and efficiency require more research around theory andclearer definitions of practice. Wecan no longer justify reimbursement for occupational therapy by relying on the conventional wisdom. Instead, we must substantiate the efficacy of thevarious groups andprograms we select as tools for intervention. We must take time from routinized methods of program planning to lookanew at the use of occupational therapy's philosophy, domain of concern and theoretical bases for making sound clinical judgements. Refining our use of clinical decision-making and clinical reasoning enables us to determine: which groups best integrate our frames of reference/practice models; which groups are indicated for specific patients; when in thecourse of iIlness thegroups are appropriate interventions; and inwhat settings should groups occur, e.g., acute or long term settings.