1990-1999Joanne Haggar

Chelsea TownsendMaggie High

Jocelyn Thankachan

Historical Events • 1989-1993- President George

H. W. Bush • 1993-2001- President Bill

Clinton• 1990- World Wide Web

invented• 1991- Collapse of the Soviet

Union• 1992- Official end of the Cold

War• 1997- Scientists clone sheep

Health Care Events• 1990- Human Genome Project was

established • 1990- Nutrition Labeling Education Act• 1990- Ryan White Comprehensive

AIDS Resources Emergency (CARE) Act

• 1991 - AOTA Accreditation Committee changed its name to AOTA Accreditation Council for Occupational Therapy Education (ACOTE)

• 1993- President Clinton proposes a national insurance Health Security Plan

• 1993- Vaccine for Children Program • 1996-1997- Medical Savings Account

plan was introduced • 1997 - ACOTE accreditation to OT

programs outside the US

Ame ric an s w ith Dis abil itie s A ct of 1 99 0

• Goal: Include people with disabilities into the mainstream of American life

• Areas: Public accommodations, public transportation, telecommunications, employment, and state and local government services

• Occupational therapists consulted with public institutions and employees to help them comply with the new laws of ADA

• Examples Restaurants Public Transportation

Individuals with Disabilities Education Act (IDEA)

• 1990- Replaced the Education of the Handicapped Act

• All children with disabilities are entitled to a free appropriate public education

• Requires Individualized Education Programs (IEPs) for each child

• Occupational therapists incorporate IEPs into treatment

• Amendments of 1997

HIPAA• Protects privacy• New technologies

pose new security risks

• OT’s to keep records secure

Balanced Budget Act of 1997Purpose• Enacted by Bill Clinton• Intended to tighten Medicare payments to

health care providers/plans, protecting and cutting taxes for middle class families

• Extends health insurance coverage for millions of children

What it means for OT • Affects how much therapy a person can get

each year, preventing them to live life to its fullest

• Affects nursing homes, hospitals, clinics, and rehabilitation agencies

• In 2013, cap is set at $1900 for occupational therapy services

Florence Clark (Slagle Lecture 1993) • Associate Dean, Chair member,

and Professor at USC• Well Elderly Studies at USC

Lead researcher OT and the aging process

• Occupational story-telling (past) Means by which therapists

can better understand the person as a whole, instead of just a patient

• Occupational story-making (future) Creating stories for the future Problems and solutions

• Find occupations that join the old self with the new self

Catherine A. Trombly (Slagle Lecture 1995)

• “Both occupation-as-end and occupation-as-means garner their therapeutic impact from the qualities of purposefulness and meaningfulness” (Trombly, 1995).

• Co-author of Occupational Therapy for Physical Dysfunction

David Nelson (Slagle Lecture 1996)• Defines occupation as “the relationship between an occupational form

and occupational performance.”• Occupational performance- “the doing” • Occupational form- “the thing, or format, that is done”

• Subjective aspects of occupation: • Meaning• Purpose

• Model of Practice • Recommendations for the future of OT:• Greater influence on research• Support the idea of occupation as therapy

Anne Fisher (Slagle Lecture 1998)

• Occupation: A noun of action• Occupation is an “…activity

that is both meaningful and purposeful to the person who engages in it” (Fisher, 1998).

• Intervention Process Model Use of top-down approach

to evaluate Serves as a framework for

healthcare practitioners

ReferencesClark, F. (1993). Occupation embedded in a real life: Interweaving occupational

science and occupational therapy. Retrieved from https://www.aota.org/-/media/Corporate/Files/Publications/AJOT/Slagle/1993.pdf  

Driscoll, A., & Nagel, N. (2010, July 20). Individuals with disabilities education act (IDEA). Education.com. Retrieved from http://www.education.com/reference/article/individuals-disabilities-education-act/

Fisher, A. (1998). Uniting practice and theory in an occupational framework. Retrieved from https://www.aota.org/-/media/Corporate/Files/Publications/AJOT/Slagle/1998.pdf

History of AOTA Accreditation. (n.d.). Retrieved from http://www.aota.org/education-careers/accreditation/overview/history.aspx

Individuals with disabilities education act (IDEA). (2014, January 1). Retrieved from http://www.apa.org/about/gr/issues/disability/idea.aspx

Kornblau, B. (2000). Occupational therapy and the americans with disabilities act (ada). American Journal of Occupational Therapy 54(6) 622-625

ReferencesNelson, D. L. (1997). Why the profession of occupational therapy will flourish in the 21st

century. American Journal of Occupational Therapy, 51, 11-24.

Occupational Therapy in School Settings. (2010, January 1). AOTA.org. Retrieved from http://www.aota.org//media/Corporate/Files/AboutOT/Professionals/WhatIsOT/CY/FactSheets/School%20Settings%20fact%20sheet.pdf

Office of the Professions. (n.d.). Retrieved September 15, 2014.

Summary of the HIPAA Security Rule. (n.d.). Retrieved September 15, 2014.

The Medicare part B outpatient therapy caps. (2014, January 15). Retrieved from http://www.aota.org/-/media/corporate/files/conferencedocs/hillday/medicaretherapycap-onepager-2013

Trombly, C. (1995). Occupation: Purposefulness and meaningfulness as therapeutic mechanisms. American Journal of Occupational Therapy, 960-972.