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Title of Effective Practice: - California Postsecondary Education ...

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Direct Connection to Policy Area 1 <strong>of</strong> The Illinois Commitment<br />

OTA ProBono Clinic<br />

Lincoln Land Community College<br />

What issue or need is addressed by the effective practice?<br />

The clinic was developed to provide occupational therapy services to individuals in the LLCC district without<br />

insurance or access to occupational therapy services. It serves children and adult populations with a variety <strong>of</strong><br />

occupational performance needs due to illness and/or disability. It also serves as a Level II Fieldwork Site for<br />

OTA students enrolled in the program to provide hands on occupation-based clinical experiences under the<br />

supervision <strong>of</strong> licensed occupational therapists.<br />

Description <strong>of</strong> the effective practice:<br />

The curriculum design <strong>of</strong> the LLCC OTA program focuses on incorporation <strong>of</strong> occupation based activities into<br />

all aspects <strong>of</strong> the occupational therapy process. The clinic allows the faculty to design occupation based<br />

evaluation and treatment plans to address a clients occupational needs in the areas <strong>of</strong> self-care and activities <strong>of</strong><br />

daily living; instrumental activities <strong>of</strong> daily living which support participation in daily living activities and<br />

which may include community mobility, child-care, etc; educational activities; work activities; and leisure<br />

pursuits. As there are no issues <strong>of</strong> reimbursement, the therapist and client are allowed to address all issues<br />

regarding their participation in meaningful occupational activities without restrictions due to limitations <strong>of</strong><br />

insurance coverage. The students have an opportunity to observe and participate in the full range <strong>of</strong> what<br />

occupational therapy can <strong>of</strong>fer an individual client or group. Individuals may refer themselves or be referred to<br />

the clinic. A physician’s approval <strong>of</strong> referral may be required for some medical cases as mandated by the Illinois<br />

Occupational Therapy <strong>Practice</strong> Act. The classroom laboratory facility in Logan Hall is conducive to this<br />

service. The room is fully accessible and equipped to provide individual and group therapy for all ages and<br />

populations. A grant was received in Spring 2006 and a therapy garden is being constructed to incorporate<br />

horticulture activities into the therapy sessions for restoration <strong>of</strong> physical and psychological function. The<br />

program is collaborating with the LLCC horticulture instructors and students to construct the garden and<br />

institute the program.<br />

How does this practice achieve sustainability?<br />

The need for the services has been established. The clinic operated successfully for several semesters prior to the<br />

move to Logan Hall in June 2005 and continues to serve clients weekly. The program <strong>of</strong>fers fieldwork<br />

experiences in the fall and spring semesters and sixteen students enter into the program each year. Referrals are<br />

continuously increasing and it is expected that the need for the services will remain strong. The Department <strong>of</strong><br />

Labor has cited occupational therapy as one <strong>of</strong> the top growing fields <strong>of</strong> employment through the year 2014.<br />

What are the results/measurable outcomes?<br />

Students who graduate from the program are eligible to write the national certification examination for<br />

occupational therapy to become a certified occupational therapy assistant (COTA). The program has a record<br />

100% pass rate on the certification examination since the inception <strong>of</strong> the program in 1998. The concurrent<br />

fieldwork model, in which students complete academic requirements and fieldwork requirements<br />

simultaneously, is the cornerstone <strong>of</strong> the program’s success. The clinic evaluates student performance through a<br />

standardized assessment tool provided by the American Occupational Therapy Association. Clients <strong>of</strong> the clinic<br />

are evaluated using standardized assessment tools including the Canadian Occupational Performance Measure<br />

which allows the occupational therapy practitioners to collaborate with the client from the onset <strong>of</strong> therapy on<br />

selecting appropriate goals and measures performance and client satisfaction. All clients to date have<br />

demonstrated marked improvement in occupational performance and satisfaction using the COPM. A followup<br />

study for all clients who have utilized the clinic will be conducted in January 2006 and will be on-going after<br />

that time.<br />

Contact Information<br />

Name: Ruth J. Bixby, OTR/L<br />

Email: ruth.bixby@llcc.edu<br />

Phone: (217) 786-2872<br />

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