presentation given at the OT show 2014 -

1. Acute Psychiatry
Bread and Butter OT
Rachel Booth
Clinical Lead OT
Chair of BAOT Northern and Yorkshire region
@OT_rach

3. What is your “bread and
butter” within your role, or
on your last placement
What do you think are
core OT skills?
What is unique about
your role or the role of
OT?

4. What #OTalk tweeters said
Communication
Meaningful and purposeful engagement
Activity Analysis, adaption, grading
Observational and standardised assessments
Assessment – both profession specific and generic
Work on Service users goals

5. HCPC - Standards of proficiency
 understand the key concepts of the knowledge base relevant to their
profession
 be able to draw on appropriate knowledge and skills to inform practice
 be able to select and use relevant assessment tools to identify
occupational performance needs
 be able to select and use standardised and non-standardised
assessments appropriately to gather information about the service user’s
occupational performance, taking account of the environmental
context
 be able to use observation to gather information about the functional
abilities of service users

6. Holding on to our Bread and Butter
 Core Skills are the expert knowledge and abilities that
are shared by all occupational therapists irrespective
of their field of practice. (COT 2009)
 Evidence suggests some OTs have difficulty
maintaining their unique professional identity
becoming generically focussed on symptom
reduction. (Parkinson 2014)
 Holding on to bread and butter seems not to be an
issue everywhere.

7. Activity Street – OT Department

8. Roseberry Park Bread & Butter
Engagement through
meaningful and purposeful
activity
Observation
Activity analysis
Grading
Adaptation
Risk Assessment
Goal setting
Assessment of occupational
performance
Assessment of
performance
Use of MOHOST, OSA
Communicate
Service Users, Carer’s and
MDT

9. Observational Assessment of occupational
performance and function
‘Assessment through structured
observation of the patient in
activity is a core skill’
Couldrick and Alred, 2003
“Observing in a group setting is
particularly useful for assessing
performance areas which involve
interaction with others.”
Bullock in Creek, 2014

10. Standardised assessments
Focuses on observation
through activity in a structured,
standardised way.
MOHOST is our standardised
assessment of choice.
 Recognised as appropriate in
Acute AMH settings by Sims in
Creek, 2014.
 Available on Electronic notes

11. • Evidence Base
• Activity Analysis
• Grading
• Adaptation
• Risk Assessment

12. Intervention

13. TEWV ARTS
Wider engagement and Recovery

14. Stay core to Bread and Butter

15. References
 Arts Council England (2007) The Arts, health and wellbeing. London.
 Bullock A ,in Creek (2014) Creeks Occupational Therapy in Mental Health . Churchill Livingstone,
Edinburgh, London. Toronto, New York Sydney. P78
 College of Occupational Therapists (COT,2009) Definitions and Core Skills for Occupational Therapy.
London p14
 Couldrick L, Alred D (2003) Forensic Occupational Therapy, Whurr Publishers Ltd, London. P33.
 Department of Health & Arts Council (2007) A prospectus for arts and health. London.
 Standards of proficiency – Occupational therapists HCPC http://www.hcpc-
uk.org.uk/assets/documents/10000512Standards_of_Proficiency_Occupational_Therapists.pdf accessed
Nov 10th
2014.
 Sims K, in Creek (2014) Creeks Occupational Therapy in Mental Health . Churchill Livingstone,
Edinburgh, London. Toronto, New York Sydney. P352
 Parkinson S, (2014) Recovery through Activity Increasing particaption in everyday life. Speechmark
Publishing Ltd. London. P3
 Otalk Transcript://embed.symplur.com/twitter/transcript?
hashtag=OTalk&fdate=05%2F13%2F2014&shour=12&smin=0&tdate=05%2F14%2F2014&thour=13&tmin
=15&ssec=00&tsec=00&img=1&nort=1