40 Tex. Admin. Code § 362.1 - Definitions
The following words, terms, and phrases when used in this part shall have the following meaning, unless the context clearly indicates otherwise.
(1) Accredited Educational
Program--An educational institution offering a course of study in occupational
therapy that has been accredited or approved by the Accreditation Council for
Occupational Therapy Education (ACOTE) of the American Occupational Therapy
Association.
(2) Act--The
Occupational Therapy Practice Act, Title 3, Subtitle H, Chapter 454 of the
Texas Occupations Code.
(3)
AOTA--American Occupational Therapy Association.
(4) Applicant--A person who applies for a
license to the Texas Board of Occupational Therapy Examiners.
(5) Board--The Texas Board of Occupational
Therapy Examiners (TBOTE).
(6)
Client--The entity that receives occupational therapy; also may be known as
patient. Clients may be individuals (including others involved in the
individual's life who may also help or be served indirectly such as a
caregiver, teacher, parent, employer, spouse), groups, or populations (e.g.,
organizations, communities).
(7)
Complete Application--Application form with photograph, license fee,
jurisprudence examination with at least 70% of questions answered correctly,
and all other required documents.
(8) Complete Renewal--Contains renewal fee,
renewal form with continuing education submission form, home/work address(es),
jurisprudence examination with at least 70% of questions answered correctly,
and all other required documents.
(9) Continuing Education Committee--Reviews
and makes recommendations to the Board concerning continuing education
requirements and special consideration requests.
(10) Coordinator of Occupational Therapy
Program--The employee of the Executive Council who carries out the functions of
the Texas Board of Occupational Therapy Examiners.
(11) Endorsement--The process by which the
Board issues a license to a person currently licensed in another state or
territory of the United States that maintains professional standards considered
by the Board to be substantially equivalent to those set forth in the
Occupational Therapy Practice Act and who is applying for a Texas license for
the first time.
(12)
Evaluation--The process of planning, obtaining, documenting, and interpreting
data necessary for intervention. This process is focused on finding out what
the client wants and needs to do and on identifying those factors that act as
supports or barriers to performance.
(13) Examination--The Examination as provided
for in §454.207 of the Occupational Therapy Practice Act (relating to
License Examination). The current Examination is the initial certification
examination given by the National Board for Certification in Occupational
Therapy (NBCOT).
(14) Executive
Council--The Executive Council of Physical Therapy and Occupational Therapy
Examiners.
(15) Executive
Director--The employee of the Executive Council who functions as its agent. The
Executive Council delegates implementation of certain functions to the
Executive Director.
(16)
Intervention--The process of planning and implementing specific strategies
based on the plan of care, which includes the client's desired outcome and
evaluation data, and evidence to effect change in the client's occupational
performance leading to engagement in occupation to support
participation.
(17) Investigation
Committee--Reviews and makes recommendations to the Board concerning complaints
and disciplinary actions regarding licensees, applicants, and entities
regulated by the Board.
(18)
Investigator--The employee of the Executive Council who conducts all phases of
an investigation into a complaint filed against a licensee, an applicant, or an
entity regulated by the Board.
(19)
Jurisprudence Examination--An examination covering information contained in the
Occupational Therapy Practice Act and Texas Board of Occupational Therapy
Examiners Rules. This test is an open book, online examination with multiple
choice and/or true-false questions. The passing score is at least
70%.
(20) License--Document issued
by the Texas Board of Occupational Therapy Examiners that authorizes the
practice of occupational therapy in Texas.
(21) Medical Condition--A condition of acute
trauma, infection, disease process, psychiatric disorders, addictive disorders,
or post-surgical status. Synonymous with the term health care
condition.
(22) NBCOT--National
Board for Certification in Occupational Therapy.
(23) Non-Licensed Personnel--OT Aide or other
person not licensed by this board who provides support services to and requires
supervision by occupational therapy practitioners.
(24) Non-Medical Condition--A condition where
the ability to perform occupational roles is impaired by developmental
disabilities, learning disabilities, the aging process, sensory impairment,
psychosocial dysfunction, or other such conditions that do not require the
routine intervention of a physician.
(25) Occupation--Activities of everyday life,
named, organized, and given value and meaning by individuals and a culture.
Occupation is everything people do to occupy themselves, including looking
after themselves, enjoying life, and contributing to the social and economic
fabric of their communities.
(26)
Occupational Therapist (OT)--An individual who holds a license to practice or
represent self as an Occupational Therapist in Texas. This definition includes
an Occupational Therapist who is designated as an Occupational Therapist,
Registered (OTR®).
(27)
Occupational Therapy Assistant (OTA)--An individual who holds a license to
practice or represent self as an Occupational Therapy Assistant in Texas and
who is required to be under the general supervision of an OT. This definition
includes an Occupational Therapy Assistant who is designated as a Certified
Occupational Therapy Assistant (COTA®).
(28) Occupational Therapy Plan of Care--A
written statement of the planned course of occupational therapy intervention
for a client. It must include goals, objectives and/or strategies, recommended
frequency and duration, and may also include methodologies and/or recommended
activities.
(29) Occupational
Therapy Practice--Includes:
(A) Methods or
strategies selected to direct the process of interventions such as:
(i) Establishment, remediation, or
restoration of a skill or ability that has not yet developed or is
impaired.
(ii) Compensation,
modification, or adaptation of activity or environment to enhance
performance.
(iii) Maintenance and
enhancement of capabilities without which performance in everyday life
activities would decline.
(iv)
Health promotion and wellness to enable or enhance performance in everyday life
activities.
(v) Prevention of
barriers to performance, including disability prevention.
(B) Evaluation of factors affecting
activities of daily living (ADL), instrumental activities of daily living
(IADL), education, work, play, leisure, and social participation, including:
(i) Client factors, including body functions
(such as neuromuscular, sensory, visual, perceptual, cognitive) and body
structures (such as cardiovascular, digestive, integumentary, genitourinary
systems).
(ii) Habits, routines,
roles and behavior patterns.
(iii)
Cultural, physical, environmental, social, and spiritual contexts and activity
demands that affect performance.
(iv) Performance skills, including motor,
process, and communication/interaction skills.
(C) Interventions and procedures to promote
or enhance safety and performance in activities of daily living (ADL),
instrumental activities of daily living (IADL), education, work, play, leisure,
and social participation, including:
(i)
Therapeutic use of occupations, exercises, and activities.
(ii) Training in self-care, self-management,
home management and community/work reintegration.
(iii) Development, remediation, or
compensation of physical, cognitive, neuromuscular, sensory functions and
behavioral skills.
(iv) Therapeutic
use of self, including one's personality, insights, perceptions, and judgments,
as part of the therapeutic process.
(v) Education and training of individuals,
including family members, caregivers, and others.
(vi) Care coordination, case management and
transition services.
(vii)
Consultative services to groups, programs, organizations, or
communities.
(viii) Modification of
environments (home, work, school, or community) and adaptation of processes,
including the application of ergonomic principles.
(ix) Assessment, design, fabrication,
application, fitting and training in assistive technology, adaptive devices,
and orthotic devices, and training in the use of prosthetic devices.
(x) Assessment, recommendation, and training
in techniques to enhance functional mobility including wheelchair
management.
(xi) Driver
rehabilitation and community mobility.
(xii) Management of feeding, eating, and
swallowing to enable eating and feeding performance.
(xiii) Application of physical agent
modalities, and use of a range of specific therapeutic procedures (such as
wound care management; techniques to enhance sensory, perceptual, and cognitive
processing; manual therapy techniques) to enhance performance skills.
(30) Occupational
Therapy Practitioners--Occupational Therapists and Occupational Therapy
Assistants licensed by this board.
(31) Outcome--The focus and targeted end
objective of occupational therapy intervention. The overarching outcome of
occupational therapy is engagement in occupation to support participation in
context(s).
(32) Place(s) of
Business--Any facility in which a licensee practices.
(33) Practice--Providing occupational therapy
as a clinician, practitioner, educator, or consultant to clients located in
Texas at the time of the provision of occupational therapy services. Only a
person holding a license from this board may practice occupational therapy in
Texas, and the site of practice is the location in Texas where the client is
located at the time of the provision of services.
(34) Rules--Refers to the TBOTE
Rules.
(35) Screening--A process
used to determine a potential need for occupational therapy interventions and
educational and/or other client needs. Screening information may be compiled
using observation, client records, the interview process, self-reporting,
and/or other documentation.
(36)
Telehealth--A mode of service delivery for the provision of occupational
therapy services delivered by an occupational therapy practitioner to a client
at a different physical location using telecommunications or information
technology. Telehealth refers only to the practice of occupational therapy by
occupational therapy practitioners who are licensed by this board with clients
who are located in Texas at the time of the provision of occupational therapy
services. Also may be known as other terms including but not limited to
telepractice, telecare, telerehabilitation, and e-health services.
Notes
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