In circumstances where a client has occupational performance challenges due to chronic pain, mental health conditions (depression or anxiety) and/or traumatic psychological injury either as a primary or secondary diagnosis, enhanced services to meet the specific client needs are available. With consultation of the family doctor, psychologist, physiotherapist and referral source (Case Manager) as appropriate, Functional Advances Inc. Occupational Therapists provide client centered services outlined below to enable graded exposure at the workplace, OT intervention for functional restoration or activation as well as work site or community reintegration.
Graded Exposure at the Workplace
Using principles of In Vivo exposure and prolonged exposure therapy a systematic, gradual and controlled exposure to problem stimuli of the workplace will be introduced. This exposure plan is self-directed with the occupational therapist coaching the client on the just right exposure challenge consulting with the psychologist and workplace for optimal outcomes. Deliverables of this service include:
- Worker Self Exposure Plan
- Gradual Return to Work Plan
- Active support to implement the learned alternate coping strategies at the workplace (i.e. from CBT with psychologist)
- Coaching on re-engaging in meaningful occupation /activities through graded tasks and problem solving strategies
- Education on symptom management, self-regulation and job re-orientation
- Regular assessment and review by the occupational therapist
OT Assessment and Intervention for Functional Restoration/ Activation
Using a cognitive behavioral approach, the occupational therapist through the occupational performance assessment will partner with the client to set meaningful short term and long term goals to return to pre-injury level or improved functional status. Deliverables of this service include:
- Baseline and discharge assessments to bench mark change over time through the COPM or AMPS standardized assessment
- Short term and long term goal setting to enable improved functional status
- Client Dairy Log and/or Activity Record
- Coaching on re-engaging in meaningful activities through graded tasks and problem solving strategies
- Support to resume pre-injury routines focusing on client strengths
- Active support to implement the learned coping strategies from the psychologist or health care provider in community or workplace settings
- Education on sleep hygiene, work simplification, body mechanics and symptom management
- Regular assessment and review by the occupational therapist
Worksite Reintegration
Through interview with the client, the occupational therapist will assess the appropriate on-site intervention with the client to enable a transition to the workplace. The next step will involve a meeting with the employer to determine the transition options and optimal workplace intervention for the client. Deliverables of this service include:
- Gradual RTW or MRTW Program
- Ergonomic Assessment (if required)
- Job re-orientation
- Education on symptom management, body mechanics, routines to support workday tolerance
- Client Daily Log and/or Activity Record (if required)
- Active support to implement the learned coping strategies from psychologist or health care provider in community or workplace settings
- Regular assessment and review by the occupational therapist
Progressive Goal Attainment Program (PGAP)
PGAP is a standardized 10-week community based life role re-integration program that has been tailored to meet the rehabilitation needs of individuals who are struggling to overcome challenges associated with a wide range of disabling physical and mental health conditions. The goal of PGAP is to facilitate re-integration into the workplace.
Address:
21 Gaelic Dr. Saint John NB E2M 5S7
Phone: 506 650 0102
Fax: 506 214 0204
Email: admin@functionaladvances.com
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