SB 990 — Occupational Therapy

Florida Senate - 2021 CS for SB 990 By Senatorthe BradleyCommittee 5-00602A-21on 2021990__Health APolicy; bill to be entitled An act relating to occupational therapy;

and Senator Bradley 588-02668-21 2021990c1 A bill to be entitled An act relating to occupational therapy;

(4) “Occupational therapy” means the therapeutic use of occupations with individuals, groups, or populations, along with their families or organizations to support participation, performance, and function in roles and situations in the home, school, workplace, community, and other settings for clients who have or are at school,risk inof thedeveloping workplace,an inillness, theinjury, community,disease, anddisorder, incondition, otherimpairment, settings.disability, activity limitation, or participation restriction purposeful activity or interventions to achieve functional outcomes.

The term also includes services provided for habilitation, rehabilitation, and the promotion of health and wellness for clients with disability and nondisability-related needs, including, but not limited to, acquisition and preservation of occupational identity for clients who have or are at risk of developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction.

Through engagement in everyday activities, occupational therapy supports occupational performance in persons who have, or are at risk of experiencing, a range of developmental, physical, cognitive, behavioral, mental health, and other disorders and disabilities purposeful activity or interventions to achieve functional outcomes.

3. “Behavioral health services” means the promotion of occupational performance and participation through services to support andpositive facilitatemental thehealth preventionby andproviding treatmentdirect of,individual and forgroup theinterventions managementto ofimprove and recovery from, mental health and substance abuse disorders, within the scopeclient’s ofparticipation practicein ofdaily occupationaloccupations. therapy.

These include services to support positive mental health, prevention of mental health disorders, and direct individual and group interventions for the purpose of improving occupational participation and performance.

6. “Mental health services” means the promotion of occupational performance and participation related to mental health, coping, resilience, and well-being.well-being by providing individual, group, and population level supports and services to improve the client’s participation in daily occupations for those who are at risk of, experiencing, or in recovery from these conditions, along with their families and communities.

These7. “Occupations” servicesmeans includemeaningful theand treatmentpurposeful ofeveryday mentalactivities healthperformed and substanceengaged abusein disorders by providingindividuals, individual,groups, group,populations, andfamilies, populationor levelcommunities supportswhich andoccur servicesin tocontexts thoseand whoover aretime, atsuch riskas of,activities experiencing,of ordaily inliving, recoveryinstrumental fromactivities theseof conditions,daily alongliving, withhealth theirmanagement, familiesrest and communities,sleep, withineducation, thework, scopeplay, ofleisure, practiceand ofsocial occupationalparticipation. therapy.

7. “Occupations”The meansterm meaningfulincludes andmore purposefulspecific everydayoccupations activities performed and engagedexecution in by individuals, groups, populations, families, or communities which occur in contexts and over time, being broadly categorized as activities of dailymultiple living, instrumental activities ofthat dailyare living,influenced healthby management,performance restpatterns, andperformance sleep,skills, education, work, play, leisure, and socialclient participation.factors.

The8. “Occupational termperformance” includesmeans morethe specificability occupationsto perceive, desire, recall, plan, and executioncarry ofout multipleroles, activitiesroutines, thattasks, areand influencedsubtasks byfor performancethe patterns,purposes performanceof skills,self-maintenance, self preservation, productivity, leisure, and clientrest, factors,for resultingoneself or others, in variedresponse outcomes.to internal or external demands of occupations and contexts.

8. “Occupational performance” means the ability to perceive, desire, recall, plan, and carry out roles, routines, tasks, and subtasks for the purpose of self-maintenance, self preservation, productivity, leisure, and rest, for oneself or others, in response to internal or external demands of occupations and contexts.

1. Evaluation1. Assessment, oftreatment, factorsand thateducation affectof, and consultation with, individuals, groups, and populations whose abilities to participate safely in occupations, including activities of daily living, instrumental activities of daily living, health management, rest and sleep, education, work, play, leisure, and social participation, includingare impaired or at risk for impairment due to issues related to, but not limited to, developmental deficiencies, the aging process, learning disabilities, physical environment and sociocultural context, performancephysical patterns,injury performanceor skills,disease, cognitive impairments, and clientpsychological factorsand social disabilities The assessment, treatment, and education of or consultation with the individual, family, or other persons.

2. Methods or approaches selected to directdetermine theabilities processand limitations related to performance of interventions,occupations, including, but not limited to:to, the identification of physical, sensory, cognitive, emotional, or social deficiencies Interventions directed toward developing daily living skills, work readiness or work performance, play skills or leisure capacities, or enhancing educational performance skills.

a. Establishment,3. Specific remediation,occupational ortherapy restorationtechniques ofused afor skilltreatment orwhich abilityinvolve, thatbut hasare not yetlimited developed,to, istraining impaired,in oractivities isof indaily decline.living;

b. Compensation,environmental modification,modification; or adaptation of activity contexts to improve or enhance performance.

c. Maintenancethe ofdesigning, capabilitiesfabrication, withoutand whichapplication performanceof inorthotics everydayor lifeorthotic occupationsdevices; would decline.

d. Healthselecting, promotionapplying, and wellness,training includingin the use of self-managementassistive strategies,technology to enable or enhance performance in everyday life activities and qualityadaptive ofdevices; life.

e. Preventionsensory, ofmotor, the occurrence or emergence of barriers to performance and participation,cognitive includingactivities; injury and disability prevention, and occupational deprivation Interventions directed toward developing daily living skills, work readiness or work performance, play skills or leisure capacities, or enhancing educational performance skills.

3. Interventionstherapeutic andexercises; procedures to promote or enhance safety and performance in activities of daily living, instrumental activities of daily living, health management, rest and sleep, education, work, play, leisure, and social participation, including, but not limited to:

a. Therapeuticmanual usetherapy; of occupations, exercises, and activities.

b. Trainingphysical inagent self-care,modalities; self-management, health management and maintenance, home management, community or work reintegration, and school activities and work performance.

c. Identification, development, remediation, or compensation of neuromusculoskeletal, sensory-perceptual, emotional regulation, visual, mental, and cognitive functions, pain tolerance and management, mental and behavioral health,health praxis,services; developmental skills, and behavioral skills.

d. Education and trainingmental ofhealth individuals,services includingProviding familyfor members,the caregivers,development groups,of: and other populations.

e. Care coordination, case management, transition services, and consultative services to individuals, groups, or populations, along with their families and communities or organizations.

f. Group interventions facilitating learning, skills acquisition, and occupational performance of groups, populations, or organizations across the life course.

g. Mental health services and behavioral health services for the promotion of occupational performance and participation.

h. Facilitating occupational performance of individuals, groups, or populations through modification of contexts and adaptation of processes, including the application of ergonomic principles.

i. Assessment, design, fabrication, application, fitting, and training in seating and positioning of assistive technology, adaptive devices, orthotic devices, and custom orthoses, and training in the use of prosthetic devices.

j. Assessment, recommendation, and training in techniques to enhance functional mobility, including management of wheelchairs and other mobility devices.

k. Remediation and compensation of visual deficits including low rehabilitation.

l. Driving skills rehabilitation and community mobility.

m. Management of feeding, eating, and swallowing to enable eating and feeding performance.

n. Application of physical agent and mechanical modalities and use of a range of therapeutic procedures to enhance performance skills.

o. Efforts directed toward promoting occupational justice and empowering clients to seek and obtain resources to fully participate in occupations Providing for the development of:

178117 These services may require assessment of the need for use of interventions such as the design, development, adaptation, application, or training in the use of assistive technology devices;

278217 A provider of any services receiving payments pursuant to this subsection may not share, refund, or rebate any moneys from the Gardiner Scholarship with the parent or participating student in any manner.

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