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OCCUPATIONAL-THERAPY-MANAGEMENT5 MIN READ

Anchor Cases in Participation

Frame an occupational therapy referral around participation and occupational performance before selecting interventions.

Manage the case around the occupation that carries the decision. The before -> after Before: CVA evaluation, left neglect, ADL training. After: breakfast safety at home, left-side scanning at stove, spouse unavailable during the risk window. The common trap A diagnosis can start a referral, but it cannot manage the case. If the note never names the occupation, the team cannot tell which deficit matters most. The management move Start with the occupation, then sample the performance context. The assessment should make the intervention feel inevitable: the barrier, the task demand, the support, and the outcome all line up.

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