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Understanding the toll of a serious injury, motor vehicle accident, or illness has had on a person’s life is the first step in treatment.

PiOT begins all treatment plans with a thorough assessment.

Our assessments explore all areas of a client’s physical, cognitive, social/psycho-emotional, behavioural skills, and functional abilities. This gives us a firm understanding of exactly what impairment exists, and their effect on an individual’s daily activities (such as parenting, school, work, personal care, housework, sports, reading and leisure, etc.).

The assessment is used as the basis to determine accident benefits, identify the need for other health professionals and treatment as well as to develop a customized occupational therapy treatment plan to help the client function effectively in daily life.

Our assessment services include:

Attendant care is a benefit to which an individual injured in a motor vehicle accident may be entitled.

An Attendant Care Needs Assessment involves the assessment of an individual’s capacity to perform self-care and daily living activities. The occupational therapist will assess the individual’s physical, sensory, psychosocial, cognitive and communication function in order to determine the need for attendant care (i.e., the need for assistance with self- care tasks).

A Form 1 is completed to itemize which self-care tasks an individual requires assistance with as well as the amount of money to which they are entitled for hiring a personal support worker to provide attendant care services.

An assessment of an individual’s home environment is necessary to identify barriers impacting function, safety and accessibility.

Occupational therapists are skilled in identifying barriers and making recommendations to improve safety, accessibility and function within the home by determining the need for assistive devices and/or home modifications.

This assessment takes place in an individual’s home and includes recommendations to help individuals improve their ability to function effectively in everyday life.

The primary focus of this assessment is on evaluating an individual’s physical, sensory, psychosocial, cognitive and communication function with regards to their ability to carry out activities of daily living, such as his/her personal care, housekeeping/home maintenance, caregiving/parenting tasks and leisure/recreation pursuits as well as their vocational activities.

Occupational therapists work closely with the in-hospital medical and rehabilitation team to co-ordinate a smooth and safe transition home.

This typically involves an in-hospital visit to identify an individual’s needs upon discharge, and a second visit to the home to identify any barriers that exist and to recommend any assistive devices or modifications that would improve safety and accessibility for their return home.

If an individual is unable to return home, occupational therapists can assist with locating alternative living arrangements to meet the needs of the individual.

This assessment determines the costs of an individual’s current and future needs (e.g., attendant care, assistive devices, medical expenses, professional services, home modifications, etc.) over the individual’s entire lifespan, as a result of injuries sustained in a motor vehicle accident or a catastrophic event.

A physical demands assessment evaluates the physical, cognitive and environmental components required to perform the essential tasks of a job.

A job site evaluation takes place at the individual’s pre-injury worksite and is coordinated in conjunction with the individual’s employer. It is used to evaluate the suitability of a job and/or environment to the individual.

It typically involves observing the individual performing various aspects of the job within his/her abilities and tolerances. By analyzing the job demands in conjunction with the individual’s current abilities and restrictions, both assessments help to determine the capabilities of an individual and any potential barriers with regards to return to work.

Recommendations are provided around readiness to return to the pre-injury job and return to work planning, including accommodations, devices, workstation modifications or further interventions to support a successful return to work.

This involves a comprehensive assessment of an individual’s cognitive function (e.g. memory, attention, processing speed, insight/judgment, executive function, etc.).

Standardized tests allow the occupational therapist to compare relative performance of the individual to that of a group. Non- standardized cognitive tests also assess an individual’s cognitive abilities or performances but does not allow for comparison of one individual’s performance to that of another.

Non-standardized cognitive tests are typically used to gather further information with respect to how an individual is functioning in his/her day-to-day life.

The results of both standardized and non-standardized cognitive assessments are used to provide education to individuals about their functional cognitive strengths and challenges following an injury.

The results can also be used to develop a cognitive rehabilitation program that includes cognitive remediation and/or compensatory strategies to maximize an individual’s cognitive function in their everyday life.

A comprehensive assessment that evaluates an individual’s current physical functional tolerance level.

This assessment helps to establish a baseline with regards to tasks individuals are and are not able to physically tolerate.

This assessment is beneficial for return to work planning.

The Assistive Devices Program (ADP) is a program operated by the Ministry of Health and provides funding to Ontario residents who have long-term physical disabilities.

We have occupational therapists that are registered as “authorizers” by ADP who can determine an individual’s eligibility for the program and complete the application.

The assessment includes an evaluation of the individual’s condition to determine if he/she would benefit from a mobility device and can also determine which mobility device(s) best meet the individual’s need.

An ADP funding application is then completed and sent to the Ministry of Health to apply for funding for 75% of the cost of the device. The occupational therapist can also assist the client to apply to additional sources for funding for the remaining 25%, if possible.

Occupational therapy involves looking at an individual’s entire life and seeing how it has been impacted by a serious injury, illness, or motor vehicle accident.

We find solutions for every aspect of their lives that have been impacted. We do this by capitalizing on a client’s existing strengths and skills, and helping them improve or adapt to any impairment.

This also means providing a hands on approach, creative solutions, education, support and encouragement that help clients re-build their lives.

PiOT provides the following treatment services:

Addresses the functional, behavioural, cognitive, emotional, psychosocial and/or personality changes associated with a traumatic brain injury (TBI). Treatment focuses on enhancing the individual’s recovery.

This is achieved through working on restoring lost functional abilities through the provision of adaptive devices and/or education.

It also involves individualized training on remedial and/or compensatory strategies to enhance functional independence.

Individualized goals that are important and meaningful to the client are established in conjunction with the occupational therapist.

Treatment is carried out in the individual’s day-to-day environment. This allows the occupational therapist to observe the individual in his/her direct surroundings and make client-centered recommendations such as trialling of various strategies, assistive devices or task/environmental modifications.

Assistive technology is any device or product that enables enhanced functioning and participation in day-to-day life (e.g., iPad).

Occupational therapists are experienced in selecting, training and using various devices to achieve this goal. For example, assistive technology can help to improve communication and enhance cognitive function in day-to-day life.

Treatment focuses on identifying an individual’s cognitive strengths and challenges and developing awareness of functional difficulties.

It involves helping individuals to relearn how to do certain activities (remediate) or to determine new ways of accomplishing them (compensatory strategies).

Social re-integration focuses on enhancing an individual’s social participation.

Community re-integration focuses on improving community mobility and accessibility by connecting individuals to specialized transportation services, making recommendations for assistive devices and providing education and training on safe and effective community re- integration.

This treatment takes place in real-life settings such as the grocery store, community center, bus/train, workplace, etc. Treatment may involve learning specific strategies to enhance socialization, exploring interest groups or volunteer pursuits, or exploring and linking with resources, activities and supports in the individual’s own community.

The occupational therapist may collaborate with other rehabilitation service providers on the team, such as rehabilitation support workers or personal support workers, to facilitate the individual’s community and social re-integration.

This treatment involves collaboration with an individual’s employer/teacher and other team members to identify barriers with regards to return to work or school and to develop a plan of action to eliminate or reduce such barriers and support successful return to work/school.

This may involve establishing a return to work/school plan including modified duties and/or hours and/or providing recommendations for assistive devices or modifications to the work or school environment.

The goal of this treatment is to enable the individual to return to performing work or school duties safely and as effectively as possible.

The primary goal of this treatment is for individuals to return to their meaningful daily activities as identified by the individual.

The occupational therapist uses real-life or simulated tasks, a progressively graded conditioning exercise program, and coaching on various strategies such as pain management and energy conservation techniques.

This treatment may involve a multidisciplinary approach, involving several different providers working together, supporting and encouraging the client towards a common goal.

Our occupational therapists are trained in assessing an individual’s function in their home environment and making recommendations to improve accessibility, function and safety.

Our occupational therapists can link individuals with expert consultants in the area of design and implementation of barrier-free solutions and work together to facilitate implementation of recommended modifications as well as assist with applications for funding assistance when available.

This treatment focuses on enhancing an individual’s ability to carry out his/her personal care tasks within the individual’s current abilities and tolerances.

The occupational therapist may recommend assistive devices, task or environmental modifications, and provide education on various strategies such as, but not limited to, energy conservation, pain management and proper body mechanics.

This treatment focuses on optimizing function in day-to-day life through providing education and training on pain prevention and pain self- management skills.

This may include an ergonomic assessment, education on pacing and proper body mechanics and training on relaxation and sleep facilitation techniques.

Our occupational therapists are knowledgeable about pain management programs and support groups available and are trained in administering programs that focus on disability reduction, such as the Progressive Goal Attainment Program (PGAP).