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Community Adaptive Planning Assessment
Community Adaptive Planning Assessment
14
Other
Graduate
05/30/2011

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Term
CAPA-community adaptive planning assessment
Definition
developed to be used in a variety of practice settings and to enable future planning following major life changes whether such changes result from illness, injury, social disorganization or other events requiring major adaptive transitions.
Term
theory behind the CAPA
Definition
occupation based aassessment and intervention such as that guided by the CAPA is found in three examples from current literature: 1. the OT Practice Framework 2. the assumption that occupation changes the way the brain works and
3. the blending of physical and psychosocial concerns of practice in the current lit. of OT

process permits gathering of rich qualitative as well as quantitave data allowing for reasonable plans for the future.
Term
unique to CAPA
Definition
patients involved in the goal-setting and helps patients to participate in the therapeutic process.

designed to examine performance that is responsive to change and can be used to determine whether or not change is occurring.
Term
assumptions of CAPA
Definition
1. environmental context is very important-as important as the disability
2. focus of evaluation is conceptualizing goals and strategies. -patient has ability to engage in this future planning process.
3.consideration for experimentation, behavior observation, survey and ethnography (participant observer).
Term
main focus
Definition
focus is OT based with emphasis on reentering the community in an adaptive way with the input of the client.
Uses a narrative approach
examines the meaning of occupations
addressesADls, IADLs and a top-down approach
Term
other assessments that are similar
Definition
COPM, OPHI-II, Occupational Role History, Role Checklist, Social Support Inventory for People with Disability (SSIPD), The Reintegration to Normal Living Index (RNLI) and the Community Integration Measure (CIM).

COPM does not examine occupations that are rewarding or support systems that may benefit or inhibit performance.
Term
examines participation within occupations in terms of
Definition
1. activity patterns
2. mobility patterns
3. roles and relationships, including social support exchanges.

designed to document former adaptive patterns prior to the onset of a disability or life transition to identify potential losses in one or moreof the three adaptive patterns anticipated, and to suggest alternative adaptive straegies that might be implemented to increase the adaptive repertoire to meet needs of the patient.
Term
purpose of the CAPA
Definition
to establish a collaborative planning process between service providers and patients at times of major life changes, which might include the onset of disability, a change in disability status, or changes in the environment.

The overall constellation of occupations in people's daily lives.

examines broad areas of occupation and determine whether changes are expected within any of these areas.
Term
interview gathers info about...
Definition
1. occupation
2. persons with whom occupation is done and roles of individuals involved
3. context
4. value(ways in which the occupation is valued by the key persons involved)
Term
format
Definition
record info. on separate cards, which can then be arranged in various ways for data comparison and intervention planning.
Each card has 3 columns
1. previous status
2. expected changes
3. outcomes
Term
planning process
Definition
involves present and future and acknowledgment of need to examine the skills and experiences from the patient's past

future limitations, changes needed and possible gains.
Term
type of test
Definition
qualitative-semi-structured
therapist needs to have a clear idea of the intended yield, the focus of the data to be gathered.
Term
summary report includes:
Definition
key info from the individual occupation cards and scores on the quantitative rating scales

patient's ability to manage overall occupations

describe the social network and personal geographic territory (contexts)

identify those occupations easiest and most difficult to give up

document how well the patient was able to engage in collaborative process

note an impression of the amount of support the patient might need to implement plans and to see connections between therapy and future plans.
Term
Alternative forms
Definition
caretaker of therapist can estimate patient's level of ability to engage in the planning process and the anticipated need of support for participation in the intervention.

this is if there are cognitive issues
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