Angeles University Foundation

College of Allied Medical Professions

Department of Occupational Therapy
Marie Therese E. Dabu, OTRP

Evaluation in Psychosocial Dysfunction:

OCCUPATIONAL THERAPY
PROCESS

 Learning Objectives:

1. Explain the OT process involved in screening and evaluating clients

with psychosocial dysfunctions.
2. Differentiate OT evaluation process in psychosocial dysfunctions
with other practice settings.
3. Discuss the current status and trends of mental health in the context
of the Philippines. 
4. Explain the role of OT in evaluating Psychosocial Dysfunctions 
5. Identify practice settings in occupational therapy in mental health
setting in Philippines and other countries.
6. Discuss the guidelines for conducting psychosocial evaluation in a
teletherapy context.
7. Adapt the 12 +24-item WHODAS 2.0 in the Philippine context by
translating it into Filipino language and administering it in a
simulated environment. 

 Topic Outline

A. Mental Health in the

Context of Philippines
- Trends, Law, Statistics
- Treatment Settings

B. OT Process (OTP4)
- Evaluation Process
- Standards of Practice
- WHODAS

C. Telehealth in the
Psychosocial Dysfunction
Setting
- Guidelines by PAOT














How can you describe the current

 Trends in Mental Health

National Center for Mental

Health and Mariveles Mental
Hospital

 S Mental illness is
the 3rd most
common disability
in the Philippines

Suicide rate:
er from from
depression, 1 million 3.2/100,000
from schizophrenia, & (higher in males);
15.3 million from SUD 877,000 deaths
per year
ff

S 7.76 beds and 0.41

psychiatrists per
100,000 people

0.08 OT per
100,000
population
 Supported Employment, Supported Education,
Supported Housing

Wellness and
Assistance with jobs,
recovery planning,
housing, social skills,
nite skill building, staff
leisure activities, life
training, therapy
management skills
group leadership
f
 What
do we do?
Occupational Therapy and Mental Health

Promote good health and well-being

Prevent onset of mental health problems

Facilitate recovery for those experiencing mental

health di
Use of a speci c method to measure essential behaviors in a sequential
manner
nding out what a client wants and needs to do
• determining what a client can do and has done
• identifying supports and barriers to health, well-being, and
participation
• occurs during the initial and all subsequent interactions with
a client

How can OT
help you?
What matters to What do
you? you want
to do?
fi

fi

Evaluation in Psychosocial Dysfunction

Occupational Pro
 Referral Screening
Standing

Assessment
Intervention
Plan
Intervention

Transition
Discontinuation
Services
Continuous
Quality
Improvement
Management

 Determine whether intervention or further

assessment is necessary and to identify
dysfunctions in occupational performance
areas

OT shall screen independently or as a part

of an interdisciplinary team.
Screening
OT shall select screening methods that are
appropriate to the individual’s context.

OT shall communicate screening results and

recommendations to appropriate
individuals.
 WHODAS - 2.0
WHO Disability Assessment Schedule - 2.0

• A tool to produce standardized disability levels and profiles

• Used across all diseases, including mental, neurological and
addictive disorders
• Assesses 6 domains of life: cognition, mobility, self-care, getting
along, life activities and participation
• ADMINISTRATION:
• Self-administration
• Interview
• Proxy

 An OT shall assess an individual’s

performance areas, performance
components and performance context.

OT shall screen independently or as a part

of an interdisciplinary team.

OT shall educate the individual, or the family

or guardian, as appropriate, about the
Assessment purposes and procedures of the OT
assessment.
OT shall select assessment to determine the
individual’s functional abilities and
problems.

Assessment methods shall be appropriate

to the individual’s context.
 An OT shall follow accepted protocols when
standardized test are used.
An OT shall analyze and summarize
collected evaluation data to indicate the
individual’s current functional status.

An OT shall document assessment results in

the individual’s record.

An OT shall complete and document results

of assessment within the time frame
established by practice settings,
government agencies, accreditation
programs and third party payers.

An OT shall refer the individual to the appropriate services or

request additional consultations if the results the assessment
indicate areas that require intervention by other professionals.
 Use of telehealth as an alternative form
of occupational therapy service
provision
Telehealth
TELEHEALTH
refers to the utilization of information and communication technologies
(ICT) to deliver health related services when there would be differences
in locations between the service provider and the client
 Telehealth Guidelines
Professional
Standards
• Adhere to the standards of
practice
• Any modification shall be
delivered in accordance with
professional standards of care
and the principles of EBP
• Possess the necessary
knowledge, skills, and attitude
in delivering competent
services through this platform
Ethical
Considerations
• Be conscientious and prudent in
identifying clients who may possibly be
provided with telehealth
• Assess the knowledge, skills, and
attitude of the clients and their family
members on the utilization of telehealth
• Ensure that the overall benefits in any
service delivery should outweigh the
risks
• Practice autonomy and confidentiality

 Continuous
Quality Documentation
Improvement

• Depending on the results of • Documentation process

the consistent monitoring (therapy notes, progress
process that institutions and reports and evaluation reports)
OTs will be performing, should not cease with the
appropriate modifications as to utilization of telehealth.
how telehealth is provided
need to be explored and
implemented
References
American Occupational Therapy Association. (2020). Occupational therapy
practice framework: Domain and process (4th ed.). American Journal of
Occupational Therapy, 74(Suppl. 2), 7412410010. https://doi.org/
10.5014/ajot.2020.74S200

Boyt Schell, B. A., Gillen, G., & Scaffa, M. E. (2014). Willard & Spackman’s
occupational therapy (12th ed.). Philadelphia: Lippincott Williams &
Wilkins.

Lally, J., Tully, J., and Samaniego, R. (2019). Mental health services in the
Phiippines. BJPsych International (16)3. Retrieved from https://
www.ncbi.nlm.nih.gov/pmc/articles/PMC6646843/pdf/
S205647401800034Xa.pdf

Philippine Academy of Occupational Therapist, Inc. (2020). Guidelines on

the use of telehealth as an alternative form of occupational therapy
service provision. https://www.wfot.org/assets/resources/PAOT-
Guidelines-on-the-Utilization-of-Telehealth.pdf

World Health Organization. (2018). WHO Disability Assessment Schedule

2.0. Retrieved from https://www.who.int/classifications/icf/whodasii/en/
Laboratory Assessment: LAS

WHODAS - 2.0
WHO Disability Assessment Schedule - 2.0