Now that we have managed care, shall we inspire it?

Occupational therapists as case managers

Occupational therapists in today's health care environment are challenged to take on new roles such as case management. In assuming these roles occupational therapists need an understanding of the basic competencies to perform the job. To determine these competencies, the author, an occupational therapist, compares the basic competencies necessary to practice as a certified case manager and as a certified occupational therapist. As a participant/observer of case management she considers these competencies in clinical practice. From that experience she identifies strengths and suggestions for further occupational therapy educational development.

Ethical issues related to managed care: an in-depth discussion of an occupational therapy case study

What are the ethical responsibilities of occupational therapists when managed care plans override their clinical judgment and deny reimbursement for needed assessment or therapy? Using an example from a true case, this article presents an analysis of the ethical problems experienced in managed care when explicit business goals are in conflict with the humanistic commitments of our field. Strategies for ethical action are recommended, including: good communication with the case manager, effective advocacy for the patient, consultation with ethics resources, and advocacy at the policy-making level. [Article copies available for a fee from The Haworth Document Delivery Service: 1-800-342-9678. E-mail address: getinfo@haworth.com].