Get to Work!
             Utilizing Jobs for Kids as a 
             Therapeutic Tool
                                                                                                                                 INTRODUCTIONS 
             Laura Nagel, MS, OTR/L
                                                                                                                                 & OBJECTIVES
             WOTA Annual Conference
             October 11, 2019
                    Who’s Here Today?                                                                                              Session Objectives
                                                                                                                                    1.  Examine the value of vocational occupations for 
                     ▸ Students
                                                                                                                                        children, such as chores and entrepreneurship.
                     ▸ OTRs
                     ▸ COTAs
                                                                                                                                    2.  Review current literature on vocational and 
                     ▸ Outpatient setting
                                                                                                                                        pre-vocational skills in children and alignment with the 
                     ▸ Schools
                                                                                                                                        Occupational Therapy Practice Framework.
                     ▸ Other?
                     ▸ WOTA members                                                                                                 3.  Utilize activity analysis to apply this area of 
                                                                                                                                        intervention to build foundational skills that support 
                     ▸ AOTA members
                                                                                                                                        growth in various areas of occupation.
                     ▸ Me!
                                                                                         Occupational Therapy Practice Framework:  
                                                                                                                     1
                                                                                         Domain and Process - 3rd Edition
             THE VALUE OF 
             OCCUPATION
         Occupational Therapy Practice Framework - 4th Edition 
         Feedback Period
          AOTA’s Commission on Practice (COP) is seeking member review 
                                                                                                    KIDS NEED JOBS.
                                                                                              “
           and feedback on the draft revisions of the Occupational Therapy 
            Practice Framework: Domain and Process (OTPF) 4th edition, now 
                           through October 14th . 
                                                                                                                          -Temple Grandin
                       th
          View the OTPF 4  edition draft and complete the feedback survey.
                                                                                       Children’s Work: The Less-Considered 
                                                                                                              4
                                                                                       Childhood Occupation
                                                                                        ▸  (2004) Larson
                                                                                        ▸  Describes the nature, form, function, and meaning of children’s work
                                                                                        ▸  Provides beginning guidelines for occupation-based work interventions and 
                                                                                           typical expectations for nondisabled children that may be applied using clinical 
                                                                                           reasoning to populations with disabilities
             CURRENT 
             RESEARCH
                                                                                       Characteristics of Students Receiving Occupational 
          Health Impact of Participation for Vulnerable 
                                                                                       Therapy Services in Transition and Factors Related to 
                                 2
          Youth With Disabilities
                                                                                                          3
                                                                                       Postsecondary Success
            ▸ (2018) Berg et. al
                                                                                        ▸  (2017) Eismann et. al
                                                                                        ▸  RESULTS. Autism, cerebral palsy, and intellectual disability were the most 
            ▸ RESULTS. The probability of reporting clinical depression was 4 times higher 
                                                                                           commonly reported disability classifications. Participation in postsecondary 
              for victimized YWD who reported lower breadth of participation than for 
                                                                                           education was significantly associated with functional use of arms and hands. 
              victimized YWD who reported higher breadth of participation (6% vs. 26%; p = 
                                                                                           Postsecondary employment was significantly associated with verbal 
              .03).
                                                                                           comprehension. Participation in community activities was significantly related 
                                                                                           to students’ health status, and participation in community service was 
                                                                                           significantly related to students’ functional use of arms and hands.
            ▸ CONCLUSION. Occupational therapy aimed at increasing opportunities for 
                                                                                        ▸  CONCLUSION. Providing transition services to students with disabilities 
              engagement in activities may enhance the mental health of the most 
                                                                                           remains an emerging area of practice. Occupational therapy practitioners may 
              vulnerable YWD. Participation in meaningful activities can improve both 
                                                                                           contribute to transition teams by intervening to improve functional abilities 
              overall health and transition to independence for vulnerable YWD.
                                                                                           and health status.
          Associations Between Meaning of Everyday 
                                                     5
          Activities and Participation Among Children
           ▸  (2019) Rosenberg, Pade, Reizis, & Bar
           ▸  Results: Children valued their activities, they perceived the challenge as low, they 
              felt that the time was almost equally distributed between time passing quickly 
              and passing slowly, and they felt autonomous. The subjective perceived meanings 
              were moderately correlated with the children’s actual participation.
                                                                                       ACTIVITY 
           ▸  Conclusions and Relevance: Children are capable of reflecting on the meaning 
                                                                                       ANALYSIS & 
              of their everyday activities. The [Perceived Meaning of Occupation 
                                                                                       APPLICATION
              Questionnaire] may assist occupational therapy practitioners in eliciting their 
              young clients’ perspectives regarding their everyday occupations. 
                                                                                   Assessment Tools
                                                                                    ▸ Which tools may predict skills needed for vocational 
                                                                                      occupations?
                                                                                    ▸ Consider use of open ended tools with interview 
                                                                                      formats, such as:
                                                                                       ▹ Activity Card Sort (various ages)
                                                                                       ▹ Canadian Occupational Performance Measure
                                                                                       ▹ Casey Life Skills
                                                                                       ▹ Joint completion of the PEDI-CAT