Sze HLH, Fung CLB, Cheung PPP, Chim TYA, Lee MH, Law CCC, Lau WMB. A change of .5 to 1 point on any of the 4 domains of the AusTOMs-OT scale is considered clinically important. Some assessment tools can be used as an outcome measure if . Before Results: The requirement to demonstrate effectiveness. Perry, A., Morris, M., Unsworth, C., Duckett, S., Skeat, J., Dodd, K., Taylor, N. & Riley, K. (2004). Methods: Chou, C. Y., Chien, C. W., Hsueh, I.P., Sheu, C.F., Wang, C.H., & Hseih, C.L. Measures that assess the proxy (e.g. 1 by U.S. News & World Report for 31st Consecutive Year, Community-Ready Upper Extremity Interactive Rehabilitation, Dr. Lieber To Receive AACPDM's Lifetime Achievement Award for Research on Cerebral Palsy, Global Advisory Services Hospital Training & Consulting, Medical Student Education & Residency Program, Bundled Webinars: Spinal Cord Injury (3 Titles), 1 Year Webinar Package - Unlimited Access, Alzheimer's Disease and Progressive Dementia, Making Waves Following a Spinal Cord Injury, Full Circle After a Non-Traumatic Brain Injury, An Unanticipated Head Injury and Incredibly Bright Future. Validity of using the Assessment of Motor and Process Skills to determine the need for assistance. Doble, S.E., Fisk, J.D., & Rockwood, K. (1999). Chapter 7: Reliability (Alison Laver Fawcett, PhD, DipCOT.). European Organization for Research and Treatment of Cancer QLQ-C30: A quality-of-life instrument for use in international clinical trials in oncology. Do you see an error or have a suggestion for this instrument summary? The COPM is a standardised measure. Reliability of the Australian Therapy Outcome Measures for Occupational Therapy (AusTOMs OT) Self-care scale. To continue reading, you must be a member. Philanthropic support truly drives our mission and vision. Students recorded a range of individual characteristics (e.g., age, gender, race, educational level, and diagnosis) and length of stay into an Excel database. No significant correlation for changes in FIM motor scores changes detected using the AMPS motor scale (, No significant correlation for changes detected by the FIM cognitive scale and those detected by the AMPS process scale (, No ceiling effects found for the AMPS motor and process scales. 8600 Rockville Pike What are 5 things about dynamic assessments? Administration instructions are detailed in the manual available on the website. (1993). Without a robust, standardised outcome measure, it is extremely challenging to track . . In this study, we retrospectively examined and analyzed datasets from OT students level two fieldwork in Summer 2017. Functional assessments used by occupational therapists with older adults at risk of activity and participation limitations: A systematic review. Scandinavian Journal of Occupational Therapy, 18, 93-100. An observational assessment that allows for the simultaneous evaluation of motor and process skills and their effect on the ability of an individual to perform complex or or instrumental and personal activities of daily living (ADL). 2. no feedback given to client. In order to measure change, the assessment has to be standardised: developed through research. Mapping your current assessment and measurement process. The average length of stay was 6.607.43 days. Chapter 6: Validity and clinical utility (Alison Laver Fawcett, PhD, DipCOT). Aikat, R. & Gomes, O. Multi-disciplinary team meeting with Carol. The use of the ICF framework in an allied health outcome measure:Australian Therapy Outcome Measures (AusTOMs). doi: 10.5014/ajot.2011.000547, Munkholm, M., Berg, B., Lofgren, B. Occupational therapy practice framework: Domain and process (4th ed. Accessibility Examining reliability data: test examples. OT Practice Free Occupational Therapy Assessment Tools by Category February 19, 2021 Contents Hide 1 Cognition 2 ADLs 3 IADLs 4 Sleep 5 Health Management 6 Apraxia Cognition Kettle Test Short-Blessed Test Confusion Assessment Method (CAM) Mini-Mental State Examination (MMSE) Glasgow Coma Scale Saint Louis University Mental Status (SLUMS) ADLs Current pressures to document outcomes and demonstrate the efficacy of occupational therapy intervention arise from fiscal restraints as much as from the humanitarian desire to . Aaronson, N., Ahmedzai, S., Bergman, B., Bullinger, M., Cull, A. Duez, N. et al. Description of the therapy diagnosis / problem. Unsworth, C.A., & Duncombe, D. (2014). There is a chapter describing and applying models for categorizing levels of function to aid assessment and measurement. an intervention. General systems theory and the hierarchy of living systems. The Use of Standardised and Non-Standardised Assessments in a Social S. Go to citation Crossref Google Scholar. Fisher, A. G. & Jones, K. B. Courses with a "C-"or lower are not . Unsworth (2004) found scores on several AusTOMs-OT Scales and domains correlated with the EQ-5D: Established through focus groups to develop the 12 scales (Perry 2004) and Unsworth (2005a). al, 2002; n = 42; Age Range 5 7; Kindergarten students from five public schools), Children with No Known Disabilities: (Peny-Dahlstrand, Gosman-Hedstrom & Krumlinde-Sundholm, 2010), Developmental Delays (Kang et al., 2008; n = 33; Mean Age = 6.1 (1.9) years; Korean sample), Children With or Without Mild Disabilities: (Gantschnig, Page, Nilsson & Fisher, 2013; n = 10,998; Mean Age = 8.7 (3.2) years; Sample selected from the international AMPS database), Excellent significance between two groups in mean ADL process ability measures (p < .001, t = -4.296), Children with No Known Disabilities (Poulson, 1996; n = 162), Goodness of fit; 90% to AMPS-M, 95% to AMPS-P, Children With or Without Mild Disabilities: (Gantschnig, Page, Nilsson & Fisher, 2013), Big Change (Cohens d = 0.81 to 0.98) for 12-15 year olds in ADL motor ability, Big Change (Cohens d = 0.83 to 1.26) for 6-15 year olds in ADL process ability, Children with No Known Disabilities: (Peny-Dahlstrand, Gosman-Hedstrom & Krumlinde-Sundholm, 2012; n = 4613; Age Range 3-15 years; Subset of the AMPS Project International Database, North American (n = 2239) and Nordic (n = 2374) children ), Community Dwelling Adults (Merritt, 2011; n = 38,540, Randomly-selected subset of AMPS Project International database), Mixed Population: (Gantschnig, Page & Fisher, 2012; n = 145489; Mean Age = 54.06 (24.43) years; Sample from the international AMPS database), Mixed Population: (Fisher & Jones, 2012; n = 148158; Age Range = 3 - 103; Sample from international AMPS database), Community-Dwelling: (Goto, Fisher & Mayberry, 1996; n = 10; Mean Age = 28.9 (3.98) years; Mean time living in United States = 12.4 (8.8) months; Japanese sample living in the United States for less than 3 years), Community-Dwelling: (Fisher, Liu, Velozo & Pan, 1992; n = 20; Mean Age = 28.5 (3.32) years; Non-disabled Taiwanese sample living in United States for less than 3 years), Mixed Population: (Fisher & Jones, 2012), Community Dwelling Adults (Merritt, 2011), Mixed Population: (Gantschnig, Page & Fisher, 2012), Multiple Sclerosis: (Doble et al., 1994; n = 44Mean Age = 44.5 (12.3) years, Mean Duration of Self-Reported MS = 19.9 (12.4) years), Atchinson, B., Fisher, A. The use of standards, protocols, guidelines and care pathways. Learning and applying knowledge 2. Seven out of 32 OT students completed their fieldwork at six acute inpatient hospital settings providing OT services for 205 patients, including 99 male and 106 female patients with an average age of 63.2915.86. This textbook on assessment and outcome measurement is written for both occupational therapy and physiotherapy students and qualified therapists. After Friday 19 November 2021, you will need to register for a new website account so you can log in and access the member-exclusive section and webpages on the website. The importance of the selection and application of terminology in practice. This is a dummy description. Carols Individual Treatment Plans: Occupational Therapy. Diagnostic reasoning and the therapy diagnosis. Analysing your current assessment practice. Chapter 5: Standardisation and test development (Alison Laver Fawcett, PhD, DipCOT). 2017 May 30;17(1):375. doi: 10.1186/s12913-017-2311-3. Training and interpreting standardised test scores. BAYLEY SCALES OF INFANT DEVELOPMENT (BSID) The type of speech impairment most commonly reported in hereditary ataxias is dysarthria. Only three settings documented both baseline and final outcome measurement data. Two settings completed only baseline evaluations and one recorded only the baseline goals. Archives of Physical Medicine and Rehabilitation, 76, 1144-1151. doi: 10.1016/S0003-9993(95)80124-3. OTs use outcome measurements in different settings to help inform colleagues and other medical professionals of the complexity of the patients diagnosis, increase effectiveness, and improve patient outcomes. The Group intervention programme: Turnabout. Introduction. Unsworth, C.A., Bearup, A., & Rickard, K. (2009). Please enable it to take advantage of the complete set of features! Examples of assessments that use information from a proxy. New Zealand Journal of Occupational Therapy, 55(2), 11-18. The short time period and the novice skills of our students may have influenced the quality of data collected. VAT Reg. An ethnographic study indicated that non-standardized functional-based outcome measures are the most frequently used method in discharge assessment with inconsistency in the use of standardized tools at acute care settings (Crennan & MacRae, 2010). If this is an emergency, please dial 911. In all six acute settings, OT students provided activities of daily living (ADL) training (bathing/showering, toileting and toilet hygiene, dressing, functional mobility, personal hygiene and grooming). La Trobe University, Melbourne. Other OT services included IADL (care of others/pets, health management and maintenance, meal preparation and clean up), formal/informal patient education, practice and simulation activities, preparatory tasks, exercises, rest and sleep, play, leisure and social participation, and assistive technology. Cross-Cultural Validation of Health and Quality of Life Measures for Children in Hong Kong. . A comparison of client outcomes from two acute care neurological services using self-care data from the Australian Therapy Outcome Measures for Occupational Therapy (AusTOMs - OT). Significant differences between individuals who had a previous stroke (RCVA and LCVA) when compared to non-disabled individuals for IADL performance (p .05), Measurement error accounted for 22% of the differences in subjects ADL ability measures. Therapists select from 12 function-focused scales that match client goals as follows: 1. Unsworth, C.A. Pleasee-mail us! The SEM has been calculated for 2 scales, from the data from Fristedt (2013) with 15 therapists rating 6 cases for Scale 7 (Self-Care), and 3 cases for Scale 5 (Transfers). The students chose at least one outcome measure used in the facility and documented the baseline and final performance after therapy on the outcome measure. 1 by U.S. News & World Report for 31st Consecutive Year, Community-Ready Upper Extremity Interactive Rehabilitation, Dr. Lieber To Receive AACPDM's Lifetime Achievement Award for Research on Cerebral Palsy, Global Advisory Services Hospital Training & Consulting, Medical Student Education & Residency Program, Bundled Webinars: Spinal Cord Injury (3 Titles), 1 Year Webinar Package - Unlimited Access, Australian Therapy Outcome Measures for Occupational Therapy, Making Waves Following a Spinal Cord Injury, Full Circle After a Non-Traumatic Brain Injury, An Unanticipated Head Injury and Incredibly Bright Future, Parkinson's Disease & Neurologic Rehabilitation. Is COPM a Standardised assessment? Data were extracted from each article and authors performed descriptive statistics to establish trends for both definitions and measures. This page presents the best available information on how outcome measures for stroke might be classified and selected for use, based upon their measurement qualities. Clinical Rehabilitation, 20(12), 10381049. Eighteen publications met the inclusion criteria. . The application of standardised assessments. There is little consensus regarding the meaning of quality of life (QOL) within occupational therapy literature. American Journal of Occupational Therapy, 65(6), 643650. Clipboard, Search History, and several other advanced features are temporarily unavailable. The demand for robust clinical governance. The Activity Measure of Post-Acute Care is the most commonly used standardized assessment. This is a dummy description. mary nolan nashville, tennessee; simon every annastacia palaszczuk; Projetos. Art in the Anthropocene: What Do Art and Sustainability Have in Common? Multi-disciplinary team (MDT) half-day clinic assessment process. It justifies the importance of taking a robust approach towards outcome measurement, and contains sections on validity, reliability and the often-overlooked aspect of clinical utility." The assessment of process and motor skills of persons with psychiatric disorders. (2012). Effect of occupational therapy intervention on the quality of life of HIV positive clients and study of knowledge about HIV on clients and occupational therapists. The AMPS is comprised of 16 motor and 20 process skill items. OT outcome measures are used to determine the value and effectiveness of treatment in therapy. Using the Australian Therapy Outcome Measures for Occupational Therapy (AusTOMs-OT) to measure outcomes for clients following stroke. You can also join our Rehabilitation Measures Database Networking Group on LinkedIn by . Follow us on Facebook @rehaboutcomes and Twitter @rehab_outcomes for more information about the Rehabilitation Measure Database and our other grants at the Center for Rehabilitation Outcomes Research. The AMPS is designed to examine interplay between the person, the ADL task and the environment. (2020). Comparison of sensitivity to change from admission to discharge at inpatient rehabilitation: Scores below 2.0 logit for motor scale indicate increased need for assistance to live in the community (correct classification rate = 64%; n= 788), Scores below 1.0 logit for motor scale indicate increased need for assistance to live in the community (correct classification rate = 94%; n= 789), Although ideal values are MnSq = 1.0 and z = 0, MnsQ < 1.4 and z < 2 are used because the values are based on criteria to develop the AMPS, DIF (Differential Item Functionality) has no difference between regions if (-0.55) < logit < (0.55). In Australian Institute of Health and Welfare, ICF Australian user guide. 4. one-way relationship. The 20 ADL process skill items are divided into 5 domains (Sustaining Performance, Applying Knowledge, Temporal Organization, Organizing Space and Objects, Adapting Performance), Item-level scores range from 1 = No Problem to 6 = Inordinate; cannot test, The AMPS is administered in four phases. Copyright 2023 Royal College of Occupational Therapists. The relationship between the Assessment of Motor and Process Skills (AMPS) and the Large Cognitive Level (LACL) test in clients with stroke. 2013 Jun;80(3):141-9. doi: 10.1177/0008417413497906. Clinical judgement and clinical reasoning. Physical & Occupational Therapy in Geriatrics, 24(4), 3350. Problem-orientated clinical reasoning process. Carolyn Unsworth, Carolyn Unsworth. The AusTOMs-OT is a measure ofglobal functional outcomes for clients of all ages, all diagnoses and in all settings. Needs assessment - considering wider populations. Chen, Z., & Eng,J.Y. Example reviews and critiques in journal articles. Applying concepts of levels of measurement to your own practice. doi:10.1177/153944920202200205, Marom, B., Jarus, T. & Josman, N. (2006). official website and that any information you provide is encrypted Bookshelf Robinson, S.E. The book then addresses the topics of standardisation, levels of measurement, reliability, validity and clinical utility. Despite the rare incorporation of standardized outcome measures in acute care settings, OT students and therapists were willing to further explore the benefits of the standardized tools. PMC Out of the 32 second year OT students, seven of them completed fieldwork at six acute inpatient hospital settings providing OT for 205 patients, including 99 male and 106 female patients with an average age of 63.2915.86. (2015). Three reliability studies have been conducted. Factors that impact the use of outcome measures include: challenges selecting the appropriate outcome measure; too time consuming for patients to complete and difficult to complete independently, short length of stay, limited time for therapists to complete the evaluation, fast-paced and dynamic environment (different floors, different teams/members), timing problems where patients undergoing tests/procedures were off the floor, and patients were medically unstable at the time of the attempted/scheduled evaluation. Wades (1988) 4-level model for people with stroke. Shirley Ryan AbilityLab does not provide emergency medical services. Bachelor's or Master's degree from a regionally accredited institution. demonstrate change (if any) resulting from. The therapist undertakes all usual diagnostic, occupational performance and goal setting assessments, and can then score the AusTOMs-OT outcome measures in under 5 minutes. 242 7829 47. ). Medical Care Research and Review, 119. Case Study: Mary, by David Jelly and Alison Laver Fawcett. Self-Care with 7 OTs rating 15 client case studies with a range of conditions including: stroke, acquired brain injury, arthritis, spinal cord injury, amputation, schizophrenia, depression, dementia, Parkinsons Disease, burns and cerebral palsy. The influence of environment upon performance. SE1 1LB. They acknowledged the benefits and necessity of a standardized tool but felt this would be difficult due to the medical acuity for acute care patients, the diversity of diagnoses, and the difficulty of finding outcome measures that encompass all aspects related to discharge. Or Call Toll-Free As occupational therapists, the authors are aware that the performance of children, such as their level of cooperation, varies across settings and in the presence of different professionals or people. Test-retest reliability of the assessment of motor and process skills in elderly adults. The particular challenges to occupational therapy (OT) practitioners working in acute care settings are a limited number of therapy visits and quick discharge. Unsworth, C.A., & Duncombe, D. (2014). The Canadian Occupational Performance Measure (COPM) was the most widely used assessment, where 56.7% of our respondents reported using the COPM. 1. measures ability. 2013 Sep;35(19):1636-46. doi: 10.3109/09638288.2012.748845. The students avoided documenting any protected information as designated by the Health Insurance Portability and Accountability Act identifiers. OTs use standardized outcome tools in different settings to help inform colleagues and other medical professionals of the complexity of the patients diagnosis and functional level and to aid in safe and effective discharge planning. This is partially supported by our data that some of the facilities were unfamiliar with many standardized tools. Conclusions: A clear conceptualisation of QOL that incorporates occupational therapy values such as client-centredness and holism is needed to advocate for the profession's role in health care and to encourage the development of suitable outcome measures. Self-Care-Participation/Restriction: Fristedt (2013) reported ICCs between .58 and .93 for the Intrarater reliability of the 15 raters across the case studies, for the 12 AusTOMs scales. Preparing tools, materials and equipment. doi: 10.1177/0733464809340153, Doble, S.E., Fisk, J.D., Fisher, A.G., Ritvo, P.G., & Murray, T.J. (1994). OTs have an interest in finding ways to increase accuracy in predicting discharge. Only three settings documented both baseline and discharge outcome measurement data. Enter your zip code . The .gov means its official. Developing a short form of the Berg Balance Scale for people with stroke. Participants reported using AusTOMs OT frequently, with the most common responses being at least once a week (43.3%, n=13), least once a day (13.3%, n=9) and at least once a month (10%, n=3). Scand J Occup Ther. Occupational Therapy Journal of Research, 22(2), 8292. Interviewing as a means of collecting self-report data. The Occupational Therapy Doctorate program (OTD) is not available to international graduate students at this time. On today's episode we discuss the patient-reported outcomes measurement information system (PROMIS) with Brocha Stern and Craig Velozo. Eyssen IC, Steultjens MP, de Groot V, Steultjens EM, Knol DL, Polman CH, Dekker J. Disabil Rehabil. eCollection 2022. Five Level Model of Function and Dysfunction. Transfers 6. Assessment is fundamental to effective occupational therapy practice. (2008). The benefits of rehabilitation therapy physical therapy, occupational therapy, and speech-language pathology include improved mobility, enhanced quality of life, and greater independence. Federal government websites often end in .gov or .mil. Intra class correlation coefficients (ICC). 1347374). The nature of human function and the complexity of measuring functional outcomes. A scope review paper found that OTs are often time poor and within a right time frame are unable to extend their services to provide full intervention and to use currently available outcome measures necessary for the patients (Britton, et al., 2015). Dysarthria is a collective term referring to a group of movement disorders affecting the muscular control of speech. Benefits of applying standardised measures. Chapter 3: Purposes of assessment and measurement (Alison Laver Fawcett, PhD, DipCOT and Karen Innes, BSc OT, DMS, Cert Counselling). From the literature, OTs working at acute care settings recognized the potential benefits of using standardized outcome measures and expressed strong interest in using those tools (Blaga & Robertson, 2008; Crennan & MacRae, 2010; Jette, et al., 2003; Jette et al., 2014; Matmari et al., 2014; Robertson & Blaga, 2013; Smith-Gabai, 2016). Download Product Flyer is to download PDF in new tab. Occup Ther Int. The Assessment of Motor and Process Skills Applied Cross Culturally to the Japanese. Methods of data collection (e.g. (2013). Hongwu Wang, PhD1,2; Cyndy Robinson, OTD, OT/L, FAOTA1; Jessica Tsotsoros, PhD, OTR/L, ATP1, 1Department of Rehabilitation Sciences, University of Oklahoma Health Sciences Center, 2Harold Hamm Diabetic Center, University of Oklahoma Health Sciences Center. AOTA (2017), Occupational Therapys Role in Acute Care, AOTA Fact Sheet, Retrieved https://www.aota.org/-/media/corporate/files/aboutot/professionals/whatisot/rdp/facts/acute-care.pdf. Application of different levels of measurement - issues to consider. (1996). In all six settings, OT students provided ADL training (bathing/showering, toileting and toilet hygiene, dressing, functional mobility, personal hygiene and grooming). The American Journal of Occupational Therapy, 50(10): 798-806. doi: 10.5014/ajot.50.10.798, Hartman, M., Fisher, A., & Duran, L. (1999). Case Study: Scott, by Sally Payne and Claire Howell. It underpins all subsequent decisions including agreeing individualised goals and selecting appropriate interventions. The review was completed by searching six databases using occupational therapy-related and QOL-related terms. Across domains of skills/performance, volition, and habituation, the OSA measures self-perceptions of occupational competence and the degree to which the individual values each occupation. British College of Occupational Therapists: Research briefing: Measuring Outcomes, November 2015. The Assessment of Motor and Process Skills (AMPS) is an observational assessment that measures the performance quality of tasks related to activities of daily living (ADL) in a natural environment. The OSA is an evaluation tool and outcome measure based on the Model of Human Occupation (Kielhofner, 2002). Toll-Free U.S. Results: 33 candidate items, amendable to administration acutely after SCI, were developed for against gravity (X=13), gravity minimized (X=2), and gravity eliminated (X . MeSH ISBN: 978-1-118-70969-6 British Journal of Occupational Therapy, 59(6), 260-263. doi:10.1177/030802269605900603, Wales, K., Clemson, L., Lannin, N., & Cameron, I. Reliability coefficients and standard error of measurement. IntroductionMonomorphic ventricular tachycardia (VT) is a life-threatening condition often observed in patients with structural heart disease. If this is an emergency, please dial 911. A Young Scientist's Journey after a Stroke, Care by the Numbers: Skilled Nursing versus Inpatient Rehabilitation, WSJ: Recognizing Aphasia and Seeking Treatment, Shirley Ryan AbilityLab Ranked No. Carols Individual Treatment Plans: Physiotherapy. An example Test Critique: The Parenting Stress Index (PSI). Determination of the minimum clinically important difference on the Australian Therapy Outcome Measures for Occupational Therapy (AusTOMs-OT)? n= 289 patients with stroke, X age= 63.4 SD 12. (pp. Assessment and outcome measurement goals for effective practice. Jette, D. U., Grover, L., & Keck, C. P. (2003). Description of the NCMRR five levels of Function / Dysfunction. All rights reserved. Standardized outcome tools assist with preventing hospital readmissions in acute care and aid in safe and effective discharge planning (Hoyer, et al., 2014). The Occupational Therapy Journal of Research, 19(3), 203-215. doi:10.1177/153944929901900303. Questions for undertaking a Test Critique. Characteristics of therapeutic alliance in musculoskeletal physiotherapy and occupational therapy practice: a scoping review of the literature. Introduction: Unsworth, C.A., & Duncombe, D. (2005b). OTs agree that they were unfamiliar with any standardized outcome measurement currently available that addressed the diversity of patients in acute care. The inter-rater and test-retest reliability of the Self-care and Transfer scales and intra-rater reliability of all scales of the Swedish translation of the Australian Therapy Outcome Measures for Occupational Therapy (AusTOMs-OT-S). Examining validity and clinical utility issues: test examples. Poulson T. Validity of the AMPS for Children and Adolescents. All 12 scales found to be responsive for each of the 4 domains of Impairment, Activity, Participation and Distress/ Well-being for n=466; Age range for the 354 adults X=62.910,SD 20.370 and for the 106 children X=10.36, SD 26.365) (age missing for 6 adults) (Chen, 2015). Limitless? Archives of Physical Medicine and Rehabilitation, 75(8), 843-851. doi: 10.1016/0003-9993(94)90107-4, Doble, S.E., Lewis, N., Fisk, J.D., & Rockwood, K. (1999). Validity of using the Assessment of Motor and Process Skills to estimate overall home safety in persons with psychiatric conditions. British Journal of Occupational Therapy, 78(9), 570-575. Topics in Stroke Rehabilitation, 15(4), 351- 364. A Young Scientist's Journey after a Stroke, Care by the Numbers: Skilled Nursing versus Inpatient Rehabilitation, WSJ: Recognizing Aphasia and Seeking Treatment, Shirley Ryan AbilityLab Ranked No. 2019 Jan;26(1):1-8. doi: 10.1080/11038128.2017.1378715. The Royal College of Occupational Therapists (or 'RCOT') is a registered charity in England and Wales (275119) and in Scotland (SCO39573) and a company registered in England (No.
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