LAC 46:XLV.4913. Intervention Process

A. An occupational therapist has the overall responsibility for the development, documentation, implementation, modification, and review of the intervention plan, including ensuring the completed documentation is part of the client’s record and accessible to the OTA prior to the OTA’s first treatment session. When delegating aspects of the occupational therapy intervention process to the occupational therapy assistant, the occupational therapist is responsible for providing supervision as stated in §4925. B. Intervention Plan Development. Intervention plan development shall utilize the evaluation, client goals and outcomes, best available evidence, and professional and clinical reasoning. 1. The intervention plan should include: a. Relevant and measurable client goals and related time frames b. Frequency and duration of service c. Types of interventions 2. An occupational therapist ensures that the intervention plan, and any modifications to the plan are documented within the time frames, formats, and standards established by the practice settings, agencies, external accreditation programs, state and federal laws, and other regulatory and payer requirements sufficient to justify the services rendered. 3. An OTP collaborates with the client to develop and implement the intervention plan based on the client’s needs and priorities and informs the client of potential benefits and harms of the interventions. C. Intervention Plan Review and Modification. An occupational therapist reviews and modifies the intervention plan throughout the intervention process, assessing effectiveness of delivery, and documenting changes in the client’s needs, goals, and performance. 1. When modifying the intervention plan, the OTP selects, implements, and makes modifications to interventions consistent with demonstrated competence levels and client goals. All interventions are used to facilitate engagement in occupation. 2. An occupational therapy assistant contributes to the modification of the intervention plan by ongoing communication and providing documentation about the client’s responses to intervention.