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<section article="gho" article_name="Health Occupations" number="10-101" title_number="10" title_name="Occupational Therapists" subtitle_number="1" subtitle_name="Definitions; General Provisions">
  <level label="a">
    <text>In this title the following words have the meanings indicated.</text>
  </level>
  <level label="b">
    <text>“ACOTE” means the Accreditation Council for Occupational Therapy Education.</text>
  </level>
  <level label="c">
    <text>“Aide” means any individual who:</text>
    <level label="1">
      <text>Is not licensed by the Board to perform occupational therapy or limited occupational therapy; and</text>
    </level>
    <level label="2">
      <text>Provides supportive services to the occupational therapist or occupational therapy assistant under direct supervision.</text>
    </level>
  </level>
  <level label="d">
    <text>“Board” means the State Board of Occupational Therapy Practice.</text>
  </level>
  <level label="e">
    <text>“Direct supervision” means supervision provided on a face-to-face basis by a supervising therapist when delegated client-related tasks are performed.</text>
  </level>
  <level label="f">
    <text>“License” means, unless the context requires otherwise, a license issued by the Board to practice:</text>
    <level label="1">
      <text>Occupational therapy; or</text>
    </level>
    <level label="2">
      <text>Limited occupational therapy.</text>
    </level>
  </level>
  <level label="g">
    <text>“Licensed occupational therapist” means, unless the context requires otherwise, an occupational therapist who is licensed by the Board to practice occupational therapy.</text>
  </level>
  <level label="h">
    <text>“Licensed occupational therapy assistant” means, unless the context requires otherwise, an occupational therapy assistant who is licensed by the Board to practice limited occupational therapy.</text>
  </level>
  <level label="i">
    <level label="1">
      <text>“Limited occupational therapy” means participation, while under the periodic supervision of a licensed occupational therapist, in:</text>
      <level label="i">
        <text>An initial screening and evaluation that applies the principles and procedures of occupational therapy; and</text>
      </level>
      <level label="ii">
        <text>A treatment program that applies the principles and procedures of occupational therapy.</text>
      </level>
    </level>
    <level label="2">
      <text>“Limited occupational therapy” does not include:</text>
      <level label="i">
        <text>Initiation and interpretation of evaluation data; and</text>
      </level>
      <level label="ii">
        <text>Initiation of a treatment program before the client has been evaluated and a licensed occupational therapist has rendered a treatment plan.</text>
      </level>
    </level>
  </level>
  <level label="j">
    <text>“NBCOT” means the National Board for Certification in Occupational Therapy.</text>
  </level>
  <level label="k">
    <text>“Occupational therapist” means an individual who practices occupational therapy.</text>
  </level>
  <level label="l">
    <text>“Occupational therapy” means the therapeutic use of purposeful and meaningful goal–directed activities to evaluate, consult, and treat individuals who:</text>
    <level label="1">
      <text>Have a disease or disorder, impairment, activity limitation, or participation restriction that interferes with their ability to function independently in daily life roles; or</text>
    </level>
    <level label="2">
      <text>Benefit from the prevention of impairments and activity limitations.</text>
    </level>
  </level>
  <level label="m">
    <text>“Occupational therapy assistant” means an individual who practices limited occupational therapy.</text>
  </level>
  <level label="n">
    <text>“Occupational therapy practice” or “limited occupational therapy practice” means to carry out a treatment program that applies the principles and procedures of occupational therapy.</text>
  </level>
  <level label="o">
    <text>“Occupational therapy principles” include:</text>
    <level label="1">
      <text>The use of therapeutic activities that promote independence in daily life roles;</text>
    </level>
    <level label="2">
      <text>Remediation or restoration of performance abilities that are limited due to impairment in biological, physiological, psychological, or neurological processes;</text>
    </level>
    <level label="3">
      <text>In order to enhance performance, the adaption of task, process, or the environment, or the teaching of compensatory techniques;</text>
    </level>
    <level label="4">
      <text>Methods and techniques for preventing disability that facilitate the development or safe application of performance skills;</text>
    </level>
    <level label="5">
      <text>Health promotion strategies and practices that enhance performance abilities; and</text>
    </level>
    <level label="6">
      <text>Education, instruction, and research in the practice of occupational therapy.</text>
    </level>
  </level>
  <level label="p">
    <level label="1">
      <text>“Occupational therapy procedures” include:</text>
      <level label="i">
        <text>Developing, improving, sustaining, or restoring skills in activities of daily living, work, or productive activities, including:</text>
        <level label="1">
          <text>Instrumental activities of daily activity; and</text>
        </level>
        <level label="2">
          <text>Play and leisure activities;</text>
        </level>
      </level>
      <level label="ii">
        <text>Developing, remediating, or restoring sensorimotor, perceptual, cognitive, or psychological components of performance;</text>
      </level>
      <level label="iii">
        <text>Designing, fabricating, applying, or training in the use of assistive technology, splinting, or orthotic devices, including training in the use of prosthetic devices;</text>
      </level>
      <level label="iv">
        <text>Adapting environments and processes, including the application of ergonomic principles to enhance performance and safety in daily life roles;</text>
      </level>
      <level label="v">
        <text>Applying physical agent modalities as adjuncts to or in preparation for purposeful activity with appropriate training, as specified by the Board in regulations;</text>
      </level>
      <level label="vi">
        <text>Promoting safe, functional mobility in daily life tasks;</text>
      </level>
      <level label="vii">
        <text>Providing intervention in collaboration with the client, the client’s family, the client’s caregiver, or others;</text>
      </level>
      <level label="viii">
        <text>Educating the client, the client’s family, the client’s caregiver, or others in carrying out appropriate nonskilled interventions; and</text>
      </level>
      <level label="ix">
        <text>Consulting with groups, programs, organizations, and communities to provide population-based services.</text>
      </level>
    </level>
    <level label="2">
      <text>“Occupational therapy procedures” do not include the adjustment or manipulation of any of the osseous structures of the body or spine.</text>
    </level>
  </level>
  <level label="q">
    <text>“On-site supervision” means supervision in which a supervisor is immediately available on a face-to-face basis when client procedures are performed or as otherwise necessary.</text>
  </level>
  <level label="r">
    <level label="1">
      <text>“Periodic supervision” means supervision by a licensed occupational therapist on a face-to-face basis, occurring the earlier of at least:</text>
      <level label="i">
        <text>Once every 10 therapy visits; or</text>
      </level>
      <level label="ii">
        <text>Once every 30 calendar days.</text>
      </level>
    </level>
    <level label="2">
      <text>“Periodic supervision” includes:</text>
      <level label="i">
        <text>Chart review; and</text>
      </level>
      <level label="ii">
        <text>Meetings to discuss client treatment plans, client response, or observation of treatment.</text>
      </level>
    </level>
  </level>
  <level label="s">
    <text>“Supervision” means aid, direction, and instruction provided by an occupational therapist to adequately ensure the safety and welfare of clients during the course of occupational therapy.</text>
  </level>
  <level label="t">
    <text>“Temporary license” means a license issued by the Board under and as limited by § 10-313 of this title to practice:</text>
    <level label="1">
      <text>Occupational therapy; or</text>
    </level>
    <level label="2">
      <text>Limited occupational therapy.</text>
    </level>
  </level>
</section>
