Introducing
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How it began. . .
WW I (1914-1918) - Increased scope and # of injuries
- Moral Treatment Advocated
1917 - National Society for the Promotion of OT
1920-1940 - Growth in Education in Nurturing Professions
Nurses, Social Workers, Teachers
WWII - Rehab Movement
Veterans with disabilities
Families need help
More Medical and Rehab Centers established
2000
2005
1995
2010
1990
At first ~
1950s - Demand for therapists created assistant category (OTA)
1960s - Intervention, Vietnam, Political Unrest, Stress, Rise in stress-related problems, drug and alcohol abuse, suicide, crime, people living longer
1970s - Care moving from hospital to community-based
Educational approach became more important: How to prevent disabilities
1980s - AIDS, ethical dilemmas, living with dignity, cultural diversity, patient values
1990s Forward - How to allocate resources
Financial and fiscal constraints of managed care
Now ~
Distribution ~
Skilled Nursing 40%
School systems 16%
Rehabilitation Hospitals 12%
Other long-term care 8%
Outpatient/community 6%
Acute care hospitals 5%
Home health 2%
Other 9%