Summary

With the integration of people with disabilities into society, there has been increasing interest in modifying homes to enable them to live independently in the community. The aging population has also raised concerns about how well homes can support older peoplesrs" health and safety as they age. Occupational therapists require skills and knowledge to assess the modification needs of these clients including consideration of their current and future requirements and the nature and use of the home environment.An Occupational Therapistrs"s Guide to Home Modification Practiceby Elizabeth Ainsworth and Desleigh De Jonge, uses a transactional approach to examine the person in their home environment. The text assists occupational therapists in addressing the needs of consumers, including consideration of their current and future requirements, the nature and use of the home environment, understanding the technical aspects of the built environment, design approaches, and the application of a range of products and finishes to determine appropriate modification solutions.An Occupational Therapistrs"s Guide to Home Modification Practiceprovides occupational therapists with valuable information and expertise for identifying home modification requirements. The text discusses how to consider the personal, cultural, social, temporal, and physical aspects of the home in decision making and provides occupational therapists with a systematic process for identifying and evaluating home-based interventions.Inside yours"ll find: bull; A detailed understanding of aspects of the home environment that impact home modification decisions bull; A review of legislative environment and funding systems that facilitate service delivery bull; An overview of home modification services, as well as future trends bull; An in-depth examination of the home modification process, including discussion about approaches to evaluation, measuring and drawing the environment, identifying and evaluating interventions, the relevance and application of design standards, and reporting and legal issues bull; Comprehensive case studies illustrated by photographs will assist occupational therapists in understanding the range of issues and conceptualizing solutionsWith content that is essential to occupational therapy practice that is not currently addressed in any other text, plus a systematic approach to identifying and evaluating home-based interventions,An Occupational Therapistrs"s Guide to Home Modification Practiceis a vital text for occupational therapy educators and students, as well as both novice and experienced clinicians.From the Foreword: "This is a book that should be on the bookshelf in every clinichellip; and should be a core text for students." -Carolyn M. Baum, PhD, OTR/L, FAOTA

Author Biography

Elizabeth Ainsworth, MOccThy, Grad Cert Health Sci graduated in 1989 with a bachelor of occupational therapy (honors) degree and completed a master’s in occupational therapy (contemporary clinical practice at the University of Queensland) and a graduate certificate in health science (occupational therapy at the University of Sydney) in 2000. She is the Principal Occupational Therapist in Housing and Homelessness Practice Improvement at the Queensland Department of Communities, leading a highly competent team of occupational therapists who specialize in working with older people and people with disabilities applying for or who live in social housing and who might experience barriers in the home environment. Elizabeth also provides home modification and universal design education and training in a private capacity to occupational therapy university undergraduate and postgraduate students and to occupational therapy clinicians working in a range of settings in the community. She is an active member of the Australian Network for Universal Housing Design (ANUHD) and the Australian Access Consultants Association (ACAA).

Desleigh de Jonge, MPhil (OccThy), Grad Cert Soc Sci graduated in 1978 with a bachelor of occupational therapy from the University of Queensland and completed a master’s in philosophy from this university in 2001. She currently lectures in the School of Health and Rehabilitation Sciences at the University of Queensland and developed the curriculum on assistive technology and environmental design for the undergraduate, graduate entry, and postgraduate programs. Desleigh’s national and international reputation in consumer-oriented analysis of assistive technologies, environmental design, and home modifications has earned her invitations to present at international conferences on assistive technology and home modification services and outcomes in the United States and Australia, and she has been published in national and international journals. Her teaching and research is focused on interventions and outcome measures that recognize consumer goals and priorities. She is a research associate of the Housing Policy Research Program at the University of Queensland’s Social Research Centre and a member of the research team that recently completed an Australian Housing and Urban Research Institute (AHURI)-funded project on the role of home maintenance and modification services in achieving health, community care, and housing outcomes in later life. Desleigh is also a member of the Editorial Board for Disability and Rehabilitation: Assistive Technology and a member of the research review panel for the Home Modification Information Clearinghouse at the University of New South Wales.

Elizabeth and Desleigh have worked together during the past 11 years to provide training to occupational therapy students and practitioners. They have presented at national and international conferences on home modifications and universal design to a broad range of people from various backgrounds. This is the first book they have produced together.

Dedication Acknowledgments About the Editors Contributing Authors Preface Foreword by Carolyn Baum, PhD, OTR/L, FAOTA Section I: The Home, Community, and Societal Context of Home Modifications Chapter 1 The Home Environment Bronwyn Tanner, BOccThy, Grad Cert OccThy, Grad Cert Soc Planning, MPhil Chapter 2 Approaches to Service Delivery Desleigh de Jonge, MPhil (OccThy), Grad Cert Soc Sci; Andrew Jones, BA, MSW, GCE; Rhonda Phillips, BA, Grad Dip; and Jon Pynoos, MCP, PhD Chapter 3 Models of Occupational Therapy Desleigh de Jonge, MPhil (OccThy), Grad Cert Soc Sci Chapter 4 Legislation, Regulations, Codes, and Standards Influencing Home Modification Practice Elizabeth Ainsworth, MOccThy, Grad Cert Health Sci; Desleigh de Jonge, MPhil (OccThy), Grad Cert Soc Sci; and Jon Sanford, M Arch, BS Chapter 5 History and Future of Home Modification Services Bronwyn Tanner, BOccThy, Grad Cert OccThy, Grad Cert Soc Planning, MPhil Section II: Delivery of Home Modification Services Chapter 6 The Home Modification Process Elizabeth Ainsworth, MOccThy, Grad Cert Health Sci and Desleigh de Jonge, MPhil (OccThy), Grad Cert Soc Sci Chapter 7 Evaluating Clients\u2019 Home Modification Needs and Priorities Desleigh de Jonge, MPhil (OccThy), Grad Cert Soc Sci and Ruth Cordiner, DipCOT, Grad Cert OccThy Chapter 8 Measuring the Person and the Home Environment Elizabeth Ainsworth, MOccThy, Grad Cert Health Sci and Desleigh de Jonge, MPhil (OccThy), Grad Cert Soc Sci Chapter 9 Drawing the Built Environment Elizabeth Ainsworth, MOccThy, Grad Cert Health Sci and Desleigh de Jonge, MPhil (OccThy), Grad Cert Soc Sci Chapter 10 Developing and Tailoring Interventions Desleigh de Jonge, MPhil (OccThy), Grad Cert Soc Sci Chapter 11 Sourcing and Evaluating Products and Designs Desleigh de Jonge, MPhil (OccThy), Grad Cert Soc Sci Chapter 12 Access Standards and Their Role in Guiding Interventions Elizabeth Ainsworth, MOccThy, Grad Cert Health Sci; Desleigh de Jonge, MPhil (OccThy), Grad Cert Soc Sci; and Bronwyn Tanner, BOccThy, Grad Cert OccThy, Grad Cert Soc Planning, MPhil Chapter 13 Ethical, Legal, and Reporting Variables—Pathways to Best Practice Elizabeth Ainsworth, MOccThy, Grad Cert Health Sci and Barbara Kornblau, JD, OT/L, FAOTA, ABDA, DAAPM, CDMS, CCM Chapter 14 Evaluating Outcomes Desleigh de Jonge, MPhil (OccThy), Grad Cert Soc Sci Section III: Home Modification Applications Chapter 15 Case Studies Elizabeth Ainsworth, MOccThy, Grad Cert Health Sci; Kathy Baigent, Dip OT, Dip Hlth Prom; Ruth Cordiner, DipCOT, Grad Cert OccThy; Shirley de Wit, BOccThy; and May Eade, BOccThy Appendix A Outline Shapes of Occupied Wheelchairs Appendix B Fundamental Types of Compact Turns Appendix C Ramp Installation Considerations Appendix D Home Modification Resources Appendix E Access Standards Resources Appendix F Home Visit Checklist Appendix G Home Modification Report Template Appendix H Example of an Occupational Therapy Report Financial Disclosures Index

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