ENVIRONMENTAL MODIFICATION SPECIALTY CERTIFICATION Occupational Therapy Assistant Table of Contents: ACTIVITY EVIDENCE FORMS Instructions: Please complete 1 form for each criterion. Combine completed forms in a single document (e.g., Word or .PDF) and submit with the completed application to . Please do not include unused forms. Knowledge: Diagnostic (does not include supervisory relationship) Considerations -- Minimum 10 contact hours needed --Minimum 10 contact hours needed Intervention: Critical Reasoning Knowledge: Assessment (does not include supervisory relationship) --Minimum 10 contact hours needed --Minimum 10 contact hours needed Psychosocial Critical Reasoning Knowledge: Intervention --Minimum 10 contact hours needed --Minimum 10 contact hours needed (does not include supervisory relationship) Knowledge: Regulation & Payers Ethical Practice The 3 ethical – --Minimum 3 contact needed practice scenarios are found within the --Minimum 3 contact hours needed application itself. Establishes Networks Assessment: Performance Skills (does not include supervisory relationship) Advocating for Change Intervention: Performance s Skills
ENVIRONMENTAL MODIFICATION SPECIALTY CERTIFICATION Occupational Therapy Assistant Table of Contents: ACTIVITY EVIDENCE FORMS Instructions: Please complete 1 form for each criterion. Combine completed forms in a single document (e.g., Word or .PDF) and submit with the completed application to . Please do not include unused forms. Knowledge: Diagnostic Considerations -- Minimum 10 contact hours needed --Minimum 10 contact hours needed Knowledge: Assessment --Minimum 10 contact hours needed --Minimum 10 contact hours needed Knowledge: Intervention --Minimum 10 contact hours needed --Minimum 10 contact hours needed Knowledge: Regulation & Payers --Minimum 3 contact needed --Minimum 3 contact hours needed Assessment: Performance Skills (does not include supervisory relationship) Intervention: Performance Skills (does not include supervisory relationship) Intervention: Critical Reasoning (does not include supervisory relationship) Psychosocial Critical Reasoning (does not include supervisory relationship) Ethical Practice – The 3 ethical practice scenarios are found within the application itself. Establishes Networks Advocating for Change s