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Research Article  |   October 1991
Development of a Treatment Rating in School Systems: Service Determination Through Objective Measurement
Author Affiliations
  • Sharon K. Farley, MS, OTR/L, is Professor of Occupational Therapy, Elizabethtown College, One Alpha Drive, Elizabethtown, Pennsylvania 17022. At the time of this study, she was Occupational Therapy/Physical Therapy Coordinator, Capital Area Intermediate Unit, Harrisburg, Pennsylvania
  • Tamara Sarracino, OTR/L, is Master Occupational Therapist, Capital Area Intermediate Unit, Summerdale, Pennsylvania
  • Patricia M. Howard, LPT, is Master Physical Therapist, Capital Area Intermediate Unit, Summerdale, Pennsylvania
Article Information
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Research Article   |   October 1991
Development of a Treatment Rating in School Systems: Service Determination Through Objective Measurement
American Journal of Occupational Therapy, October 1991, Vol. 45, 898-906. doi:10.5014/ajot.45.10.898
American Journal of Occupational Therapy, October 1991, Vol. 45, 898-906. doi:10.5014/ajot.45.10.898
Abstract

This paper introduces the Capital Area Treatment Rating (CATR) being developed by the occupational and physical therapists of the Capital Area Intermediate Unit in Harrisburg, Pennsylvania. This rating assists therapists in identifying children in special education who require occupational or physical therapy treatment. The CATR consists of two measurement categories – functional levels and clinical judgment factors – each of which is rated on a 4-point ordinal scale. The scores from each of these categories are then added together for a final rating score. A pilot test involving 180 children in special education indicated that the need for treatment is most consistently associated with a score of 28 points or above on the CATR. A survey of 17 pediatric occupational therapists revealed strong support for the instrument’s content and resulted in a revised version. Suggestions for future research and ongoing development are discussed, as are general guidelines for use of the instrument in special education occupational therapy programs.