Brief Report
Issue Date: May/June 2019
Published Online: May 03, 2019
Updated: April 30, 2020
Occupational Therapy Practitioners’ Perceptions About Older Adults With Developmental Disabilities in Traditional Health Care Settings
Wanda J. Mahoney; Jennifer Ceballos; Nisreen Amir
Author Affiliations
  • Wanda J. Mahoney, PhD, OTR/L, is Associate Professor, Washington University School of Medicine, Program in Occupational Therapy, St. Louis, MO; wmahoney@wustl.edu. At the time of this study, she was Assistant Professor, Occupational Therapy Department, Midwestern University, Downers Grove, IL.
  • Jennifer Ceballos, MOT, OTR/L, is Occupational Therapist, Van Matre Encompass Health Rehabilitation Hospital, Rockford, IL. At the time of this study, she was Student, Occupational Therapy Department, Midwestern University, Downers Grove, IL.
  • Nisreen Amir, MOT, OTR/L, is Lead Occupational Therapist, Lexington Healthcare Center of Orland Park, IL. At the time of this study, she was Student, Occupational Therapy Department, Midwestern University, Downers Grove, IL.
Article Information
Geriatrics/Productive Aging / Health and Wellness / Pediatric Evaluation and Intervention / Columns: Brief Report
Brief Report   |   May 03, 2019
Occupational Therapy Practitioners’ Perceptions About Older Adults With Developmental Disabilities in Traditional Health Care Settings
American Journal of Occupational Therapy, 05 2019, Vol. 73, 7303345010. https://doi.org/10.5014/ajot.2019.029835
American Journal of Occupational Therapy, 05 2019, Vol. 73, 7303345010. https://doi.org/10.5014/ajot.2019.029835
Abstract

Importance: Health care providers’ knowledge of and comfort working with adults with developmental disabilities (DD) affect the quality of care this growing population receives. Previous research on this topic has not included occupational therapy practitioners.

Objective: To determine occupational therapy practitioners’ views about working with older adults with DD in traditional health care settings.

Design: Quantitative survey over 4 mo.

Participants: A random sample of 310 practitioners from the American Occupational Therapy Association’s Gerontology and Physical Disabilities Special Interest Sections working in traditional health care settings.

Outcomes and Measures: A researcher-developed survey to assess occupational therapy practitioners’ comfort, knowledge, challenge, and supports and barriers in regard to working with older adults with DD.

Results: In the 310 included surveys (31% response rate), most occupational therapy practitioners reported feeling comfortable (76.1%–80.0%) and knowledgeable (66.5%–68.4%) working with older adults with DD. Approximately 93% reported that work with older adults with DD was at least somewhat challenging. Key perceived barriers included clients’ cognitive needs, lack of caregiver collaboration, and challenging behavior.

Conclusion and Relevance: Most occupational therapy practitioners in traditional health care settings found working with older adults with DD challenging, and many did not feel sufficiently knowledgeable to meet the needs of this population. Similar to other health professionals, occupational therapy practitioners may benefit from additional resources to provide services to this population.

What This Article Adds: Older adults with DD receive occupational therapy services in hospitals, rehabilitation centers, nursing homes, and other medical settings. Because clients such as these are not common in these settings, occupational therapy practitioners who work there would like more tools to help provide good care.