Using FCE’s to facilitate ‘high risk, poor outcome’ cases

This presentation uses a case referred by the insurance industry, following his injury sustained in a road traffic accident.

He had a history of substance misuse and incarceration and other, significant social barriers, which has low success of return to work. A Functional Capacity Evaluation (FCE) carried out in the initial assessment, was compared to the key job demands of his role. This provided his baseline of function, and aims for a Work hardening programme. Thus, by using FCE’s, alongside a work hardening programme, this provided:

· Evidence to the insurer of the person’s baseline, and ongoing level of functional capability in work and social ability;

· Provided evidence of the progression and improvement in the person’s functional ability, throughout the work hardening programme;

· Provided treatment guidelines for the work hardening programme which were measurable and targeted.

This presentation discusses the rehabilitative process focusing on specific/relevant job demands, using FCEs.

Your Speaker:

Dr Tanya Campbell – Consultant Occupational Therapist and Company Director – Occupational Rehabilitation Services Ltd

Dr Campbell qualified as an Occupational Therapist in South Africa in 1993. In addition, she has worked in the UK and USA – across physical, mental health; neurodiverse and neurological fields, but always with a focus on work. She completed her M.Sc in Disability management in work and rehabilitation in London, before moving to Texas, carrying out FCE’s and work hardening programmes across a range of conditions and job roles/demands. She has also worked as a lecturer on a number of occasions, and then completed her PhD in 2005. She opened her own business (ORS Ltd), providing specialist FCE, ergonomic, work site analysis assessments for the insurance; private; and public services, as well as a sub-contractor through other rehabilitation providers. Since 2009, she has been running FCE courses, training OT and PTs, in South Africa and the UK. She is registered both in the UK and Ireland, so travels extensively for her job.

Using FCE’s to facilitate ‘high risk, poor outcome’ cases – Slides

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Here are the references:

Ainsworth, B. E., Haskell, W. L., Leon, A. S., Jacobs, D. R., Montoye, H. J., Sallis, J. F. and Paffenbarger Jr, R. S. (1993) Compendium of Physical Activities: classification of energy costs of human physical activities. Medicine and Science in Sports and Exercise, 25, 71-80.
Ref ID: 1397

Ainsworth, B. E., Haskell, W. L., Whitt, M. C., Irwin, M. L., Swartz, A. M., Strath, S. J., O’Brien, W. L., Bassett Jr, D. R., Schmitz, K. H., Emplaincourt, P. O., Jacobs, D. R. and Leon, A. S. (2000) Compendium of physical activities: an update of activity codes and MET intensities. Medicine and Science in Sports and Exercise, 32, S498-S504.
Ref ID: 1396

Compendium of Physical Activities (google.com)

Model of creative ability (motivation and action)

de Witt, P. A. (2003) Investigation into the criteria and behaviours used to assess task concept. South African Journal of Occupational Therapy, 33, 4-7.

Ref ID: 1164

de Witt, P. A. (2005) Creative ability: a model for psychosocial occupational therapy. In Crouch, R. B. and Alers, V. (eds), Occupational therapy in psychiatry and mental health. Whurr, London, pp. 3-61. (I think there is a more up to date version now).

du Toit, V. (1991) Patient volition and action in occupational therapy. Vona and Marie du Toit Foundation, Hillbrow, South Africa.
Ref ID: 81

Casteleijn, D. and Smit, C. (2002) The psychometric properties of the Creative Participation Assessment. South African Journal of Occupational Therapy, 32, 6-11.
Ref ID: 666

The link below, has a list of all the references, and more up to date, etc associated with this model

ICAN – ICAN International Creative Ability Network (ican-uk.com)