Appropriateness of Virtual Services
Occupational therapists must have the knowledge, skills, and abilities required to provide virtual services, and are best suited to determine if virtual service delivery will effectively address the needs of their clients. The appropriateness of virtual services should be based on client and environmental factors and align with the nature of the service. Client choice and preference, availability and accessibility of technology for both, and the client's physical, behavioural, cognitive, and sensory abilities must be considered. Understanding that there are limits to virtual services, occupational therapists must use their clinical judgement to decide what activities are suitable for online use. For example, occupational therapists delivering virtual services must consider whether the selection or adaptation of tools is right for online implementation. Occupational therapists should document any limitations associated with virtual service provision when making clinical decisions.
In determining the appropriateness of virtual services, occupational therapists should take a collaborative approach with clients / substitute decision-makers by discussing available options such as in-person, virtual, or a hybrid style of delivery. This could include having both in-person and virtual sessions, or when occupational therapists are gathering information in advance of, or following an appointment. Occupational therapists should be aware of resources or qualified healthcare providers in the client's location if virtual services are no longer meeting the client's healthcare needs. Occupational therapists who are employees should be familiar with, understand, and follow their employer's policies and procedures about virtual services.