This capstone project is a program proposal outlining an evidence-based, client-centered, occupation-based, community-based occupational therapy (OT) program that supports combat-injured veterans’ and their families’ participation in health “roles, habits, and routines” in their communities and neighborhoods. The program uses two client-centered goal-based assessments, the Canadian Occupational Performance Measure (COPM) and Goal Attainment Scaling (GAS), to support veterans in identifying their most important daily challenges in the occupationals performance areas of “self-care, productivity, and leisure” and to provide “a framework for documenting individualized goals in a quantifiable manner”. The program paradigm steps outside the traditional medical model to network with community providers to identify settings that foster self-efficacy in areas of occupational performance deemed important by the veteran. The alignment of this community-based OT program with key themes outlined in the Department of Veterans Affairs (VA) guiding document, Blueprint for Excellence, is addressed.
