Ballinger (2002) stated that the single assessment process for older people presented occupational therapists with the opportunity to examine professional practice. This study, carried out during the early stages of the implementation, surveyed 54 senior I occupational therapists across health and social care within one city with the aim of grasping this opportunity. A 58% return of the total surveyed was achieved. Questionnaires were analysed using basic descriptive data analysis, concept mapping, thematic analysis and organisational model analysis. Themes upon which future improvements and research could be based were then generated.
A picture of inconsistency between occupational therapy services emerged. Primary care therapists demonstrated the most client-centred practices, adhering more closely to the process principles and professional standards of practice. Social services therapists provided the lowest response rate and highlighted a number of key practice issues. Time issues, a lack of information technology, and frustration with and resistance to the changes inherent in the implementation indicated some therapists' disengagement with the process. Multidisciplinary team issues were highlighted by therapists working in integrated services.
The therapists generated a wide range of strategies with which to improve the implementation of the single assessment process, including a more corporate approach to occupational therapy implementation.
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