Objectives: The purpose of this survey research was to Investigate how well the national occupational therapy certification examination was reflecting the current occupational therapy practice. Method: The researchers developed a survey with input from 159 occupational therapists out of 230. The content of the survey consisted of four areas which were demographic information, the relationship between the current national occupational therapy certification examination, the tasks that occupational therapists perform in the clinical settings, and the knowledge bases that occupational therapists need to know to perform the tasks. Results: The findings can be summarized as follows; 1) All the current examination subjects except for ADLs (activities of daily living) had low relationship with clinical occupational therapy practice; 2) 84% of the respondents agreed on that the current examination needed to be revised based on the tasks that occupational therapists actually do in the clinical settings; 3) the new subjects proposed for the national occupational therapy certification examination showed high relationship with the clinical occupational therapy practice; 4) the new subjects were composed of occupational therapy evaluation, treatment plan, intervention, re-evaluation, management, and professionalism. Conclusions: The findings are expected to be useful for revising the content of the current national occupational therapy certification examination and developing occupational therapy curriculum of the new educational programs.

Objective: The purpose of this study was to research the current state of occupational assessment tools and their use by Korean occupational therapist. Method: Data was obtained from October 13, 2001 to December 30, 2001 by means of a survey questionnaire. The participants were 96 occupational therapists (general hospitals, university-related hospitals, rehabilitation center, etc.). Analysis of the data was done by using descriptive statistics. Results: The length of time for initial evaluation was 42 minutes per one patient and reevaluation periods were every 3 months or as functional changes were detected. Among the assessment tools, the most frequently used tools w ere: Purdue Pegboard Test (47.9%) for assessing motor area, Motor-free Visual Perception Test (56.3%) and Mini-Mental Status Examination (54.2%) for cognitive perceptual assessments, Functional Independence Measure (56.3%) for daily activity assessment, Denver Developmental Screening Test (51%) for development assessment, Sensory Profile (14.6%) for sensory integration assessment, and Canadian Occupational Performance Measure (16.7%) for occupational performance assessment. Conclusion: The results of this study supported that the choice of evaluation tools may be depended on the administration length of time and simple procedures. Based on the results, provisions of more extended educational opportunities would promote the use of a greater variety of standardized assessment tools by Korean occupational therapists.

It is expected that the demands of medical services in terms of health medical and social welfare will be increased rapidly due to the development of old-aged society and medical technologies. Accordingly the roles and tasks of the occupational therapist become more important, and the demands for the occupational therapist will be also increased. Therefore more systematic and effective manpower management on the occupational therapists is required. When the occupational therapists are classified by their job sites - clinic, health, and other, this study shows that the proportion of occupational therapist in clinic is the biggest. It is also expected that the proportion will be kept in the future. On this point of view, the demand and supply for the occupational therapists in clinics are discussed in this study. The number of occupational therapists demanded are usually depended upon the factors such as health care needs from public, system of medical fee payment and medical insurance, medical policy, share and coordination system of the role of medical service suppliers, and usage of medical facilities by public. This study shows that even the occupational therapists including the students in college in 2000 itself are over-estimated and over-supplied already under the current system of legislation, even though the estimation on manpower needed in this field shows lack of. In this point of view, this study proposes the measures against the problems expected as follow. 1. Legislative specification In spite of the varieties of the occupational therapy, only 4 categories of therapy -simple therapy, complex therapy, special therapy, activities of daily living adjustment training method - are specified in the insurance category of the law. Moreover, the law stipulates that special therapy and ADL adjustment training method shall be prescribed by the rehabilitation medicine. Thus the occupational therapy could not be requested from neurosurgery and orthopedic surgery at all. Nevertheless, it is strongly requested that patients from pediatrics, psychiatric, geriatrics, neurology, orthopedics as well as rehabilitation medicine shall be regarded as the subjects of the special therapy in the law. 2. Certification of psychiatric health care supplier According to the clause 7 of the psychiatric health law, only 3 groups of psychiatric health specialists including clinical psychologist, nurse, and social welfare specialist can supply a psychiatric health care. Anyhow the job descriptions on the clause 2 of the PH law implementation regulation such as ADL adjustment training, occupational and recreational therapy, etc should be classified as the job of occupational therapist. The psychiatric health care courses including the practices are established for the curriculum of the department of occupational therapy in college. And considering that the development of independent ADL ability for the patients is one of the most critical areas of the occupation therapy discipline, the occupational therapist shall supply the psychiatric health care services, 3. Short of facilities and the alternatives The number of occupational therapy clinics in Korea, 98, is not sufficient. Moreover many of the clinics are at big hospitals in big cities, and only 32 clinics are in regional areas. It is required to inform the government agencies and public opinion leaders that occupational therapy clinics shall not be limited to the big hospitals, rather than health offices managed by government should accept the clinics at first. The ultimate purpose of health services, promoting personal health status and help him to return to the society, is likely accorded with that of occupational therapy. Therefore it is requested that the occupational therapy clinics shall be opened in psychiatric resorts, health offices, special institute for disabled, rehabilitation institutes, and the facilities for old aged persons as well as in hospitals.

Participants of this 1998 survey included 100 physical therapists working in hospitals located in Andong City. 77.7% of the participants were in their twenties and 20.2% in their forties. 46.4% of the participants were 3rd year students at a junior college, and 1.0% were college graduates. 67.6% of the participants had less than 5 years experience and 1.0% 16 years experience in their field. 59.6% of the participants were married. Regarding questions about occupational satisfaction, many of the participants replied "normal" for the first and third questions, and few answered "very much". Most of the participants answered "normal" for all the questions concerning their work environment with few replying "very much". With regards to awareness of the physical signs of fatigue, "occasionally, yes" were the most frequent answers. Regarding awareness of the psychological signs of fatigue, the similar proportions of participants answered "occasionally, yes" as that for "feeling nothing". Similarly, with regard to awareness of the neuro-sensitive signs of fatigue, there was a similar ratio of participants answering "occasionally, yes" and "feel nothing". It can be concluded that there are many causes of fatigue amongst physical therapists. Improvements in daily nutrition, mental health and general well-being are important in tackling these problems. It appears that fatigue amongst physical therapists may be cumulative and due to prolonged working hours To promote better daily functioning and early recovery from fatigue, appropriate assignments of working and resting hours are necessary. They would also benefit the prevention of symptomatic problems in the waist and shoulder.

As in house care is develops and becomes part of the health care delivery system in Korea, it is necessary to quantify the viewpoints of in-patients and outpatients. The purposes of this study are to analyze the utilization of house visits by physical therapist and to investigate the viewpoint of in- and out-patients who had rehabilitation treatment at 3 general hospitals in Wonju, Korea. Two hundred and fifty-eight questionnaires were analyzed and the major findings are as follows: 1. Sixty-five point seven percentage of respondents showed their willingness to utilize house visits by physical therapist if an in house physical therapy program were established. 2. The questionnaire used a Likert-type scale to ask the respondents their viewpoints on in house physical therapy services. Most respondents showed a positive attitude, answering 'I agree'. The findings show that house visits by physical therapists should be introduced as an integral system for the delivery of health care in Korea.

The purposes of this study were to research the current state of evaluation of children with delayed development and cerebral palsy and determine pediatric physical therapists' knowledge of assessment tools and their use. The subjects were 130 pediatric physical therapists (general hospitals, university-related hospitals, rehabilitation centers, etc.). Data was obtained from August 24, 1999 to October 18, 1999 by means of a survey questionnaire. The results were as follows: 1. The current state of pediatric physical therapist evaluation of children with delayed development and cerebral palsy. 1) Tools used to assess functional areas of children with cerebral palsy were: subjective description format-128 (47.1%); the GMFM-58 (21.3%); facility-generated tool-51 (18.8%); and DDST-15 (5.5%). 2) Tools used to assess developmentally delayed children were: subjective description format-121 (50.6%); the GMFM-43 (18.0%); facility-generated tool-41 (17.2%); and DDS T-14 (5.9%). 3) After their college or university study, therapists who had attended lectures on evaluation were 113 (86.9%); 13 (10.0%) therapists had not attended any lectures on evaluation 2. Test scores of physical therapists' professional knowledge of evaluation procedures: high (more than 36 points)-74 (56.9%); moderate (18~35 points)-39 (30.0%); and low (below 17 points)-none. 1) For therapists treating cerebral palsied children, 73 (65.2%) were in the high range, 39 (34.8%) were in the moderate range and none were in the low range. 2) For therapists treating children with delayed development, 71 (65.7%) were in the high range, 37 (34.3%) were in the moderate range and none were in the low range. Although the general degree of professional knowledge of evaluation was quite high, there was a lack of variety in the assessment tools used With a large number of therapists depending on subjective description. Possible reasons for the low rate of objective asses sment tool use: 1) Poor clinical environment: too many clients and lirnited treatment time. 2) Lack of any medical insurance fee category for specific assessment tools. 3) Lack of continuing education opportunities in pediatric evaluation skills during or after either college-based (3 year) or university-based (4 year) education programs. Based on the study results, provision of more extended educational opportunities would promote the use of a greater variety of objective assessment tools by pediatric physical therapists.

본 연구에서는 Mattson의 원예치료 원모델에 대한 분석을 통하여 모델의 합당성을 고찰하고 여기에서 나타난 제한점을 보완하여 원예치료시 식물과 원예치료사에 대해 대상자가 나타낼 수 있는 반응을 9가지로 세분하고, 각 반응을 하나의 원 안에 표현한 가설적 모식도를 제시하였다. 또한 이 모식도가 원예치료의 현장에서 실제적인 도움이 될 수 있도록 대상자가 식물과 원예치료사에 대해 나타낼 수 있는 부정적, 긍정적, 무반응에 대해 고찰하였다. 이 모식도는 원예치료의 초점이 되는 대상자는 원의 내부에, 원예치료사와 식물은 원둘레 위에 위치시키고, 원예치료가 진행됨에 따라 나타나는 대상자의 식물과 치료사에 대한 반응을 대상자의 위치변화로 표현함으로써, 원예치료과정 중 일정 시점에서 대상자가 어느 위치에 있는가를 시각적으로 제시하여 원예치료의 진행사항을 파악하고 원예치료사가 프로그램의 수정 및 보완 방향을 결정하는데 도움을 줄 수 있을 것으로 기대된다.

This study was carried out to investigate apprehension and application of a group work in 38 horticultural therapists and pre-horticultural therapists. Inquiring performance score of group work for objects took 76 percents among upper grades about apprehension of group and an individual, least of things took over 30 percents in upper grades. Performance of those groups work for objects results are shown by high performance score. Scrutinizing score of the achievements of group work, depend on field experience, over one year working groups took the high score than in other group. In accordance with experience growing largely, the score of the group work grows with significance at .00 (<α=.05). 76 percents of objects has not enlightened professionally and then 74 percents of objects felt that they need a professional education of group work.