Learning Disability: An Alternative Frame of Reference

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Abstract
This article outlines some of the criticisms of traditional ways of working in services to people with learning disabilities and presents some alternatives. It suggests that occupational therapists adopt a frame of reference which combines a competency-based model of occupational therapy with a redefinition of independence. O'Brien's Five Accomplishments are used to provide a service quality monitoring tool and a values base for practice. The principle of partial participation is utilised and an emphasis is placed on the value of employment and the use of systematic instruction to achieve it.

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