Primary roles and functions of members of the multidisciplinary rehabilitation team

Discipline	Evaluation and treatment methods	Targeted aspect of the disablement process
Assistive Technology Provider (ATP*)	Determining need for assistive technology and optimal technology to best meet needs	Activities Participation
Dietician	Assessment of nutritional status Altering diet to maximize nutrition	Health condition
Hand therapist^¶	Exercise Physical modalities (heat, ultrasound, etc) Fabrication of splints	Impairment (upper extremity)
Medical provider^Δ	Assessment of health conditions Treatment of health conditions (medications, surgery)	Health condition
Nursing	Assessment of physical condition Wound care and medication management Evaluation of self-care skills Evaluation of family and home care factors Self-care training Patient and family education	Health condition Impairment Activities Contextual factors (especially social)
Occupational therapist	Evaluate self-care skills and other activities of daily living Home safety evaluation Self-care skills training Recommendations for assistive technology Fabrication of splints Treatment of upper-extremity deficits	Impairment (upper extremity) Activities Participation Contextual factors (especially environment)
Physical therapist	Assessment of range of motion and strength Assessment of gait and mobility Exercise training Treatment with physical modalities (heat, cold, ultrasound, massage, electrical stimulation)	Impairment (lower extremity, back, shoulder) Activities (mobility)
Prosthetist	Fabrication of prosthetic limbs and other prosthetic devices (eg, prosthetic eye)	Impairment
Psychologist/psychiatrist	Assessment of mental and emotional function Treatment of mental/emotional disorder (medication, counseling)	Health condition Impairment (psychological) Context (personal)
Recreation therapist	Assessment of leisure skills and interests Involving patients in recreational activities to maintain social roles	Participation
Speech/language therapist	Assessment of all aspects of communication Assessment of swallowing disorders Treatment of communications deficits Recommendations for alterations of diet and positioning to treat dysphagia	Impairment Participation
Social worker	Evaluation of family and home care factors Assessment of psychosocial factors Counseling Liaison with the community	Participation Context (social)

* Successful completion of a certifying examination offered by the Rehabilitation Engineering and Assistive Technology Society of North America.
¶ Occupational or physical therapist who has complete additional training and passed a national certification examination in hand therapy.
Δ Depending on the settings, the medical provider may be a physician such as a physical medicine and rehabilitation specialist ("physiatrist"), neurologist, orthopedic surgeon, or geriatrician and/or mid-level practitioners such as nurse practitioner or physician assistant.

Graphic 86413 Version 4.0

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Primary roles and functions of members of the multidisciplinary rehabilitation team