Free access to occupational therapy in the Netherlands

 

From September 1, 2011 the introduction of direct access to occupational therapy in the Netherlands is a fact. Occupational therapists can start their treatments now without referral from the General Practitioner and/or a specialist. The introduction of direct access is an important step in the process of professionalization of occupational therapy in the Netherlands. Direct access increases the possibilities of choice for the client and lead to a more client centered care. 

By this the legal frame of occupational therapy has changed and the obligate referral will disappear.

Background is that the paramedical professions became complementary professionals in their field and the notion that citizens are increasingly better informed about health care. For the general practitioner it will also be a relief, cause the direct access is not only arranged for occupational therapists but also for physiotherapists (already since 2006), speech therapists, dieticians, orthoptists and podiatrists.

Occupational therapists have to be certified to work without referral.  The national association has, in collaboration with the health insurance and the educational institutes, developed a two days training for OT's to obtain the competence of 'screening'. Free access is only possible when the occupational therapists are trained and certified, meet the requirements for writing an intake protocol and follow the guidelines with regard to referral. Many OT's are already certified.

In the meantime, the national association prepares together with the other professional organizations a PR campaign to inform the clients and the general practitioners and developed together with different institutes a screenings form which will serve as a standard for clients without referral.