A functional approach is more meaningful to the client and care-givers and provides greater motivation to improve, as the clients can see that the interventions affect their ability to perform normal activities of daily living. Theoretical sessions must be interspersed with practical sessions whereby participants can practice their skills and implementation of knowledge on each other, before exposure to clients with disabilities. Fieldwork practice sessions are essential, from the very beginning of any training programme, so that participants can put into practice what they have learned in the 'classroom'. Regular review of knowledge and skills, with concurrent feedback is highly recommended. The level and complexity of knowledge and skills presentation must be tailored to the needs and educational standards of the participants.
Documentation is essential.
It provides an objective baseline assessment for the functional status of the client, from which realistic, measurable treatment goals can established. Therapists can therefore evaluate efficacy of interventions and progression of therapy. It is essential that measurable outcomes are introduced. General discussion followed the presentation by the authors. It is the contention of the authors that no one system is appropriate for all CBR programmes.