Despite the call for the profession to embrace a more integrated and holistic approach to practice, therapists may be faced with practical challenges, including issues relating to client caseloads, productivity demands, scheduling, entrenched practices, limitations on service imposed by payer sources, and staffing and budgetary restraints, to name but a few. Due to these limitations, current occupational therapy practice may be predisposed to adopt a more reductive approach to the evaluation and treatment of symptoms, underlying biological pathologies, and resulting impairments and disabilities. Therefore, psychological and social factors may be neglected, resulting in an unbalanced, fragmented, and incomplete approach to patient care. This paper examines a more holistic and integrated biopsychosocial approach in current occupational therapy practice. Furthermore, an exploration of the Biopsychosocial Model, its relevance to the profession of occupational therapy, and the proposed methods of application toward a more holistic, evidence-based, and client-centered approach to clinical practice is addressed. Comments The authors report no conflicts of interest to disclose.

Community coalitions have the potential to catalyze important changes in the health and well-being of populations. The authors demonstrate how communities can benefit from a multisector coalition to conduct a community-wide surveillance, coordinate activities, and monitor health and wellness interventions. Data from Summit County, Ohio are presented that illustrate how this approach can be framed and used to impact community health positively across communities nationwide. By jointly sharing the responsibility and accountability for population health through coalitions, communities can use the Health Impact Pyramid framework to assess local assets and challenges and to identify and implement programmatic and structural needs. Such a coalition is well poised to limit duplication and to increase the efficiency of existing efforts and, ultimately, to positively impact the health of a population. (Population Health Management 2013;16:246-254)

Although the Washington State CHA Impact Tracking System is an important first step toward understanding characteristics of CHA connected to the use of the results, additional studies are needed to identify evidence-based practices in this field.

Researchers confirmed that the use of feedback assists with the improvement of students' confidence and performance. Multiple studies focus on the provision and acceptance of feedback; however, it was not known if, or how, students internalized the feedback to apply it successfully. Since there is a difference between providing feedback and the interpretation of its true message, this phenomenon was studied to add empirical knowledge regarding students' feedback interpretation. This qualitative study explores the perceptions of how students interpret information received from Level II fieldwork educators and what meanings students attributed to the feedback. The use of phenomenological methodology guided the collection of informationrich data through reflective statements and semi-structured interviews. Twenty-three occupational therapy and occupational therapy assistant graduates volunteered to participate in the interviews. Verbatim transcripts were coded to identify themes and patterns. Participants identified indicators verifying the correct application of feedback, as well as situations affecting the interpretation and application of feedback provided during an experiential learning opportunity. The findings facilitate guidance for educators and students to understand factors that could affect feedback application.

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