Gary Kielhofner : The Model Of Human Occupational Behavior

The occupational therapy profession shares many objectives across the communities, clients, and families they serve. Some of these aims include: “Developing the field of occupational therapy and enhance the professions capabilities to meet the needs of the entire population, providing evidence on the efficacy of occupational therapy. This includes working with organizations and local communities, incorporating education, research, and practices as a complete whole. In addition, developing a team of professionals that innovates and adapts to the developing health needs of the population” (AOTA, 2013). This includes advocacy efforts with policymakers to ensure continued funding to provide care to individuals (AOTA, 2013). Occupational therapy is a distinctive profession that helps

Participation is an important piece in the field of occupational therapy. Given that different factors influence participation and when people have a choice in the activity, it increases participation, then the more someone actively participates in occupational therapy, the better their outcome of therapy will be. In her piece, Participation in the Occupations of Everyday Life, Mary Law focuses on this idea that participation in meaningful activity is key to effective occupational therapy. I may not be old and experienced but, I am old enough to be able to relate the information in this article to my life.

The biomechanical approach assumes that the client has the capacity for voluntary control of the body (muscle control) and mind (motivation). It is anatomy and physiology that determines normal function, and humans are biomechanical beings whose range of motion (ROM), strength, and endurance have physiological and kinetic potential as well as role relevant behaviors. The biomechanical frame of reference is a key reference to use in conjunction with various others in enabling OT to access and identify a client’s occupational performance within the various activities of daily living. It is important when taking a holistic approach to practice, as

This link between occupation, health and well-being (i.e. the fact that people are occupational by nature and that engagement in meaningful occupation is essential to health) forms part of the core beliefs and values – the philosophy – of the occupational therapy (OT) profession (Kramer et al, 2003). OT has its foundations in both philosophy and science, but unlike other medical professions, it was the philosophy that came first

Occupational therapists work with clients to restore independence that has been lost or disrupted due to illness, injury, or disease. Occupational therapy practice involves assessing and determining an appropriate treatment approach based on the client’s disability and individual needs. There are various occupation-based models, each client-centered and grounded in theory, that guide the clinical treatment process. In addition, the Occupational Therapy Practice Framework: Domain and Process (3rd ed.; AOTA, 2014) denotes various frames of reference to guide therapists when choosing specific intervention strategies based on the client’s needs (Cole & Tufano, 2018). This paper focuses on the application of the Occupation Adaption model,

Occupational therapy was founded on the principle that participation in meaningful activity is important to the health of individuals. Mental health is very important to the well-being of an individual and those around them. 450 million people experience mental and neurological disorders around the world. These disorders are the leading 5-10 causes of disability worldwide. As services for individuals with mental illness have shifted from the hospital to the community, there has also been a shift in the philosophy of service delivery. In the past, there was an adherence to the medical model; now the focus is on incorporating the recovery model. (2) Occupational therapy’s focus that taking part in engaging and meaningful activities benefits the mental well-being of the individual.

Occupational Therapy is a vital segment of the health care field. Individuals in this profession make a difference in the lives of others by helping their patients function effectively despite their disability, illness, or injury. They help by teaching patients many activities of daily living tasks which can include, grooming, toileting, dressing, eating, mobility, and much more! Along with the daily living tasks, Occupational Therapy helps individuals to be productive and successful in ways they want to be, like going school, taking care of others, managing their homes, preparing meals. Most importantly, they help their patients adapt to their environments and increase their independent function by helping them perform tasks with as little help from others as possible. Without Occupational Therapy, some patients with temporary disabilities could have a permanent disability. If individuals receive the Occupational treatments, they can prevent the loss of function.

Occupational Therapy is a health, wellness, and rehabilitation profession devoted to the development of performance and function across their lifetime so that individuals can live their life to the fullest. The holistic approach taken by occupational therapy practitioners is particularly effective in the areas of wellness, health promotion, and prevention. The practice of occupational therapy can take place in health care and education settings, and in community based agencies and organizations. The timing is excellent for occupational therapy in the area of wellness and prevention. Occupational Therapy practitioners administer habilitation and rehabilitation services, which are among the fundamentals health benefits of the

The occupational therapy field is frequently being left behind in the health care field because most of the public is uneducated or unaware of the Occupational Therapy practice and the research that is involved. The public also has a few concerns of OT which include the time commitment to the program, the availability of services, the impact of the therapy on other family members, and the cost involved in continued care. While there are drawbacks to Occupational Therapy, the benefits of the practice outweigh them. The value and purpose of occupational therapy is to support the health and participation of clients by engaging them in their desired occupations. Occupations are activities that reflect cultural values, provide structure to living and meaning to individuals. These activities meet human needs for self-care, enjoyment, and participation in society. There are many different types of therapy used for people with disabilities such as autism, people with limitations from strokes, sicknesses such as cancer, and they can even help prevent childhood obesity. The different types of therapy can range from interventions all the way to dolphin assisted therapy, whatever the therapist finds appropriate. The similarity is that the Occupational Therapist will research and pick the most beneficial type of therapy to proceed with for that certain type of disability or problem that person is having. I believe

Occupation based interventions benefits the clients but there are various barriers that many occupational therapists face when working in medically-oriented facilities. According to Colaianni and Provident (2010), one of the barriers of (OBI) is the dominance of the biomedical model in health care practice. The mechanistic paradigm that was derived from biomedical model has diverted the professional role of concentrating on health restoring measure to remediation of body functions and impairments. According to Gray (1998), biomedical model cure disease by eliminating symptoms, reducing impairment but occupational therapy results in impairment-based treatment where the impairment and body functions become the intervention outcome. It is difficult within the medical paradigm of care to incorporate health and wellness and to fit occupations such as cooking, playing, and other pleasurable activities, which resulted in the occupational therapist struggling with professional identity.

The Model of Human Occupation (MOHO) is a theoretical framework used by occupational therapists to help guide practice (Cotton, 2012). Moreover, the MOHO’s framework helps form a picture of the client by utilizing 4 concepts’ that include the clients’ motivation for occupation, the routine patterning of their occupations, the nature of their skilled performance, and the influence of the environment on their occupation (Forsyth et al., 2009). These 4 concepts’ influence the formation of an occupational Identity which is a key construct within the MOHO (Forsyth et al., 2009). Furthermore, an occupational identity is the cumulative sense of the clients’ identity based on the occupations they engage in, their personal experiences and who they want to become as an occupational being (Forsyth et al., 2009). The formation of clients’ occupational identity is based on a sustained pattern of occupational engagement, which is called occupational competence (Forsyth et al., 2009; Walder & Molineux, 2017a).

MOHO is an occupation-focused model which “provide an overarching context of occupation that emphasizes the occupational therapists unique perspective on a client’s ability to engage in activities and participate in life” and “attempt to explain the relationship of occupation, person and environment” (Cole & Tufano, 2008, p. 61). MOHO focus on the concept of volition, habituation and performance capacity is the key to understanding human occupation (Kielhofner, 2002). The volition includes person’s values, which an individual finds meaningful to do and important, and interests and personal causation which refers to a sense of competence and effectiveness. The habituation is the given context of physical, temporal and social which influence an individual to develop a certain behavioral pattern or make new actions and decisions. And Performance capacity is a mental and physical attribution and life experiences. As these three factors that influencing an individual to engage in the occupation, MOHO aims to explain how disability and illness hinder occupational performance and it focuses on supporting the individuals to successfully perform the occupation (Kielhofner,

Occupational therapy has been in the process of continued development since the 1900’s. With several contributors helping to build the groundwork for creating the awareness needed to bring occupational therapy into the field of health care. Continued research is contributing to the ongoing significance of how occupational therapy is a vital aspect in promoting increased independences in all aspects of healthcare. (Willard, Schell, 2014) With the incorporation of “Occupational Therapy Practice Framework Domain and Process (3rd ed.)” helps creates the foundation for occupational therapy clinicians as well as other health care providers in facilitating the core believe of occupational and the relationship of health and occupation. (AOTA 2014) Therefore, providing a uniform outline of the various aspects of each individual and how they are interconnected to create the foundation of each individual. With a greater understanding of the foundations of that induvial, the clinician can then facilitate the best therapeutic treatment plan for that individual to achieve their personal goals with unified foundations of care.

Volition is believed to govern over the lower subsystems of the hierarchy (Kielhofner & Burke, 1980). The middle subsystem is defined as habituation. Habituation is responsible for organizing behavior into roles, patterns, and routines. Roles reflect a group of behaviors with which an individual may have certain expectations of performance. The individual's beliefs and society influence these expectations. Roles contribute to self-identity and influence behavior. This organization allows for certain behaviors to be performed automatically and adapted to various environments. Performance, the lowest subsystem within the hierarchy, consists of the skills necessary for producing behavior. These include perceptual-motor processing skills, cognition, and communication. The function of the performance subsystem is to produce behaviors called

Throughout this assignment various models will be looked at and one of those models will be applied to a case study detailing the occupational circumstances of an individual. The models described will be person-environment-occupational performance models, focusing on those three subject areas, to detail what the client does in their daily life, the environments in which the activities are done, their personal goals and attributes, and how all these factors affect the individual’s occupational performance. (Christiansen & Baum, 1997) Models are significant theory which helps to guide and inform occupational therapy practice, the