Occupational Performance Model Paper

As occupational therapy services diversified, serving a variety of clients in many different settings and with societal influences, the field began to evolve. During the 1990s occupational therapists began to shift away from reductionist medical model toward a more holistic client-centered approach. Services focused on enhancing individuals’ quality of life across the lifespan meaning before, during, and after therapeutic intervention. The profession began to better acknowledge the value of client education, injury and illness prevention, health screening, and health maintenance (Cole & Tufano, 2008). The field created more preventative initiatives, and focused services on improving quality of life and optimizing the independence of

The Person-Environment-Occupation-Performance (PEOP) model is a suitable model to be applied when working with Paul. This model focuses on occupations and performance (Cole & Tufano, 2008). This model describes occupations as consisting of valued roles, tasks and activities that influence one’s life roles (Cole & Tufano, 2008). “The domain of practice is predominantly selected by the client, who is asked to identify the most important occupational performance issue within the areas of work/productive activities, personal care, home maintenance, sleep, recreation, and leisure” (Cole & Tufano, 2008, pp. 127-128). According to the case study provided, Paul is having increased dependence with self-care and social activity. Paul’s mother has become more symptomatic, reporting high blood pressure and migraine headaches.

The MOHO is a client-centered holistic conceptual model for practice while the OTPF emphasizes a client-centered approach in data collection identifying what is important and meaningful to the client. The MOHO uses an open system approach to assess: Input, Person, Occupational Performance, and the Environment. In contrast, the OTPF considers how Client factors (MOHO Volitional subsystem), performance skills, performance patterns (MOHO Habituation subsystem) and contexts and environment (part of MOHO) impact occupational performance. Both MOHO and OTPF emphasize client-centered analysis. The MOHO has specific assessment tools while the OTPF indicates the occupational profile should include information that is similar to MOHO, regarding client values, interests, daily routines, patterns of engagement and feelings related to occupational function (AOTA, 2014, p. S13). Additionally, MOHO indicates data is collected and discussed with the client to help the client gain an understanding of their subsystems and how these impacts occupational performance (Cole & Tufano, 2014). The OTPF indicates data is collected to create an occupational profile through analysis of occupational performance skills. While both, MOHO and OTPF support interventions that are specific, meaningful, and focused on occupational performance. Also, the OTPF expands interventions to include therapist skills related to clinical reasoning, therapeutic use of self and activity analysis (AOTA, 2014). Both reflect practice guidelines appropriate for use across age spans and varying levels of need. I feel MOHO works well within the OTPF based on the open system, use of Volition, Habituations, and Mind-brain-body subsystems. Additionally, MOHO’s consideration of both physical and social environments aligns with the

Occupational Therapy and occupational science both incorporate the use of human occupation and are responsive to social movements (Pierce, 2003, p. 7)” Differences, however, derive in regards to the way the two fields operate, as either a basic or applied science. On the one hand, occupational science is an academic discipline that generates “knowledge about the form, function, and meaning of human occupations (Pierce, 2003, p. 6).” Occupational Therapy, on the other hand, uses the basic knowledge derived from occupational science to implement the occupations and activities in client-centered therapeutic treatments.

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 outcome of occupational therapy intervention is “supporting health and participation in life through engagement in occupation.’’ The types of occupational therapy interventions include occupation based intervention, purposeful activity and preparatory methods, consultation, education, and advocacy. Intervention approaches are the strategies that direct the process of intervention and these include create/promote, establish/restore, maintain, modify, and prevent disability.

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,

This papers purpose is to describe to the reader an Occupational therapy treatment plan and therapy session using the OTPF as its base to describe client’s performance. It is based off a case study of a 26 year old male racecar driver who suffered a traumatic brain injury and is now admitted into the hospitals ICU unit under a coma. The paper begins with a brief overview of the clients Injuries and occupational profile. It continues with goals that the therapist has set for the client and caregivers and concludes with the client’s treatment plan, along with a SOAP note which explains the client’s treatment and gives other healthcare workers information about the therapists goals and progress of the client

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.

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).

In accordance with Occupational Therapy Practice Framework (OTPF), “the efforts directed toward promoting occupational justice and empowering clients to seek and obtain resources to fully participate in their daily life occupations.” (Occupational Therapy Practice Framework, 3rd Ed., p. S41). I consider occupational therapy to be a compassionate career, practitioners try to grant their clients’ wants and needs to better suit the

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.

Human behavior can be explained by a variety of biological, psychosocial, and environmental factors interacting on a person over time. The values, beliefs, and goals that determine the behaviors one engages in are developed through cognitive processes unique to each individual as a result of the interplay between previous learning and the aforementioned factors. When considered together, the Model of Human Occupation and Cognitive-Behavioral Therapy give an explanation for this view of human behavior. These frames of reference are reviewed in regards to their conceptions of behavior, dysfunction, treatment approach, and their relevance to occupational therapy.