Occupational Therapy (OT)

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 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

The Model of Human Occupation (MOHO was created by Gary Kielhofner in the 1980s. The model has been revised and refined since then, by other occupational therapists. This model is focused on a person’s occupations and helps to explain how disability and related problems can come about. The model is thought to be client-centered, based on evidence, and holistic by concentrating on the person as a whole. The model emphasizes both the client’s mind and body in addition to putting further emphasis on occupational performance, rather than emphasizing the performance components. Likewise, the environment plays a role in the model and can assist in opportunities of better occupational performance. The Model of Human Occupation interprets people as being a system. The collaboration of the human as a system, the task, and the environment produces the outcome of occupational behavior. This is expressed according to the dynamic systems theory. Occupational performance is dynamic because it effects the health, well-being, improvement, and modification of the system. According to the Model of Human Occupation, the human system is continually fluctuating and restructuring itself through engagement of the surroundings.

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 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.

social awareness and social skills (See appendix A). The OTS scored 31 on self-awareness. The

The name of the society changed in 1923, due to hospitals wanting a national directory of qualified occupational therapists. There now was a minimal standard of training that had to be met before an individual was put in the directory (AOTA, 2009). The name was changed to the American Occupational Therapy Association. The American Medical Association worked with the American Occupational Therapy Association starting in 1933 on getting improved education programs for occupational therapists (AOTA, 2009).

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 therapist help patients to develop, recover, or improve their skills needed for daily life (What They Do). This shows that occupational therapy is important to a person’s health because some patients need help in order to learn

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.

Occupational therapy is a client centered activity concerned with promoting health through performing certain tasks. The primary goal is to equip people in recovery with life skills in their everyday life.

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