The Model Of Organizational Therapy

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

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 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.

To be able to participate in one 's own life, to do the things we want to do, and to competently perform the activities that form part of our daily, weekly or monthly routines, is a common goal for most people.  This not only includes taking part in the basic activities of self-care, such as grooming and dressing, but also extends to our work and leisure activities.  It is through doing things that we learn and develop as human beings.  The occupational therapy profession believes that being prevented or hindered in some way from participating in the activities that are important to us could adversely affect our health and wellbeing.

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).

The assumptions underlying the occupational performance model fall into assumptions about the human occupation, human performance, and as a self -organizing systems. Assumptions are derived from core philosophical tenets of occupational therapy which have been described by the Canadian Association of Occupational Therapy, the clients are viewed by a wholistic perspective as being comprised of interacting elements of mind, body, and sprits. The values, beliefs, and principles of the clients are developed in treatments not

What do I know? The PEO model encourages occupational therapists to holistically conceptualise their clients through consideration of the dynamic interaction between their personal, environmental and occupational factors (Strong et al, 1999). The PEO model was used to conduct an analysis of Gerald and to identify the complex occupational performance issues with which he presents:

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

Theories, models of practice, assessments and intervention are what shape occupational therapy as a practice and how practitioners look at their clients and design the interventions they use. A theory is an overarching description of a set of circumstances and their relationship with each other (Fisher 2008). Fisher also describes models of practice and the way they help to organize one’s views and assess the things about a person or their environment that support or limit their performance. An assessment and intervention is practical guidance of what specifically is being addressed, how to look for those deficits and how to go about working with them. Whilst a practitioner will probably use only one model when working with a client,

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.

Due to the evolving nature of occupational therapy, much of the work in this field is grounded in evidence-based practice. It is imperative, for those seeking a career in Occupational Therapy and those currently in the profession, to have a clear understanding of research methodology in order to work ethically and effectively when carrying out their research. This will lead to the better quality approach of care for the clients.

Bruce, M. A. & Borg, B. (1993). Psychosocial occupational therapy: Frames of reference for intervention. Thorofare, NJ: Slack.