What Is Client Centered Practice?

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 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

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 profession that is currently growing faster than anyone would have expected. Because of the increase in demands for occupational therapy services, therapists are having larger caseloads, needing the help of more occupational therapists. Occupational therapy in the mental health setting is one environment that has grown in popularity over the last decade. Knowing the benefits of occupational therapy in this setting, and the expansion of clients needing occupational therapy services, more funding needs to be established in this setting.

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 Affordable Care Act. In addition, occupational therapy’s holistic approach correlates the ACA’s focus on wellness and prevention. By focusing on wellness, managing chronic, improving function, and supporting independence, occupational therapy practitioners can assist the interprofessional leading care team enhance outcomes while reducing costs. This paragraph states the role of an occupational therapist in Health Care Reform (www.aota.org).

What is occupational therapy? How does one define the profession and validate its worth in the medical field? Since its conception as an established health care profession, occupational therapy’s philosophy has been defined, redefined, and refined. In their writings esteemed Occupational Therapists Mary Reilly and Susan Peloquin offer their own critical and revisionary ideas of occupational therapy’s worth, the basic need it fulfills, and its service to the healthcare profession. Both women ask their peers to refine what is

Occupational identity as developed in the MOHO is based on who someone is as an occupational being and therefore is extremely useful to inform the direction of a client-centered approach to occupational therapy (Lee, Taylor, Kielhofner, & Fisher, 2008). Collaboration on therapeutic procedure between the client and the occupational therapist is known as client-centered practice, which is the utilization of clients’ values, goals and experiences to drive therapeutic intervention

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,

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.

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