Module 4: MOHO Nov. 9

Question 1

What is Occupation?

Answer 1

• Doing work, play and activities of daily living within a temporal physical and sociocultural context
• Essentially, synonymous with “occupational participation” as used in MOHO

Question 2

3 Dimensions of Doing

Answer 2

• Occupational Participation
• Occupational Performance
• Occupational Skill

Question 3

Definition of Occupational Participation

Answer 3

Engaging in work, play or activities of daily living part of one’s sociocultural context

Question 4

Definition of Occupational Performance

Answer 4

Doing a task to participate in a major life area

Question 5

Definition of Skills

Answer 5

• Discrete, purposeful actions needed to complete a task

- 3 types: motor, process and communication/interaction

Question 6

Consequences of Doing

Answer 6

• Occupational Adaptation
• Occupational Identity
• Occupational Competence

Question 7

Occupational Adaptation

Answer 7

Two components:

• Occupational identity
• Occupational competence

Question 8

Occupational Identity

Answer 8

Cumulative sense of who people are and what they do

Question 9

Occupational Competence

Answer 9

Extent to which patterns of doing enact one’s occupational identity

Question 10

Example of “Consequences of Doing” with Fred the Construction worker

Answer 10

Occupational identity
- Fred identifies as a construction worker and landscaping expert

Occupational competence
- Fred is confident he is good with his hands, able to design and plan landscaping projects for multiple purposes

Occupational adaptation
- Fred readily assesses what is needed to get the job done, responds to changes on site, knows he can problem solve and complete projects on time and on budget even when unintended events occur

Question 11

Purpose of OT

Answer 11

• To facilitate occupational adaptation as a means toward achieving the client’s goals
• Occupational engagement refers to what the client is doing, thinking and feeling through occupational therapy

Question 12

MOHO Therapeutic Reasoning Process

Answer 12

1. generate and use questions
2. gather information with client using structured and unstructured means
3. create a conceptualization of the client’s situation that includes strengths and challenges
4. identify goals and plan for therapy
5. implement and review therapy
6. collect information to assess outcome