OT Practice Models and Frames of Reference

Question 1

Describe Frame of Reference

Answer 1

Guides intervention
Guidance on making clinical decisions
Moving client from dysfunctional –> functional

Question 2

Describe practice model

Answer 2

Organize the practitioner’s thinking

Question 3

Models of Practice
Model of Human Occupation (MOHO)

Answer 3

Kielhofner

Views occupational performance in terms of volition, habituation, performance capacity and environment

Role of OTP: create change in 1+ of these to promote occupational competency and occupational identity

Question 4

Models of Practice
Canadian Model of Occupational Performance and Engagement (CMOP-E)

Answer 4

Spirituality as central to practice
Core concepts of enablement, social justice and influence of environment

Spirituality, person, environment, occupations

Client-centered
Desires and wishes for intervention and outcome.

Question 5

Models of Practice
Person-Environment-Occupational Performance (PEOP)

Answer 5

Influences: Person, environment, occupations and performance- factors on the ability of the person to do those things they wish to do.

“Doing” component of occupation

Question 6

Models of Practice
Occupational Adaptation

Answer 6

How they may change the person, environment, or task so the client may engage in occupations

Compensatory techniques (use of technology)

Question 7

Analysis of Occupational Performance (8)

Answer 7

Performance skills (motor, process, social interaction)
*Client factors
*Values, beliefs, spirituality
*Body functions
*Body structure
Performance patterns
Activity demands
Context

Question 8

Intervention Plan
CEMMP

Answer 8

Create/promote (health promotion)
Establish/restore (remediation)
Maintain
Modify (compensate, adaptation)
Prevent (slow down)

Question 9

Outcome categories

Answer 9

Occupational performance
Improvement or enhancement
Participation
Role compensation
Client satisfaction
Well being
Health and wellness
Quality of life
Prevention
Occupational Justice

Question 10

Frames of Reference
Biomechanical

Answer 10

Physical limitations that interfere with occupation
Assumptions drawn from AP and kinesiology
Structural stability, endurance, edema, ROM, strength addressed

Question 11

Frames of Reference
Biopsychosocial Model

Answer 11

Factors:
Biological
Sociodemographic
Psychological
Social-contextual

Address each aspect of client

Question 12

Frames of Reference
Developmental

Answer 12

Gaps in development affected by physical, social, emotional or traumatic events

Promote brain plasticity and learning

Question 13

Frames of Reference
Neurodevelopmental Treatment

Answer 13

(Children)
‘Typical’ movement

May address muscle tone, postural control, coordination, axial control, automatic reactions

Perform skilled movement more effectively which should translate into life skills

Question 14

Frames of Reference
Sensory Integration

Answer 14

The organization of sensory input to produce an adaptive response
Sensory —> motor output

Question 15

Frames of Reference
Motor Control/ Motor Learning

Answer 15

Motor control examines how one directs and regulates movement
Motor learning theory describes how clients learn movement.

Adapt (change or modify)