Term 1 CAE Flashcards
(46 cards)
Strengths and limitations of the MOHO
Strengths: Client-centered, Occupation focused, Widely supported, Evidence based
Weaknesses: complicated, difficult to implement, time consuming
Sections of MOHO : Person
Person
Volition: Values Interests Personal causation
Habituation: Habits, Roles
Performance capacity: Experiences, physical abilities, mental capacity
Sections of MOHO: Environment
Political, cultural, social, economic,physical
Dimensions of Doing
Occupational Performance: Performings aspects of occupation
Occupational Participation: Occupational engagement
Occupational skills: motor, processing,etc
Consequences of doing (MOHO)
Occupational Identity
Occupational Competence- meeting personal expectations
Occupational Adaptations: Adapting occupation to overcome challenges
When is MOHO most used?
Mental health
What is Moho used for?
To assess the motivations for occupation
Is MOHO a model of practice or is it conceptual?
It is conceptual assesses how/ why we engage in occupations
Assumptions of the MOHO?
Human behaviour is a result of interactions between inherent human elements and environmental influences
CMCE
Canadian model of Client Engagement Adapt Advocate Coach Coordinate Collaborate Consult Design/Build Educate Engage Specialize This model is for the OT and does not have the client at the middle
Allows for reflection as to what went wrong and critical thinking regarding the enablement of our clients
What are the 8 principles of the CMCE
Interwoven Dynamic Collaborative Personal Invisible Evidence based Educational constant
What are the strengths and limitations of the CMCE?
Strengths: Stimulates reflection, can be used by other health care workers, strong foundation in OT values, recognized blame may not be placed on individual therapists but on the institutions/context
Limitations: Not widely used, not critically reviews, difficult to remember, doesnt account for interdependece of skills
No guarantee that you will succeed with enablement if you do these 8 things
What are the assumptions the CMCE makes?
That the client knows what they want out of the therapy session
What is enablement?
Powersharing and giving others the ability to participate and make choices in their own lives.
Coach, collaborating, powersharing, educating etc
What are the foundations of enablement?
Choice/risk/responsibility Client participation Visions of possibility Change Justice Power Sharing
Appeciative narrative inquiry vs transformative narrative inquiry
Appreciative: appreciating and focusing on the desired outcome - strengths based approach
Transformative: Enables a complete and lasting change of action
EHP- Ecology of Human Performance
This model focuses on the context individuals are placed in
Person: Has a unique set of experiences, values and interests
Context: Environment- physical, social, cultural
Temporal- chronological, developmental, life cycle, health status
Task: Individual skills and abilities, objective sets of behaviours
Performance: Cannot be understood outside of context
What are the outcomes of EHP?
Establish/Restore Alter ( match client with context) Adapt/Modify (change environment) Prevent Create
What does EHP not assume?
That disability is present
What are the strengths and weaknesses of EHP?
Strengths: Clients-centered, uses generic terms, provides intervention
Limitations: Not widely used , difficult to emasure context, not researched, focus on altering context can be difficult, lack of guidelines
What does EHP assume?
Assumes environement and PEO elements are always interacting
Environment inhibits or facilitates occupational performance
CMOP-E
A conceptual model for thinking
Spirituality at centre followed by person, occupation then environment
Spirituality
sense of meaning or purpos, conectedness with people and environments
Essence of self
Needs to be defined by client
Strengths and limitations of CMOP E
Strengths: person focused, concepts are generic, related assessment, emphasizes importance of elements that make up the environment
Limitations: Categorization can be limiting, spirituality is confusing, not strengths based, lacks depth, not much research
