An Occupational Performance Process Model: Fostering client and Therapist Alliances

1997 ◽  
Vol 64 (1) ◽  
pp. 7-15 ◽  
Author(s):  
Virginia G. Fearing ◽  
Mary Law ◽  
Jo Clark

Occupational therapists, known for their ability to coach others through difficult changes, now find themselves in changing environments that include clients' desire for participation in service delivery, and the need for evidence of the outcome of occupational therapy intervention. This paper proposes a process model that is based on core concepts of occupation and client-centred practice, that incorporates theoretical approaches, and can be applied to all clients. The process model coaches the occupational therapist through a client-centred problemsolving process. It represents a description or plan for occupational therapy assessment and intervention that leads to a collaborative approach to client-identified occupational performance issues. Examples of the application of the process to occupational therapy practice are included. This model helps to articulate core concepts and values, and provides guidance for occupational therapy practice within changing environments and expectations.

2002 ◽  
Vol 69 (4) ◽  
pp. 205-217 ◽  
Author(s):  
Salvador Simó-Algado ◽  
Nina Mehta ◽  
Franciscus Kronenberg ◽  
Lynn Cockburn ◽  
Bonnie Kirsh

A preventive occupational therapy program with children surviving the Kosovo conflict is examined. The objective of the program was to facilitate the emotional expression of traumatic experiences in order to prevent the development of future psychological problems. The intervention was based on a community-centred approach with spirituality as a central focus of the intervention. The Model of Human Occupation and the Occupational Performance Process Model were utilized to guide the identification and intervention of occupational performance issues. The children's return from a land of war to a land of children demonstrates the potential of occupational therapy intervention in this field. With increasing awareness of populations facing social and political challenges, there is a growing importance of the concept of occupational justice and the need to work against occupational apartheid.


ergopraxis ◽  
2018 ◽  
Vol 11 (05) ◽  
pp. 26-31
Author(s):  
Daniela Senn ◽  
Indermühle Yvonne ◽  
Clara Eberhard ◽  
Barbara Aegler

Prozessmodelle begleiten Therapeuten und Klienten durch den Therapieprozess und zeigen, wann welche Schritte anstehen. Damit können Ergotherapeuten das Vorgehen leichter planen und Entscheidungen begründeter treffen. Durchlaufen Sie diese strukturelle Hilfe des OTIPM zusammen mit Ergotherapeut Gabriel und seinem Klienten Herrn Tanner.


2002 ◽  
Vol 69 (5) ◽  
pp. 281-292 ◽  
Author(s):  
Noomi Katz ◽  
Jennifer Fleming ◽  
Nava Keren ◽  
Sue Lightbody ◽  
Adina Hartman-Maeir

Occupational therapy focus on client-centred, occupational performance intervention may become complicated by the phenomena of self-awareness. The problem of awareness deficits in clients with neurological disorders may be attributed to neurological impairment of self-awareness and/or psychological denial of disability. These phenomena present themselves more commonly in combination than dichotomously and have implications for treatment outcomes. Individuals with impaired self-awareness or denial face difficulties with motivation and participation in therapy, and the adoption of compensatory strategies, which ultimately impacts on rehabilitation outcome. The extent of unawareness versus denial can be assessed by observation of a client's behavior and this information can be very useful in directing the treatment approach. The purpose of this paper is, therefore, to discuss the phenomenon of unawareness and/or denial of disability and its importance to successful rehabilitation outcomes, current thinking and research conducted in different countries. Also, detailed case examples of three clients representing three major populations of traumatic brain injury, stroke and schizophrenia who may exhibit unawareness and/or denial of disability will be presented, including intervention strategies for both phenomena.


Author(s):  
Viviani Cristina Costa ◽  
Naila Pereira Souza ◽  
Deyse Modesto Pinheiro ◽  
Lisete Vaz ◽  
Renata Caruso Mecca ◽  
...  

Este artigo discorre sobre a utilização de uma oficina de culinária como recurso operador da desinstitucionalização. Trata-se de um relato de experiência da intervenção proposta por terapeutas ocupacionais com pessoas internadas por longo período em enfermarias de um hospital psiquiátrico universitário, no município do Rio de Janeiro. Discutem-se fragmentos da trajetória de quatro participantes que exemplificaram, através de seus percursos na oficina de culinária, questões relacionadas ao processo de desinstitucionalização, criação de redes, contratualização e fomento da autonomia. Percebeu-se que as atividades realizadas foram potencializadoras dessas questões ao permitirem transcender a rotina instituída e massificadora da internação e possibilitar novas e diferentes formas de estar na vida e de estabelecer conexões diversas. A intervenção terapêutica ocupacional permitiu a análise e a adaptação das atividades, o manejo das relações que se estabeleceram a partir delas, tendo em vista o compromisso com os processos de inclusão, participação social, bem como demais ocupações. This article discusses the use of a cooking workshop as a promoter resource of the deinstitutionalization. It is an experience report about an intervention offered by occupational therapists to assist people hospitalized for long periods in University psychiatric hospital, in the city of Rio de Janeiro. We discuss the fragments of trajectory of four workshop participants who exemplified issues related to the process of deinstitutionalization, networking, contractualization and increased autonomy. It was noticed that the activities offered potentiated these issues by allowing transcend the hospital routine and enabled new and different ways of being in life and establish several connections. The occupational therapy intervention allowed the analysis and adaptation of the activities, the management of relationships established from them, in view of the commitment to the promotion of social inclusion, participation, as well as other occupations.Keywords:Desinstituciozation; Mental Health; Occupational therapy .Este artículo presenta la utilización de un taller de culinaria como recurso operador de la desinstitucionalización. Se trata de un relato de experiencia de la intervención propuesta por terapeutas ocupacionales con personas internadas por un largo periodo en enfermerías de un hospital universitario de psiquiatría de Río de Janeiro. Se discute fragmentos de la trayectoria de cuatro participantes que ejemplificaron, a través de sus rutas en el taller de culinaria, cuestiones relacionadas al proceso de desinstitucionalización, creación de redes, contratación y fomento de la autonomía. Se percibió que las actividades realizadas  potencializaron esas cuestiones al permitieren transcender la rutina instituida y masificadora de la internación. La intervención terapéutica ocupacional permitió el análisis y la adaptación de las actividades, la administración de las relaciones que se establecen a partir de ellas, llevando en consideración el compromiso con los procesos de inclusión, participación social, así como otras ocupaciones. Palabras-clave: Desinstitucionalización; Salud Mental; Terapia Ocupacional.   


2012 ◽  
Vol 21 (3) ◽  
pp. 359-371 ◽  
Author(s):  
Sarit Tresser

The past decade has seen the emergence of rehabilitation treatments using virtual reality environments. One of the main advantages of using this technology is that it creates positive motivation. Currently, most virtual-reality-based games for children are not suitable for use in a therapeutic setting. This case study reports on the use of Growing with Timocco, a specially devised virtual reality computer game, as part of an occupational therapy regimen that addressed the developmental needs of a five-year-old patient diagnosed with dyspraxia, impaired postural structure, weak shoulder, and insufficient bilateral integration, bilateral coordination, and proprioception regulation. Developed specifically for use by occupational therapists and caregivers working with children, Growing with Timocco is equipped to provide exercises for both cognitive and motor skills, but most importantly, it provides a positive setting for this practice, by harnessing the advantages of VR to promote play, pleasure, and motivation.


1989 ◽  
Vol 56 (5) ◽  
pp. 229-235 ◽  
Author(s):  
Ellen Yack

This paper presents the findings of a survey conducted in the Winter of 1986 by the Sensory Integration: Toronto Study Group designed to investigate the use of sensory integration in clinical settings. The survey was distributed to occupational therapists in Southern Ontario who offer services to children with sensory integrative dysfunction. The results are discussed in relation to occupational therapy practice, literature and research. The findings suggest that sensory integration therapy is one of manytheoretical frameworks incorporated into occupational therapy programs for this population. In view of this information, the paper discourages the use of the term “sensoryintegration therapist” as it does not adequately represent the varied approach utilized by the respondents in this study or the extent of knowledge and skills they appear to possess. The paper proposes that the holistic nature of occupational therapy intervention needs to be considered in research designs to ensure valid and clinically relevant evaluation of sensory integration procedures.


1995 ◽  
Vol 62 (5) ◽  
pp. 278-282 ◽  
Author(s):  
Deborah Waters

This paper describes the use of the Canadian Occupational Performance Measure (COPM) in the treatment of a person recovering from a depressive episode. Based on the Canadian Model of Occupational Performance, the COPM focuses occupational therapy intervention on the enhancement of performance in the areas of self-care, leisure and productivity. The COPM is client rated and client-centred; the client defines the specifics of treatment and measures the outcome. In the case presented the client's occupational performance and satisfaction with occupational performance increased as measured by the COPM. The therapist's role in the use of the COPM is discussed.


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