OTPF

Occupations, contexts, performance patterns, performance skills and client factors

. activities that are purposeful and meaningful to daily life

.ADLS (activities of daily living)

.IADLS (instrumental activities of daily living)

.health management

.rest/sleep

.education

.work

.play/leisure

.social participation

organizer that provides overarching direction of how to provide treatment

More than an educated guess, group of related ideas that have been verified through analysis

the act of willing or choosing

.context refers to the environmental and personal factors specific to each patient

.Enviromental factors ( social attitudes and barriers)

.personal factors ( age and socioeconomic status)

•Conceptual

-Provides theoretical validation for occupational therapy by explaining why it works

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•Practice

-Explains how occupational therapy works

-Provides overarching ideas for planning and implementing intervention

•Client centered model and at the core is self motivation

•Recognizes the connections between:

• Person

• His/her environment

• Occupation

(Mainly focused of self-care, productivity and leisure and the patient satisfaction with those skills. i.e 1-10 how do you feel your performance went?)

.MOHO views OT performance in terms of volition and habituation

•System-based practice model

-Input – taking in information

-Throughput- processing the information

-Output- response to the information

-Feedback

•Restoration involves

-Making choices (volition)

-Becoming used to something (habituation)

-Performance within the environment

-Occupational science

-Psychospiritual

-Psychosocial

-Cognitive behavioral

-Multicontextual

-Developmental

-Sensory integration

-Biomechanical and rehabilitative

-Motor control

-Views people as complex systems interacting with the environment

•Obstacles such as disease, trauma, disability impede active participation

•Client is able to reconnect and experience an enhanced sense of self-worth and competency when re-engaging with a meaningful occupation.

-Provide a foundation for understanding the human psyche and how it influences engagement in occupation

•Psychospiritual Integration (PSI) Frame of Reference (Chapter 19, spirituality)

•Cognitive Behavioral Frame of Reference – thought influences behavior - Claudia Allen, cognitive disability model

•Multicontextual Frame of Reference- task oriented, helping clients learn specific skills, self motivate, self monitor

•Based on the understanding that development occurs in a sequential fashion:

•Learning new skills depends on building on existing skills.

•OT practitioner role is to grade activities so that the client can achieve them but slightly challenged to do the tasks

•Bridge between medical focus and occupation based goals

•Providing meaningful client-directed sensory experiences requires an adaptive response, which leads to:

•Skill acquisition

•Learning

•Behavioral changes

.ex:**  Not just blowing bubbles, but child may be on a swing to blow bubbles, so she can improve hip, trunk, shoulder control

•With appropriate assessment and treatment, clients will acquire the voluntary motor skills necessary to perform their desired human occupations.

•Focused on remediation, but also encompasses adaptation.

•Most commonly used frame of reference by OT practitioners.

•Goal is to facilitate the greatest level of independence possible despite disease or disability processes

•Focused on improving function to the greatest degree possible, despite any limitations

•Enabling active participation in all domains of occupation entails:

•Working with clients on learning compensatory methods

•Recommending assistive devices and training on use

•Suggesting environmental modifications

•Used for clients with motor control issues (CVA)

•Neurodevelopmental Therapy (NDT)

.Sally had a stroke and cannot bend her L arm on her own.  Her OTA takes her arm through a series of repetitive movements so she can feel what normal movement feels like