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Conceptual Models (Occupational Therapy Models (MOHO (Components (Volition…
Conceptual Models
Occupational Therapy Models
CMOP-E
Affective, cognitive, physical
Specific mental health conditions
Bipolar and Depression
Spirituality
Physical, institutional, cultural, social
KAWA
Visual model
Eastern developed
MOHO
Community practice was central in supporting the effective implementation of MOHO and its associated
assessment tools
Most widely used occupation-focused model
Has a substantially larger evidence base than other models
The first model proposed to guide occupation-focused practice in the field
OT's value the holistic approach of MOHO, its client-centred focus, and the ease with which other practice models can be incorporated along with this model
MOHO came to be viewed as a means of problem solving practice dilemmas, mobolising and informing their decision making
Therapists have an easy language to explain how their clients' occupations are motivated, transformed into routines and habits, and performed capably within given social and physical environments
Utilisation of MOHO increases service for clients and professional stature and identity for therapists
Components
Volition
Personal causation, values, interests
Habituation
Roles, routines
Performance skills
Processing, communication and interaction, motor skills
Environment
Space, social environment
Recovery models
Stress vulnerability Models
Stress-vulnerability model
collaborative approach model
9 elements of recovery- Larry Davidson
Medical models
paternal approach
Reductionist approach
Allens Cognitive disability model
Mental health assessments
AMPS - Assessment of motor and process skills
Assessment of occupational functioning
Model of human occupation screening tool
A RAsch analysis of the model of human occupation screening tool single observation form (MOHOST-SOF) in mental health)
http://journals.sagepub.com/doi/pdf/10.1177/0308022615591173
an observational assessment of occupational participation, designed to be completed by a therapist on observation of a service user engaged in occupation
Full Form: designed to be completed after multiple observations
Single Observation Form (MOHOST-SOF): designed to capture information from a single observation of a person participating in a single activity
Each rating category distinguished different levels of participation
Items well organised in a logical hierarchy of occupational participation as conceptualised by the MOHO
Possible to measure change
Provides less information than the full MOHOST
The items that make up the MOHOST are valid
Used in a consistent and interchangeable manner by therapists
Occupational performance history interview-II
Occupational self assessment
Child
Adult
Short child occupational profile
DACSA - Domestic and Community Skills Assessment
Purpose
Designed to assist OT's to answer the following questions
most appropriate future accomodation for the client?
what rehabilitation or training would benefit the client
clients baseline functional abilities
Have clients functional abilities changed over time
What community support are required to assist the client to maintain safe community living
Have problems in the client's living skills contributed to their presentation at a Mental Health facility
Population
appropriate for use in the field of Geriatric Psychiatry
Limitations
not to be used under 16 years
Not designed to answer questions related to personal ADL (e.g showering or dressing), work, social skills and mental status
with adults who have a psychiatric illness
MOHO domanin
Heavily centered around environment
family and social context in which the client lives
personal causation
shows the client's perspective of their abilities compared to the family/friends perspective of their abilities
Habituation
seeing if they're independence levels in meal planning, laundry, house cleaning
Volition
COPM
to be worked on by Harshada
OSA
Population
adults and elderly
different version for children
15mins ton 30 mins
Not much evidence based
volition
habituation
personal causation
easy to administer consumer need to read and write
weaknesses: social desirability bias
Assessment of Communication and Interaction Skills
Population - people who are having difficulty in the areas of interaction and communication skills
Physical disabilities, difficulties post-stroke, etc
only used to evaluate adults at this stage
MOHO
Social groups and occupations you take part in
The performance component of MOHO, specifically in communication skills and motor processes, is able to be directly assessed
Broad and wide-ranging
Psychometric Properties
lack of coherence between rating and reliance of overall responses
low validity and reliability
provides some language and understanding and some ideas on where to target a plan
OPHI 2
Explore consumers occupational life history
lengthy but provides good narrative slope of the client
Population
adolescents, adults and the elderly
MOHO
Psychometric properties
strong cultural validity
valid across age, diagnosis, culture
able to be readily used validly without training
reliability has been achieved in 2nd version