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CMOP-Canadian Model of Occupational Performance |
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mid 90s Canadian association of Occupational Therapists (CAOT) book Enabling Occupation: A Canadian perspective lead to the CMOP |
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three elements of practice within CMOP |
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person environment occupation
person- includes affective, cognitive and physical components occupation-includes productivity , self-care, and leisure environment-includes physical, social, cultural and institutional environments. |
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Person-Environment-Occupation model (PEO) with central element of occupational performance |
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developed as an outcome measurement tool developed in concordance with the conceptualization and formation of the CMOP and the PEO |
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the formulation of the overarching concepts and constructs are similar and reaffirming of those expressed in the CMOP and the framework |
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practitioners not adopting the framework |
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may have performance skills and patterns as more covert components of clinical reasoning |
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father of client-centeredness |
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-is flexible and open to needs of patient and family -embraces belief that everyone is capable of choice -centers upon needs of each individual, as expressed by them -is a partnership w/in which the therapist assumes the role enabler -measures success by accomplishment of outcomes as defined originally by the patient and negotiated through the interview process with the therapist -is essentially connected and congruent with the patient's context and environmental niche -it is an open and honest process with nothing covert or undeclared between the partners -it is supportive of patient autonomy -it enhances the collaborative nature of the therapeutic partnership between patient and therapist |
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revised model of Occupational Performance |
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included in Occupational Therapy Guidelines for Client-Centered Mental Health Practice
this model identifies the performance components of the person as physical, mental, sociocultural and spiritual with the model element being illustrated as the center of a flower.
The second layer are the petals occupational performance intermingled with the environmental elements |
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five themes found when interviewing and asking when it was challenging to maintain client-centeredness(in the mental health field) |
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1. patient reluctance to become involved in the occupational therapy process 2. dissonance between opinions or expectations of patients and therapists 3. Lack of fit between the patient decision and skill level 5. Difficulties in modifying the patient environment. |
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responsibility of therapist in client-centered relationship in times of quick discharge |
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be the stronger and more focused one in the partnership by providing suggestions, but listening with care and attention to how hose suggestions are received. |
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15 years ago(?) in response to a call from CAOT and health Canada
They looked to see what was out there in the way of assessments and interventions and found nothing |
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semi-structured interview designed to identify problems in occupational performance as articulated by the patient in partnership with the therapist. It is designed to work with the CMOP three distinct sections 1. self-care 2. Productivity 3. Leisure
2 scores given one for performance and one for satisfaction that are both self-rated.
designed to apply equally to all patients all ages, stages, conditions, cultural backgrounds
translated into 21 diff. languages in over 35 countries |
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only real requirements of COPM |
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the client-therapist relationship be built in a manner that supports and illustrates the core values and expectations of client-centeredness and that the therapist practices in an occupation-centered manner
particularly challenging in the mental health arena |
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7 areas that need addressing when using the COPM |
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1. legitimacy of client's point of view-really the expert? 2. Inclusion of other stakeholders-client needs to stay center 3.modifications of approach-may adapt the interview-use happy faces instead of numbers 4. using a proxy for the client-keeping it client-centered 5. ability to identify problems-may need therapy before-timing can be critical 6. memory problems and attention-don't have to administer in one sitting 7.cultural differences |
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test-retest reliability is the only type that is relevant. Over 80% |
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content criterion construct |
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responsiveness to change ease of administration adapts well across practice settings, patient/client populations, cultural environments and languages
Can be done in 15 minutes without any conversation (not recommended and can be lengthy). |
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occupational performance issues |
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