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Definition
Difficulty in occupational performance Caused by personal factors such as developmental delay Caused by occupational factors such as a job becoming obsolete Caused by environmental factors such as limitations of access in the community
Basis of problems is a mismatch between the person and the environment or between the person and the occupation |
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Term
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Definition
canadian occupational performance measure
Designed to help client and therapist identify problems in occupations (self care, productivity and leisure) Considers the client to be the expert Uses a semi-structured interview format Takes around 30-45 minutes Is designed to be used as an outcome measure
Believe what they say to be true. Go with the information the client gives you.
Ass person early on and then reassess and then look for change over time. Not comparing against a norm but comparing the person to self. A within person look at improvement. |
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nature of intervention in CMOP |
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Client Centered Enablement Therapist respects the clients opinions Responsibility is shared between client and therapist Therapist provides information to help the client with the task of making decisions about occupational needs |
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role of therapist in CMOP |
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Guides Teaches Coaches Prompts Listens to Reflects on Encourages Collaborates |
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Term
seven step intervention process used by therapist in CMOP |
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Definition
1.Name, validate and prioritize occupational performance issues
2.Selects appropriate additional theoretical approaches to address problems
3Identifies occupation performance components and environmental conditions contributing to identified problems in occupational performance
4. Identifies clients' strengths and resources
5. Negotiates targeted outcomes and develops actions plans
6. Implements Plan
7. Evaluates occupational performance outcomes |
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Term
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Definition
Mostly focuses on the development and examination of the COPM Reliability is good Validity is good in that it does test the perception of performance Concurrent validity is poor, it does not correlate well with other tests Ability to measure change is good
If person doesn’t see a problem then it isn’t a problem in this model. |
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contributions of the CMOP model |
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Definition
Identified the importance of the client centered collaborative approach The assessment tool (COPM) reinforces client centered practice Attempts to address the issue of spirituality Can be broadly applied to many populations
Model attempts to assess the framework ideas. It is the only one that does that. |
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Some would argue that spirituality should not be at the center Some think occupation should be at the center Clients are considered the experts on themselves. Are they really? |
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In 2007 the model was expanded to include the concept of engagement and it was renamed, “Canadian Model of Occupational Performance and Engagement” CMOP-E |
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“A pervasive life force, manifestation of a higher self, source of will and self –determination, and a sense of meaning, purpose, and connectedness that people experience in the context of their environment” (Canadian Association of Occupational Therapists, 1997, p. 182) |
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Developed by task force of Canadian occupational therapists in 1980s |
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Psychology Systems Theory Environmental Influence is Important Concept of “Flow” Empowerment and Justice
Flow-immersion in an activity that causes a person to lose track of time.- Mary drumming. Occupational justice is an important idea to learn. Entitled to have access to occupations. |
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Definition
Occupational Performance
Therapy Process Being the Result Of Relationship Between The Client and Therapist |
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Term
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Definition
The person is connected to the environment and occupation occurs as an interaction between the person and the environment Change in any part of the person-environment-occupation interaction affects the other parts and consequently, performance
The person is at the center to highlight the nature of the client centered perspective
Spirituality is at the core of the person and shaped by the environment and that which gives meaning to occupations |
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Term
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Definition
Developmental Perspective, “The relationship between the person, the environment, and occupations change over the lifespan in response to opportunities and challenges that shape each person’s occupational life course” (Kielhofner, 2004)
Occupation gives meaning to life Occupations are important to health and well being Occupation organizes behavior Occupation develops and changes over time Occupation shapes and is shaped by the environment Occupation has therapeutic effectiveness |
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Term
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Definition
The Canadian Occupational Performance Measure (COPM)© is an individualized outcome measure designed to detect change in a self-perception of occupational performance over time |
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