MODELS JM Hibberd Philosophy Paradigm Theory Model Frame

MODELS JM Hibberd

• • Philosophy Paradigm Theory Model Frame of reference Approach Etc…

The meaning of words… “There’s glory for you!” “I don’t know what you mean by ‘glory, ’” Alice said. Humpty Dumpty smiled contemptuously. “Of course you don’t – till I tell you. I meant, ‘there’s a nice knock-down argument for you!’” But ‘glory’ doesn’t mean ‘a nice knock-down argument, ’” Alice objected. “When I use a word, ” Humpty Dumpty said, in a rather scornful tone, “it means just what I choose it to mean – neither more nor less. ” Hagedorn R (2001) IN Duncan EAS (2006) Foundations for practice in occupational therapy, 4 th ed. Edinburgh: Churchill Livingstone 3

The importance of theory to practice Research Theory Clarity of purpose Professional identity Common understanding Professional development Turner A, Foster M, Johnson SE (2006) Occupational therapy and physical dysfunction, 4 Edinburgh: Churchill Livingstone, p 50

References Turpin M. J. & Iwama M. K. (2011) Using Occupational Therapy Models in Practice: A Field Guide, Elsevier Health Sciences Ren Wong S. & Fisher G. Comparing and Using Occupation-Focused Models, 29: 3, 297 -315 DOI: 10. 3109/07380577. 2015. 1010130

Top 3 • CMOP-E • MOHO • PEOP

Factors impacting on clinical application • Lack of understanding of occupational concepts, models and interventions • Lack of consensus and consistency in use of concepts [Lee et al. , 2009; Nelson, 1996; Wood, 1996 IN Ren Wong S. & Fisher G. 92015) Comparing and Using Occupation-Focused Models, 29: 3, 297 -315 p 298] This Photo by Unknown author is licensed under CC BY-SA-NC.

Occupation focused models 'provide an overarching context of occupation that emphasizes the occupational therapist’s unique perspective on a client’s ability to engage in activities and participate in life' 'attempt to explain the relationship of occupation, person and environment' (Cole and Tufano, 2008 p. 61)

CMOP-E concerned with fundamental principles of client-centred practice, social justice and enablement. Spirituality at heart of the model. Components of person, occupation & environment MOHO emphasis on a person's dynamic intrinsic adaptation resulting from occupational participation. Unidirectional arrows represent agency and adaptation through personal aspects (volition, habituation and personal capacity) affecting skills, occupational performance and occupational participation PEOP provides a framework illustrating influence of factors relating to the person (intrinsic factors) & environment (extrinsic factors) on occupational performance and participation

OMP & CMP • Organising Model of Practice [e. g. CMOP-E; MOHO; PEOP]: guides overall assessment and treatment planning • Complementary Model of Practice [e. g. a frame of reference]: If deemed complementary to the OMP as treatment progresses

OMP & CMP • MOHO: [Organising Model of Practice] assess personal causation and habituation, this ensures that therapy is individualised and incorporates roles, interests and priorities • PEOP: [Complementary Model of Practice] which environmental factors act as enablers or barriers to independence? This Photo by Unknown author is licensed under CC BY.

Mixing it all up. . .

'. . . for occupational therapy to stay at the forefront of its unique knowledge, evidence-based theories and models of practice need to be constantly championed and applied in all domains of practice' (Wood, 1996 p 298 IN Ren Wong S. & Fisher G. (2015) Comparing and Using Occupation-Focused Models, 29: 3, 297 -315) 'Conceptual frameworks assist us to demonstrate that our knowledge base isn't just common sense' (Turpin & Iwama, 2011, p 1)

Reflection and Feedback • What's your take on models? • What are your next steps [even if you are an expert]?