1. Person-Environment-Occupation

2. Basics- Canadian Originated from Rogers and Maslow’s theories
Authors: Law, Baptiste, Townsend et al
McMaster University in Canada 1990’s
CAOT (1997). Enabling Occupation: An Occupational Therapy Perspective.
Preceded the Practice Framework

3. Basics- PEOP
Influenced by Maslow, Kielhofner & Burke, Reilly, Reed & Sanderson, Law
Authors: Christiansen & Baum (2005) Occupational therapy: Performance, participation, and well-being (3rd ed).

4. Roles of therapist and client
OT is enabler, facilitator, coach
Client is the expert re performance issues
Goal of therapy: empowering client to perform valued activities in context

5. Six Principles of Client-Centered
Client autonomy and choice
Respect for diversity
Therapeutic partnership and shared responsibility
Emphasis on enablement & empowerment
Contextual congruency
Flexibility

6. Big picture
Occupational performance is the result of the dynamic interaction between the person, environment and the occupation.
When one changes, everything else is affected and performance changes.
So, performance changes over time.

7. PEO Through the Lifespan
Person
Environment
Occupational Performance
Occupation

8. Canadian Model of Occupational Performance
Institutional
Cultural
Occupation
Self-care
Affective
Social
Spirituality
Productivity
Person
Cognitive
Physical
Leisure
Environment
Physical

9. Definitions

10. Occupational performance
Ability to choose, organize, and satisfactorily perform meaningful occupations that are culturally defined and age appropriate for looking after one’s self (self care), enjoying life (leisure), and contributing to social and economic fabric of community (productivity).

11. Spirituality
The essence of the self Our truest self, and Something which we attempt to express in all our actions
Who we were before we added all those conditions of worth

12. Physical environment
Natural and man made surroundings, geographical topography

13. Institutions
Policy and decision-making processes and organization procedures such as religious, judicial, educational, and other practices
For example, LSUHSC procedures, dress code, etc.

14. Cultural environment
Beliefs, values, artifacts, tool use, ceremonial practices, ethnic and racial affiliations
For example, for someone from New Orleans: Catholicism, Mardi Gras, King cake, crawfish boils, Jazz music

15. Social environment
Family, friends, community associations, networks, work associates, etc

16. Occupations Everything people do to occupy their time
Consisting of actions (discreet actions necessary to complete a task)
For example, making lasagna is a task in which grading the cheese is an action.
abilities<action< task < occupation<roles

17. Assumptions

18. Occupation is . . . Basic human need Determinant of health
Source of meaning, self-identity, choice and control, balance and satisfaction
Means of organizing time, materials, and space
Generating income
Therapeutic medium

19. Spirituality is . . . Innate essence of self
Quality of being uniquely and truly human
Expression of will, drive and motivation
Source of self determination and personal control
Guide for expressing choice

20. The environment . . . Easier to change than the person
Constantly changing- requiring person to change
Has enabling and constraining effects on performance
Should be considered when designing interventions

21. Occupational therapy process . . .
Guides development of collaborative partnerships
Integrates theory with practice
Flexible and dynamic
Action-oriented
Leads to client outcomes & guides evaluation of client outcomes
Applicable to all clients in diverse environments

22. CMOP: Occupational Performance Process Model
1. Identify Performance Issues
2. Select Theory
3. Identify task components and environment
7. Evaluate outcome
4. Identify strengths and resources
6. Implement plan using occupation
5. Negotiate goals and plan

23. Assessments
Canadian Occupational Performance Measure (COPM)

24. Expected outcome
Improved fit among PEO which results in optimal occupational performance

25. Person Environment Occupation loves adventure, sports
good upper body strength
loss of B LE control & sensation
spasticity in LE?
intact cognitive skills
disrupted role, routines
loss of previous leisure
Person
Occupation
Environment
occupational performance in role of athelete
cold, wet, slippery, visibility?
safety risks (snow, temperature, trees)
seasonal, time limited due to cold
athletic, sports culture
social supports, coaches
adapted ski chair, poles
ski lift
clothing
negotiate process, trust
balance, concentration, strength, motor planning