Canadian model of occupational performance and engagement

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The Canadian Model of Performance and Engagement (CMOP-E) was developed by the Canadian Association of Occupational Therapists in 1997, and described the transactions and the interrelationships between job performance dimensions This was applied by the accompanying Performance Process Model Work, which describes the therapeutic process from a client perspective The main model describes the relationship between people, work and the environment. Spirituality is the fourth dimension, placed in the middle of the model to highlight its fundamental importance.

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History

The current CMOP-E results from developments in occupational therapy covering thirty years. Initially inspired by the occupational performance framework proposed by the American Occupational Therapy Association and Reed and Sanderson. However, the call to develop a national quality assurance system led to its predecessor in 1983 - 'Client-Centered Guidelines for Occupational Therapy Practices'. The narrowing in the model is evident in further guidance statements and 'Enabling Enabling, A Canadian Occupational Therapy Perspective'. The national development model is a unique feature and so CMOP does not reflect the views of one individual. But while some consider the model lacking cultural bias and adaptation have been encouraged, little research has been done into the efficacy of its application in non-western societies.

Regardless of cultural relevance, Kielhofner identifies four characteristics of a well-developed model that CMOP possesses with multiple levels,

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Interdisciplinary Base

Client-centered practices initially evolved in psychology. It combines with systems approach, environmental theory and research into 'flow' by Csikszentmihalyi to provide CMOP with a broad interdisciplinary knowledge base.

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Theories about order, interruption and intervention

In CMOP-E, the work order has six perspectives - physical, psycho-emotional, socio-adaptive, neurointrative, developmental or environmental rehabilitation - in relation to areas of self-care performance, recreation and arbitrary productivity. Quality of function is judged in terms of performance and satisfaction Disorder can occur in the dimensions of people, work or environment, or when the momentum of experience is lost due to unresolved issues. Interventions aim to improve transactions between people, jobs and the environment, through a process of forgiveness rather than care. Empowerment involves working with clients to facilitate autonomy, and not focusing primarily on performance components

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Technology for app

Canadian Occupational Performance Measure (COPM) is a semi-structured interview developed to apply the model and is the sole judgment determined. This allows the freedom to choose other supporting judgments but also limits the application method to the model. The therapist praises the client-centered approach, the relatively fast administration, the role in promoting occupational therapy in multidisciplinary teams and compatibility with other assessment tools. However these properties are compromised by most therapists using COPM without training or knowledge of the model, especially when the tool is used without applying the model.

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Empirical Base

The majority of relevant research evidence relates to assessment tools rather than models. From this research, most have been in institutional settings, methodologies typically have medium to low credibility, and may be associated with the same therapist involved in model formulation. This model is said to apply to all age groups and diagnoses but some studies have explored its practical application.

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Further Developments

In July 2007, the Canadian Occupational Experts Association launched Canada's Canadian Occupational Therapy Practice Guide titled Enabling Work II: Advancing Occupational Therapy Vision for Health, Wellbeing & amp; Justice through the Occupation . The new publication is a companion for Enabling Employment: The 1997/02 Occupational Therapeutic Perspective and reflects the growth and development of professional knowledge in work-based, evidence-based and client-centered practices.

Enabling Work II advance the core concepts of employment and empowerment, and its application in practice with clients, education, and research. Based on the experience and research of more than 60 Canadian writers, Enabling Work II has led to complex sociocultural problems such as diversity, individualism and collectivism, language, economics and regulation.

Several significant developments were captured in this new guide, including a deeper discussion of employment, clear specifications on empowerment, practical characterization of job-based empowerment, and emphasis on scholarship, accountability, funding and manpower planning as leadership strategies.

The 2007 publication may be regarded as a 'three model' guideline:

• The Canadian Occupational Performance Model was expanded to include the concept of engagement;
• The Canadian Employment Performance and Engagement (CMOP-E) model illustrates a work perspective that includes and exceeds occupational performance; and
• The Canadian-Centered Client-Engagement Model (CMCE) captures professional historic concerns for client-centered practices, now linked to broader empowerment concepts.
• and the new Canadian Practice Process Framework (CPPF) illustrates eight action points for client-based and occupation-based activation processes.

CAOT encourages readers Enabling Jobs: A Perspective for Occupational Therapy 1997/2002 to continue to improve their understanding of occupational therapy by reading companion documents Enabling Work II: Advancing Occupational Therapy Vision for Health, Welfare , & amp; Justice through the Occupation . Readers are strongly encouraged to use CMOP-E as a substitute for the Canadian Occupational Performance Model (CMOP); CPPF replaces Job Performance Process Model (OPPM); and refers to CMCE to bring client-centered practices to life.

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External links

• Visit the on-line CAOT store, to purchase information
• For more information about Possible Occupy publications

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See also

• Townsend, E.A. & amp; Polatajko, H. J. (2007). Enabling Work II: Advancing Occupational Therapy Vision for Health, Wellbeing & amp; Justice through the Occupation . Ottawa, ON: CAOT ACE

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References

Source of the article : Wikipedia