OT Practice Models

Briefly: People are open systems whose occupational performance is influenced by both internal and external factors, including their personal attributes and environmental contexts.

Serious illness: An occupation- and client-centered model that asserts engagement in occupation promotes and maintains health and well-being. Engagement is often significantly impacted for clients with serious illness, necessitating occupational adaptations to facilitate participation in meaningful, chosen occupations.

For more information, follow link to MoHO page.

Briefly: A framework that conceptualizes occupation as not just activities or actions but as something that contributes to a sense of identity and feeling human (Christiansen, 1999).

Serious illness: This framework is centered around four dimensions: doing (of occupation), being (true to one's self), becoming (self actualization and growth), and belonging ("the sense of being included" (Hammell, 2004)). Serious illness may deprive clients of their right to occupation and, subsequently, their right to feel whole and fulfilled as themselves and as human beings.

For more information, follow link to DBBB page.

Briefly: A framework that emphasizes a dual focus in which a client's occupational engagement is balanced between "focusing on life" and "preparing for death" (Hammill et al., 2019, p. 152).

Serious illness: Clients’ needs and priorities change with treatment and/or disease progression, necessitating flexible and responsive care to reflect the changing nature of their needs. This framework can be used to determine where on the FLPD continuum clients are located to help them articulate and/or identify specific priorities.

For more information, follow link to FLPD page.

Briefly: An OT model specific to palliative care that is designed to guide intervention based on occupation and articulate OT's role in palliative care.

Serious illness: OT practitioners often feel underprepared to serve seriously ill clients, especially those at the end of life, and uncertain about their role (Essential Yeh & McColl, 2019; Hammill et al., 2019). This model supports OT practitioners in developing occupation-based interventions for their clients with serious illness and feeling more confident and competent in addressing their unique needs.

For more information, follow link to MOB-PC page.