OPPM en CPPF PDF

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Extra info bij OPPM en CPPF...

Description

OPPMandCPPF Aninteractiveguidetoclinicaldecision‐making

McMaster OT Lens Occupation Spirituality Development PEO

Fine Theoretical Approach Assessment Tuning Treatment

Outcome

Assessment 1 2

Assessing the Client’s Occupational I ssues

Assessment of underlying

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person, environment, and

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occupation components that are contributing to the client’s occupational issues.

Intervention 1 2 Development and implementation

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Treating the Client’s Occupational I ssues

of intervention strategies and

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specific treatment techniques to address the client’s occupational goals (i.e., targeted outcomes)

OPPM Enabling Occupation, 1997

CPPF Enabling Occupation II, 2007

CAOT 2009… CPPF & OPPM 1

Objectives • ToprovideanoverviewoftheOccupational PerformanceProcessModel(OPPM)andthe CanadianPracticeProcessFramework(CPPF) • Toadvanceviewers’ understandingof similaritiesanddifferencesbetweenthe processmodels • Todemonstratetheapplicationofthese modelstopracticethroughtheuseofavideo casestudy

ApplicationtoPractice: ComparisonoftheOPPMandCPPF

ComparisonofOPPM&CPPF: Similarities • Provideastructuredprocessofassessment, intervention,andevaluation • Requireidentificationoftheoreticalperspectives • Recognizetheimportanceofcollaborative,client‐ centredrelationships • Canbeusedwithindividuals,groups,and organizations • Recognizetheimportanceofthecontextin influencingtheprocess

ComparisonofOPPM&CPPF: BeginningtheProcess CPPF

OPPM

Identifyandprioritize OIsandOGs

Name,validateandprioritize OPIs

Actionpoints1and2explicitly include:

Stage1involves:

•Informedconsentofclient •Occupationalself‐assessmentofabilityto takeonparticularclient •Discussclient/therapistexpectations, values,andboundaries •Emphasisonimportanceofgathering clienthistoryandestablishingtherapeutic rapport

•Beginningtheclient‐therapist relationship •Listeningtotheclient’sstory •Learningaboutclient’shistoryrelated tooccupation •Attendingtotheskillsneededasa therapist •Screeningforissuesin occupationalperformance

ComparisonofOPPM&CPPF: ContextofPractice CPPF

OPPM

DescribestheSocietalContext which encapsulatestheprocess: •Therapistandclienteachperformand engageindiverseenvironments(cultural, social,physical,institutional)asdistinct individuals

•Societalcontextisnotlabeledasa separateelementreferredtointhe process– isdescribedinaseparate section/chapter

DescribesthePracticeContext which encapsulatestheprocess: • Embeddedinsocietalcontext • Bringstogetherbothindividuals’ personal andenvironmentalfactors

•Practicecontextisimplied throughouttheprocessbutnot explicitlylabeled– isdescribedina separatesection/chapter.

ComparisonofOPPM&CPPF: TheRoleofTheory CPPF

OPPM

•“Framesofreference” includes theories,modelsofpractice,and servicedelivery

•“Theoreticalapproaches” organizedinto: ‐ Conceptualmodels ‐ Modelsofpractice

•Depictsframesofreferenceas encapsulatingallactionpoints

•Enterusinganoccupation‐based conceptualmodel(e.g.CMOP) •Stage2focusesonselectionoftheoretical approachtoguideassessmentand intervention

•Framesofreferencesareidentified •Theoreticalapproachesremainconstant intheactionpoint2andrevisited throughoutthepracticerelationship throughouttheprocess. ormayberevisited.

ComparisonofOPPM&CPPF: Assessments CPPF

OPPM

•Actionpoint2involvesaclientreport •OPIsareselectedduringStage1 ofpotentialoccupationalissues(OIs) •Furtherassessmentiscarriedout • Afterassessmentoccursinaction duringStage3 point3OIsareconfirmedandprioritized •Suggestsflexibilityindecidingupon occupationalgoals •Does notincludespecificsectionfor identifyingstrengthsandresources (Addressedinsocietalandpractice context)

•Stage4requiresthetherapistto identifystrengthsandresourcesthat mayhelpwiththeclient’sintervention process

ComparisonofOPPM&CPPF: Language/Terminology CPPF

OPPM

Language • OI: OccupationalIssue • OG: OccupationalGoal • OccupationalEngagement

Language • OPI: OccupationalPerformanceIssue • Targetedoutcome • Actionplan

•Framesofreference

•Theoreticalapproaches

•Proceedsthroughactionpoints

•Proceedsthroughstages

•AppliestheCMOP‐E •AppliestheCMOP •Focusonenablingoccupationalperformance •Focusisonenablingoccupationalperformance andengagement •CanadianModelofClient‐centred Enablement

•Embeddedinconceptsofclient‐centred practice

ComparisonofOPPM&CPPF: Intervention/Conclusion CPPF

OPPM

•Actionpoint6requiresthetherapistto •Nospecificstageformonitoring reviewandmonitorprogress,adapting progressoftheclientbeforefinal plansasnecessaryuntilfinalevaluation evaluationofOPoutcomes

•Includesaconclusionstage(action point8)withspecificobjectives

•Laststage(stage7)leadsintervention toeither“resolved” or“unresolved” state,butdoesnotidentifyaseparate stageforconclusion

ComparisonofOPPM&CPPF: ProcessPathway CPPF •Depictsdifferentpathways:options foralternateorabbreviatedpathways thatmaybeutilizedincertain situations

OPPM •Alternatepathwaysarediscussedinthe descriptionoftheOPPMbutnot explicitlyintheprocessframework

•Actionpoint7providestheoptionof •Doesnotopenlystatehowa goingbacktoactionpoint4ifOIshave practitionermightwanttoloopbackto notbeenmetornewOIshavearisen. earlierstagesifnewOPI’sariseduring therapy butisintendedtobeflexibleand dynamic(CAOT,1997,p.59)

Information is gathered about client & how OP issues were identified (e.g. chart review, observation, interview, COPM); list OP issues

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Relate outcome results back to OP issues

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gies

Identify and document theoretical approach(es) and model(s) of practice used to plan for: • further assessment of relevant OP area • assessments of OP components & environmental conditions

UNRESOLVED 7

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Evaluate OP outcomes after intervention

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Document intervention strat

AN OPPM TEMPLATE Law & Vrkljan, McMaster University,2007

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Identify and document assessment findings & confirm theoretical approaches

Identify and document key strengths & resources of client, family, therapist, system

Document targeted outcomes and intervention plan to address OP issues

Information is gathered about client(s) & how Occupational Issues (OIs) were identified (e.g. chart review, observation, interview, COPM);

Identify Assessment tools and document assessment findings

List OIs

Enter/ Initiate

Frames of Reference (Theo

Setthe Stage

Document occupational goals & intervention plan to address OIs

Carry out Interventions

Assess/ Evaluate Agreeon objectives/Plan

Implement Plan

Relate outcome results back to OIs

Modify/Monitor as necessary

Monitor/Modi fy

Frames of Reference (Theory)

Evaluate Outcome

Evaluate/ Exit

Evaluate outcomes after intervention

A CPPF Template (Vrkljan, Forhan, & Law, 2010)

Identify and document key strengths & resources of client, family, therapist, system

[Frames of Reference] Identify and document theoretical approach(es) and consider model(s) of practice - used to plan for: • Assessment of relevant OI area, components, and environment (context) •Interventions...