CMCE Flashcards
CMCE
Canadian Model of Client-Centered Enablement - graphic representation of the core competency enablement
Enablement Skills (10)
Adapt, Advocate, Collaborate, Coordinate, Coach, Consult, Design/Build, Engage, Educate, Specialize
Continuum of Enablement (4)
- Ineffective enablement
- Missed enablement
- Minimal enablement
- Effective enablement
Characteristics of Ineffective Enablement
- Negative & potentially destructive
- Knowing best with limited input
- Co-dependence
- Alienation through expert dominance, overbearing zealousness, misunderstanding
- Fractured relations, value clashes
- Incongruence, non-resonance, unresponsiveness, irrelevance
- Potentially offensive
- Ineffective use of resources
- Accountability skewed to interests for cost cutting, safety, etc., little mediation of client interests
Characteristics of Missed Enablement
- Mutual agreement of no need for professional engagement
OR.. - Missed opportunity, vision, conditions for enabling
OR.. - Insufficient resources: human or financial
- Unsuitable sociocultural, physical, and/or emotional conditions
- Unsuitable accountability for what might have been done
Characteristics of Minimal Enablement
- Non-generative
- Single-issue focus mechanistic, perspective, risk averse to just-right-challenge
- Over-reliance and faith in expert’s definition and prediction of risk
- Socio-cultural restrictions
- minimal resource allocation
- Accountability stresses technical interventions
Characteristics of Effective Enablement
- Positive and generative
- Mutual and valued process
- Mediated, negotiated values, beliefs, etc
- Congruence and resource
- Seizing opportunities, new possibilities
- Balance risk taking, just-right- challenges
- Appreciative of limited knowledge regarding risk
- Shared expertise and responsibility
- Grounded in hope
- Attentive to structured inequity, diversity, injustice in enabling individual and social change
- Accountability for enablement conditions, processes and outcomes
Purpose of CMCE
- The purpose of occupational therapy is “effective, positive enablement to advance health, well-being and justice”
- The Canadian Model of Client-Centred Enablement (CMCE) is a graphic representation of the core competency of enablement
- It serves as a “visual metaphor for client-centred enablement”
Define Enablement
“… the core competency of occupational therapy, drawing on an interwoven spectrum of key and related enablement skills which are value-based, collaborative, attentive to power inequities and diversity, and charged with visions of possibility for individual and/or social change.”