CMOP-E Flashcards
6 PRINCIPLES OF CLIENT CENTERED PRACTICE
- Client Autonomy and Choice
- Respect for diversity
- Therapeutic partnership and Shared Responsibility
- Enablement and Empowerment
- Contextual Congruence
- Accessibility and Flexibility
tendency to move up toward the peak of Maslow’s Hierarchy of needs
formative tendency
First step in client-centered practice is to listen to the client and to gain a clear understanding of his/her culture, values and beliefs
Client Autonomy and Choice
collaborative partnership implies that both therapist and client come to the table as equals, each with his/her own expertise
Therapeutic partnership and Shared Responsibility
Unconditional positive regard: refrain from making value judgement about the client’s character based on our standards and viewpoint
Respect for diversity
using our OT knowledge, skills and techniques to assist the client in doing something he or she wants to do
Enabling occupation
letting go of control and trusting the client to carry out a plan of action
Empowerment
Context are external or environmental considerations that influence the performance of an activity or occupation.
Contextual Congruence
Each client is an individual with a unique experience of a health condition, and a configuration of contextual factors that influence his/her problems with occupational performance
Accessibility and Flexibility
COMPONENTS OF CMOP-E
- Person
- Environment
- Occupation
Strength and energy, flexibility, range of motion, endurance, and pain.
Physical Factors
thinking, reasoning, memory, perception, communication and motor planning
Cognitive Factors
feelings, attitudes and affects a person’s motivation, self-concept and relationship to others
Affective factors
pervasive force, manifestation of a higher self, source of will and determination, and a sense of meaning, purpose and connectedness that people experience in the context of their environment. Experience of meaning
Spirituality
home, classroom, workplace, or natural environment
Physical
family, coworkers and community organization
Social
may overlap social and includes religious, ethnic and political factors
Cultural
political and social systems that afford opportunities and provide rules and limits to one’s occupations
Institutional:
occupations for looking after the self
Self-care
occupations that make a social or economic contribution or that provide for economic sustenance
Productivity
occupations for enjoyment
Leisure
- Interaction from the interaction of all three components
OCCUPATIONAL PERFORMANCE
occupational performance is best defined by each individual based on his/her experience rather than therapist observation
Client-centered approach
“what we do is who we are”
OCCUPATIONAL SCIENCE
OT views the client as an equal partner in establishing goals and priorities and designing intervention
Respect
treating the client as a person worthy of our respect. Responding to clients with humanity, they are encouraged to put their trust in us as therapist.
Genuineness
OTs set aside any possible biases about the client based on appearance, social, cultural, or any other that may lead to possible misconception
Nonjudgmental acceptance
the art of nondirective therapy by using prompts and open questions that encouraged the client to establish the direction of therapy.
Nondirective style
the highest level of achievement at the peak of Abraham Maslow’s pyramid. People have an innate desire to be the best they can be. To achieve their human potential.
Self-actualization
Primary method of therapeutic change
TUS
We can see the “Cause-Effect” phenomenon
POSTULATES REGARDING CHANGE
OT and client focus together on the perceived difficulties in the person’s occupational performance areas of self-care, productivity and leisure
Canadian Occupational Performance Measure (COPM)
Steps in CMOP-E
- Filling out Demographic Information
- Identifying Difficult Activities
- Prioritizing the Identified Activities
- Rating: Performance and Satisfaction
- Scheduling Re-assessment
INTERVENTION PROCESS
Stage1: Biomedical Rehabilitation
Stage2: Client-centered rehabilitation
Stage 3: Community Rehabilitation
Stage 4: Independent Living
Aims at helping the client attain improved self-esteem, mastery, and resourcefulness.
Stage2: Client-centered rehabilitation
This is a limited phase aimed mainly at enablement of the client to reach optimum mental, physical, and/or social performance potential.
Stage1: Biomedical Rehabilitation
This is where specific mental, physical, and/or social-skill deficits that limit occupational performance are addressed.
Stage1: Biomedical Rehabilitation
Opportunity to become engaged, learn, interact effectively with the environment, and thus adapt.
Stage2: Client-centered rehabilitation
Client learns problem-solving skills and strategies that are necessary for effective and satisfactory performance of occupations that are meaningful
Stage2: Client-centered rehabilitation
Offered opportunities to engage in occupations
Stage2: Client-centered rehabilitation
Therapeutic interventions at this stage may include assessment of buildings to ensure accessibility, advocacy for accessibility of facilities and services for people with psychosocial dysfunctions, and so on.
Stage 3: Community Rehabilitation
The therapist acts as an advocate and works to facilitate elimination of barriers, whether physical or attitudinal
Stage 3: Community Rehabilitation
Therapist works with independent living agencies to ensure that clients have access to employment, housing, health care, transportation, education, and so on
Stage 4: Independent Living
To empower clients so that they have access to all resources and are able to fully participate in society.
Stage 4: Independent Living
The therapist collaborates with the client so that the focus of therapy continues to be performance of those occupations that are meaningful to the client; are age-appropriate; contribute to self-care, enjoyment of life, and contribution to society; and are recognized and expected in the client’s culture.
Stage 4: Independent Living
