MOHO Flashcards
Proponent of MOHO
Dr. Gary Wayne Kielhofner (1949-2010)
When was MOHO published
1980
CONCEPTUAL PRACTICE OF MOHO IN FOCUSED
- 4 Major components
- Most evidence-based
- Occupation Focused
- Client-centered OT Conceptual Practice
FUNDAMENTAL CONCEPTUAL IDEAS OF MOHO
- Embracing the complexity of the Occupation
- Components of the Person
- Environment Influences performance
- Occupational Performance
Dynamic System to produce behavior
Embracing the complexity of the Occupation
Dynamic and Context dependent
Embracing the complexity of the Occupation
Self-organization
Embracing the complexity of the Occupation
Result of motivation, patterns, performance capacity, and environmental influences
Embracing the complexity of the Occupation
Components of the Person
- Volition
- Habituation
- Performance Capacity
Motivation in choosing and performing the tasks.
Volition
Subcomponents of Volition
a. Personal Causation
b. Values
c. Interests
Organization of actions. Aims to make it regular and consistent
Habituation
How mental and physical abilities used to experience the task/activity
Performance Capacity
Subcomponents of Habituation
a. Habits
b. Roles
Subcomponents of Performance Capacity
a. Musculoskeletal
b. Neurological
c. Cardiopulmonary
d. Other body functions
CONCEPTS OF MOHO
- INPUT
- PERSON
- SKILLED ACTION/OCCUPATIONAL PERFORMANCE
- ENVIRONMENT
Understanding Occupational Performance (The actual doing)
- Skills
- Occupational performance
- Occupational participation
- Occupational identity and occupational competence
- Occupational adaptation
when he or she can choose, organize, and perform occupations that are personally meaningful
Function
Evaluate all parts of the entire human system
a. Performance Capacity
b. Habituation
c. Volition
inability to perform occupations, an interruption in role performance, and an inability to meet role responsibilities
Dysfunction
Assessment of Communication and Interaction skills (ACIS)
Non-Standardized/Observational Assessment
Assessment of Motor and Process Skills (AMPS)
Non-Standardized/Observational Assessment
Modified Interest Checklist
Self-Report Assessment
Occupational Performance History Interview, Version 2 (OPHI-II)
Standardized Assessment
Role Checklist
Self-Report Assessment
Occupational Circumstances Assessment Interview and Rating Scales
Standardized Assessment
Work Role Interview
Standardized Assessment
Used to assess the Interest of the client.
Modified Interest Checklist
Assess the Habituationand Volition components of human system
Role Checklist
Modified by Scaffa and developed by Kielhofner and Naville
Modified Interest Checklist
Designed for Psychiatric Patient
Modified Interest Checklist
Developed by Kielhofner, Oakley, and Barris
Role Checklist
6 STEPS OF THERAPEUTIC REASONING
- Generating
- Gathering
- Using
- Generating
- Implementing
- Determining
Questions about the client
Generating
Goals and strategies
Generating
Information on and with the client
Gathering
Information gathered to create an explanation of the client’s situation
Using
Monitoring therapy
Implementing
Outcomes of therapy
Determining
