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The model explains the ever-changing state of therapeutic interactions along a continuum between a discrete model and occupation-based practice. Occupation-based practice is defined as the use of occupation in assessment and therapeutic intervention approach working toward occupational outcomes. In contrast, discrete models are measurement and intervention approaches that follow an agenda other than health through occupation and could be recognized as a medical, educational, psychological perspectives.

The Canadian Occupational Therapy Inter-relational Practice Process (COTIPP) Framework, drawn from previous Canadian practice frameworks (i.e., the CPPF and CMCE), aims to describe the collaborative, inter-relational, and rights-based practice of occupational therapy. The COTIPP places ‘build and sustain relationship’ in the centre of the framework, indicating as the essential underlying process of occupational therapy practice. The outer edge of the framework contains an additional three foundational process that occupational therapists engage in throughout practice.

The Canadian Model of Occupational Participation (CanMOP) is described as an iteration of the Canadian occupation model, which assists occupational therapists to collaboratively reflect on occupational participation. Defined as having access to, initiating, and sustaining valued occupations within meaningful relationships and contexts, occupational participation is placed as a central focus in the CanMOP, guiding therapists look beyond occupational performance and engagement.

Theories, models, and frameworks provide the foundation for occupational therapy education, research, and clinical practice. While most have a systems approach focus, other factors, such as societal influences and structural inequities, also contribute to health. Using a cross-sectional design, this study identified the gaps in occupational therapy models of practice and presents a novel approach, the PAIRE (Recognize Privilege, Acknowledge Injustice, and Reframe Perspective to Reach Equity) Model.

This model of practice is based on the theoretical concepts relating to the child, environment, task, and the interaction among these key factors and the child’s participation in different occupations. A goodness-of-fit of those factors is necessary for successful participation in occupations.

This framework aims to describe and build mutual understanding on the central concepts, basic assumptions, and vision of occupational therapy practice. It consists of two sections:

The Vona du Toit Model of Creative Ability (VdTMoCA) (Van der Reyden et al. 2019) is founded on the theory of creative ability developed by South African Occupational Therapist, Vona du Toit (du Toit, 1974).   This model's unique contribution to the Occupational Therapy profession is understanding people in terms of sequential levels of creative ability. The term creative refers to one's ability to change in response to life‘s demands (the creation of oneself), as well as creation of tangible things and solutions to problems.

The Accountability-Well-being-Ethics (AWE) framework incorporates the humanist and contextualist perspectives to create a balanced foundation of client-centered profession. The conceptual cores include sociocultural, well-being, social/occupational justice, promoting capabilities, accountability, qualitative stories, contingency, hope, solidarity, person directed, coach/partner, and facilitating empowerment, in contrast to different concepts of biomedical health care. This framework is structured for use in education, research, and clinical practice for occupational therapy globally.

Agentic and victimic model of chronic pain management is a model explaining the agentic (active) and victimic (passive) approaches of clients towards chronic pain management. According to this model, the processes of “being”, “doing” and “becoming” interact and influence the “management” of clients.

The Lived Environment Life Quality Model (LELQ) aims to explicate the ecological complexities in using occupations to optimize quality of life of institutionalized people with dementia. This model focuses on factors that affect clients’ opportunity in occupational engagement, mainly on the social and physical environmental supports and barriers. It has two main domains, including the lived-environment domain (specifically for assessment and intervention) and the Quality of Life (QoL) domain (specifically for intervention goals and outcome).