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The behavioral frame of reference (FOR) emphasizes on the use of behavioral modification to shape behaviors, which purports to increase the tendency of adaptive behaviors or to decrease the probability of maladaptive learned behaviors. The key concepts in this FOR include:

The cognitive-behavioral frame of reference (FOR) emphasizes five aspects of life experience: thoughts, behaviors, emotion/mood, physiological responses, and the environment. These aspects are interrelated, meaning that changes in one factor can lead to improvement or deterioration in other(s). Each is influenced by the social and physical environments. One key theoretical component in this FOR is the hierarchical levels of cognition. Automatic thoughts is the most accessible, which are uninvited and immediate thoughts. Beliefs are conditional beliefs we hold about ourselves.

The Model of Co-Occupation suggests that co-occupation is characterized by shared physicality, emotionality, and intentionality in an occupation with another person(s). Co-occupation is an occupation involving other person(s), which is interactive and responsive. Some examples are that students work together on a project or a mother puts her infant to the bed. Solitary occupations do not involve another person(s); some examples are ADL activities or playing solitaire.

Psychospiritual integration frame of reference (FOR) emphasizes the nature of spirituality, the expression of spirituality in every occupation behavior, the nature of spiritual occupation, and the influence of spirituality and spiritual occupations on health and well-being. This FOR defines that spirituality is constructed of an integral harmony of six qualitatively distinct dimensions and each dimension is considered as an ever-expanding continuum with increasing depth and vastness. The six dimensions are:

The Framework of Doing-Being-Becoming describes the theme of “doing”, “being”, and “becoming” in occupational therapy practice. In this framework, “Doing” refers to occupation and occupational performance of an individual, which is essential for the individual to interact with others and develop own identity, and to create and shape the society. “Being” refers to being true to self, that people are required to spend time thinking and reflecting themselves. This helps an individual describes and sustains the own roles.

The occupational adaptation frame of reference (FOR) focuses on the adaptation process when a person encounters occupational challenges. Three basic elements of this FOR are the person (including sensorimotor, cognitive, psychosocial system), the occupational environment (including work, play and leisure, and self-maintenance) and the interaction between these two elements. Each of the elements is consistently influenced by a constant, respectively.

The Life Balance Model (LBM) focuses on satisfying pattern of healthful, meaningful, and sustainable activities within context of an individual’s current life circumstances. The model purports that the composition of everyday activity should enable people to address these need-based dimensions, they are (1) meeting basic instrumental needs necessary for sustained biological health and physical safety, (2) having rewarding and self-affirming relationships with others, (3) feeling engaged, challenged, and competent, and (4) creating meaning and a positive personal identity.

The Canadian Model of Client-Centered Enablement (CMCE) is a model using visual metaphor to show the therapist-client relationship and client-centered enablement. According to the model, enablement is the core of occupational therapy, which helps guide reasoning and choices in the therapy. It is made up of two lines and a series of “enablement skills”. The two lines in the model represent clients, who may be individuals, groups, communities, organizations, or populations, and therapists, respectively.

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.

The Occupation-Centred Assessment with Children (OCAC) framework is a top-down, family-centered, ad ecological assessment approach that provides a holistic view of children and their occupational performance within their naturalistic contexts. OCAC focuses on occupational performance issues most relevant and important to a child and his/her family. These may include leisure/play, productivity/school, self-care/activities of daily living, as well as time use, roles, habits, identity, and activity patterns.