Synthesis of Child, Occupational, Performance, and Environmental-In Time model (SCOPE-IT)

  • The Synthesis of Child, Occupational, Performance, and Environmental-In Time (SCOPE-IT) model aims to enhance children’s occupations and occupational performance. It considers children’s growth and maturity in occupational engagement by the course of development. Through participating in daily activities, children develop their occupations and enhance their performance. The type and time devoted in an occupation differs in one’s life course. As a result, the SCOPE-IT model has six assumptions,

    1. Children are occupational and social beings,
    2. The use of occupation is the underlying foundation of occupational therapy and is equally important both as means and as an end,
    3. Occupational performance is influenced by personal, environmental, social, cultural, and temporal factors,
    4. Occupational development occurs through a dynamic process involving innate drives and guided participation,
    5. Engagement in occupation brings about change,
    6. Occupational engagement influences health and well-being.

    In evaluation, the SCOPE-IT model utilizes both top-down and bottom-up perspectives by considering the synthesis of the child’s occupational performance components, occupational engagement, and environment context for that specific developmental stage. Practitioners attempt to identify strengths (i.e., function), barriers (i.e., dysfunction), and motivational factors in the four areas (including work and productivity, play and leisure, ADL and self-care, and rest and sleep). Interventions using the SCOPE-IT model emphasized a holistic approach. Interventions include facilitating children’s intrinsic motivation, caregiver education, empowering the environment, selection of occupation, etc, in order to maximize the child-environmental-occupation fit.

Summarized by

  • Macey Cho

Type

  • Model (conceptual)

Population

  • Child

Disability

  • All

Domain of occupation

  • Work
  • Education
  • Play
  • Leisure
  • ADL
  • Rest and sleep

Application Note

  • Evaluation on person, environment, occupation with emphasis of temporal factor

Key Reference

  • Haertl, K. (2010). A frame of reference to enhance childhood occupations: SCOPE-IT. In P. Kramer & J. Hinojosa (Eds.), Frames of reference for pediatric occupational therapy (3rd ed., pp. 266-305). Philadelphia: Lippincott Williams & Wilkins.

Year Published

  • 2010

Primary Developer

  • Kristine Haertl

Primary Developer Email

  • klhaertl@stkate.edu

Related Models

Framework of Doing-Being-Becoming

  • 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.

Ecology of Human Performance framework (EHP)

  • The Ecology of Human Performance framework (EHP) focuses on the relationship between several important constructs in occupational therapy; they are person, context, task, performance, and therapeutic intervention, in order to get a throughout understand of human occupation. The person construct is one’s experience and his/her sensorimotor, cognitive, and psychological skills and abilities. Then the person construct is surrounded by a circle symbolizing this person’s context (including temporal, physical, social, and cultural contexts).

Occupational Performance Model (Australia)

  • The Occupational Performance Model (Australia) is a model proposing that people fulfill their occupational performance roles by engaging in routines, tasks and activities, in the domains of self-maintenance, productivity, leisure and rest, in the process responding to internal and/or external demands of the environment. This model assumes that engagement in occupations provides the sense of competence, autonomy, temporal organization, and meaning of existence to individuals. It focuses on activation of person-environment relationship through participation in occupations.

Partnering for Change Model (P4C)

  • The Partnership for Change (P4C) model emphasizes the therapists’ partnership with the educators and parents to change the life and environment of a child who has motor difficulties (or developmental difficulties). The partnership focuses on the collaboration of building capacities for the teachers and parents in enhancing daily environment for the child. The core activities of occupational therapists under the P4C model are relationship building and knowledge translation with the school and parents. It consists of three steps. The first step is universal design for learning.

Model Type

Population

Disability

Domain of Occupation

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