Canadian Model of Occupational Performance and Engagement (CMOP-E)
The Canadian Model of Occupational Performance and Engagement (CMOP-E) is an occupational performance model, which is evolved from the Canadian Model of Occupational Performance (CMOP). The CMOP-E includes three main components: person, environment, and occupation. In this model, the inner part represents “Person”, and its center is the spirituality of a person. The other components surrounding a person’s spirituality are affective, physical, and cognitive abilities. The intermediate circle represents “Occupation”, which is performed by the person in the environment and includes three domains of self-care, productivity, and leisure. The outermost circle represents the external “Environment” including physical, social, cultural, and institutional environment of the client. The interaction between the person, environment and occupation results in occupational performance, which is the ability of a person to perform occupations and daily engagements. When compared to the CMOP, the CMOP-E goes beyond occupational performance to cover the concept of the occupational engagement. This expansion is related to how this model can be used to enable clients to choose and perform their meaningful occupation in their environment. In evaluation, occupational therapists can use the Canadian Occupational Performance Measure (COPM) to identify the level of difficulty in the client’s occupational performance. The client can also give scores to the level of satisfaction and performance of those identified difficult occupations. Occupational therapists are thus able to provide treatment according to the client’s individual needs. This will help occupational therapists to develop client-centered treatment plan, and it will also allow the client to engage in treatment planning and increase their motivation and compliance in treatment.
Domain of occupation
This model may need to consider clients’ cognitive level and adapt the way to use the COPM for evaluation.
Townsend, E. A., & Polatajko, H. J. (2007). Enabling occupation II: Advancing an occupational therapy vision for health, well-being, & justice through occupation. Ottawa: CAOT Publications ACE.
The Functional Model of Cognitive Rehabilitation (FMCR) applies general concepts from the Canadian Model of Occupational Performance (CMOP). It aims to complement to the CMOP for choosing, organizing, and performing useful and perceived meaningful occupations in order to addresses the cognitive performance component. In the CMOP, the cognitive performance components include perception, concentration, memory, comprehension, and judgement. The FMCR recognizes the dynamic interaction between clients and their environments (physical, cultural, and social).
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.
Occupational Adaptation Model (OAM) is proposed as a frame of reference that aims to integrate the two main domains (occupation and adaptation) for occupational therapy. It defines occupation as self-perceived meaningful activities that require active participation and lead to a product.
The Meaning Perspectives Transformation Model is characterised by three phases: the trigger phase, the changing phase, and the outcome phase. These three phases move the process of meaning perspective transformation in the physical, emotional, cognitive, or spiritual dimensions. Critical self-reflection acts as a catalyst and represents as a moment of “readiness of change”. This allows clients to identify their assumptions, question meaning, and develop alternative ways of performing.
The Person-Environment-Occupation (PEO) model is a model that emphasizes occupational performance shaped by the interaction between person, environment, and occupation. The person domain includes role, self-concept, cultural background, personality, health, cognition, physical performance, and sensory capabilities. The environmental domain includes physical, cultural, institutional, social, and socio-economic environment. The occupation refers to the groups of tasks that a person engages in and meets his/her self-maintenance, expression and fulfillment.