Occupational Performance Process Model

The Model of Occupational Self Efficacy describes a process in accepting the consequences and occupational limitations for the individuals that suffer from traumatic brain injury. It consists of four stages. At stage 1 (a strong personal belief in functional abilities), clients usually develop feelings of frustration, demotivation, and anger due to the loss of daily life function after brain injury. Therapists will provide encouragement for the clients by creating a specific environment that can improve and develop the feeling of acceptance.

This model aims to contextualize challenges that youth with persistent concussion symptoms face during recovery by considering the person, occupation, and environment factors that influences occupational performance. The model suggests that the relationship between the amount of allostatic load and occupational performance is represented as a normally disturbed curve.

This model of the PECO focuses on how children develop their occupations. It describes the process stages in which children go through as they initiate new occupations and continue cease or transfer current ones. Each stage is represented in rectangles. Within the pathway, the arrows indicate the direction of the process, which can go either way depending on children’s behaviors. The pathway starts from exposure and innate drive, then no initiation/initiation, to cessation/continuation, eventually ends with re-initiation/ transformation.

This model presents a hierarchy of family-therapist involvement in occupational therapy services, with associated attitudes, specific knowledge, and skills that enable therapists to operate at each level. 

The first level, no family involvement, outlines the traditional medical model of intervention. This level focuses on technical skills which are expected of entry-level therapists, with no awareness of the role of the family and client’s social context. It provides the basis for alternative types of family involvement. 

The Canadian Practice Process Framework (CPPF) consists of four distinct components, three of which are contextual (including the societal context, practice context, and frame of reference). The forth component is process based and is represented by the eight action points that guide the process of occupational enablement. The eight action points are: (1) from enter/initiated, (2) set the stage, (3) assess/evaluate, (4) agree on objectives plan, (5) implement plan, (6) monitor/modify, (7) evaluate outcomes, and (8) conclude/exit.