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 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.
The IMOD describes how people understand and become competent in the occupational world. The interaction of a person with his/her occupations in the context of the environment across time results in systematic change in occupational behaviors.