The Client-centred Strategies Framework (CSF) aims to help clinicians in creating environments and contexts that facilitate client-centered practice. This framework consists of five categories; personal reflection, client-centered process, practice settings, community organizing, and coalition advocacy and political action. Each category provides strategies that can be used by clinicians in facilitating client-centered practice. The personal reflections category is the clinician’s process of gaining insight from clinical and individual experiences. It is the self-exploration of the clinician’s own knowledge, values and beliefs, and in turns facilitates a better understanding on how personal values and beliefs shape one’s practice. The client-centered process category involves clinician’s active and conscious facilitation of the client-centered interactions. Client-centered practice is multi-dimensional and it is specific to each client and each context. It emphasizes on the strategies used by the clinicians to interact with clients and facilitate client-therapist relationship. The practice settings category involves the facilitation of client-centred practice in the practicing environments, including both systems and physical environments within the organizations. By participating in the system’s administrative work, clinicians can influence the client-centered processes. The community organizing category involves organizing people in the facilitation of empowering the community and addressing the client-centered issues in the community. The coalition advocacy and political action category suggests that the client-centered practice is influenced by attitudes, established system, political, economic, and social trends, and it aims to advocate system change through collective actions of coalitions consisted of professions and lay persons.
Domain of occupation
This framework provides strategies in enhancing the use of client-centred processes in the clinicians’ circle of influence.
Restall, G., Ripat, J., & Stern, M. (2003). A framework of strategies for client-centred practice. Canadian Journal of Occupational Therapy, 70, 103-112.
This model is a service delivery model that aims to provide a framework for occupational therapists to design and evaluate services for people living with HIV. It focuses on designing and evaluating interventions that target outcomes in activity and social participation. It comprises of the following components, prominent features of living with HIV, service delivery principles, promising interventions, and person-environment interactions across micro, meso, and macro levels of the environment.
This framework describes different aspects of cognitive strategy use to support practitioners’ clinical reasoning about clients’ reasoning and successful strategy use. It divides strategy use into four aspects, relevant to the task, each rated by therapists’ observation. The first aspect, prerequisites for effective cognitive strategy use, relevant prior to a task, includes the person’s strategy knowledge, strategy repertoire, strategy beliefs, anticipation and recognition of needs, and strategy generation and selection.
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.
The clinical reasoning framework aims to guide practitioners in selecting strategies in approaching sensory challenges in order to optimize participation of children with autism spectrum disorder. Several clinical reasoning considerations are based on this framework, and these include research evidence, client- and family-centeredness, practice contexts, occupation-centeredness, and risks. This framework emphasizes on the use of mutual information-sharing and coaching to empower families or teachers and develop their own solutions to supporting children’s participation.
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.