The Occupational Performance Process Model is based on the concepts of occupation and client-centered practice; that is, therapists should solve the clients’ occupational performance problems through the client-centered approach. To facilitate clinical decision-making in this model, the first stage is to name, validate, and prioritize occupational performance issues through collaboration with the clients. The Canadian Occupational Performance Measure is an assessment that can be used to identify the clients’ perception of problems and importance in their life. After the needs for improving occupation performance are identified, the therapists select potential intervention models for further assessments. This stage is to identify the occupation performance components and environmental conditions as well as the strengths and resources. The therapists consider the resources and support of the environment, which are available to the clients. In order to reach an achievable goal, the therapists negotiate with the clients on the targeted outcomes, start to develop action plans, and implement the plans via occupation. Finally, the therapists evaluate occupational performance outcomes using standardized assessments.
Domain of occupation
This process can be applied across all age, cultural, and gender groups, practices and types of clients. The client can be a family member, a group or a community.
Fearing, V. G., Law, M., & Clark, J. (1997). An occupational performance process model: Fostering client and therapist alliances. Canadian Journal of Occupational Therapy, 64, 7-15.
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 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 Conceptual Model of Leisure Engagement for Quality of Life in Nursing Home Residents (LEQoL-NH) aims to demonstrate the interrelationship between four factors: principles of occupational justice, continuity theory, leisure engagement, and resulting quality of life. Each is considered as important in improving quality of life. This model recognizes persons as occupational beings with valued lifelong interests/activities.
The Intentional Relationship Model (IRM) aims to facilitate practitioners in understanding the impact of therapeutic use of self and to provide useful approaches for maximizing the positive power of the social environment in order to facilitate occupational engagement. Therapeutic relationships comprise of an interaction between client, therapist, desired occupation, and interpersonal events that occur during the interaction.
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.