Rehabilitative Frame of Reference

  • Rehabilitative frame of reference (FOR) considers rehabilitation as the process of facilitating patients in fulfilling daily activities and social roles with competence. This FOR is used with clients whose underlying impairments are unlikely to remediate and be considerable permanent, or the clients who lack motivation to participate in remediation. The theoretical basis of this FOR is that the client must focus on the remaining abilities, despite of any disabilities, to attain his/her highest level of functioning in the desired occupational performance. This FOR includes concepts of adaptation, compensation, and environmental modifications. It uses the method of teaching clients compensatory or functional methods, and makes use of assistive equipment and environmental modifications to restore function. Occupational therapists must consider the client’s potential to learn, motivation to learn, and his/her optimal learning style in using the teaching approach under this FOR. Assessments that are commonly used in this approach include standardized objective tests of occupational performance, evaluations to determine client's strengths, and evaluations of environmental and social contexts to determine supports and limitations. Some common interventions include energy conservation, work simplification, and home modifications. The ultimate goal of this FOR is to maximize independence despite the presence of persistent impairments.

Summarized by

  • Macey Cho

Type

  • Frame of reference

Population

  • Child
  • Adolescent
  • Adult
  • Elderly

Disability

  • All

Domain of occupation

  • Unspecified

Application Note

  • It is used to facilitate clients to acquire or regain independency that leads to increased satisfaction with performance of domains of concern.

Key Reference

  • Gillen, G. (2014). Occupational therapy interventions for individuals. In B. A. B. Schell, G. Gillen, M. E. Scaffa, & E. S. Cohn (Eds.), Willard and Spackman's occupational therapy (12th ed., pp. 322-341). Philadelphia: Lippincott Williams & Wilkins.

Year Published

  • 2014

Primary Developer

  • Glen Gillen

Primary Developer Email

  • GG50@cumc.columbia.edu

Related Models

Compensatory Frame of Reference

  • The compensatory frame of reference (FOR) aims to increase occupational performance and facilitate independence by utilizing compensatory techniques. It is used to compensate dysfunction in desired occupations, e.g., using assistive device or equipment such as Ergonon/Reflex knife during meal preparation, to compensate difficulty with using traditional knife. This FOR also includes environmental change, e.g., altering layout of living environment or using splints.

Functional Model of Cognitive Rehabilitation (FMCR)

  • 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).

Dynamic interactional model of cognitive rehabilitation

  • The dynamic interactional model of cognitive rehabilitation emphasizes that cognition is a continuous product of the dynamic interaction between the individual, task, and environment. Individual factor includes structural capacity (including physical limitation), strategies (including organized approach/routine/tactics), metacognitive processes (knowledge and regulation of own cognitive processes and capacities) and learner characteristics such as motivation and knowledge. These individual factors interact with other factors during information processing and learning.

Dove-Hawk Model of Allostatic Load for Youth With Persistent Concussion Symptoms

  • 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.

Model Type

Population

Disability

Domain of Occupation

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