A Service Delivery Model for Addressing Activity and Social Participation Needs of People Living with HIV

The Life Needs Model of Pediatric Service Delivery is a practice model that values the intrinsic worth, dignity, and strengths of individuals. This model focuses on the concept of need, emphasizes the values of family-centered services, and recognizes strengths and capacities of the child and family. It is used to guide pediatric service delivery to meet the long-range goals for promoting community participation and quality of life of children and youth with disabilities.

This model comprises of four components including Assistive Computer Technology (ACT) service delivery (evaluation and training), the provision of ACT devices, education, and coordination and collaboration. ACT service delivery includes evaluation, training, and coordination of technology services. A service delivery team includes an occupational therapist, computer specialist, education specialist, and augmentative communication specialist. The team is responsible for conducting assessment and providing training for students who are in needs.

The Value and Meaning in Occupations (ValMO) aims to address the absence of theoretical structures to aspects of value and meaning in existing models of occupations. It adopts a person-task-environment triad, where occupation is viewed as the result of the transaction. It includes the role narrative in structuring an individual’s experiences embedded in daily occupation, which contributes to an ongoing personal story.

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.

The Partnership for Change (P4C) model emphasizes the therapists’ partnership with the educators and parents to change the life and environment of a child who has motor difficulties (or developmental difficulties). The partnership focuses on the collaboration of building capacities for the teachers and parents in enhancing daily environment for the child. The core activities of occupational therapists under the P4C model are relationship building and knowledge translation with the school and parents. It consists of three steps. The first step is universal design for learning.