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

  • 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. Micro level of environment is the relationships in personal social networks and with clinicians, e.g., occupational therapists. Meso level environments includes the systems in organization, e.g., policies. Marco level environments includes socio-political contexts, e.g., organization of funding of health systems, social construction. The endpoints of this model are activity and social participation outcomes. It is a client-centered, strength-based, culturally proficient, and holistic model. It facilitates communication among professions, people living with HIV, and related personnel on service delivery, facilitates understanding on needs, goals, and potential interventions of people living with HIV, and provides a framework to compare current practice to develop more effective services.

Summarized by

  • Macey Cho

Type

  • Model (practice)

Population

  • Child
  • Adolescent
  • Adult
  • Elderly

Disability

  • Human Immunodeficiency Viruses

Domain of occupation

  • ADL
  • IADL
  • Social participation

Application Note

  • The model aims to support activity and social participation for people living with HIV.

Key Reference

  • Restall, G., Theresa, S., Carnochan, T., Etcheverry, E., Roger, K., & Roddy, P. (2017). A service delivery model for addressing activity and social participation needs of people living with HIV. Open Journal of Occupational Therapy, 5(2), https://doi.org/10.15453/2168-6408.1258.

Year Published

  • 2017

Primary Developer

  • Gayle Restall

Primary Developer Email

  • gayle.restall@umanitoba.ca

Related Models

Canadian Model of Occupational Participation (CanMOP)

  • The Canadian Model of Occupational Participation (CanMOP) is described as an iteration of the Canadian occupation model, which assists occupational therapists to collaboratively reflect on occupational participation. Defined as having access to, initiating, and sustaining valued occupations within meaningful relationships and contexts, occupational participation is placed as a central focus in the CanMOP, guiding therapists look beyond occupational performance and engagement.

Life Needs Model of Pediatric Service Delivery

  • 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.

Technology and Transition Model

  • 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.

Canadian Occupational Therapy Inter-relational Practice Process (COTIPP) Framework

  • The Canadian Occupational Therapy Inter-relational Practice Process (COTIPP) Framework, drawn from previous Canadian practice frameworks (i.e., the CPPF and CMCE), aims to describe the collaborative, inter-relational, and rights-based practice of occupational therapy. The COTIPP places ‘build and sustain relationship’ in the centre of the framework, indicating as the essential underlying process of occupational therapy practice. The outer edge of the framework contains an additional three foundational process that occupational therapists engage in throughout practice.

Value and Meaning in Occupations (ValMO)

  • 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.

Model Type

Population

Disability

Domain of Occupation

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