sex

PLISSIT Model

permission

gaining the permission to to talk to client about it

• gain trust

limited information

think about what they are telling us so that we know what to address 

specific suggestions

giving homework

• “Have you thought about this postion”

• “try peeing before engaging in sexual; intercourse”

intensive therapy

we do not do this 

• we talk about what happens after 

Occupational Therapy Sexual Assessment Framework

sexual knowledge

sexual activity

sexual interest

sexual response— physical sexual response

sexual expression— how i express myself

sexual self-view— how i view myself (do i like the way i look)

intimacy— how i show im connected to someone

sexual health

family planning

OPISI

Occupational Performance Inventory of Sexuality and Intimacy

Target Population

• LGBTQIA+ affirmative

• Adults 18+

  Reading level to take this test is 13 to 15 years

where do clients complete

In their own environment and at thier own time

• NOT infront of everyone

ex: their room

screening tool

Addresses the Permission Phase of PLISSIT

• 13 items

•Administered at any time during care

DO NOT start conversations at discharge planning

In depth invetory

Assess each area of concern for client

ex: self-view

• Rank how much you enjoy or don’t enjoy your self-view

Therapist then reviews and discusses the inventory with the client

OPISI Performance Measure

1 to 10 scale

• 1= No ability, satisfaction, understanding, or confidence

• 10= Highest ability, satisfaction, understanding, or confidence

DO not rate in areas where the client does not have concerns

Benefits of Using a Tool like the OPISI

Ensures all BADLs are addressed

• Affirms that sexual activity is important

• identifies the variety of areas in which illness and disability can impact sexual activity

• Provides a common language that has been missing