AP Midterm

EHP (ecology of human performance)

How context affects performance

PEO (person-environment-occupation)

Best fit between person, environment, and occupation

MOHO (model of human occupation)

Volition (motivation), habituation (patterns of behavior), and performance capacities (abilities)

KAWA

Uses a river metaphor to map life flow and barriers

CMOP-E (Canadian model of occupational performance and engagement)

Highlights spirituality and clients’ personal meaning in occupation

Evaluation

Includes occupational profile and an analysis of occupational performance

Intervention

Includes the intervention plan, implementation, and review

Outcomes

Emerge from process and describe the results clients can achieve through interventions

Occupations

ADLs, IADLs, health management, education, rest/sleep, work, play, leisure, social participation

Contexts

Environmental factors and social factors

Performance patterns

Habits, roles, rituals, and routines

Performance skills

Motor skills, process skills, social interaction skills

Client factors

Values, beliefs, spirituality, body functions, and body structures

Occupation

Broad, meaningful life activity tied to identity (ex. cooking dinner for family; the WHY)

Activity

General, culturally shared idea of doing (ex. cooking spaghetti; the WHAT)

Task

Smallest specific unit of action (ex. boil water, chop onions; the HOW)

Occupational Science

The study of human occupations: their form, function, and meaning

Paradigm

Philosophy, values/ethics, knowledge, OT Practice Framework

Occupation-Based Models

Overarching theories

Frames of Reference

Practice guidelines in specific domains

Margaret Rood

Practice & repetition, motor development progression, sensory stimulation, meaningful activities

Jean Ayres

Perceptual-motor dysfunction, symptom categorization, foundation for apraxia

Catherine Trombly

Occupations as purposeful, occupational performance hierarchy, theory of meaning, person/culture influences

Winnie Dunn

Sensory processing, theory introduction, research links

Lela Llorens

Trauma/illness disrupt growth, longitudinal/horizontal growth, multiple developmental areas, lifelong process

Progressive Era

Worker rights, mental health, education, women’s suffrage

WWI

Reconstruction aides mobilized for rehab of soldiers

OT Foundation

1917 Barton Clifton Springs meeting; influenced by mental hygiene movement

Professional Growth

AOTA formed; leadership Barton → Dunton → Slagle

Social Security Act (1935)

FDR; pensions for people with disabilities

Medicare Act (1969)

LBJ; healthcare for elderly and people with disabilities

ADA (1990)

GHWB; civil rights law prohibiting discrimination against people with disabilities

Affordable Care Act (2010)

Obama; expanded coverage, no denial for pre-existing conditions

Economic Stability

Steady income/employment → access to health, housing, well-being

Education Access & Quality

Early education, literacy, higher education → long-term outcomes; high school graduation sets foundation for lifelong health

Healthcare Access & Quality

Affordable, timely, culturally competent care → equity and prevention

Neighborhood & Built Environment

Safe housing, transport, healthy food, clean environment → reduce risks

Social & Community Context

Support, engagement, freedom from discrimination → better health outcomes