Cole Ch. 10: Occupation-based Models

Overarching theory of OT that suggests occupation itself can help produce/maintain health

MOHO

When referring to humans, the term "open system" means have the capacity to be ____________

Reorganized

"Steps" of systems theory

Input, throughput, output

3 MOHO subsystems impacting throughput

Volition, habituation, performance capacity

A person's motivation for occupation; belief in the self and values

Volition

Process by which occupations organize into patterns or routines

Habituation

Ability for doing things

Performance capacity

How does MOHO define dysfunction?

When occupational adaptation is threatened

MOHO suggests that changes occurs with . . .

Reorganization of life structures

The OA model assumes that when people have the capacity to __________, they can __________.

Adapt, function

OA's three sources of motivation

Desire, press, and demand for mastery

Internal drive pushing the individual to be competent in their environment

Desire for mastery

What the environment requires from the person

Demand for mastery

Created when the internal desire for mastery meets the external demand for mastery

Press for mastery

OA subprocess: anticipates the necessary components of an adaptive response

Adaptive response generation

OA subprocess: when the person assess the quality of the occupational response

Adaptive response evaluation

OA subprocess: person is unsatisfied with relative mastery and is prompted to try different or new responses to the same occupational challenge

Adaptive response integration

OA's three possible states in the continuum of function/dysfunction

Adaptation, homeostasis, and dysadaptation

Occupational model focused on the importance of the environments and contexts within which people perform tasks

EHP

Four basic constructs of EHP

Person, task, context, performance

How does the EHP model define dysfunction?

Mismatch between person and context/task

Main components of the PEOP model

Person, environment, occupation, performance

Which occupation-based model places emphasis on the inseparable nature of people and occupations as well as the collective rather than the person?

Kawa

Kawa element: represents life flow and health

Water

Kawa element: represents life circumstances and problems

Rocks

Kawa element: represents personal assets and liabilities

Driftwoof

Kawa element: represents opportunities for OT interventions when shifting elements can create new pathways of flow

Spaces between elements

Kawa element: represents macro-environmental level

Ambient environment

How does the Kawa model define dysfunction?

Disruption of the elements; collective experience

What does the Kawa model say causes motivation?

Need to be accepted and belong

Six steps of using the Kawa model in OT interventions

Understand, clarify, examine, assess, intervention, evaluation

When we adapt Coles "seven steps" according to the "Group Leadership Guidelines for Occupation-Based Models", what is eliminated and what is optional?

Sharing is eliminated, processing is optional