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Kawa model
river serves as a metaphor for the relationship among variables and the process of OT. recognizes that individuals cannot be separated from their social groups or natural spirit
components of river method
water, rocks, driftwood, river bottom + sides, spaces between elements
spaces between elements
provide opportunities for OT interventions where shifting elements can create new pathways of flow
theorists of Kawa
Iwama (2006) from Japan
function
flow of water in the river, living in harmony with nature and circumstances
dysfunction of the kawa model
Disability is a collective experience, not a single event or diagnosis
assessment of Kawa model
draw kawa river, and identify elements that are impeding flow of the river
intervention of kawa
goal is to remove barriers to occupational flow, OTs serve as educator for patient to learn occupations
OT goal in the Kawa model
OT's goal is to find opportunities for intervention within the spaces
between the elements
