History Occupation Based Models

Model of Human Occupation (MOHO): Focus

• Offers a system based holistic approach for persons of varying needs and populations across the lifespan

• focus —> on the doing of occupation

• sought out for the following

  • fits with therapists view of OT

  • promotes occupation-based focused practice

  • prioritize client needs

  • gives theoretical base for constructing tx goals

  • provides rationale for intervention

MOHO function

• Healthy functioning is where an individual has a sense of order

• Defined as a status of health & competent performance of daily living, work, and play

• Individuals display order wen they are given full autonomy 

MOHO change

• change= shift in dynamic system

• humans adapt and adjust

• internal factors and external environments share equal weight

MOHO motivation

Internal motivation:

• personal causation (I believe I can do something)

• interests (I like doing something)

• values (I see the meaning of doing something) 

Sustaining motivation

• repeating new behaviors can make them more rewarding and habitual

PEOP Focus

• relationship between the person and their environment; client-centered — intrinsic vs. extrinsic factors

• emphasizes how internal and external factors impact occupational performance 

• people interaction can be supported or restricted by an individual’s: 

• narratives 

• person’s factors  

• occupational factors 

• environmental factors

PEOP function

• Able to participate in meaningful occupations and meet occupational demands. 

• The environment matches the individual’s needs, abilities, and preferences. 

• Participation contributes to satisfaction and qualify of life.

PEOP motivation

1. Internal factors 

• psychological state drives or restricts their passion to perform 

2. Enablers and barriers 

• motivation can be blocked by internal states such as self- concept, self-efficacy, identity and emotional well being

3. The power of narratives 

• using a client’s personal story uncovers their intrinsic factors, which can help with the start-up of their motivation

PEOP change

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