2. CORRELATION OF THE COPM AND OCCUPATION-BASED TREATMENT WITH THE OCCUPATIONAL THERAPY PRACTICE FRAMEWORK Nancy Dusing, OTR/L Capstone Project Chatham University January 2016

3. LEARNING OBJECTIVES  Describe how the Canadian Occupational Performance Measure correlates with the Occupational Therapy Practice Framework.  Identify how client-centered occupation-based treatment parallels the Occupational Therapy Practice Framework.

4. REVIEW OF LAST WEEK’S PRESENTATION We discussed concerns and questions therapists may encounter when utilizing the Canadian Occupational Performance Measure.

5. OCCUPATIONAL THERAPY PRACTICE FRAMEWORK 3 RD EDITION Defines occupational therapy as “the therapeutic use of everyday life activities (occupations) with individuals or groups for the purpose of enhancing or enabling participation in roles, habits, and routines in home, school, workplace, community, and other settings” (American Occupational Therapy Association, 2014, p. S1)

6. OTPF 3 RD EDITION (CONTINUED)  Emphasizes the commitment to the relationship between occupation and health.  Domain: the scope of OT practice and the areas the profession has established a body of knowledge and expertise.  Process: the interventions OTs use when providing services.  Interrelationship between the domain and process guide the OT as they strive to assist the client in achieving meaningful participation leading to health and well-being. (American Occupational Therapy Association, 2014)

7. OTPF DOMAIN  Occupation: the daily goal-directed activities in which the patient engages; are meaningful, have value, are observable and take place over time.  Client Factors: specific characteristics of a person that influence his or her performance.  Performance Skills: small segments of occupational engagement that are observable and make up an individual’s daily performance. (American Occupational Therapy Association, 2014)

8. DOMAIN (CONTINUED)  Performance Patterns: habits, roles, routines and rituals that a person incorporates into their daily occupations; can support or hinder occupational performance.  Context and Environment: participation in occupation occurs within and is influenced by a person’s social and physical environment, situated in a specific context. This context and environment can influence his or her performance. (American Occupational Therapy Association, 2014)

9. OTPF PROCESS  The “client-centered delivery of occupational therapy services” (American Occupational Therapy Association, 2014, p. S10).  The OT uses the client’s personal experiences, goals and desires, along with their knowledge of how occupation affects health and well-being to observe, assess and interpret the person’s performance.  Intervention is provided that is client-centered and occupation-based with the goal of achieving outcomes that are satisfying and meaningful to the individual. (American Occupational Therapy Association, 2014)

10. COPM 1. Looks at occupational performance 2. Takes into account the client’s culture, personal, and social concerns 3. Identify what they want to do, need to do or have to do (Law et al., 2014). OTPF 1. Domain looks at areas of occupation 2. Domain looks at the client’s context and environment 3. Eval is based on what the clients wants and needs to do (American Occupational Therapy Association [AOTA], 2014)

11. COPM 4. OT uses semi-structured interview to engage 5. OT can bring clinical knowledge and experience 6. Problems are identified by the client and goals established (Law et al., 2014). OTPF 4. Therapeutic use of self to guide relationship 5. OT shares their knowledge of health and well-being 6. OT process is the collaboration between the client and practitioner (American Occupational Therapy Association [AOTA], 2014)

12. ACTIVE LEARNING Can you describe how the Canadian Occupational Performance Measure correlates with the Occupational Therapy Practice Framework?

13. OCCUPATION-BASED TREATMENT AND THE OCCUPATIONAL THERAPY PRACTICE FRAMEWORK  Address occupations that are meaningful to the client  Considers the client’s context and environment  Develop client-centered goals  Framework supports occupation-based approach through an occupational profile and analysis of performance

14. CONTINUED…  Intervention can “create, promote, establish, restore, maintain, and modify the ability to engage in occupational pursuits, and those that prevent loss of the ability to engage” (Amini, 2008, p. 20)

15. The Occupational Therapy Practice Framework “gives us the structure to collaboratively work with clients and other professionals in order to provide quality client-centered and occupation-based occupational therapy services” (Hunt et al., 2007, p. 22).

16. Keep in mind that a person’s ability to participate may be in a different manner than before their injury or illness (Amini, 2008)

17. “Enhanced function can occur through adaptation, prevention, enhanced role competence, and self- advocacy” (Amini, 2008, p. 20).

18. ACTIVE LEARNING Can you identify how occupation- based treatment parallels the Occupational Therapy Practice Framework?

19. BENEFITS OF THE COPM (REVIEW)  Allows the OT to explore areas of occupational performance that are meaningful to the client.  Through the collaborative client-therapist relationship, meaningful occupational performance goals are established.  Promotes the use of client-centered, occupation- based evaluation, treatment and follow-up.  Provides a mechanism for the client to measure his or her perceived performance and satisfaction with that performance. (Law et al., 2014)

20. CONCLUSION Both the Canadian Occupational Performance Measure and Occupation- Based treatment have strong tenets to the Occupational Therapy Practice Framework.

21. The Canadian Occupational Performance Measure facilitates a client-centered model of practice where occupational performance areas that are important to the client are the focus of assessment and treatment with the goal of achieving satisfied engagement in personally meaningful occupations.

23. Thanks so much for being a part of my evidence-based occupational therapy project. I hope you learned more about the importance of occupation-based treatment and its benefits with your clients in the skilled nursing setting.

24. REFERENCES  American Occupational Therapy Association [AOTA]. (2014). Occupational therapy practice framework: Domain and process (3rd ed.). American Journal of Occupational Therapy, 68(Suppl. 1), S1-S48. doi:10.5014/ajot.2014.682006  Amini, D. (2008). Occupation-based hand therapy and the occupational therapy practice framework. OT Practice(November), 17-21.  Hunt, L., Salls, J., Dolhi, C., Goodwin, C., Kratz, D., & Martin, K. (2007). Putting the occupational therapy practice framework into practice: Enlightening one therapist at a time. OT Practice(August ), 18-22.  Law, M., Baptiste, S., Carswell, A., McColl, M. A., Polatajko, H., & Pollock, N. (2014). Canadian Occupational Performance Measure manual (5th ed.). Ottawa, ON: CAOT Publications ACE.