OT Models: Applying theories in practice

OT Models: Applying theories in practice

The OT process is when we apply the theories of occupation in an ordered way to a practical situation. Many different models of the OT process have been developed, and they each attempt to guide a therapist through the stages of applying occupational theory to a practical client situation. Some models may be more useful in particular situations or with particular clients than others.

Part of the artistry of an being an OT, and the difference between being a technician and a professional, is being able to adopt a holistic approach and use a model most appropriate to the individual client’s unique blend of problems in order to achieve a positive outcome. Technicians follow instruction in order to carry out processes whereas professionals use a blend of artistry with science to determine the best model and interventions for each unique patient.

oshawott process
Oshawott: The pokemon otter’s process through the game

Some examples of OT process models are below:

  • PEOP   Person-Environment-Occupational Performance
  • CMOP-E  Canadian Model of Occupational Performance & Engagement
  • MOHO   Model of Human Occupation
  • MoCA  Model of Creative Ability
  • Biopsychosocial model
  • Max Neef model
  • Capability approach
  • Medical model
  • Kawa (river)  model
  • Social disability model
  • European Conceptual Framework for Occupational Therapy
  • EHP  Ecology of Human Performance
  • OA   Occupational Adaptation model
  • OPM(A)  Occupational−Performance Model (Australia)

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Article review: “A qualitative study of referral to community mental health teams in the UK: exploring the rhetoric and the reality” by Chew-Graham et al (2007)

Article review: “A qualitative study of referral to community mental health teams in the UK: exploring the rhetoric and the reality” by Chew-Graham et al (2007)

CMHTs (Community Mental Health Teams) provide specialist care to people experiencing mental health crises, as well as ongoing primary care support for people with chronic mental health conditions with the aim to prevent admittance to secondary or tertiary health care. Different professionals make up a CMHT but usually includes specialisms such as psychiatrists, psychologists, community psychiatric nurses, social workers, and occupational therapists.

This article examines the referral stage of the OT process: the attitudes of CMHTs receiving referrals, and the GPs who refer patients to them. The qualitative information was gathered via semi-structured interviews, referral meeting transcripts and questionnaires.

 

Problems with the referral process in CMHTs

Overall, Chew-Graham et al found a lack of consistency between CMHT teams, and referral criteria boundaries varied depending on the individual attitudes of CMHT team leaders. Referring GP’s knowledge of mental health issues and caution around risk also varied between individuals. Read more