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Life Balance Model of Practice

OT 425
by

Stephanie Lancaster

on 7 March 2016

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Transcript of Life Balance Model of Practice

Foundation
Population
Continuum of Function
Overall Outcome
Key Terms
Balanced lifestyle- a satisfying pattern of daily occupations that is healthful, meaningful, and sustainable to an individual within the context of his or her current life circumstances.

Imbalance- state that occurs because people’s engagement in occupation fails to meet their unique physical, social, mental, or rest needs and allows insufficient time for their own occupational interests and growth as well as for the occupations each feels obliged to undertake in order to meet family, social, and community commitments.

Occupational deprivation- a state in which people are unable to participate in meaningful activities for prolonged periods of time as a result of factors outside their control.

.
The Life Balance Model of Practice in Occupational Therapy
People with life imbalances that are not satisfied with their current pattern of daily occupations.

People living in environments that do not support or encourage an active or healthy lifestyle. (i.e. no parks, bike paths, sidewalks, fast food)

People with imbalanced activity patterns that have negative consequences to health and well-being. (i.e. workaholism, burnout, retirement, obesity, sleep disorders, circadian desynchronosis)
There are 5 Dimensions of Balance:
Physical needs are met
Rewarding Relationships
Actively Engaged and Challenged
Sense of Identity or meaning
Time and energy organized to meet goals
Help gain life balance, well-being, and more satisfying lives.

To increase life balance by helping people to create a greater congruence between their actual participation in activities and their desired participation in activities.

To obtain a balanced lifestyle through satisfying patterns of daily occupations that are healthful, meaningful, and sustainable within current life circumstances.
Indicators of Function
Function
Underlying Theories

Positive psychology
Occupational science
Dynamic systems theory
Personality studies
Studies of successful aging
Studies of resilience
Environment
Physical & Social
Individuals engage in all 5 of these dimensions on a consistent basis. The individual's activities also enable resilience, well-being, and good quality of life.
Individuals are unable to consistently engage in activities that fulfill all 5 of these dimensions. The client feels unsatisfied, stressed, and that their daily activities have less meaning. This can eventually lead to various health conditions.
-Physical, cognitive, and emotional dysfunction
-Example: drowsiness or anxiety
Dysfunction
Function
Dysfunction
1. Biological health and physical safety
2. Rewarding and self-affirming relationships with others
3. Feels engaged, challenged, and competent
4. Sense of meaning and positive personal identity
5. Time and energy is organized in ways that enable people to meet important personal goals and renewal.
1. Increased risk for physical and mental health problems
2. Limited or compromised participation in valued relationships
3. Incongruence with establishing or maintaining a satisfactory identity.
4. Feel mundane, uninteresting, or unchallenging
5. Time and energy is not organized or managed in a way that enables life meaning, self renewal, or goal achievement.
Assessment & Evaluation
Interview:
Client
Family Members
Caretakers
Employers
Self Report:
Does the client feel balanced?
Are the client's values congruent with participation in life activities?
Is the client predisposed to biological or medical conditions?
**Additional research is needed to develop reliable and valid standardized assessments.
Postulates of Change
1. Five dimensions of activity are necessary for balance:
Physical safety and health
Rewarding relationships
Feeling challenged and competent
Creating positive personal identities
Ability to organize time and energies well

2. Changing conditions such as a new job or a new project can provide
increased satisfaction
in occupational performance.

3. Delegating roles can decrease stress and
increase life balance
.

4. Managing time and personal energy helps clients find time for meaningful activities that are congruent with personal values.
Postulates Cont'd
5. Helping a client find synergistic activities that meet multiple needs creates efficiency and life satisfaction.

6. Participation in restorative activities renews energies and promotes life balance.
Intervention Approaches
Create/Promote

Establish & Restore

Maintain

Modify/Alter

Prevent
Promote health by creating a healthy lifestyle class for clients at risk for obesity.

Establish a daily routine with clients to increase time management.

Maintain physical health by providing an after school exercise program

Modify the challenges associated with jobs


Consult with employer to provide educational program designed to prevent burnout and fatigue
.
Types of Intervention
Therapeutic Use of Self
-Collaboration
-Modeling
Therapeutic Use of Occupations
-Occupation Based
-Purposeful
-Preparatory (relaxation, meditation, etc.)
Education
-Client/Family
-Employer
Consultation
-Lifestyle Coaching
Advocacy
Skills to Add to Professional Repertoire
Ability to consider how mental and physical health interact with one another
Awareness about the necessity of planning and coordinating one’s time as to allow for greater satisfaction.
Knowledge about very common conditions characterized by unbalance (workaholism & obesity)
Maintaining and modeling life balance
Contraindications of the Model
Clients who do NOT consider their lives to be imbalanced.
Individuals who have good mental and physical health and satisfaction with their daily activities.
A client who is not medically stable
Reference
Matuska, K. & Christiansen, C. (2009). A theoretical model of life balance and imbalance. Life balance: Multidisciplinary theories and research (pp.149-164). Washington DC: Slack, Inc and AOTA Press.
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