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Person-Environment-Occupation (PEO) model

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Rachel Farmer

on 24 September 2015

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Transcript of Person-Environment-Occupation (PEO) model

Function Dysfunction Continuum
"...is a useful tool to examine complex occupational performance issues in hospitals."

"...offers occupational therapists the opportunity to articulate to all people the scope of their practice and how it influences outcomes."

"...may not be as in depth of a model to tackle complex conditions such as a stroke."

(Maclean, F. 2012, p. 559)

Dynamic individual
Dynamic environment
The environment is often easier to change than the person
Unique being, multiple roles & experiences
Belief in the worth of all persons regardless of disability, age, developmental difficulty or social condition
Person is viewed holistically (mind, body, spirit)
"Person" can refer to an individual, group, organization or community

Person-Environment-Occupation (PEO) model

What is it?

1. Cultural: including ethnic, routine practices based on value systems
2. Socioeconomic: finances and annual income
3. Social: social groupings that share common interests and attitudes
4. Physical: natural and built surroundings
5. Institutional: Policies, decision-making processes, accessibility, and legal funding arrangements

Self-directed meaningful task and activities that people engage in throughout the lifespan; satisfies intrinsic need for expression & self-maintenance. Can include self care, leisure, and productive activities.
At the center of the model
Identifies what the patients wants to do and the struggles they face during their occupation...
The OT enhances their performance level by altering the environment

Mary Law
Maximum fit vs. minimum fit
Optimal function
Outcomes measured by occupational performance

Bus use and older people: A literature review applying the Person􏰀Environment􏰀Occupation model in macro practice
Betsy Meyers, Charlotte Evans, Jennifer Newcomb, Rachel Farmer, Taylor Creasy
Focuses on...
Client factors (P)
Contexts (E)
Activity Demands (O)
To Apply
Identify relationships:
Standardized assessments
(SAFER tool, COPM)
Environment Preference Questionaire
Person Environment Fit Scale
Broome, K., Mckenna, K., Fleming, J., & Worrall, L. (n.d.). Bus use and older people: A literature review applying the Person–Environment–Occupation model in macro practice. Scandinavian Journal of Occupational Therapy Scand J Occup Ther, 16, 3-12.
"The model is defined by its attempt to describe what people do in their daily lives, what motivates them, and how their personal characteristics combine with the situations in which occupations are undertaken to influence successful occupational performance."
(Maclean, F. 2012, p. 556)
Maclean, F., Carin-Levy, G., Hunter, H., Malcolmson, L., & Locke, E. (2012). The usefulness of the Person-Environment-Occupation Model in an acute physical health care setting. The British Journal of Occupational Therapy, 75(12), 555-562.
What Others are Saying:
Methods: Compilation of scholarly articles

P-O: when using the bus you need skills such as sensorimotor, musculoskeletal, vision, hearing, laungage/speech, cognitive and others.

O-E: Flexible bus routes

P-E: Most buses have an unsuitable environment for the elderly.
Conclusion: OT's should target bus stops to make them more age friendly!
Strong, S., Rigby, P., Stewart, D., Law, M., Letts, L., & Cooper, B. (1999). Application of the Person-Environment-Occupation Model: A practical Tool. Canadian Journal of Occupational Therapy, 66(3), 122-133.
Law, M., Cooper, B., Strong, S., Stewart, D., Rigby, P., & Letts, L. (1996). The Person-Environment-Occupation Model: A Transactive Approach to Occupational Performance. Canadian Journal of Occupational Therapy, 9-23.
Liam, an 11-year-old boy, has anxiety and learning disabilities that challenge his ability to engage in his school occupations.
Case Example #2
work outside the classroom to prevent distraction and anxiety
using computer technology to compensate for writing and spelling difficulties
modify his typical student occupation to make his life less stressful, and easier to participate
occupational performance

Case example #1
Tom has been a sanitation worker for 22 years. He recently injured his lower back on the job and after completing a 6-week hardening program has experienced significant improvement in endurance and reduction of pain. His case manager clears him to return to work however, Tom is apprehensive.
Tom has struggled with low back pain for years from his repetitive job, which has limited his ability to do the activities he enjoys. He is scared returning to his original job will result in loosing his gains.
manual labor
chronic back pain
limited physical capabilities
repetitive motions
heavy lifting
garbage disposal
heavy lifting and long hours
modify and grade duties
provide assistive technology

occupational performance
strength, endurance, and technique training
start working towards and alternative route (recycling pick up instead of garbage collection)
Cramm, H. (2003). The Person-Environment-Occupation Circle Tool: A simple way to bridge theory into practice. Retrieved September 23, 2015, from http://www.caot.ca
client factors
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