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101
CANADIAN MODEL OF OCCUPATIONAL
PERFORMANCE AND ENGAGEMENT (CMOP-E)
ALYSSA ADAMS
ESTHER HAMMON
MEGUMI ARAI
SHIRLEY DENG
VERONICA ANDUHA MELISSA SALCEDO
CMOP-E
1
- Developed by Polatajko, Townsend, and Craik in 2007
- It evolved from Occupational Performance Model (OPM)
- Expansion of the Canadian Model of Occupational Performance (CMOP)
(Polatajko, Townsend, & Craik, 2007)
MAIN CONCEPTS
- The element of engagement was added to the CMOP model
- CMOP-E emphasizes both performance and engagement as important elements of treatment
- Engagement and occupational performance are both critical “outcomes of the dynamic interplay between the three components in the model: person, occupation, and environment”
- (Polatajko, Townsend, Craik, 2007, pp.1).
KEY TERMS
KEY TERMS
- Canadian Model of Occupational Performance (CMOP)
- Engagement
- Occupational performance
- Client- centered practice
- Person
- Environment
- Occupation
(Polatajko, Townsend, & Craik, 2007)
BASIC ASSUMPTIONS
BASIC ASSUMPTIONS
- Client-centered
- Contextual and developmental elements influence and direct occupations
- Built on the Occupational Therapy profession’s core beliefs and assumptions
(Polatajko, Townsend, & Craik, 2007)
FUNDAMENTAL CONCEPTS
FUNDAMENTAL CONCEPTS
The model has three main components:
- Person
- Occupation
- Environment
(Polatajko, Townsend, & Craik, 2007)
THE MODEL
Townsend, E., Polatajko, H., 2007, p.23,
PERSON
- Center triangle of the model
- Made up of three performance components
- Cognitive
- Affective
- Physical
- First model to have place for spirituality: core of the person
(Polatajko, Townsend, & Craik, 2007)
PERSON
OCCUPATION
- Inner circle of the model
- Occupation is the main concern for OT's
- The connection between the person and their context
- Three main purposes
- Self-care
- Productivity
- Leisure
(Polatajko, Townsend, & Craik, 2007)
ENVIRONMENT
- Outer circle of the model
- Place for individuals and occupations to exist
- Made up of four components
- Physical
- Cultural
- Institutional
- Social
(Polatajko, Townsend, & Craik, 2007)
FUNCTION & DYSFUNTION CONTINUUM
CONTINUUM
- Function: harmonious relationship between the components: person, occupation, and environment.
- Dysfunction: occupational dysfunction results in change/disruption in any one of the components.
(Polatajko, Townsend, & Craik, 2007)
INFLUENCE ON OT PRACTICES
INFLUENCE ON OT PRACTICE
- Applicable to use for people of all ages and diagnoses
- Expands interests to not only performing occupation, but also to the impact of engagement
- Gives Occupational Therapists a broader range of practice and larger domain of focus
- Advocate for client centered practice
- Strengthens the role of occupational therapy within a multidisciplnary team
- (Polatajko, Townsend, & Craik, 2007)
Case Study
2
- Betty Draper is a 32 year old married woman with two children who works as a part-time Registered Nurse.
- She recently broke her right tibia while skiing on a family trip to Whistler, Canada.
- She has been put in a cast for 6 months, which limits her mobility and requires her to use crutches.
- Mrs. Draper identifies herself as Catholic and attends church with her parents, siblings, husband, and children every Sunday. She looks forward to this every week because this is the only time of the week that the whole family gathers together.
- In her spare time, Mrs. Draper enjoys hiking, taking yoga classes with her friends and taking baths after putting her children to sleep.
Spirituality
- Affective abilities
- responsible
- ashamed
- frustrated
- Physical abilities
- limited functional mobility
- Cognitive abilities
- emotional regulation
- attention
Inner Circle
Occupation
Intermediate Circle
- Self-Care
- limited ADLs & IADLs
- Productivity
- daily routine
- part-time job
- household management
- Leisure
- church with family members
- hiking
- yoga
External Environment
Outermost Circle
- Physical
- family house
- loft, kitchen, children's room
- Social
- family trips and gatherings
- church & Bible study
- social activities with coworkers
- Cultural
- family obligations
- cultural role
- Institutional Environment of the client
- hospital
- church
- children's school
What is the OTPF?
"The Occupational Therapy Practice Framework: Domain and Process describes the central concepts that ground occupational therapy practice and builds a common understanding of the basic tenets and vision of the profession.”
(AOTA, 2014, S3)
3
Loosely parallels the Framework Domain
CORRELATION 1
- Covers everything in the domain
- Client-centered and more broad
- OTPF is more comprehensive
- CMOP doesn't categorize performance patterns (habits, routines, rituals, and roles)
Spirituality in the OTPF vs CMOP-E
- The core of the CMOP-E Model and includes values and beliefs
- Listed as a Client Factor in OTPF
CMOP is the first framework to acknowledge and find a place for spirituality in human occupation (Polatajko, Townsend, & Craik 2007)
CORRELATION 2
CMOP-E
vs.
PEOP
4
Person Environment Occupation Performance
- Intrinsic factor=person
- Extrinsic factor=environment
What is the PEOP?
- These two factors overlap with occupation and performance
- Goal=to see person and their environment holistically (Wong and Fisher, 2015)
(“Seeing the Whole Person,” 2015)
Similarities
- Highly used in practice
- Focus on Personal components
- Occupational Performance
- Give guidelines on using models in the community
(Wong and Fisher, 2015)
How are they the same?
(“Occupational Therapy,” 2016)
Differences
How are they they different?
Core Concepts
Bottom Up v. Top Down
Spirituality
What does the therapist address with each model?
Occupation Participation and Performance
How does this apply to therapy?
(Wong and Fisher, 2015)
(“Occupational Therapy Logo,” 2014)
Charts
Visual Comparison
(“PEOP Model,” 2018)
(“CMOP-E Model,” 2015)
Assessment Videos
5
Step 1:Problem Definition
Step 1
Step 2: Rating Importance
Step 2
Step 3
Step 4
Step 5
References
6
Akyurek, Gokcen & Bumin, Gonca. (2017). Community participation in people with disabilities. In
Occupational therapy occupation-focused holistic practice in rehabilitation. Doi: 10.5772/
intechopen.68470. https://www.researchgate.net/figure/Person-environment-occupation-
performance-PEOP-model-scheme_fig4_318245219
Bitmoji. (2007). Bitmoji (Version 10.39). [Mobile Application Software]. Retrieved from http://
itunes.apple.com
CMOP-E Model. [Photograph]. 2015. Retrieved from
http://actocctherapy.blogspot.com/2015/08/act-and-cmop-e-and-moho-act-is-useful.html
Law, M., Baptiste, S., Carswell, A., McCholl, M.A., Polatajko, H., & Pollock, N. (2000). Canadian
Occupational Performance Measure [Measurement instrument]. Retrieved from http://
www.neuroreha.cz/sites/default/files/materialy/COPM.pdf
Occupational Therapy. [Photograph]. (2016). Retrieved from http://radianceindia.org/occupational-
therapy-in-gurgaon-ncr/
Occupational Therapy Logo. [Photograph]. (2014). Retrieved from http://
braverthanubeliev.blogspot.com/2014/02/dont-date-occupational-therapist-ot.html
PEOP Model. [Photograph]. 2018. Retrieved from https://www.researchgate.net/figure/Person-
environment-occupation-performance-PEOP-model-scheme_fig4_318245219
Seeing the Whole Person. [Photograph]. (2015). Retrieved from
https://matankids.org/seeing-the-whole-person-parashat-miketz/
Polatajko, H.J., Townsend, E.A. & Craik, J. (2007). Canadian Model of Occupational Performance and
Engagement (CMOP-E). In E.A. Townsend & H.J. Polatajko (Eds.), Enabling occupation II:
Advancing an occupational therapy vision of health, well-being, & justice through occupation
(pp. 22-36). Ottawa, ON: CAOT Publications ACE.
Wong, S.R. and Fisher, G. (2015) Comparing and using occupation-focused models, occupational
therapy in health care. Occupational Therapy in Health Care, 29(3), 297-315.
DOI: 10.3109/07380577.2015.1010130