CMOP-E
Annie Wright, Ayaka Matsumura, Elizabeth Burns, and Shivanti Kariyawasam
PLEASE SIT IN THE FIRST 4 ROWS!
Introduction
CMOP-E: by Bob Ross Jr.
A video
History of the CMOP-E
1980's: Canadian government supports the development of quality assurance guidelines and the CAOT creates a task force
Goal: Bring Occupation back as the center
1984: Model of Adaptation through Occupation created by Reed and Sanderson
2007: Canadian Model of Occupation Performance- Engagement was developed by Helene Polatajko, Elizabeth Townsend, and J. Craik
1990's: AOTA National creates an agenda for collaboration
1997: Canadian Model of Occupation
History
1997 Christiansen and Baum develop the PEOP model
1986: OPM was published by Australian OT's Dr. Christine Chapparo and Dr. Judy Ranka
1980:
Reed and Sanderson publish Concepts of Occupational Therapy
and
Guidelines for Client-Centered Practice
Wikipedia. 2018. Canadian Flag. Retrieved from https://en.wikipedia.org/wiki/Canada
Influential theories:
Theories
-Humanistic theories: Client is an active participant in therapy
- Carl Rogers - client centered therapy
- Abraham Maslow - What is he best known for?
-Environmental theories
-Developmental Theories
McLeod, S. (2018). Maslow's Hierarchy of Needs. Retrieved from https://www.simplypsychology.org/maslow.html
What does the CMOP-E illustrate?
Model shows how occupational performance evolves from the interactions among the person, the environment, and the occupation itself.
The Person
not specifically religious, but the essence or core
developed through environmental interactions and expressed through ccupational performance
The Environment
Is composed of physical, social, cultural, and institutional elements. These are the contexts in which clients perform occupations.
Occupation
Productivity
-paid and unpaid work
Self Care
-personal care
-functional mobility
-community management
Leisure
-quiet recreation
-active recreation
-socialization
Occupational Performance
Results from the interaction of all three components: person, environment and occupation.
OT Domain
- Occupation focused
- OT's role is facilitator, enabler and coach (aka collaboration)
Person
Occupation
Environment
Function, Dysfunction and Change
Harmony and satisfaction;
ability to perform activities that are meaningful to self, family and community
Function, Dysfunction, Change
collaboration;
identify meaningful activities and facilitate performance
Disruption and dissatisfaction;
unable to perform activities that are meaningful to self, family and community
Intervention and Assessments
Intervention and Assessment
- Canadian Occupational Performance Measure (COPM)
- Semistructured interview
- 5 steps
- Client centered approach
- Occupational performance revolves around person, environment, and occupation
- Interventions
- Occupational Performance Coaching for stroke survivors (OPC-Stroke): help stroke survivors plan and manage occupation
Find out more at: www.thecopm.ca
Stages of Intervention
Biomedical rehabilitation
Client centered rehabilitation
Stages of Interventions
Peer reviewed literature
1. Validity of Canadian Occupational Performance Measure: a client centered outcome measure (Dedding, 2004)
2. COPM: excellent inter-rater reliability and test-retest reliability; useful for measuring pain rehabilitation (Persson, 2004)
3. Responsiveness of Canadian Occupational Performance Measure (Eyssen, 2011)
4. Psychometric properties of COPM in home dwelling adults (Tuntland, 2016)
Peer reviewed literature
To sum it up...
Conclusion
- Studies executed in relation to CMOP were designed to evaluate COPM's validity and reliability
- The COPM is used internationally as an assessment instrument
- Chosen because of its focus client centered outcomes
- Can be applied in a wide variety of settings and populations Hakansson, 2011), (Smith, 2012), (Snedden, 2012)
Case Example
Case example
Sarah is a 32 year old woman diagnosed with bipolar disorder. After receiving professional care (medicine, treatment), she finally found a job after being fired from 8 previous ones. Recently, she was referred to an OT because she struggled with keeping her job. In the past, she worked 5 days per week, but her current employer gave her fewer shifts per week, most of them at nighttime. She also was not getting along with her coworkers, so Sarah wants to meet more people outside of work. She likes to cook, garden, and go swimming at the Y, but she tends to do those things alone because she doesn't like being watched.
Initial Evaluation
What would be her initial assessment?
Linking the CMOP-E to Sarah's Situation
Sarah and the Environment
- Physical
- Institutional
- Cultural
- Social
Sarah and Occupation
- Self Care
- Productivity
- Leisure
Sarah and Performance
- Affective
- Physical
- Cognitive
What would you do as an OT?
What would an OT do?
- work management resources
- communicate with supervisor
- information her of social group for adults
- resources on classes
- talk with the physician
Reassessment
How would you reassess Sarah?
How does this model differ from other OT based models?
- CMOP-E falls under the Person Environment Occupation framework along with PEOP, EHP, MOHO (Model of Human Occupation), PEO (Person Environment Occupation), and OPM (Occupational Performance Model)
- One of the first models to include spirituality
- Contributed to emergence of new paradigm
How does this model differ from other models?
Activity: Sweet CMOP-E
- Use the materials provided to create your own model of the CMOP-E
- Share with your group what each "sweet" component represents in the CMOP-E
Activity
References
References
- Dedding, C., Cardol, Mieke., Eyssen, I., Dekker, J., & Beelen, A. (2003). Validity of the Canadian Occupational Performance Measure: a client centered outcome measurement. Clinical Rehabilitation, (18). 660-667
- Eyssen, I., Steultjens, M., Oud, T., Bolt, E., Maasdam, A., & Dekker, J. (2011). Responsiveness of the Canadian Occupatonal Performance Measure. Journal of Rehabilitation Research & Development, (48), 517-528. doi:10.1682/JRRD.2010.06.0110
- Hakansson, C., Bjorkelund, C., & Eklund, M. (2011). Associations between women’s subjective perceptions of daily occupations and life satisfaction, and the role of perceived control, Australian Occupational Therapy Journal, 58(6),397-404. doi: 10.1111/j.1440-1630.2011.00976.x
- Kessler, D.E.,Egan, M.Y., Dubouloz, C.J. (2014). Occupational Performance Coaching for stroke survivors: A pilot randomized controlled trial protocol. Canadian Journal of Occupational Therapy, (81)5, 279-288. doi:10.1177/0008417414545869
- Pan, A., Chung, L., & Hsin-Hwei, G. (2003). Reliability and validity of the Canadian Occupational Performance Measure for clients with psychiatric disorders in Taiwan. Occupational Therapy International, 10(4), 269-277. doi:10.1002/oti.190
- Occupational Performance Model (Australia). Retreived from http://www.occupationalperformance.com/
- Persson, E., Rivano-Fischer, M., & Eklund, M. (2004). Evaluation of changes in occupational performance among patients in a pain management program. Journal of Rehabilitation Medicine, 36(2), 85-91. doi:10.1080/16501970310019142
- Ramafikeng, M. (2010). The Canadian Model of Occupational Performance and Engagement (CMOP-E). Retrieved from https://vula.uct.ac.za/access/content/group/9c29ba04-b1ee-49b9-8c85-9a468b556ce2/Framework_2/pdf/The%20Canadian%20Model%20of%20Occupational%20Performance%20and%20Engagement.pdf
- Schkade, J.K., & Schultz, S. (1992) Occupational adaptation: Toward a holistic approach for contemporary practice part I. The American Journal of Occupational Therapy, (46)9, 829-837. retreived from http://ajot.aota.org/pdfaccess.ashx?url=/data/journals/ajot/930261/
- Smith, S., & Suto, M. (2012). Religious and/or spiritual practices: extending spiritual freedom to people with schizophrenia. Canadian Journal of Occupational Therapy, 79, 77-85. doi: 10.2182/cjot.2012.79.2.3
- Snedden, D. (2012). Trauma informed practice: an emerging role of occupational therapy. Occupational Therapy Now, 14(6). Retrieved from https://www.caot.ca/document/6064/OTNow_Nov_12.pdf#page=26
- Tuntland, H., Aaslund, M.K., Langeland, E., Espehaug, B., & Kjeken, I. (2016). Psychometric properties of the Canadian Occupational Performance Measure in home-dwelling older adults. Journal of Multidisciplinary Healthcare, 9. 411-423. doi: 10.2147/JMDH.S113727
- Wong, S.R., & Fisher, G. (2015). Comparing and Using Occupation-Fo20cused Models. Occupational Therapy In Health Care, 29(3), 297-315. doi: 10.3109/07380577.2015.1010130