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The OT Practice Framework
All quotes from the Occupational Therapy Practice Framework, 4th edition
Domain
"Outlines the profession's purview and the areas in which its members have an established body of knowledge and expertise."
Domain
Occupations
Occupations
"Central to a client's...health, identity, and sense of competence and have particular meaning and value to that client...the everyday activities that people do as individuals, in families, and with communities to occupy time and bring meaning and purpose to life."
Table 2: Occupations, p. 30-34
"Occupations are categorized as activities of daily living, instrumental activities of daily living, health management, rest and sleep, education, work, play, leisure, and social participation."
Table 2: Categories of Occupations
Table 3: Examples of Occupations for Persons, Groups, and Populations, p. 35
Table 3: Examples of Occupations
Table 11: Occupation and Activity Demands, p. 57-58
"Activity demands are what is typically required to carry out the activity regardless of client and context. Occupation demands are what is required by the specific client...to carry out an occupation."
Table 11: Occupation Demands
Contexts
"The environmental and personal factors specific to each client...that influence engagement and participation in occupations."
Contexts
Table 4: Context: Environmental Factors, p. 36-39
"Aspects of the physical, social, and attitudinal surroundings in which people live and conduct their lives."
Table 4: Environmental Factors
Table 5: Context: Personal Factors, p. 40
Table 5: Personal Factors
Performance Patterns
"Acquired habits, routines, roles, and rituals used in the process of engaging consistently in occupations and can support or hinder occupational performance."
Performance Patterns
Table 6: Performance Patterns, p. 41-42
Table 6: Performance Patterns
Performance Skills
"Observable, goal-directed actions and consist of motor skills, process skills, and social interaction skills."
Performance Skills
Table 7: Performance Skills for Persons, p. 43-49
Table 7: Performance Skills for Persons
Table 8: Performance Skills for Groups, p. 50
Table 8: Performance Skills for Groups
Client Factors
Client Factors
"Specific capacities, characteristics, or beliefs that reside within the person, group, or population and influence performance in occupations."
"Client factors include (1) values, beliefs, and spirituality; (2) body functions; and (3) body structures."
Table 1: Examples of Clients: Persons, Groups, and Populations, p. 29
Table 1: Examples of Clients
Table 9: Client Factors, p. 51-54
Table 9: Client Factors
Process
"Describes the actions practitioners take when providing services that are client centered and focused on engagement in occupations."
Process
Evaluation
Evaluation
"Finding out what the client wants and needs to do; determining what the client can do and has done; and identifying supports and barriers to health, well-being, and participation. Evaluation occurs during the initial and all subsequent interactions with a client."
"Occupational profile, Occupational performance analysis, Synthesis of the evaluation process"
Exhibit 2: Operationalizing the Occupational Therapy Process - Evaluation, p. 16
Exhibit 2: Operationalizing the Process
Table 10: The Occupational Therapy Process for Persons, Groups, and Populations - Evaluation, p. 55
Table 10:
OT Process
Table 11: Occupation and Activity Demands, p. 57-58
Table 11:
Occupation and Activity Demands
Intervention
Intervention
"Services provided by OT practitioners in collaboration with clients to facilitate engagement in occupation related to health, well-being, and engagement of established goals consistent with the various service delivery models."
"Plan, Implementation, Review"
Table 10: The Occupational Therapy Process for Persons, Groups, and Populations - Intervention, p. 55-56
Table 10:
OT Process
Table 12: Types of Occupational Therapy Interventions, p. 59-62
Table 12: Types of Interventions
Table 13: Approaches to Intervention, p. 63-64
Table 13: Approaches to Intervention
Outcomes
Outcomes
"Emerge from OT process and describe the results clients can achieve through OT intervention. [They] are multifaceted and...should be measured with the same methods used at evaluation."
Table 10: The Occupational Therapy Process for Persons, Groups, and Populations - Outcomes, p. 56
Table 10:
OT Process
Table 14: Outcomes, p. 65-68
Table 14:
Outcomes
Interaction of Domain and Process
"Achieving health, well-being, and participation in life through engagement in occupation."
Interaction of Domain and Process
Health
"A state of complete physical, mental, and social well-being, and not merely the absence of disease or infirmity."
Health
Well-Being
"Total universe of human life domains, including physical, mental, and social aspects, that make up what can be called a 'good life.'"
Well-Being
Participation in Life
Participation in Life
"involvement in a life situation...[that] occurs naturally when clients are actively involved in carrying out occupations or daily life activities they fine purposeful and meaningful."