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theory CMOP
theory CMOP
16
Other
Graduate
02/28/2011

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Term
dysfunction in CMOP
Definition
Difficulty in occupational performance
Caused by personal factors such as developmental delay
Caused by occupational factors such as a job becoming obsolete
Caused by environmental factors such as limitations of access in the community


Basis of problems is a mismatch between the person and the environment or between the person and the occupation
Term
COPM
Definition
canadian occupational performance measure

Designed to help client and therapist identify problems in occupations (self care, productivity and leisure)
Considers the client to be the expert
Uses a semi-structured interview format
Takes around 30-45 minutes
Is designed to be used as an outcome measure

Believe what they say to be true. Go with the information the client gives you.

Ass person early on and then reassess and then look for change over time. Not comparing against a norm but comparing the person to self. A within person look at improvement.
Term
nature of intervention in CMOP
Definition
Client Centered
Enablement
Therapist respects the clients opinions
Responsibility is shared between client and therapist
Therapist provides information to help the client with the task of making decisions about occupational needs
Term
role of therapist in CMOP
Definition
Guides
Teaches
Coaches
Prompts
Listens to
Reflects on
Encourages
Collaborates
Term
seven step intervention process used by therapist in CMOP
Definition
1.Name, validate and prioritize occupational performance issues

2.Selects appropriate additional theoretical approaches to address problems

3Identifies occupation performance components and environmental conditions contributing to identified problems in occupational performance

4. Identifies clients' strengths and resources

5. Negotiates targeted outcomes and develops actions plans

6. Implements Plan

7. Evaluates occupational performance outcomes
Term
research on CMOP
Definition
Mostly focuses on the development and examination of the COPM
Reliability is good
Validity is good in that it does test the perception of performance
Concurrent validity is poor, it does not correlate well with other tests
Ability to measure change is good


If person doesn’t see a problem then it isn’t a problem in this model.
Term
contributions of the CMOP model
Definition
Identified the importance of the client centered collaborative approach
The assessment tool (COPM) reinforces client centered practice
Attempts to address the issue of spirituality
Can be broadly applied to many populations

Model attempts to assess the framework ideas. It is the only one that does that.
Term
problems of this CMOP
Definition
Some would argue that spirituality should not be at the center
Some think occupation should be at the center
Clients are considered the experts on themselves. Are they really?
Term
updates
Definition
In 2007 the model was expanded to include the concept of engagement and it was renamed, “Canadian Model of Occupational Performance and Engagement” CMOP-E
Term
spirituality
Definition
“A pervasive life force, manifestation of a higher self, source of will and self –determination, and a sense of meaning, purpose, and connectedness that people experience in the context of their environment” (Canadian Association of Occupational Therapists, 1997, p. 182)
Term
origin
Definition
Developed by task force of Canadian occupational therapists in 1980s
Term
CMOP based on
Definition
Psychology
Systems Theory
Environmental Influence is Important
Concept of “Flow”
Empowerment and Justice


Flow-immersion in an activity that causes a person to lose track of time.- Mary drumming.
Occupational justice is an important idea to learn. Entitled to have access to occupations.
Term
focus of CMOP model
Definition
Occupational Performance

Therapy Process Being the Result Of Relationship Between The Client and Therapist
Term
model beliefs of CMOP
Definition
The person is connected to the environment and occupation occurs as an interaction between the person and the environment
Change in any part of the person-environment-occupation interaction affects the other parts and consequently, performance

The person is at the center to highlight the nature of the client centered perspective

Spirituality is at the core of the person and shaped by the environment and that which gives meaning to occupations
Term
beliefs of CMOP contd.
Definition
Developmental Perspective, “The relationship between the person, the environment, and occupations change over the lifespan in response to opportunities and challenges that shape each person’s occupational life course” (Kielhofner, 2004)

Occupation gives meaning to life
Occupations are important to health and well being
Occupation organizes behavior
Occupation develops and changes over time
Occupation shapes and is shaped by the environment
Occupation has therapeutic effectiveness
Term
copm
Definition
The Canadian Occupational Performance Measure (COPM)© is an individualized outcome measure designed to detect change in a self-perception of occupational performance over time
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