Canadian Model of Occupational Performance and Engagement (CMOP-E)

Canadian Model of Occupational Performance and Engagement (CMOP-E) Person Physical: (Doing) Sensory, motor and sensorymotor functions. Movement quality ¥ Strength ¥ Range of motion of joints – active and passive ¥ E.g. trunk flexion, elbow extension ¥ Endurance/energy ¥ Pace ¥ Muscle tone ¥ Spasticity ¥ Rigidity ¥ Tremors ¥ Reflexes Mobility ¥ Walking ¥ Going up/down stairs ¥ Rolling (out of bed) ¥ Getting in and out of bed ¥ On/off toilet ¥ Around house ¥ Community access Balance ¥ Dynamic (moving) and static (when still) ¥ Sitting ¥ Standing Fine motor skills ¥ Dexterity ¥ Coordination ¥ Pinch Gross motor skills ¥ Grips ¥ Grip and release ¥ Reaching ¥ Pushing and pulling ¥ Lifting ¥ Carrying loads Posture ¥ Postural control ¥ Alignment of body structures ¥ Kneeling ¥ ¥ ¥ ¥ ¥ ¥ Squatting Standing Sitting Head control Work over head Work below knees Sensory ¥ Hearing ¥ Vision ¥ Taste ¥ Smell ¥ Touch ¥ Sensation in hands and upper limb ¥ Sensitivity ¥ Discrimination ¥ Pain ¥ Body awareness ¥ Body in space ¥ Kinaesthesia ¥ Proprioception ¥ Vestibular – movement and balance integration Affective: (Feeling): The domain that comprises all social and emotional functions Social behaviour Expressing self ¥ Verbal skills ¥ Articulation ¥ Modulation of communication ¥ Clarity of speech ¥ Non-verbal body language ¥ Gestures ¥ Assertiveness ¥ Empathy ¥ Understanding speech and non-verbal body language ¥ Eye contact Relationships ¥ Friendships ¥ Intimate relationships ¥ Sexuality Team and group skills ¥ Collaboration ¥ Sharing ¥ Negotiation ¥ Conflict resolution Well being ¥ Behaviour ¥ Personality ¥ Motivation/ volition Affect ¥ Feelings ¥ Emotional regulation/ stability ¥ Mood Environment ¥ ¥ ¥ ¥ ¥ ¥ ¥ ¥ ¥ ¥ ¥ Coping Resilience Emotional expression Thoughts Thought content Self esteem Self confidence Self-efficacy Emotional intelligence Reality testing Decision making Cognitive: (Thinking) Mental functions including perception, concentration, memory, comprehension, judgment and reasoning and more. ¥ ¥ ¥ ¥ ¥ ¥ ¥ ¥ ¥ ¥ ¥ ¥ ¥ ¥ ¥ ¥ ¥ ¥ ¥ ¥ ¥ ¥ ¥ ¥ ¥ ¥ ¥ ¥ Attention Concentration Vigilance Memory Learning Knowledge Planning Organisation Time management Abstract reasoning Problem solving Decision making Thinking Insight Judgement Safety Calculations Motor planning Initiation of tasks Modifying actions Orientation to time and place Sequencing tasks Following instructions Spatial skills Navigation Education Neglect Inattention Spirituality ¥ ¥ ¥ ¥ ¥ ¥ ¥ ¥ ¥ ¥ ¥ our deep beliefs our motivating life forces our passions personal drivers behind why one chooses to participate in occupations motivation Volition Personal life stories and occupational history that creates who one is Meaning Satisfaction Values Morals and ethics Physical Built environment ¥ Home or self-care locations ¥ Bedroom ¥ Bathroom ¥ ¥ ¥ ¥ ¥ ¥ Toilet Hallways Stairs Outdoors Washing line Doorways Workplace ¥ Vibration ¥ Loads ¥ Weight ¥ Distance to carry ¥ Size/shape ¥ Computer set-up ¥ Chair ¥ Hazards ¥ Light ¥ Noise ¥ Temperature School or university Places where leisure occupations occur Clothing ¥ Shirts ¥ Jumpers ¥ Shoes ¥ Undies Self-care items ¥ Toothbrush ¥ Soap ¥ Make-up ¥ Condoms ¥ Menstruation Equipment and assistive devices ¥ Wheelchair ¥ Office chair ¥ Bench heights ¥ Floor surfaces ¥ Door handles ¥ Rugs on floors ¥ Splints ¥ Fridge ¥ Furniture Transport ¥ Car ¥ Bus and bus stop Access to buildings Natural environment ¥ Physical landscapes ¥ Sand and beach ¥ Hills ¥ ¥ ¥ ¥ ¥ ¥ Trees Pollution Air quality Light Noise Temperature Location of Therapy/Therapists ¥ Where does therapy take place: home/clinic/workplace/community Technology ¥ Equipment ¥ Hearing ¥ Robotics ¥ Remote control ¥ Switches ¥ Computers ¥ Apps ¥ Wearable technology ¥ Alerting devices ¥ Communication devices ¥ Ideas that are yet to be created – the future Institutional ¥ ¥ ¥ ¥ ¥ Personal finances and money Laws and legislation Government organisations e.g. Centrelink, court system, Medicare Health funding Private vs social health care systems Therapy department ¥ Rules ¥ Practices ¥ Funding ¥ Staffing – are there OTs? How many? What are their roles? Cultural A community or society’s: ¥ Beliefs ¥ Customs ¥ Values ¥ Race ¥ Ethnicity ¥ Gender ¥ Age ¥ Religion ¥ Language ¥ Social class ¥ Health status ¥ Cultural norms ¥ Attitudes to illness and disability ¥ Stigma about illness and disability ¥ Health inequalities Workplace culture e.g. ¥ Management in the workplace ¥ Work colleagues’ practices ¥ Support of management towards injury and disability ¥ Ethics Therapy department ¥ The way things are normally done in the workplace ¥ Beliefs ¥ Code of Practice Social Social supports ¥ Family ¥ Partner/spouse ¥ Friends ¥ Children ¥ Neighbours ¥ Caregivers ¥ Community organisations ¥ Work ¥ Manager ¥ Colleagues Health professionals ¥ OT ¥ Physio ¥ GP ¥ Specialist ¥ Social worker ¥ Nurse ¥ Care manager Occupation Self-care Leisure Productivity ¥ ¥ ¥ ¥ ¥ ¥ ¥ ¥ ¥ ¥ Routines Habits Form Frequency Patterns of participation How is the occupation done? Sequence it is done in? How does this person do it differently? What equipment do they use? How much does it cost? Occupational roles ¥ How well are they doing these? ¥ Satisfaction levels? ¥ What other roles would like to do in the future? ¥ Problems ¥ Harm? Personal factors: Perspective (Past, Present, Future) Personal nature Skills, ability and knowledge