Term
| two important ways MOHO is client centered |
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Definition
1. it views each client as unique individual whose characteristics determine the rationale for and nature of the therapy goals and strategies
2. It views what the client does, thinks and feels as the central mechanism of change |
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Term
| clients unique characteristics do what? |
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Definition
| always define the goals and strategies of therapy |
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Term
| central dynamic of the MOHO based therapy |
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Definition
client's occupational engagement
thinking, feeling and doing |
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Term
| 6 steps of therapeutic reasoning |
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Definition
1. generating questions to guide information gathering
2. collecting information on and from the client to answer the questions one has generated
3. using the information gathered to create an explanation of the client's situation-creating a conceptualization of the client that includes strengths and challenges.
4. generating goals and strategies for client engagement and therapeutic strategies
5. implementing and monitoring therapy
6. determining outcomes of therapy
NOT SEQUENTIAL STEPS-MOVE THROUGH THEM AND BACK UP AND DOWN WITH TIME |
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Term
| step 2 gathering info. on and with the client |
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Definition
the first step is to GENERATE questions and now you are going to answer them
This is done using standardized and non-standardized assessments approach data gathering with these concerns:
kind of info. that is needed to answer the questions one has generated
The best method to gather that info given the circumstances. |
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Term
| Reasons that therapists use other structured assessment with MOHO |
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Definition
MOHO is used in association with other conceptual practice models that have their own assessments
other assessments specifically target occupational performance in ways that MOHO based assessments do not.
assessments that gather info. directly or partly related to constructs in MOHO. An example is the use of structured interest inventories. Since the MOHO based interest assessments focus mainly on leisure interests, therapists wishing to gather information on work-related interests ordinarily use one of a number of standardized vocational interest assessments. |
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Term
| elements involved in planning the therapy |
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Definition
creating therapy goals with the client
deciding what kinds of occupational engagement will enable the client to change
determining what kind of therapeutic strategies will be needed to support the client to change. |
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Term
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Definition
indicate the kinds of changes that therapy will aim to achieve.
EX: if client feels ineffective then therapy should seek to enable the client to feel more effective. |
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Term
| step 6: collecting information to assess outcomes |
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Definition
this is done by
reassessment
examining the extent to which goals have been achieved. |
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Term
| Trombly quote about assessments |
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Definition
| we can not ethically treat what we do not measure |
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Term
| assessment from MOHO perspective |
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Definition
| comprehensive assessment means that a therapist will at minimum raise and seek answers to questions pertaining to the client's occupational adaptation, volition, habituation, performance capacity and environmental impact |
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Term
| when to make use of unstructured information gathering methods |
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Definition
*THere is no appropriate structured assessment for the question one wants to answer or for the type of client one has
*The client is uncomfortable with or unable to complete a structured assessment
*The therapist wishes to augment info. collected from structured assessments
*An unexpected opportunity to obtain useful info. arises. |
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Term
| unstructured info collection can occur in a wide range of circumstances including: |
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Definition
*having a conversation with a client while beginning a therapy session
*Observing a student's performance when visiting the classroom
* Listening to a client's comments about the work place where he was injured
*Noting the affect of a client during a group session
*Listening to a client's occasional stories about what happened since the last therapy session
any opportunity to observe and/or talk with a client yields potentially useful info. |
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Term
| critical to unstructured info gathering |
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Definition
having questions to guide you
you need to know what you are looking for when observing or conversing with the client.
Formulating theory based questions must precede this. |
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Term
| best ways to assess the lived body experience |
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Definition
no formal assessments
observe
and informal interview |
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Term
| three important strategies for ensuring dependability of information gathered by unstructured methods |
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Definition
evaluating context
triangulation
validity checks |
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Term
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Definition
| contexts affect information-client may be "showing off" or may have fears that will go away once they are home. Take context into account |
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Term
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Definition
method of helping to ensure that information is accurate by comparing it with information from another source.
can be information from past therapy, other caregivers |
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Term
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Definition
| when using unstructured methods therapists should be vigilant to ensure that their interpretation of the meaning of the information is valid. |
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Term
| ensuring client-centered assessment |
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Definition
| requires that therapists choose the form of assessment that maximizes client involvement to the extent possible |
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Term
| assessments good for those low functioning or minimal ability to contribute to the assessment |
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Definition
| VQ, PVQ, MOHOST, and the Short Child Occupational Profile + unstructured means |
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Term
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Definition
| MOHO assessments are not designed for use with a specific diagnosis. MOHO focuses on understanding the impact of a disease or impairment on the person's occupational life, not on the disease or impairment itself. |
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Term
| Things to consider in selecting assessments for specific diagnosis or impairments |
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Definition
Is the diagnosis better addressed by this assessment
Whether the impairment limits the client's ability to do what is necessary to participate in the assessment |
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Term
| steps in choosing assessments |
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Definition
become familiar with all potentially relevant MOHO assessments and identify those that appear most suitable for use
Pilot these assessments in practice to evaluate their utility
Develop an assessment strategy that allows flexibility to meet individual needs. |
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Term
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Definition
| refers to clients' doing, thinking, and feeling under certain environmental conditions in the midst of or as a planned consequence of therapy. |
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Term
| 9 dimensions of occupational engagement that contribute to change |
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Definition
choose or make decisions
commit-to make a change
explore-new ways of doing
identify-problems or areas needing work
negotiate-give and take for mutually agreed upon
plan-establish action plan
practice
reexamine
sustain |
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Term
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Definition
is one of the dimensions
committing to a course of action is also an act of hope since the client's intention is to achieve some goal, occupy a place in the world or modify lifestyle in anticipation of improving life |
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Term
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Definition
those actions of the therapist tht are directed specifically to supporting client occupational engagement
a therapist's action that influences a client's doing, feeling, and/or thinking to facilitate desired change. |
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Term
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Definition
validating-experiences the client experiences
identifying-ways to get back to occupations
giving feedback
advising
negotiating
structuring-establishing parameters for choice, ground rules, etc.
coaching-verbally prompt or physically prompt
encouraging
providing physical support
p.195 sums this up |
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Term
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Definition
| to convey respect for the client's experience or perspective |
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