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Questions and Answers
What is a key principle of client-centered therapy?
What is a key principle of client-centered therapy?
Which of the following models is NOT associated with occupational therapy practice?
Which of the following models is NOT associated with occupational therapy practice?
What does client-centered care primarily emphasize?
What does client-centered care primarily emphasize?
Which of the following components is crucial for effective client-centered practice?
Which of the following components is crucial for effective client-centered practice?
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According to the definitions presented, client-centered care is characterized by which of the following?
According to the definitions presented, client-centered care is characterized by which of the following?
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What is one of the key principles of client-centered practice regarding the client's role?
What is one of the key principles of client-centered practice regarding the client's role?
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Which concept focuses on understanding the client's environment and culture?
Which concept focuses on understanding the client's environment and culture?
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How does client-centered practice measure success?
How does client-centered practice measure success?
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What does the principle of 'Enablement' emphasize in client-centered practice?
What does the principle of 'Enablement' emphasize in client-centered practice?
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What does 'Partnership and Responsibility' in client-centered practice imply?
What does 'Partnership and Responsibility' in client-centered practice imply?
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Which of the following embodies the concept of respecting diversity in client-centered practice?
Which of the following embodies the concept of respecting diversity in client-centered practice?
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The principle of 'Flexibility' in client-centered practice allows for which of the following?
The principle of 'Flexibility' in client-centered practice allows for which of the following?
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What role does the therapist play according to the principles of client-centered practice?
What role does the therapist play according to the principles of client-centered practice?
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What is a core principle of client-centered practice?
What is a core principle of client-centered practice?
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Which of the following features emphasizes respect in client-centered practice?
Which of the following features emphasizes respect in client-centered practice?
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What does the Canadian Model of Occupational Performance (CMOP) focus on?
What does the Canadian Model of Occupational Performance (CMOP) focus on?
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What assumption of client-centered practice challenges traditional therapy roles?
What assumption of client-centered practice challenges traditional therapy roles?
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How did client-centered practice emerge historically?
How did client-centered practice emerge historically?
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What role do intrinsic motivations play in client-centered practice?
What role do intrinsic motivations play in client-centered practice?
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What defining feature of client-centered practice involves collaboration?
What defining feature of client-centered practice involves collaboration?
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What is a critical impact factor on functional ability within CMOP?
What is a critical impact factor on functional ability within CMOP?
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Study Notes
Client-Centered Therapy
- Client-centered therapy is an approach to service that prioritizes respect and partnership with clients. It emphasizes the client's rights to make choices regarding their care.
- It aims for a collaborative effort involving clients, patients' families, friends, doctors, and other health professionals.
- A client-centered approach focuses on the clients needs, with wellness as the primary outcome, rather than focusing exclusively on acute outcomes.
- The client-centered approach began in the 1960s and is based on deinstitutionalization efforts.
Learning Objectives
- Identify models that affect occupational therapy practice.
- Understand the importance of different models used in occupational therapy.
- Understand occupational therapists' client-centered practice.
- Discuss the principles of client-centered practice.
Introduction
- Models of healthcare influence occupational therapy at national and global levels. These models provide context for understanding practice.
- Models like the medical model, the international classification of functioning, disability and health, client-centered practice, and the American Occupational Therapy Practice Framework (AOTA, 2020), all contribute to the field.
Definitions
- Client-centered care embodies a philosophy of respect and partnership with clients.
- Client-centered care is a collaborative effort involving clients, patients' families, friends, doctors, and other health professionals to address client needs.
- Client-centered care focuses on clients' care needs and considers their caregivers' needs.
Features Derived from Definitions
- Respect for client values, needs, and preferences.
- Collaboration between the client (including their family) and the professional care team.
- Client/patient/person as the central focus of health services. Services should be centered around the user, not funders or professionals.
Client-Centered Practice
- Client-centered practice emerged in the 1960s.
- It was developed and founded by the Canadian Occupational Therapy Association (CAOT, 1997).
- It is considered the basic therapy model for the AOTA Practice Framework (2020).
Assumptions of Client-Centered Practice
- Clients have knowledge of what they need and want from therapy.
- Clients' perspectives on their problems are paramount.
- Professional dominance in therapy is counterproductive to client success.
- Therapists facilitate change; they are not agents of change themselves.
Canadian Model of Occupational Performance (CMOP)
- Client-centered practice aligns with the Canadian Model of Occupational Performance (CMOP).
- The CMOP illustrates how occupational performance arises from interactions among the person, environment, and occupation. (person, context, and activity)
General Points - CMOP
- Functional ability depends on interactions between the person, occupation, and environment.
- Changes to any part of this interactive system can affect occupational performance.
- Motivation is an intrinsic aspect of client engagement and is enhanced by client participation in defining meaningful goals.
- There isn't a specific plan for applying the therapeutic process: general strategies like facilitating, guiding, and supporting clients are often used.
- The therapeutic process is guided by the principles of client-centered practice.
6 Principles of Client-Centered Practice
- The client is capable of choice.
- Therapists use flexibility and individualized approaches.
- Therapists are enablers who share power and empower clients.
- Success is measured by clients achieving their goals, as defined by them.
- Interventions must fit within the client's life context.
- Clients are ready to use therapist expertise, at their own pace and choice.
Law et al (1995) Key Concepts to Client-Centered Practice
- Autonomy and choice
- Partnership and responsibility
- Enablement
- Contextual congruence
- Accessibility
- Flexibility
- Respect for diversity
Autonomy and Choice
- Client opinions and values are sought.
- Client dignity is upheld.
- Clients have the right to receive information in an understandable manner, which aids them in making decisions about their care.
Partnership and Responsibility
- Each partner in the collaborative relationship brings specialized knowledge.
- Each participant is responsible for contributing to the relationship.
Enablement
- Client-centered practice shifts focus from illness to wellness and from measuring acute care outcomes to measuring life satisfaction.
- Considering clients' capabilities rather than deficiencies is critical in this paradigm.
Contextual Congruence
- Understanding the client's roles, values, interests, environment, and culture is crucial to provide relevant client-centered care.
Accessibility
- Services provided in a timely and accessible manner to meet a client's needs.
Respect for Diversity
- Therapists respect differing values and beliefs.
- Power imbalances within the therapist-client relationship are acknowledged and mitigated.
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Description
This quiz explores the principles and models of client-centered therapy in occupational therapy. Discover how respect and partnership with clients enhance wellness outcomes. Test your understanding of the importance of client-centered approaches and their historical context in therapy practices.