PEOP and EHP Models Overview

PEOP Model

• Focus: Understanding client facilitators and barriers to occupational performance.
• Human Agency: Clients persist through challenges if they view the outcome as meaningful.
• Dysfunction: Occurs when occupational performance is limited or restricted.
• Assessment: Gathering client narratives is crucial.
• Client Engagement: Client desires, competencies match performance demands/occupations for mastery.
• Clinician Role: Evaluation process assumes clinician competency.

EHP Model

• Purpose: Designed for interprofessional use.
• Dysfunction: Performance limitations arise from disruptions within the person-context-task interaction.
• Client Empowerment: Emphasizes client agency in change.
• Key Concepts: "Task" and "context" are central components.
• Evaluation Process (6 steps): Client wants/needs, task analysis, client performance, performance style, desired contexts, person variables, client-driven goals.
• Intervention Guidelines: Establish, restore, alter, prevent, adapt/modify, create.
• Internal Change Factors: Model aligns with MOHO and OA.

MOHO Model

• Author: Gary Kielhofner.
• Dysfunction: Inability to engage successfully in occupations, choose/perform adequately, or demonstrate role competence (disruption).
• Associated Concepts: Habituation, volition.

OA Model

• Function: Adaptive response is evident when clients perform occupations with a sense of mastery and accomplishment that satisfies self and society.
• Adaptive Subprocesses: Generation, evaluation, integration.
• Adaptive Response Types: Primitive, transitional, mature.
• International Models: Connects with the Kawa and CMOP-E models.

Kawa Model

• Analogy: Represented by flowing water; greater well-being associated with greater speed and volume.
• Motivation/Change: Accepting circumstances, engaging meaningful ways, and creating paths to solutions/removal of obstacles.
• Elements: Life flow–health (water); life circumstances/problems (rocks); personal assets/ liabilities (driftwood) external environment/spaces between (river bottom) all offer opportunities.

CMOP-E Model

• Focus: High-quality life through person-environment-occupational balance.
• Key Element: Spirituality is viewed as integral to selfhood.
• Occupational Repertoire: The collection/range of occupations a person performs or has the capacity to perform.

Frames of Reference

• Focus: Differentiated approaches based on constructs, concepts, and practical application.

Sensory Frames of Reference

• Ayres' Sensory Integration (SI): Targets remedial interventions, specifically for neurological differences; function is the sense integration through age-appropriate occupations.
• Sensory Motor: Aligns with newer sensory theories; recognizes varied needs and factors like education, adaptation, compensation for some populations.

Motor Frames of Reference

• Motor Control: (NDT, PDF) Prepares occupation for possible activity intervention (use sparingly); good tone & postural control plus integration of reflexes.
• Motor Learning: Task-oriented, used when a specific occupational goal exists for neurological issues.
• Biomechanical: Supports ortho, ROM, strength, edema, pain and activity. Used in preparations.
• Rehabilitation: Addresses broad aspects of function restoration.

Cognitive Frames of Reference

• Allen's Cognitive Disability: Matches occupational demands to cognitive level; caregiver support, environmental adaptation, and focused assistance is key.
• Toglia's Dynamic Interactional: Addresses cognitive function via self-awareness, multicontextual approaches, developing skills for transfer, and self-directed strategies as relevant.

Behavioral Frames of Reference

• Cognitive Behavioral: Thoughts influence behaviors; coping mechanisms, stress management, time management, role balance are aspects. Behavioral change is a focus of therapy.
• Social Cognition: Thought processes influence self-determination and social participation. Therapists focus on support, belief building, and exploring personal motivation for change, acknowledging client’s life narrative and need for resources.

Explore the PEOP and EHP models, focusing on client facilitators and barriers to occupational performance. Understand the assessment processes and the importance of client engagement, agency, and context in improving functionality. This quiz delves into the critical concepts and evaluation procedures of each model to enhance your understanding of occupational therapy.