Canadian Model of Occupational Performance

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The Canadian Model of Occupational Performance, CMOP for short, is an instrument used in occupational therapy to develop client-centered treatment guidelines. CMOP is not a concrete treatment method, but the attempt to give the therapist an instrument (literature, questionnaire) to work out the wishes and goals of a person in need of treatment (client).

The CMOP was developed in the 1980s by the Canadian Department of National Health and Welfare together with the Canadian national organization of Occupational Therapists (CAOT ).

Person - activity - environment

At the center of the model is the person being treated (client- centeredness ). This person interacts with the environment through activity . Activity is the German translation of Occupation , for which terms such as employment, work, action and activity also exist in the German language. The core concept of activity basically summarizes everything that a person has to do and wants to do in their everyday life, but which a person in need of treatment is often no longer able to do. The CMOP divides occupation into the three areas of self-sufficiency , productivity (professional life) and leisure .

Therapy process

The therapy process within the framework of the CMOP takes place in seven steps according to the Occupational Performance Process Model, or OPPM .

  • 1 step: In an interview, the therapist and client discuss what the client's specific, everyday activities are. Where are his difficulties, where are his wishes to improve his possibilities. The activities are recorded in a questionnaire and assigned to the areas of self-sufficiency , productivity and leisure .
  • Step 2: Possible treatment approaches are selected, for example psychosocial or neurophysiological .
  • Step 3: Therapist and client try to determine which factors (physical, cognitive , affective ) or which environmental conditions could prevent the sick client from performing an activity in the way they actually want.
  • 4th step: The strengths and resources, the (remaining) possibilities of the client are identified.
  • 5th step: Treatment goals are set together, which appear sensible according to the previous preliminary planning. A therapy plan is negotiated. If the wishes of the client and the therapist are not congruent, the wishes of the client should be given priority.
  • Step 6: The therapy plan is implemented.
  • 7th step: Analysis and evaluation (evaluation) of the therapy.

Canadian Occupational Performance Measure (COPM)

The internationally standardized questionnaire used in the first step of the therapy process (OPPM) also serves as a measuring instrument. It documents the current status before the therapy and in a second interview, after a reasonable period of time, possible therapeutic successes. Success is particularly understood from the perspective of the patient / client, whose perspective does not necessarily have to correspond to that of the therapist.