TAILIEUCHUNG - Ebook Psychosocial frames of reference (4/E): Part 2

(BQ) Part 2 book “Psychosocial frames of reference” has contents: Learning and occupation, expression and occupation (psychodynamic perspectives), coping and occupation, health promotion and wellness for persons with psychiatric disabilities, and other contents. | 9 The Model of Human Occupation A Framework for Occupation-Focused Practice Ellie Fossey, PhD, MSc, DipCOT (UK) An occupational therapist’s perspective: “What influenced my thinking in practice? How did I structure the way I worked with service users? I needed a defined assessment process that would give a broader understanding of occupational performance, something that highlighted more about the person than just identifying what they were engaged in doing. I realised doing was an important part of occupational therapy, but I wanted to know more about why service users were doing chosen occupations, how they were doing those occupations and what influenced their abilities to do occupations. I consider the MOHO’s assessments as my toolbox and choose the appropriate assessment based on what information I need to know, and the best way in which to gather this information.” (Cook, 2012, p. 142; p. 143). Following interviews informed by the Model of Human Occupation (MOHO), clients of a mental health service spoke of it being “good” or a “relief ” to talk about their lives, including the very difficult or distressing aspects, their joys, hopes and dreams, “not just illness”; and it created an openness and different sense of connection with the occupational therapists in these interviews than was usual in their experience of mental health care. As Gwen expressed: I remember being quite happy after the interview, the more I learnt the stronger I felt. That maybe I can achieve more stuff than I really thought and be more focused on what I wanted to do in the future. Maybe their role had changed. Questions were asked and maybe they [occupational therapists] changed the way they presented themselves. It is hard to explain; not a friend, but more like a companion just having a chat, than being your worker, or a person superior. Even though OTs [occupational therapists] get paid and all that, it was a bit different. It seemed to me more like the walls had come down. .

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