AOTA

Renée Taylor, Patricia Bowyer, Linda T. Tran, Kendall Carithers, Lauro Muñoz

Abstract
In this article, we review concepts of the Model of Human Occupation (Kielhofner, 2008) and the Intentional Relationship Model (Taylor, 2008). We review clinical application of these models in physical dysfunction settings. The article also discusses the Model of Human Occupation Screening Tool and applies this assessment to five case examples: a 55-year-old woman who underwent a craniotomy, resulting in left incoordination and pain; a 47-year-old male with a cerebral vascular accident, resulting in right-sided weakness and right homonymous hemianopia; a 17-year-old male who sustained a gunshot wound, resulting in decreased strength and coordination; an 83-year-old male who experienced a stroke, resulting in decreased judgment and strength; and a 30-year-old woman who recently began chemotherapy, resulting in decreased energy, strength, and endurance.

Learning Objectives
After reading this article, you should be able to:

1. Identify how concepts of the Model of Human Occupation are used to explain the experience of a client with physical dysfunction.
2. List the six subscales of the Model of Human Occupation Screening Tool (MOHOST).
3. Define how the MOHOST may be used to understand physical dysfunction.
4. Define the main concepts of the Intentional Relationship Model (IRM).
5. Identify how the six modes of the IRM are used to resolve communication problems in therapy.

Learning Level: Entry

Target audience: Occupational Therapist and Occupational Therapy Assistants

Content: Category 2: Occupational Therapy Process: Evaluation, Intervention, Outcomes

Reference Information:
Bream, S., (2013). The History of Occupational Therapy in Adolescent Mental Health Practice. OT Practice, 18(3), CE-1–CE-8