CMCE

Question 1

CMCE

Answer 1

Canadian Model of Client-Centered Enablement - graphic representation of the core competency enablement

Question 2

Enablement Skills (10)

Answer 2

Adapt, Advocate, Collaborate, Coordinate, Coach, Consult, Design/Build, Engage, Educate, Specialize

Question 3

Continuum of Enablement (4)

Answer 3

1. Ineffective enablement
2. Missed enablement
3. Minimal enablement
4. Effective enablement

Question 4

Characteristics of Ineffective Enablement

Answer 4

• Negative & potentially destructive
• Knowing best with limited input
• Co-dependence
• Alienation through expert dominance, overbearing zealousness, misunderstanding
• Fractured relations, value clashes
• Incongruence, non-resonance, unresponsiveness, irrelevance
• Potentially offensive
• Ineffective use of resources
• Accountability skewed to interests for cost cutting, safety, etc., little mediation of client interests

Question 5

Characteristics of Missed Enablement

Answer 5

• Mutual agreement of no need for professional engagement
  OR..
• Missed opportunity, vision, conditions for enabling
  OR..
• Insufficient resources: human or financial
• Unsuitable sociocultural, physical, and/or emotional conditions
• Unsuitable accountability for what might have been done

Question 6

Characteristics of Minimal Enablement

Answer 6

• Non-generative
• Single-issue focus mechanistic, perspective, risk averse to just-right-challenge
• Over-reliance and faith in expert’s definition and prediction of risk
• Socio-cultural restrictions
• minimal resource allocation
• Accountability stresses technical interventions

Question 7

Characteristics of Effective Enablement

Answer 7

• Positive and generative
• Mutual and valued process
• Mediated, negotiated values, beliefs, etc
• Congruence and resource
• Seizing opportunities, new possibilities
• Balance risk taking, just-right- challenges
• Appreciative of limited knowledge regarding risk
• Shared expertise and responsibility
• Grounded in hope
• Attentive to structured inequity, diversity, injustice in enabling individual and social change
• Accountability for enablement conditions, processes and outcomes

Question 8

Purpose of CMCE

Answer 8

• The purpose of occupational therapy is “effective, positive enablement to advance health, well-being and justice”
• The Canadian Model of Client-Centred Enablement (CMCE) is a graphic representation of the core competency of enablement
• It serves as a “visual metaphor for client-centred enablement”

Question 9

Define Enablement

Answer 9

“… the core competency of occupational therapy, drawing on an interwoven spectrum of key and related enablement skills which are value-based, collaborative, attentive to power inequities and diversity, and charged with visions of possibility for individual and/or social change.”