Module 2: CPPF Flashcards by Daisy Linden

What is the CPPF?

It is an OT problem solving PROCESS. It is a TOOL used to guide our actions when working with people. It is a GENERIC process model that allows an OT to engage in evidence-based, client-centred, and occupation-based work.

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What are the action points of the framework?

enter/initiate
set the stage
assess/evaluate
agree on objectives and plan
implement plan
modify/monitor
evaluate outcome
conclude/exit

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What are the action points embedded within and surrounded by? Name the three constructs.

frames of references
practice context
societal context

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What is the societal context?

-physical, social, institutional, cultural environment that is outside the practice setting that you are working in

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What is the practice context?

the places and settings that you and the client come together to work together
it includes physical, social, cultural, and institutional environments of the practice setting(s)

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What is meant by frames of reference in this framework?

they are theories, models, research, and knowledge
frames of reference are used to guide your enablement of occupation with the client throughout the practice process (CPPF)

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How do the models (CMOP-E and CMCE) fit within the CPPF?

The CMOP-E is the model that helps us understand the constructs of the person and their situation, it is our core domain. The CMCE helps us to give language to what we do and allows us to fulfill our core competency of enabling occupation. The CPPF - is our core guiding process in which we use the CMOP-E and CMCE with in our practice.

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Why is it important to note that the CPPF is not sequential steps?

Because these are actions to be taken and these actions can occur during the same sessions and/or they may overlap
Therefore, the pathway through the process framework can be different when working with different clients (ie. you can conclude and exit after action point 3, or after action point 4, or you can circle back to action point 3 after action point 6 or 7)

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Where do OPIs fit into the framework?

They are created and developed during the first three action points, enter/initiate, set the stage, and assess/evaluate.

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How do occupational and activity analyses fit into the framework?

In action point 3 - assess/evaluate. But, you could use them across the first three action points as a way to start thinking of about the referral, until you get to know the client and how they “actually” do the occupation.

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Depending on which action point you are at, what are the client’s difficulties called? Name them for each action point.

enter/initiate: occupational challenges; potential occupational issues(OIs = OPIs)
set the stage: potential OIs
assess/evaluate: confirmed OIs and prioritized OIs
agree on objectives/plan: confirmed occupational goals (OGs) and objectives
implement plan: OGs
modify/monitor: OGs
evaluate outcome: OGs
conclude/exit: completed OGs

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Describe action point 1: Name it. What happens during this stage?

Name: Enter/Initiate

first point of contact with client
“call to action” for occupational therapy
document client’s informed consent
establish collaborative relationship

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What potential enablement skills would you use during action point 1?

collaborate
educate
engage
advocate
consult

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What is important to consider at action point 1?

the occupational challenges/the potential or actual OPIs
who the “client” is: a person, family, organization, etc.
if there is a conflict of interest, ethical issues, or duty to report
personal beliefs, values and experiences of OT/client, and environmental influences
consider your professional competencies and experience

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Describe action point 2: Name it. What happens during this stage?

Name: set the stage

This is where you “set the stage” to how you and the client will work together
rapport building
establishing ground rules
fostering client readiness
expressing mutual expectations

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What potential enablement skills would you use during action point 2?

collaborate
educate
engage

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What is important to consider/do at action point 2?

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listen to client’s occupational story and document it is an occupational profile (including relevant info)
interview or screening tools can be used to determine OPIs and occupational goals
select FRAMES OF REFERENCE (which can change over time) as informed by past experience and knowledge
document client’s consent to work together

Describe action point 3: Name it. What happens during this stage?

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name: assess/evaluate

an in depth assessment/evaluation is conducted to identify personal, environmental, and occupational factors that contribute to OPIs
this is where activity and occupational analyses fit in

What potential enablement skills would you use during action point 3?

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Collaborate
specialize
educate
engage
coach
coordinate

What is important to consider/do at action point 3?

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draw on frames of reference, past experience, expertise, and research knowledge, draw on societal and practice contexts (all of this informs assessment choice)
analyze and interpret assessment findings in relation occupational issues
share findings and recommendations (which pathway to take next, etc.) with client
do I continue on with client, or conclude/exit?

Describe action point 4: Name it. What happens during this stage?

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name: agree on objectives/plan

write occupational goals and SMART objectives to guide treatment plan
reflect on client’s challenges, priority OPIs, assessment findings, and personal and environmental factors influencing occupational engagement

What potential enablement skills would you use during action point 4?

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adapt
collaborate
design

What is important to consider at action point 4?

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collaboratively set goals and related objectives with client/stakeholders
objectives should be SMART, action-based, and informed by assessment findings
consider timeline, resource requirements, stakeholder involvement
do I continue on with client or conclude/exit?

Name action point 5

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Implement plan

What happens in action point 5? | *bonus: name some enablement skills

- Put the agreed upon plan into action - Work towards goals - Add/change frames of reference as required Enablement skills: coach, collaborate, engage, educate, adapt, advocate, coordinate

What are some things to think about during action point 5?

- What needs to be done to implement the plan? - Who needs to act? - What frame of reference is guiding the implementation of the plan? - How is the client engaged in occupation to implement the plan?

Name action point 6

Monitor/modify

What happens in action point 6? | *bonus: name some enablement skills

Evaluate if current enablement strategies are meeting the objectives and whether the plan is being followed. Monitor client progress and provide guidance. *enablement skills: Coach, collaborate, coordination, adapt, engage

What are some things to think about during action point 6?

- Is the plan being followed? - What barriers are present to both client and therapist to engage? - Are the OG's realistic and measurable? - Does the plan need to be modified? - Are there stakeholders that need to be included? - Did I understand the clients motivations, values, and understanding during goal setting? - Are there new issues in the occupation or environment that may change the plan? - Does a new plan need to be generated?

Name action point 7

Evaluate outcome

What happens in action point 7? | *bonus: name some enablement skills

``` Summative evaluation (did we do what we set out to do?) to evaluate the overall outcome of the plan - were occupational goal(s) met? *enablement skills: coach, collaborate, educate ```

What are some things to think about during action point 7?

- Have the client's previous occupational issues or challenges been addressed through the implementation of the plan? - Are there further occupational issues that should be addressed? - Should the practice relationship continue by returning to action point 4 or conclude at this point?

What step(s) can you return to after action point 7? Why?

You could return to action point 4 (Agree on objectives, plan), if the goals have not been met, in order to reset objectives and plan. You could also return to action point 2: set the stage, if all current OG's have been met, but there are further issues.

Name action point 8

Conclude/exit

What happens in action point 8? | *bonus: name some enablement skills

Conclude the practice relationship or pursue other objectives. Inform the client of possibility of re-entry, document discharge, and ensure appropriate referrals are made if needed. *enablement skills: collaborate, educate

What are some things to think about during action point 8?

- Do you and your client agree that the practice relationship should conclude? - What documentation is required for a final report? - Are further referrals needed? - Is the client clear on how to re-enter if needed?

From what action points can you proceed to action point 8?

Action point 8: Conclude/Exit Can proceed to this step from action point 3 (assess/evaluate), action point 4 (agree on objectives, plan), and action point 7 (evaluate outcome).

Why can you proceed to action point 8 (conclude/exit) from multiple action points?

From action point 3: Done an Ax, realized challenges aren't in domain of OT, conclude and exit. From action point 4: Consultative model - OT not involved in implementation of the plan, may follow up at a later date. This would be communicated when setting the stage!

What is the SMART acronym for writing objectives?

``` S- specific M- measurable A- achievable R- realistic T- timely ```

What does the RUMBA acronym stand for when writing objectives?

``` R- relevant U-understandable M-measurable B-behavioural A-achievable ```

Module 2: CPPF Flashcards

(40 cards)