Useffulness of Narrative data in Client-centered Occupational Therapy

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  • Yamauchi Hisae
    Tokyo Metropolitan University of Health Sciences, Shinjuku Ward Welfare Center for People with Disabilityand:(Present address)Sibuya Ward Social Welfare Corporation
  • Yamada Takashi
    Tokyo Metropolitan University

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  • クライアント中心の作業療法における叙述データの有用性
  • クライアント チュウシン ノ サギョウ リョウホウ ニ オケル ジョジュツ データ ノ ユウヨウセイ

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Abstract

We have been trying to intervene our clients by adopting Occupational Performance Process Model or OPPM, which is a practice model of Canadian Model of Occupational Performance or CMOP to perform client-centered occupational therapy. OPPM is a model to help clients to judge priority of their problems, to decide, practice and evaluate occupations to be targeted and to realize collaboration with occupational therapists. However intervention based on OPPM sometimes becomes one, which only accepts client's wishes and is difficult to be acknowledged as a way of collaboration, therefore We have always been concerned about how the ideal collaboration should be. The importance to know how the client's problems have meanings in their context has been emphasized as a precondition of the collaboration, although We have acknowledged that it is difficult to obtain client's predication by applying Canadian Occupational Performance Measure or COPM, which is an evaluation tool of COPM in order to understand them. Thus we report herewith that she introduced the Occupational Performance History Interview or OPHI-II to clients and has found that their predications can help understanding of the meaning of problems in their targeted occupational practice and also imply the direction of the collaboration.

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