This is a Model of Practice that has been around for many years now and I have seen it come up in OT Spackman 9th Edition. Now I could not remember seeing it in Spackman 8th Edition when I was a studen many years ago.
Unlike famous models of Practice for Occupational Therapy e.g. MOHO, COPM (Though I have my most respects for these examples), this model sees human performance as being effective and successfull ONLY IF the CONTEXT allows. what are these contexts? These are:
I. Environmental Context (Often the famous and remembered by most practitioners)
1. Physical - home, physical environment, natural terrain etc
2. Social Context - family, friends, demands of the society
3. Cultural - customs, beliefs, political beliefs.....DEMANDS of NHS
II. Temporal Context (Often the neglected contexts that has a HUGE BEARING on our decision Making as OTs)
1. Chronological : Individual's age
2. Developmental : person age 35 who has the developmental age of 5 years old(mental health)
- child age 12 can only crawl (physical development)
3. Life Cycle
4. Disability Status - Place in the continuum of the disability , or the terminal nature of the illness (AOTA, 1994)
5. Period
In the end, no matter how good you are with your treatment techniques as a therapist, you can only be as good if those CONTEXTS would allow you to create a change in a person.
people are really not free!!!! we like to think we are but there are laws that govern everything and these are the paramenters of performance and occupational independence and these basic Laws are the Laws of Context. They are like the gravity on earth.
Hat's up to the proponents of this model: Winnie Dunn, Linda Mc Lain, Catana Brown and Mary Jane Youngstrom
