What is the objective of Occupational Adaptation Practice Model intervention?

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Destiney Day
Unit 8
What is the objective of Occupational Adaptation Practice Model intervention?
The Occupational Adaptation (OA) Practice Model views occupation as providing the means, and individuals will adapt to participate in intrinsically motivated occupations (Rybski, 2019). Therefore, the objective of OA intervention includes an individual adapting their responses in order to participate in desired occupations, likely as result of a dysfunction (Rybski, 2019). Adapting responses to dysfunction, including developing competence and withstanding occupational disruptions, is a key component to OA intervention, as well (Bachman, 2016).
What are occupational phases?
Occupational phases describe the steps and types of adaptation that occur in the OA Practice Model (Rybski, 2019). There are four occupational phases: occupational restriction, occupational augmentation, occupational execution, and occupational spontaneity (Rybski, 2019). The occupational restriction restriction phase is when an individual is limited regarding the use of body parts to complete occupations while the body heals or deals with a permanent loss— this results in compensatory adaptations (Rybski, 2019). The occupational augmentation phase occurs when changing pathology is present; during this phase, education is provided about approaches loads of work that are applicable to affected body parts to promote function use (Rybski, 2019). The occupational execution phase includes forced use of affected body parts with positive modifications that facilitate movement in order to engage in occupations (Rybski, 2019). Finally, the occupational spontaneity phase spontaneous and effective movements occur during occupational engagement — occupational mastery is achieved (Rybski, 2019).
What are the barriers to occupation-based interventions (OBIs)?
Barriers to occupation-based interventions include reliance on protocols that do not have a holistic approach, policies related to insurance reimbursement, limited resources, limited time for quality of care, and complexity of measuring occupational performance (Rybski, 2019). Another limiting factor is productivity restrictions. A study found that occupational therapists relied on care coordination and communication to provide occupational-based interventions; productivity standards limited the ability to implement these practices (Allgier & Nadeau, 2019).
Should or how can other intervention approaches (e.g., biomechanical) be incorporated with the OA Practice Model?
Other intervention approaches should be included when utilizing the OA Practice Model; occupational therapy practice rarely utilizes one single approach when providing individualized, occupation-based treatment. Meaning, clinicians can still utilize the biomechanical approach when using OA; the biomechanical approach still offers useful knowledge and principles for intervention (Rybski, 2019). However, the OA approach will emphasize the client’s preferred occupations and offer an adaptive response while biomechanical elements are still being addressed (Rybski, 2019).
Describe how the client is the change agent in the OA approach.
Because the OA approach emphasizes clients’ intrinsic motivation to participate in desire occupations, it also promotes clients being their own change agent (Bachman, 2016). The occupational therapy practitioner should encourage the client to be their own change agent in order to implement psychosocial aspects of occupational therapy (Bachman, 2016). Meaning, a client’s desire to participate should be the motivating factor to change their current dysfunction or limitations.
What are the major assumptions of the OA Practice Model?
There are six assumptions of the OA Practice Model.
Occupational competence is a felony process, which includes adaption. (Rybski, 2019).
A person’s roles and contexts create the demands to perform (Rybski, 2019).
When a person’s ability to adapt has been challenged so much so that performance is not satisfactory, dysfunction occurs (Rybski, 2019).
A person’s ability to adapt can be overwhelmed by impairment and life circumstances, including cognitive and physical (Rybski, 2019).
The greater the dysfunction, the greater the demand for changes in the adaptive process of the individual (Rybski, 2019).
A person’s ability to adapt with mastery results in success in occupational performance (Rybski, 2019).
What is involved in the OA Practice Model assessment process?
Like all occupational therapy evaluations, it must begin with an occupational profile and analysis of occupational performance (Bachman, 2016). The OA Practice Model aligns with the client-centered occupation profile because mastery of occupations is relative to the client (Rybski, 2019). It is also important to have active collaboration with the client during assessment to utilize the OA Practice Model (Rybski, 2019).
References
Allgier, A., & Nadeau, B. (2019). OT practitioners’ perception of their role in care coordination. The American Journal of Occupational Therapy, 73(4_Supplement_1), 7311505221p1. https://doi.org/10.5014/ajot.2019.73s1-po8045
Bachman, S. (2016). Evidence-based approach to treating lateral epicondylitis using the Occupational Adaptation Model. American Journal of Occupational Therapy, 70(2), 7002360010p1– 7002360010p5. https://doi.org/10.5014/ajot.2016.016972
Rybski, M. (2019). Kinesiology for occupational therapy (3rd ed.). Slack.
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