OTHY203 CPPF

Question	Answer
elements of the CPPF	societal context practice context frames of reference
action points of the CPPF	1.enter/initiate 2.set the stage 3.assess/evaluate 4.agree on objectives, plan 5.implement plan 6.monitor/modify 7.evaluate outcome 8.conclude/exit
societal context	the broader context in which the client and therapist are situated which includes the cultural, institutional, physical and social environments
practice context	the context in which the therapist and the client interact beginning from the initial referral, and is influenced by personal and environmental factors of the client and therapist
frames of reference	interrelated theory, constructs and concepts that determine how specific occupational challenges are perceived, understood and approached to guide clinical decision making
enter/initiate	The first stage of the CPPF where the client and other stakeholders are identified, consent for OT service is obtained, a relationship with the client is initiated, occupational challenges are identified and the therapist determines if referral is appropriate.
how might we collect info during the enter/initiate stage?	Review referral and other available documentation. • Conduct initial interview with client about occupational challenges. • Gain verbal and/or written consent to continue the process
set the stage	the second stage of the CPPF where the therapist gains an understanding of the clients occupational history, OPIS and possible goals identified, rapport is developed and ground rules and expectations are negotiated.
how do we collect information in the set the stage action point?	interview individual and family clients gain information of the occupational history of groups select frames of reference (e.g. PEO) and practice models to organise information and guide selection of assessment strategies
assess/evaluate	the 3rd stage of the CPPF where an in-depth evaluation of PEO factors infuencing OPIS occurs, provide potential recommendations, OT service may conclude if no OPIs or goals noted, referral was for assessment and recommendations only, or conflict.
how do we collect information during the assess/evaluate action point?	using standardised and non standardized assessments
4th action point	agree on objectives and plan * occupational goals established objectives are set plans established to meet objectives and goals
how do we collect information during the agree on objectives and plan action point?	negotiate goals, objectives and plan through discussion use frames of reference (PEO), practice models and service delivery models to guide development of appropriate plans
5th action point of the CPPF	implement the plan involves implementing the plan negotiated, to work towards the achievement of objectives and goals
how do we implement the plan?	enablement skills are used, guided by frames of reference client is engaged in intervention through occupation
action point 6	monitor and modify ongoing formative evaluation to ensure the plan is being implemented as designed and to determine if the implementation is meeting objectives * modification or redesign of plan may be implemented if needed
how do we monitor and modify?	collect date through informal discussions with client or other stakeholders may used formal evaluations to provide documentation of changes occurring during intervention
action point 7	evaluate outcome summative evaulation to determine if goals have been met may identify other OPIS that have not been addressed, so the process may return to action point 4, to agree on new objectives and plan
how do we evaluate outcome?	re-administer assessments re-assess occupation of OP, to determine if goals have been achieved and identify any other OPIS
action point 8	conclude/exit the practice relationship is concluded by mutual decision of the therapist and client client is informed about route to re-enter practice relationship in future *client and therapist determine if other referrals or community resources are required
how do we conclude and exit?	communication between therapist and client complete a final report or discharge summay

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	Created by Bonnie McDonald about 5 years ago