Your SlideShare is downloading. ×
model-of-human-occ-and-prac-dev-LLL event-London Region-heasman.pdf
model-of-human-occ-and-prac-dev-LLL event-London Region-heasman.pdf
model-of-human-occ-and-prac-dev-LLL event-London Region-heasman.pdf
model-of-human-occ-and-prac-dev-LLL event-London Region-heasman.pdf
model-of-human-occ-and-prac-dev-LLL event-London Region-heasman.pdf
Upcoming SlideShare
Loading in...5

Thanks for flagging this SlideShare!

Oops! An error has occurred.

Saving this for later? Get the SlideShare app to save on your phone or tablet. Read anywhere, anytime – even offline.
Text the download link to your phone
Standard text messaging rates apply

model-of-human-occ-and-prac-dev-LLL event-London Region-heasman.pdf


Published on

Published in: Health & Medicine
  • Be the first to comment

  • Be the first to like this

No Downloads
Total Views
On Slideshare
From Embeds
Number of Embeds
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

No notes for slide


  • 1. Why Practice Development?:The Model of Human Occupation & National Drivers Practice Development • Evidence-based practice David Heasman • Clinical effectiveness & added value Lead Occupational Therapist, Practice Development • ‘……use outcome measures thatSouth West London & St Georges Mental Health NHS Trust give clear evidence that occupational therapy has made a difference to people’s occupations’. COT, 2006Why focus on one model? Why MOHO?Shared concepts & language > • Most evidence-based occupationalclarity & consistency of communication therapy modelAllows outcomes to be gathered in a • Extensive battery of standardisedconsistent manner > foundation for audit / assessment toolsresearch • Volition: importance of motivationFacilitates more efficient practice & engagement in mental healthdevelopment / training 1
  • 2. MOHO Practice Development: Barriers to using MOHO Infrastructure Lack of knowledge / confidence in applying the model • Purchased MOHO assessment tools / manuals Lack of motivation / interest • Appointed Practice Development Occupational Therapist Lack of time Difficulty accessing assessment tools etc Generic working MOHO Practice Development:Infrastructure 2: Information Technology• 2005: Introduction of e-MOHO software package• 2007: Introduction of RiO (ECR): 7 MOHO assessments built in 2
  • 3. MOHO Training Workshops: MOHO Practice Development Clinical Forums The Process 2: Workshops • Adult Kingston • Adult Merton • Structure: 6 x 1.5 hrs or 3 x 3hrs • Adult Richmond • Adult Sutton • Content • Adult Wandsworth MOHO theory • Older people R&W Assessment – selecting and using tools appropriately • Older People K,M&S • Rehabilitation Clinical reasoning & case formulation • Forensic Intervention • Eating Disorders Documentation • PLD Evaluation: outcome measurement • CAMHSOngoing support mechanisms Pan London Collaboration• Clinical Forums • Established Track record of Pan London collaboration within mental• UK Centre for Outcomes Research & Evaluation health occupational therapy (UKCORE): Infrastructure; Assessment; Case Formulation; Intervention • RiO installed on 7/9 Mental Health Trusts – opportunities for collaboration• Clinical Forum Leads Group o dynamic & proactive working group focused on identifying challenges to & strategies for MOHO • Latest development: network to collaborate implementation on developing MOHO-based Care o forum for advice & support in leadership roles Pathways 3
  • 4. Care Pathways MOHO Based Care Pathways• ‘plans of care that give detailed guidance for each stage in the care of a patient‘ (Riley 1998). • Means of embedding MOHO into routineBenefits: practice• Means of implementing clinical guidelines & evidence-based practice • Process• Provide explicit guidance on what service users and MDT can expect from their occupational therapist. Map current practice• Provide clear guidelines for therapists Identify areas for improvement / added value of introducing MOHO• Promote efficient use of resources & clarify occupational Introduce ‘Gloucester’ Pathway template therapy’s added value Introduce Pan London versions & adapt for local use• Means of consistently monitoring and improving clinical outcomes and experience of the service user Update on Progress: Evaluation / Update on Progress No. of completed MOHO assessments Assessment No. completed 6.07 – 9.08 Ambivalence (Strategies):MOHOST 358 • monitoring & accountabilityOCAIRS 130Worker Role Interview 6 • explore reasons why staff having difficultyACIS (Communication-interaction) 4 • reward high achieversOPHI-II (Life history) 2Volitional Questionnaire 2Work Environment Impact Scale 1TOTAL 503 4
  • 5. Pre-Post Outcome measurement Lessons Learned • Changing OT practice is not easy! Most Most Max • Need strong infrastructure & practice developmentService Assess’t Baseline Recent Baseline Recent Poss. strategy with clear leadership.User Name Date Date Score Score Score • Training: Workshops in MOHO application • Ongoing support structuresJane X MOHOST 04/01/08 18/01/08 62 80 96 • Monitoring & Accountability • Work closely & proactively with IMTJohn Y OCAIRS 27/11/07 30/04/08 15 33 48 5