MOHOST XL Sue Parkinson

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Presentation from the COT Specialist Section - Learning Disabilities conference 2010

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MOHOST XL Sue Parkinson

  1. 1. Drafting a new Screening Tool - Sue Parkinson
  2. 2. Service users, practitioners & academics together generate knowledge about what can/should be done in practice
  3. 3. UK Centre for Outcomes Research and Education (UKCORE)
  4. 4. Jill Blount Adapting assessments for learning disability (OT News) Sept 08 Oct 08 Nov 08 Dec 08 Jan 09 Feb 09 Mar 09 Apr 09 May 09 Jun 09 Jul 09 Aug 09 Sep 09 Oct 09 Nov 09 Dec 09 Jan 10 Feb 10 Mar 10 Apr 10 May 10 Jun 10 Jul 10 Aug 10 Sep 10
  5. 5. John Cooper We need a measure that is sufficiently sensitive to measure change Sept 08 Oct 08 Nov 08 Dec 08 Jan 09 Feb 09 Mar 09 Apr 09 May 09 Jun 09 Jul 09 Aug 09 Sep 09 Oct 09 Nov 09 Dec 09 Jan 10 Feb 10 Mar 10 Apr 10 May 10 Jun 10 Jul 10 Aug 10 Sep 10
  6. 6. Sue Parkinson How can we work together to create something new? Sept 08 Oct 08 Nov 08 Dec 08 Jan 09 Feb 09 Mar 09 Apr 09 May 09 Jun 09 Jul 09 Aug 09 Sep 09 Oct 09 Nov 09 Dec 09 Jan 10 Feb 10 Mar 10 Apr 10 May 10 Jun 10 Jul 10 Aug 10 Sep 10
  7. 7. Create an Adult Version of the Short Child Occupational Profile (SCOPE)? Short Client Occupational Performance Evaluation
  8. 8. Extend the MOHOST FAIR rating scale downwards? <ul><li>F = Facilitates </li></ul><ul><li>A = Allows </li></ul><ul><li>I = Inhibits </li></ul><ul><li>R = Restricts </li></ul><ul><li>R = Restricts </li></ul><ul><li>E = Exacerbates ? </li></ul><ul><li>S = Shackles ?!! </li></ul><ul><li>T = Thwarts ?!!!! </li></ul>
  9. 9. John Cooper Some MOHOST items appear to be more relevant than others Sept 08 Oct 08 Nov 08 Dec 08 Jan 09 Feb 09 Mar 09 Apr 09 May 09 Jun 09 Jul 09 Aug 09 Sep 09 Oct 09 Nov 09 Dec 09 Jan 10 Feb 10 Mar 10 Apr 10 May 10 Jun 10 Jul 10 Aug 10 Sep 10
  10. 10. Motivation for Occupation <ul><li>Appraisal of Ability </li></ul><ul><li>Expectation of Success </li></ul><ul><li>Interest </li></ul><ul><li>Choices </li></ul>Explores
  11. 11. Pattern of Occupation <ul><li>Routine </li></ul><ul><li>Adaptability </li></ul><ul><li>Responsibility </li></ul><ul><li>Roles </li></ul>Adjusts
  12. 12. Communication/Interaction <ul><li>Non-verbal skills </li></ul><ul><li>Conversation </li></ul><ul><li>Vocal expression </li></ul><ul><li>Relationships </li></ul>Relates
  13. 13. Process Skills <ul><li>Knowledge </li></ul><ul><li>Timing </li></ul><ul><li>Organisation </li></ul><ul><li>Problem-solving </li></ul>Attends
  14. 14. Motor Skills <ul><li>Posture and mobility </li></ul><ul><li>Co-ordination </li></ul><ul><li>Strength & Effort </li></ul><ul><li>Energy </li></ul>Endures
  15. 15. Jill Blount We need an assessment that shows how we adapt the environment in order to influence the person Sept 08 Oct 08 Nov 08 Dec 08 Jan 09 Feb 09 Mar 09 Apr 09 May 09 Jun 09 Jul 09 Aug 09 Sep 09 Oct 09 Nov 09 Dec 09 Jan 10 Feb 10 Mar 10 Apr 10 May 10 Jun 10 Jul 10 Aug 10 Sep 10
  16. 16. Motivation for Occupation Explores Validation Stimulation
  17. 17. Pattern Occupation Adjusts Stability Variety
  18. 18. Communication/Interaction Relates Communication Interaction
  19. 19. Process Skills Attends Organisation Adaptation
  20. 20. Motor Skills Endures Access Mobility
  21. 21. Sue Parkinson How about this? Sept 08 Oct 08 Nov 08 Dec 08 Jan 09 Feb 09 Mar 09 Apr 09 May 09 Jun 09 Jul 09 Aug 09 Sep 09 Oct 09 Nov 09 Dec 09 Jan 10 Feb 10 Mar 10 Apr 10 May 10 Jun 10 Jul 10 Aug 10 Sep 10
  22. 22. Criteria refined <ul><li>Checked MOHO theory and available assessments to generate ideas for personal skill items </li></ul><ul><li>Used MOHO theory to generate criteria for environmental items linked to </li></ul><ul><ul><li>Physical space </li></ul></ul><ul><ul><li>Physical resources </li></ul></ul><ul><ul><li>Social support </li></ul></ul><ul><ul><li>Occupational demands </li></ul></ul>Sept 08 Oct 08 Nov 08 Dec 08 Jan 09 Feb 09 Mar 09 Apr 09 May 09 Jun 09 Jul 09 Aug 09 Sep 09 Oct 09 Nov 09 Dec 09 Jan 10 Feb 10 Mar 10 Apr 10 May 10 Jun 10 Jul 10 Aug 10 Sep 10
  23. 23. Rating Scale discussed <ul><li>Facilitates / Allows / Inhibits / Restricts? </li></ul><ul><li>Strongly agree / agree / disagree / strongly disagree? </li></ul><ul><li>Mostly / sometimes / rarely / not evident </li></ul><ul><li>- Meeting with DMHS OTs </li></ul>Sept 08 Oct 08 Nov 08 Dec 08 Jan 09 Feb 09 Mar 09 Apr 09 May 09 Jun 09 Jul 09 Aug 09 Sep 09 Oct 09 Nov 09 Dec 09 Jan 10 Feb 10 Mar 10 Apr 10 May 10 Jun 10 Jul 10 Aug 10 Sep 10
  24. 24. Layout agreed <ul><li>Personal skills and Environmental supports grouped together under key concepts </li></ul><ul><li>Meeting between Jill & Sue </li></ul><ul><li>& emails with John </li></ul>Sept 08 Oct 08 Nov 08 Dec 08 Jan 09 Feb 09 Mar 09 Apr 09 May 09 Jun 09 Jul 09 Aug 09 Sep 09 Oct 09 Nov 09 Dec 09 Jan 10 Feb 10 Mar 10 Apr 10 May 10 Jun 10 Jul 10 Aug 10 Sep 10
  25. 25. Pilot phase started Sept 08 Oct 08 Nov 08 Dec 08 Jan 09 Feb 09 Mar 09 Apr 09 May 09 Jun 09 Jul 09 Aug 09 Sep 09 Oct 09 Nov 09 Dec 09 Jan 10 Feb 10 Mar 10 Apr 10 May 10 Jun 10 Jul 10 Aug 10 Sep 10
  26. 26. Sensory and well-being references added <ul><li>Initial ideas for sensory skills section tried but rejected </li></ul><ul><li>Meeting between Sue & Donna Dyke </li></ul>Sept 08 Oct 08 Nov 08 Dec 08 Jan 09 Feb 09 Mar 09 Apr 09 May 09 Jun 09 Jul 09 Aug 09 Sep 09 Oct 09 Nov 09 Dec 09 Jan 10 Feb 10 Mar 10 Apr 10 May 10 Jun 10 Jul 10 Aug 10 Sep 10
  27. 27. Positive feedback received <ul><li>Meeting with </li></ul><ul><li>DMHS OTs </li></ul>Sept 08 Oct 08 Nov 08 Dec 08 Jan 09 Feb 09 Mar 09 Apr 09 May 09 Jun 09 Jul 09 Aug 09 Sep 09 Oct 09 Nov 09 Dec 09 Jan 10 Feb 10 Mar 10 Apr 10 May 10 Jun 10 Jul 10 Aug 10 Sep 10 It showed strengths! It might work with children It gave a blueprint for therapy It showed changes
  28. 28. Links made with latest MOHO findings <ul><li>Volition & Habituation are most challenged </li></ul><ul><li>Performance skills show greater variation </li></ul><ul><li>Meeting with other UK CORE sites </li></ul>Sept 08 Oct 08 Nov 08 Dec 08 Jan 09 Feb 09 Mar 09 Apr 09 May 09 Jun 09 Jul 09 Aug 09 Sep 09 Oct 09 Nov 09 Dec 09 Jan 10 Feb 10 Mar 10 Apr 10 May 10 Jun 10 Jul 10 Aug 10 Sep 10
  29. 29. Further items added <ul><li>- Emails with Gary Kielhofner </li></ul>Sept 08 Oct 08 Nov 08 Dec 08 Jan 09 Feb 09 Mar 09 Apr 09 May 09 Jun 09 Jul 09 Aug 09 Sep 09 Oct 09 Nov 09 Dec 09 Jan 10 Feb 10 Mar 10 Apr 10 May 10 Jun 10 Jul 10 Aug 10 Sep 10 engages uses objects co-ordinates
  30. 30. the plan
  31. 31. now what? [email_address]

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