Drafting a new Screening Tool   - Sue Parkinson
Service users, practitioners & academics together generate knowledge about what can/should be done in practice
UK Centre for Outcomes Research and Education (UKCORE)
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
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
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
Create an Adult Version of the Short Child Occupational Profile (SCOPE)? Short  Client   Occupational  Performance Evaluation
Extend the MOHOST FAIR rating scale downwards? F = Facilitates A = Allows I  = Inhibits R = Restricts R = Restricts E = Exacerbates ? S = Shackles ?!! T = Thwarts ?!!!!
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
Motivation for Occupation Appraisal of Ability Expectation of Success Interest Choices Explores
Pattern of Occupation Routine Adaptability Responsibility Roles Adjusts
Communication/Interaction Non-verbal skills Conversation Vocal expression Relationships Relates
Process Skills Knowledge Timing Organisation Problem-solving Attends
Motor Skills Posture and mobility Co-ordination Strength & Effort Energy Endures
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
Motivation for Occupation Explores Validation Stimulation
Pattern Occupation Adjusts Stability Variety
Communication/Interaction Relates Communication Interaction
Process Skills Attends Organisation Adaptation
Motor Skills Endures Access Mobility
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
Criteria refined Checked MOHO theory and available assessments to generate ideas for personal skill items Used MOHO theory to generate criteria for environmental items linked to Physical space Physical resources Social support Occupational demands 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
Rating Scale discussed Facilitates / Allows / Inhibits / Restricts? Strongly agree / agree / disagree / strongly disagree? Mostly / sometimes / rarely / not evident - Meeting with DMHS OTs 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
Layout agreed Personal skills and Environmental supports grouped together under key concepts Meeting between Jill & Sue & emails with John 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
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
Sensory and well-being references added Initial ideas for sensory skills section tried but rejected Meeting between Sue & Donna Dyke 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
Positive feedback received Meeting with  DMHS OTs 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
Links made with latest MOHO findings Volition & Habituation are most challenged Performance skills show greater variation Meeting with other UK CORE sites 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
Further items added - Emails with Gary Kielhofner 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
the plan
now what? [email_address]

MOHOST XL Sue Parkinson

  • 1.
    Drafting a newScreening Tool - Sue Parkinson
  • 2.
    Service users, practitioners& academics together generate knowledge about what can/should be done in practice
  • 3.
    UK Centre forOutcomes Research and Education (UKCORE)
  • 4.
    Jill Blount Adaptingassessments 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.
    John Cooper Weneed 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.
    Sue Parkinson Howcan 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.
    Create an AdultVersion of the Short Child Occupational Profile (SCOPE)? Short Client Occupational Performance Evaluation
  • 8.
    Extend the MOHOSTFAIR rating scale downwards? F = Facilitates A = Allows I = Inhibits R = Restricts R = Restricts E = Exacerbates ? S = Shackles ?!! T = Thwarts ?!!!!
  • 9.
    John Cooper SomeMOHOST 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.
    Motivation for OccupationAppraisal of Ability Expectation of Success Interest Choices Explores
  • 11.
    Pattern of OccupationRoutine Adaptability Responsibility Roles Adjusts
  • 12.
    Communication/Interaction Non-verbal skillsConversation Vocal expression Relationships Relates
  • 13.
    Process Skills KnowledgeTiming Organisation Problem-solving Attends
  • 14.
    Motor Skills Postureand mobility Co-ordination Strength & Effort Energy Endures
  • 15.
    Jill Blount Weneed 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.
    Motivation for OccupationExplores Validation Stimulation
  • 17.
    Pattern Occupation AdjustsStability Variety
  • 18.
  • 19.
    Process Skills AttendsOrganisation Adaptation
  • 20.
    Motor Skills EnduresAccess Mobility
  • 21.
    Sue Parkinson Howabout 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.
    Criteria refined CheckedMOHO theory and available assessments to generate ideas for personal skill items Used MOHO theory to generate criteria for environmental items linked to Physical space Physical resources Social support Occupational demands 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.
    Rating Scale discussedFacilitates / Allows / Inhibits / Restricts? Strongly agree / agree / disagree / strongly disagree? Mostly / sometimes / rarely / not evident - Meeting with DMHS OTs 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.
    Layout agreed Personalskills and Environmental supports grouped together under key concepts Meeting between Jill & Sue & emails with John 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.
    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.
    Sensory and well-beingreferences added Initial ideas for sensory skills section tried but rejected Meeting between Sue & Donna Dyke 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.
    Positive feedback receivedMeeting with DMHS OTs 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.
    Links made withlatest MOHO findings Volition & Habituation are most challenged Performance skills show greater variation Meeting with other UK CORE sites 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.
    Further items added- Emails with Gary Kielhofner 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.
  • 31.