MOHOST XL Sue Parkinson
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Transcript of MOHOST XL Sue Parkinson
Drafting a new
Screening Tool - Sue
Parkinson
Service users,practitioners &
academicstogethergenerate
knowledgeabout what
can/should bedone in practice
UK Centre for Outcomes
Research and Education
(UKCORE)
Adapting assessments for learning disability
(OT News)
Sept 08Oct 08Nov 08Dec 08Jan 09Feb 09Mar 09Apr 09May 09Jun 09Jul 09Aug 09Sep 09Oct 09Nov 09Dec 09Jan 10Feb 10Mar 10Apr 10May 10Jun 10Jul 10Aug 10Sep 10
We need a measure that is sufficiently
sensitive to measure change
Sept 08Oct 08Nov 08Dec 08Jan 09Feb 09Mar 09Apr 09May 09Jun 09Jul 09Aug 09Sep 09Oct 09Nov 09Dec 09Jan 10Feb 10Mar 10Apr 10May 10Jun 10Jul 10Aug 10Sep 10
How can we work together to create something new?
Sept 08Oct 08Nov 08Dec 08Jan 09Feb 09Mar 09Apr 09May 09Jun 09Jul 09Aug 09Sep 09Oct 09Nov 09Dec 09Jan 10Feb 10Mar 10Apr 10May 10Jun 10Jul 10Aug 10Sep 10
Create an Adult Version of the Short Child Occupational Profile (SCOPE)?
Short Client Occupational PerformanceEvaluation
Extend the MOHOST FAIR rating scale downwards?
F = Facilitates
A= Allows
I = Inhibits
R= RestrictsR= Restricts
E= Exacerbates?
S= Shackles?!!
T = Thwarts?!!!!
Some MOHOST items appear to be more relevant than
others
Sept 08Oct 08Nov 08Dec 08Jan 09Feb 09Mar 09Apr 09May 09Jun 09Jul 09Aug 09Sep 09Oct 09Nov 09Dec 09Jan 10Feb 10Mar 10Apr 10May 10Jun 10Jul 10Aug 10Sep 10
Motivation for Occupation
• Appraisal of Ability
• Expectation of Success
• Interest
• ChoicesExplores
Pattern of Occupation
• Routine
• Adaptability
• Responsibility
• RolesAdjusts
Communication/Interaction
• Non-verbal skills
• Conversation
• Vocal expression
• RelationshipsRelates
Process Skills
• Knowledge
• Timing
• Organisation
• Problem-solvingAttends
Motor Skills
• Posture and mobility
• Co-ordination
• Strength & Effort
• EnergyEndures
We need an assessment that shows how we adapt the environment in order to influence the person
Sept 08Oct 08Nov 08Dec 08Jan 09Feb 09Mar 09Apr 09May 09Jun 09Jul 09Aug 09Sep 09Oct 09Nov 09Dec 09Jan 10Feb 10Mar 10Apr 10May 10Jun 10Jul 10Aug 10Sep 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
How about this?
Sept 08Oct 08Nov 08Dec 08Jan 09Feb 09Mar 09Apr 09May 09Jun 09Jul 09Aug 09Sep 09Oct 09Nov 09Dec 09Jan 10Feb 10Mar 10Apr 10May 10Jun 10Jul 10Aug 10Sep 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 08Oct 08Nov 08Dec 08Jan 09Feb 09Mar 09Apr 09May 09Jun 09Jul 09Aug 09Sep 09Oct 09Nov 09Dec 09Jan 10Feb 10Mar 10Apr 10May 10Jun 10Jul 10Aug 10Sep 10
Rating Scale discussed
• Facilitates / Allows / Inhibits / Restricts?
• Strongly agree / agree / disagree / strongly disagree?
• Mostly / sometimes / rarely / not evident
- Meeting with DMHS OTs
Sept 08Oct 08Nov 08Dec 08Jan 09Feb 09Mar 09Apr 09May 09Jun 09Jul 09Aug 09Sep 09Oct 09Nov 09Dec 09Jan 10Feb 10Mar 10Apr 10May 10Jun 10Jul 10Aug 10Sep 10
Layout agreed
• Personal skills and Environmental supports grouped together under key concepts
- Meeting between Jill & Sue
- & emails with John
Sept 08Oct 08Nov 08Dec 08Jan 09Feb 09Mar 09Apr 09May 09Jun 09Jul 09Aug 09Sep 09Oct 09Nov 09Dec 09Jan 10Feb 10Mar 10Apr 10May 10Jun 10Jul 10Aug 10Sep 10
Pilot phase started Sept 08Oct 08Nov 08Dec 08Jan 09Feb 09Mar 09Apr 09May 09Jun 09Jul 09Aug 09Sep 09Oct 09Nov 09Dec 09Jan 10Feb 10Mar 10Apr 10May 10Jun 10Jul 10Aug 10Sep 10
Sensory and well-beingreferences added
• Initial ideas for sensory skills section tried but rejected
- Meeting between Sue & Donna Dyke
Sept 08Oct 08Nov 08Dec 08Jan 09Feb 09Mar 09Apr 09May 09Jun 09Jul 09Aug 09Sep 09Oct 09Nov 09Dec 09Jan 10Feb 10Mar 10Apr 10May 10Jun 10Jul 10Aug 10Sep 10
Positive feedback received
- Meeting with
DMHS OTs
Sept 08Oct 08Nov 08Dec 08Jan 09Feb 09Mar 09Apr 09May 09Jun 09Jul 09Aug 09Sep 09Oct 09Nov 09Dec 09Jan 10Feb 10Mar 10Apr 10May 10Jun 10Jul 10Aug 10Sep 10
It showedstrengths!
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 08Oct 08Nov 08Dec 08Jan 09Feb 09Mar 09Apr 09May 09Jun 09Jul 09Aug 09Sep 09Oct 09Nov 09Dec 09Jan 10Feb 10Mar 10Apr 10May 10Jun 10Jul 10Aug 10Sep 10
Further items added
- Emails with Gary Kielhofner
Sept 08Oct 08Nov 08Dec 08Jan 09Feb 09Mar 09Apr 09May 09Jun 09Jul 09Aug 09Sep 09Oct 09Nov 09Dec 09Jan 10Feb 10Mar 10Apr 10May 10Jun 10Jul 10Aug 10Sep 10
engages
uses objects
co-ordinates