MOHO Conceptual Model

There are many conceptual models that can be used by occupational therapist when work with clients. Conceptual models provide the base of why and how occupational therapists work. From the case provided, the therapist might use the Model of Human Occupation (MOHO) when working with Bob.

According to Ducan(2006), MOHO is a client centered model which is occupational focused and provide evidence base for practice. It emphasize the interaction between the clients and the environment when performing in occupation. MOHO can used to collect and gather the information about Bob and select a course of therapy to explain the motivation, patterns and performance skills that occur in his occupation. It embraces the complexity of Bob’s occupational

In self care, he lacks of abilities on taking care of himself because of the muscle weakness and muscle spasms brought by Multiple sclerosis. He has to rely on others and feeling himself useless. In addition, Bob gets tired very quickly and presented with shortness of breath on exertion leading to mobility restricted. This make him less likely engage in his Instrumental ADL (IADL) such as meal preparing and shopping for food and clothing. For the problem he has in work, since he has issues with visual and concentration which make him not able to fulfill the basic requirement to be a taxi driver, he is unemployed. On the other hand, he lack of ability to finish housework and thus dependent on others.

On the other hand, as his mobility is restricted, he cannot go to the local community centre play mahjong like before and thus decrease the opportunities to socialize with others and gain pleasure from entertainment. This has become the problem on his leisure.

From the problem listed, his needs can be

The actions are able to be seen within his occupational performance. After using skills to complete the occupational form, he carry out to occupational performance. Then, he move to the next level, participation, which focuses on the engagement in occupation including self-care, work and leisure. Through participation, his identity is created. The previous experiences and the direction for future of him is shown in his occupational identity. On the other hand, occupational competence put his identity into action which fulfills the expectations on Bob’s role and values and also the standards of performance. It allows Bob to perform and show his responsibilities and achieve life outcomes by taking actions. At last, using the occupational identity and competence in the context, he shows his occupational adaptation. Within the context of occupational therapy practice, occupational performance is being understood through this system.

To conclude, through using MOHO, the problems that Bob facing and his needs can be identify by therapist. To summarize his needs, the major tasks are to ensure he can conserve his existing ability and help him to find back his meaning in occupation so that he will actively engage in occupations. Although at the moment he has poor human function and occupational performance than before, he should be able to continue his life positively and engage in various occupation after