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

spark@peak39.freeserve.co.uk