Are we really client-centered? Using the Canadian Occupational Performance measure to see how the client's goals connect with the goals of the occupational therapist

Lynne F. Richard, Laurie Knis-Matthews

Research output: Contribution to journalArticlepeer-review

20 Scopus citations

Abstract

The Canadian Occupational Performance Measure was used as a tool to compare goals for intervention identified by seven clients living in a long-term residential program and diagnosed with schizophrenia, with their goals as identified by the occupational therapist. In-depth interviews were conducted in conjunction with the use of the Canadian Occupational Performance Measure. Data analysis revealed an overarching theme that described the clients' concerns as, "I want to accomplish goals outside of the residence program." During the analysis, however, the data revealed that the occupational therapist primarily focused her attention on goals to be achieved within the residence program, emphasizing programming and symptom management as each client's priorities for intervention, rather than community involvement. The findings reveal how data from the Canadian Occupational Performance Measure was used to reveal client/therapist disconnect in goal setting and the need to continue to examine client-centered practices in mental health settings.

Original languageEnglish
Pages (from-to)51-66
Number of pages16
JournalOccupational Therapy in Mental Health
Volume26
Issue number1
DOIs
StatePublished - Feb 2010

Keywords

  • Canadian occupational performance measure
  • Client-centered
  • Goal setting
  • Mental health
  • Qualitative research

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