Overview to Intervention Planning: Spiraling Within the Top-Middle-Bottom Occupational Performance Issues

Laurie Knis-Matthews, Lynne Richard

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

Abstract

At this point in the process, data gathering for the person’s initial evaluation is nearing a pause. The word pause (and not end) suggests the practitioner is always evaluating for changes to the top-middle-bottom occupational performance issues throughout the evaluation and intervention process. The practitioner has collected relevant data; compartmentalized an abundance of information pertaining to the person’s story around the constructs of person, environment, occupation; and selected priority occupational performance issues (top-middle-bottoms) in collaboration with the person served. Now the intervention planning can begin. The plan for intervention is guided by top evaluations highlighting what change the person is seeking to make and bottom evaluations that shed some light as to what factors may be interfering with realizing these changes. This chapter will explain how these occupational performance issues stay connected within the intervention plan. An emphasis is placed on spiraling up and down within each set of occupational performance issues, beginning with the middle part.

Original languageEnglish
Title of host publicationMatthews Model of Clinical Reasoning
Subtitle of host publicationA Systematic Guide to Occupation-Based Evaluation and Intervention Planning
PublisherTaylor and Francis
Pages71-80
Number of pages10
ISBN (Electronic)9781000965506
ISBN (Print)9781032491615
DOIs
StatePublished - 1 Jan 2023

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