Occupational Therapy Intervention Process Model (OTIPM)
Based on her Eleanor Clarke Slagle Lectureship, Anne G. Fisher, ScD, OT, FAOTA brings together 40 years of experience to present a model for professional reasoning. The Occupational Therapy Intervention Process Model (OTIPM) (Fisher, 2009) is a professional reasoning model that occupational therapists can use to ensure that we adopt an occupation-centered perspective to guide our reasoning as we plan and implement occupation-based and occupation-focused services.
In the OTIPM, the occupational therapy process is depicted as occurring over three global phases, evaluation and goal-setting, intervention, and reevaluation, and each step in the process may be occupation-based, occupation-focused, or both (Fisher, in press). The steps of the occupational therapy process defined in the OTIPM are represented schematically in the figure below.
A basic premise of the OTIPM is that the effective use of occupation as a means (intervention) and as end (immediate outcome) depends on a concurrent commitment to true top–down and client-centered practice. Occupational therapists can also become better advocates for promoting occupational therapy to consumers, third-party payers, and other professionals if they understand the unique contributions of occupational therapy to health care, and ensure that they document measureable, occupation-focused, baselines, goals, and outcomes. Stressing occupational performance in evaluations, interventions, and documentation is an important mechanism for promoting our clients’ quality of life while communicating who occupational therapists are and how what they do is unique.