Gail Miravite, MS, OTR/L
O Understand the PEO model as
related to occupational performance.
O Understand the “E” of the PEO
O Lab: Fieldtrip to different
O Analysis of environments
WHAT IS OCCUPATIONAL
O …occupational performance may be
better described as the product of a dynamic, interwoven relationship that exists among people, their occupations and roles, and the environments in which they live, work and play. (Law et. al., 1996, p
O NOTE: PERSON, OCCUPATION, and
“Transactional” Approach of the P-E-O Model
O An “interactive” approach looks at
each “component” individually
O Recognizes that when the context
changes the person also needs to change in order to meet their goals.
More on Occupational
O …problems related to disability may
be caused by the relationship between a person with a disability and the environment, rather than by the disability itself (Law et. al., 1996, p 10).
Provides OTA’s with a practical tool which: Assists OTA’s in analyzing problems in occupational performance
Assists OTA’s in communicating OT practices to clients, funding agencies, and other professionals
Can be used in a variety of settings.
Model of Occupational
Environmental supports Demands
Occupationa l Performance
3 Components of the PEO
● Overlap in the center of the circles
represents “Occupational Performance.”
● The more the circles overlap the greater the
“fit” between the person, the environment and the occupation = Increased level of client satisfaction and functioning.
● Occupational Performance can be impacted by external and/or internal changes
● OTA’s work together with clients to adjust the “fit” striving for optimal occupational performance The Person
O Defined as – a unique being who
assumes a variety of roles which are dynamic, vary over time.
O Viewed “holistically”
O Contribute their own life experiences, personality, cultural background, and personal attributes.
O In this model environment is defined
“broadly” with equal importance on the cultural, socio-economic, institutional physical and social aspects. O Each “domain” is considered from the unique perspective of the client.
O Activities, Tasks and Occupations are defined
separately but are grouped together in the
Activity – the basic unit of a task.
Task – a set of purposeful activities.
Occupation – groups of self-directed, functional tasks and activities in which individuals participate in throughout the lifespan.
O All 3 are performed within the context of the
individual’s roles and within multiple environments. OTPF
Occupational Therapy Practice Framework
OTPF provides a framework emphasizing the “interactive” relationship between the client and the occupational therapy practitioner.
O Client’s occupational profile = (Person)
O Context both internal and external to the client =
O Activity demands = (Occupation)
Applying the PEO Model to
Identify occupational strengths and problems in occupational performance Assess performance components Assess occupation, activities, tasks Assess environmental conditions Bring this information together in a transactional framework to develop intervention plan with client. Outcome is evaluated by measuring occupational performance. PEO Model (Law et. al., 1996, Figure 4, p 19).
O The PEO Model recognizes the complex
relationships between individuals participating in occupations across environments.
Shifts the focus from performance components to occupational performance.
Offers a systematic approach to analyzing occupational performance,
Offers multiple intervention options