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The Canadian Practice Process Framework (CPPF) was developed by Helene Polatajko, Janet Craik, Jane Davis and Elizabeth Townsend (2007) and introduced in Enabling Occupation II: Advancing an Occupational Therapy Vision for Health,Well-Being and Justice through Occupation. The CPPF was designed to enable occupational therapists to facilitate client-centred, evidence-based practice, as well as participate in reflective practice (Craik, Davis,& Polatajko, 2007). The CPPF illustrates eight key action points that guide the therapeutic process in occupational therapy practice (Davis, Craik,& Polatajko, 2007). The first action point, enter and initiate, represents the first point of contact between the client and therapist where a collaborative decision is made to either engage in or terminate the practice process. The second action point allows the therapist and client to set the stage by clarifying expectations and assumptions about the practice process and by identifying potential occupational (performance &/or engagement) issues and goals.
Assess and evaluate (action point three) involves the identification of personal, occupational and environmental factors that may be contributing to a client's occupational issues.While considering the most plausible explanations for the identified occupational issues, the therapist and client agree on the objectives and plan of intervention (action point four) and subsequently implement the plan (action point five). In action point six,monitor and modify, ongoing evaluation ensures enablement strategies remain appropriate for the established objectives. Outcomes are evaluated (action point seven) to determine if goals have been met or whether new goals, objectives or plans need to be established. The process concludes (action point eight) when the therapist and client come to a collaborative decision to either pursue other objectives or conclude the therapeutic relationship.
Application of the CPPF to occupational therapy practice
The CPPF takes into account the knowledge, experiences, and personal values that both the client and therapist bring with them into the therapeutic relationship. The dynamic interaction,which occurs between the client and therapist, is highlighted throughout all eight action points of the CPPF.
The CPPF can be applied to numerous practice settings, can be used in an interdisciplinary setting, and allows the therapist to engage both individuals and groups of clients in the therapeutic process. Using the fictional case scenario of Maria and Rebecca,we will provide a brief critique of the CPPF, highlighting its specific applications...