Theory and practice in the occupational therapy guidelines for client-centred practice

A model for occupational therapy has evolved and has come to be referred to as the "Guidelines" model or the Canadian Occupational Performance model. This paper attempts to reformulate information relating to the Guidelines model, to support its use as a conceptual model and a model of practice. Both the conceptual model and model of practice are described in terms of their domain of concern, underlying values and assumptions, concepts and principles. The conceptual model provides a means of understanding occupational performance, while the model of practice offers a way of understanding the relationship between occupational therapy interventions and occupational performance. Both models are evaluated relative to nine criteria derived from the literature. The conceptual model is found to be largely consistent, supportable, comprehensive and useful. The model of practice, however, proves more problematic, with technical, structural and conceptual variances. The paper is intended as a stimulus for discussion and study of this central model of Canadian occupational therapy.