MOHO and CBT in adult mental health

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there is an obvious conceptual connection. Anyhow the resource I recommendto start with isTaylor, R.R. (2005). Cognitive Behavioral Therapy for Individuals withChronic Illness and Disability. New York: Springer.Good luck with your effortsGary KielhofnerDate: Thu, October 13, 2005 5:47 pmHi Simon,As well as being an occupational therapist, I am also a qualified cognitivebehaviour therapist. I have incorporated CBT and MOHO for several years (ina forensic mental heath setting) and found them to be eminently compatible.One of the difficulties (as I see it) with CBT in OT, is that too many OTshave used it "straight" and become (in practice) CB therapists, notoccupational therapists. This has drawn a lot of criticism from within theprofession. However, this need not be the case.You might find the following chapter (below) useful. Whilst it onlybriefly mentions MOHO, there is a focus on integrating the cognitivebehavioral approach into occupational therapy and highlights therelationship between cognitive behavioural approaches and conceptual modelsof practice such as MOHO.Ref:Duncan EAS (2005) The cognitive behavioural frame of reference: In EASDuncan (Ed) Foundations for Practice in Occupational Therapy (4th Ed).Elsevier/Churchill Livingstone, EdinburghBest wishesEddie DuncanDate: Tue, October 18, 2005 1:48 pmDear Simon and all the listI am an Israeli OT working in a community mental health center in Tel Avivand in apsycho geriatric unit. We use for several years the CBT in combination withOT conceptual models, merely with the MOHO. We felt almost intuitively thetwo models are most compatible .We apply them in individual and in
group interventions. It helps are also to explain our profession to theother mental healthteam and clients' as we focus on volition , occupational identity, choice ofactivities and occupations etc.. .Last summer we were lucky and had a wonderful workshop with Prof.Kielhofner and Dr. Taylor which focused on interweaving the two models. Dueto well organized and rich theoretical and practical materials, includingmany case examples and open discussions on important issues we got a wide ,in-depth and sharpened understanding .It contributed also to our selfprofessional confidence.Good luck in your new job,Noga.Noga Ziv, MSc.OTDepartment of Occupational TherapyStanely Steyer school of health professionsSackler faculty of medicineTel Aviv UniversityDate: Wed, October 19, 2005 12:09 pmDear Simon and all,My name is René. I'm OT from Canada and your questions about theintegration of MOHO and CBT approaches fit exactly with my clinicalinvestments for more than 8 years now. I'm working in a specialized programfor young psychotic patients experiencing early intervention for firstpsychosis. For these patients, I have adapted a specialized cognitiveprogram of therapy called : IPT program, Quebec adapted version. Many yearsago, Gary Kielhofner helped me to integrate MOHO tools with this programand I must say since that time. I have the best clinical tools to helpsthese young psychotics patients. At that time, I decided to integrate MOHOinitial assessments (OPHI-II, ACIS and VQ) and to integrate the model intothe process of therapy application with the mix of IPT program. Mymultidisciplinary team needs first, a training but now they don't wantanything else. They adopt MOHO vocabulary and they like it very much . Ifyou want more details about this cognitive behavioral program and MOHOapplication, you will find it in the last Gary's publication. Here you havespecific reference: Kielhofner, G. (2002). Model of Human Occupation (thirdEdition), Philadelphia: Lippincott Williams & Wilkins, chapter 26, pages508 à 516.I also did tree years ago a paper in English for Gary Kielhofner's students
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MOHO and CBT in adult mental health

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