An Occupational Therapist systematically works through a sequence of actions known as the occupational therapy process. There are several versions of this process as described by numerous writers. Creek’s version has 11 stages and seeks to provide a comprehensive version based on extensive research. The stages include referral, information gathering, initial assessment, needs identification/problem formation, goal setting, action planning, action, ongoing assessment and revision of action, outcome and outcome measurement, end of intervention or discharge, and review.
The Canadian Practice Process Framework (CPPF), which portrays eight action points and three contextual elements for the process of occupation-based, client-centered enablement, is another process framework for occupational therapists to use is. The contextual elements are comprised of societal context, practice context, and frame(s) of reference. The eight action points include enter/initiate, set the stage, assess/evaluate, agree on objectives and plan, implement plan, monitor/modify, evaluate outcome, and conclude/exit.
Another group, Fearing, Law, and Clark suggested a uniquely different 7 stage process which included identifying of occupational performance issues, choosing a theoretical frame of reference, assessing factors contributing the identified occupational performance issue(s), considering the strengths and resources of both client and therapist, negotiating targeted outcomes and developing an action plan, implementing the plan through occupation, and evaluating outcomes. A central element of this process model is the focus on identifying both client and therapists strengths and resources prior to beginning to develop the outcomes and action plan.