Participation
Participation |
Attendance
Involvement
Having access to, initiating, and sustaining valued occupations within meaningful relationships and contexts. |
Benefits |
Develop skills
Connect youth to community
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Restriction |
At home, school, community
Less diverse and frequent
Alone (not in the community) |
Domains |
Learning and applying knowledge; General tasks and demands; Communication; Mobility; Self care; Domestic life; Interpersonal interactions and relationships; Major life areas; Community, social and civic life |
Dimensions |
Objective: diversity, intensity, with whom, where, performance
Subjective: meaning, enjoyment, satisfaction, choice, control, desire for change |
Factors |
Child: age, functional limitation, preferences
Family: functioning, values for participation, income
Environment: accessibility, attitudes, availability of programs and services, location |
Goal example |
Zach will be involved in [activity] with [whom] at a [frequency] and [level of satisfaction]. |
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Assessments
ASAP |
Domain: Domestic, social and recreational participation
Dimension: Diversity; Frequency/intensity; Enjoyment; Satisfaction with performance; With whom (others); Where (outside of home)
Top 5 most important activities + opportunities to add some |
CAPE (Children) & PAC (activity preference) |
Domain: Recreational activities – Active physical activities – Social activities – Skill-based activities – Self-improvement/educational
Dimension: Diversity – Intensity – Enjoyment – With whom – Where – Preferences
Visual cue cards |
LifeH |
Domain: All ICF
Dimension: Accomplished, assistance, satisfaction |
Activity card sorting |
Activities: IADL, leisure, social
Answers: continued, done less, given up, new activity vs prior illness
Most important + % activities retained |
PEMCY |
Domain: Home, school, community
Dimensions: How often, how involved, desire for change
Involvement (engagement using supports needed) NOT independence
Environment: What helps or makes it harder |
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PREP
Steps |
1. Goal (determined by COPM)
2. Plan environment-focused participation team (partners, training)
3. Happens
4. Outcomes (COPM)
5. Check-in (experience, generalize learning, sustain participation |
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