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The Person-Environment-Occupation Circle Tool: A simple way to bridge theory into practice


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									                                                                                               ThEORY MEETS PRACTICE
The Person-Environment-Occupation
Circle Tool: A simple way to bridge theory
into practice                                                                                       Column Editor: Heidi Cramm

 Heidi Cramm

 Liam, an 11-year-old boy, has anxiety and learning dis-        simple and inexpensive tool that can provide clinicians
 abilities that challenge his ability to engage in his school   a practical theoretical foundation for their clinical pro-
 occupations.                                                   cess. The circle tool acts as a vehicle for describing what
   Charles is a 45-year-old municipal worker who has            occupational therapy is, what the
 experienced a low back injury on the job. He has been          foci are, and what the clinician         About the author –
 attending a work hardening program and is about to             can provide to the client.               heidi Cramm is a doctoral
                                                                                                         candidate in Rehabilita-
 receive clearance to return to work.                              The tool consists of coloured,
                                                                                                         tion Therapy at Queen’s
   Both individuals are involved with occupational              translucent circles for each of the      University in Kingston,
 therapy. How might an occupational therapist embed             person, environment and occupa- Ontario. On leave from
 practice in the Person-Environment-Occupation (PEO)            tion factors (see Diagram 1). The        her clinical practice in
 model (Law et al., 1996) in a way that is accessible to        three circles are printed onto an        child and adolescent
                                                                                                         psychiatry, she has a
 both Liam and Charles?                                         overhead sheet and cut out. The
                                                                                                         particular interest in
                                                                circles can be used in a physical        occupational therapy and
 Introduction                                                   and interactive way to provide oc- children and youth who
 Clinicians continue to face challenges in implementing         cupational therapists and clients        experience mental health
 occupational therapy theory during client collabora-           a tangible and visual tool that          issues. Heidi welcomes
 tion. Many clients also struggle with our professional         clarifies the foci of occupational       feedback at 7hac1@
 domain of interest, focusing on the “therapist” in our         therapy. By using the translucent
 title rather than the “occupational” descriptor of our         coloured person, environment,
 enabling approach. In this article, I propose a simple         and occupation circles, the therapist is able to demon-
 and practical tool that can help occupational therapists       strate how intervention directed at the person, the oc-
 communicate the profession’s unique perspective on
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