Edward A.S Duncan, BSc(Hons) Dip.CBT
Senior I Occupational Therapist, Forensic Occupational Therapy, Scotland
I find the Model of Human Occupation (MOHO) invaluable in guiding my
clinical reasoning and practice within forensic mental health. The strong
theoretical basis of the model and its associated assessments offers
an excellent way of understanding my clients and provides tools that
can support my reasoning and evidence the outcome of interventions.
Within my work environment, MOHO is consistently used by all the occupational
therapy clinicians as our guiding model of practice. This has proved
to be a real strength, as it has supported a shared clinical understanding
of the individuals we work with and has clearly outlined our role to
colleagues in other professions. Our clients really value our approach
to working with them, as they recognise that we identify issues that
they value and are not addressed by any other profession.
Secure institutions, such as forensic hospitals are often viewed as
restrictive, in which occupational choices and forms are limited. Using
MOHO has enabled me to gain a comprehensive understanding of the client's
occupational competence and identity, both historically and within their
current environment. Despite the restrictions of the environment, this
information has enabled me, together with the client, to develop a meaningful
intervention program to prepare for their future.