THE LPM A TOOL FOR SUCCESSFUL PROFESSIONAL AND PERSONAL DEVELOPMENT

Peggy Wittman, EdD, OT/L, FAOTAProfessor, OT DepartmentEastern Kentucky UniversityASD. April 25. 2012

Who Am I?An OT, an Educator, a Practitioner-Scholar, and a Healthcare Consumer

Goals For Today’s Talk

Understand the basic constructs of the Lifestyle Performance Model

Explore how you might use the LPM as a tool for your professional and personal growth and development

The Lifestyle Performance Model Developed by Fidler (AJOT, 1996) and

Velde (1998-2002) Used clinically and to measure

outcomes by Wittman and Velde (1998-present)

Basic Constructs The LPM describes and examines the interacting, multiple

dimensions of doing and living from an organized, holistic framework

Based on a philosophy of social construction (a person’s perceptions of his/her occupational performance and satisfaction)

Related to Object Relations and Wellness theories Performance and quality of life are essential constructs Useful for Occupational Science and Occupational Therapy A Top-Down Approach Meets the four criteria for successful practice (client-

centered, occupation-based, evidence-incorporated, and outcomes-oriented)

Lifestyle Each person over time, develops a

configuration of activity patterns that can be described as a life-style. These patterns of doing, of being engaged, emerge through the interplay of a person’s intrinsic needs, desires, and capacities and unique expectation of the environmental context of the person’s living.

Quality Of Life

Integrally related to the LPM as a phenomenological construct

Can be evaluated within each domain and overall

Is Chocolate A Choice?

Four Domains Intrinsic Gratification

Reciprocal Interpersonal Relatedness

Societal Contribution

Self Care/Self Maintenance

The Assessment Process The Lifestyle Performance Inventory (LPI) is

used to gather data from the client or significant other(s)

A semi-structured interview (questions with probes)

Combined with other information (from chart, other evaluations: ROM, Sensory Profile, Burns Depression Scale, etc.) to form a Lifestyle Performance Profile (LPP)

HARMONY

Importance of the Environment

Physical – personal space, natural and man-made

Societal – legal, political, economic Interpersonal – self and significant others,

objects, home Temporal – personal or inner time,

mechanical time, natural and social time Virtual – digitally created world (space and

time)

Your occupations Identify 5 or 6 occupations you spend

most of your time doing Identify 5 or 6 occupations you most

enjoy doing How are they alike and different?

INTRINSIC GRATIFICATION

Personally referenced pleasure, engagement for the joy of it,

activity repertoire regarding fun, personal interests

RECIPROCAL INTERPERSONAL

RELATEDNESS

Developing reciprocal relationships, sustaining reciprocal relationships, mutually satisfying, all

aspects of living, friendships, intimacy, peer

affiliations, family

SOCIATAL CONTRIBUTIONContributing to the

fulfillment and welfare of others, productive

member of society, filling societal roles, reciprocity

is not expected

SELF CARE/SELF MAINTENANCE

Expression of self, self reliance, dressing,

grooming, maintenance of living spaces, eating,

cooking, etc. (ADLs and IADLs)

Your Occupations In which domains would you place the

occupations you identified? Is there overlap? Are there any domains with no

occupations? The “Biggest Bang for the Buck”

hypothesis

Where To From Here? Professional and Personal Goal Setting What are you looking for? What occupations are most important

to you? How do you prioritize these? How can you have harmony? Quality of

Life? Wellness? Life satisfaction?

PROFESSIONAL PERSONAL

Intrinsic Gratification

Reciprocal Interpersonal Relatedness

Social Contribution

Self Care/Self Maintenance

Four Domains Intrinsic Gratification Reciprocal Interpersonal Relatedness Societal Contribution Self Care/Self Maintenance

Time 24 hours/day/7 days/week = 168

hours/week = 672 hours/month WORK: 40 hours/week/5 days/week = 160

hours/month SLEEP: 8 hours/day = 56 hours/week =

224 hours/month OTHER: (Work + Sleep = 384 hours/month)

deducted from Total = 288 hours/month!

PROFESSIONAL PERSONAL

Intrinsic Gratification Opportunity to read autobiographies, biographies, novels, etc. about medical diagnoses, disabilities, and/or occupational therapy to advance knowledge of field and compassion for clients without only reading from textbook or peer-reviewed articlesCommute to work, possibly with reimbursed driving timeFreedom to make care client-centered—time to interview, evaluate, and talk with clients (not too much of a fast-paced setting where you never get to truly know any of the clients)

Time to explore leisure occupation of reading (interested in novels, stories, etc. rather than textbook material)Valued occupation of drivingDon’t give up too many leisure or intrinsically gratifying occupations for the sake of school—I don’t have to get all A’s all the time!

Reciprocal Interpersonal Relatedness Job setting that allows paperwork to be done during office hours so my personal time can be spent on RIRHolidays off to be spent with family and friendsSundays off to invest time into RIR with family, friends, and church membersNo more than 50hrs/wkTeam model of practice that allows me to work with other professionals to achieve goals of the client—to not work completely alone but rather to cover the full, transdisciplinary needs of the clientHave access to a mentor during entry level years of the profession—someone to ask questions, challenge me, and keep me accountable for practice as a new clinician

Personal time to invest in marriage as a newlywedTime to invest into the lives of my siblings, nephew, and nieceMaintain close relationships with members of my churchAttend church groups on a weekly basis

Social Contribution Volunteer pro-bono hours at a free clinic or homeless shelter.Coordinate teams of therapists for medical mission trips.

Continue volunteer work at residential recovery center and with church youth group.Continue annual mission trips.

Self Care/Self Maintenance

Non- “desk job” environment so I can bemoving aroundFreedom to promote health, wellness, and prevention to clients—not just remediation

Eat healthier foods, pack lunches to school.Occupational harmony between school and schedule for exercise—don’t skip it just because I have too many assignments!Adequate amount of rest

References (Publications)

Vaught, E. & Wittman, P. (2011). A phenomenological study of the occupational choices of individuals who self-identify as adult children of alcoholics. Journal of Occupational Science, 18(4), 356-365.

Wittman, P.P. & Bundy, MB. (September, 2008). The Use of the Lifestyle Performance Model in a Group for Children with Autism Spectrum Disorders. Developmental Disabilities Special Interest Newsletter, 1-4.

  Velde, B.P., Wittman, P.P., & Mott, V. W. (2007). Hands-on learning in Tillery. Journal of Transformative Education, (5),

78-92.    Barnard, S.; Dunn, S.; Reddic, E.; Rhodes, K.; Russell, J.; Tuitt, T.; Velde, Beth P.; Wittman, P.P. (April-June 2004).

Wellness in Tillery: A community-built program. Family and Community Health. 27, 151-157.   Carter, C., Meckes, L., Pritchard, L., Swensen, S., Wittman, P.P., & Velde, B.P. (April-June 2004). The Friendship Club: An

after-school program for children with Asperger Syndrome. Family and Community Health, 27. 143-150.   Kampa, A., Kennedy, J., Velde, B., & Wittman, P. (2003, October 20). In the clinic. The Friendship Club: developing

reciprocal relationships in children with Asperger's syndrome. OT Practice, 8(19), 25-27.   Velde, B. P., Wittman, P.P., Lee, H., Lee, C., Broadhurst, E., Caines, M. (2003). Quality of life of older African American

women in rural North Carolina. Journal of Women and Aging, 15 (4), 69-82.    Elliott, S. J., Velde, B.P., & Wittman, P. P. (2002). The use of theory in everyday practice: An exploratory study.

Occupational Therapy in Health Care, 16, 45-62.

References (Presentations)The use of the Lifestyle Performance Model in a Social Skills Group for children with ASD. Walker, B. & Stoffer, K.

Kentucky Occupational Therapy Association, Prestonburg, KY, September, 2009.

The use of the Lifestyle Performance Model and Animal Assisted Therapy to enhance social Skills: An interdisciplinary project. Poster presented with Bundy, MB., Tackett, K., & Miller, K. Network of Autism Training and Technical Assistance Programs, Columbus, Ohio. November, 2008.

The evolution of a community-built practice in Tillery, North Carolina. Paper presented with Velde, B. & Phillips, D. at the 2006 Annual American Occupational Therapy Conference, Long Beach, CA, April, 2006.

Using an occupational therapy model of practice to engage the power of occupation.. Velde, B. P. & Wittman, P. P. (2002, June 24). Paper presented at the World Federation of Occupational Therapy, Stockholm, Sweden.

 Comin Home: Using knowledge of occupation to emancipate participants. Velde, B.P.

& Wittman, P. P. (2002, June 26). Paper Presented at the World Federation of Occupational Therapy, Stockholm, Sweden.

Quality of life in Tillery, North Carolina. Paper presented with Velde, B. at the 2001 North Carolina Summer Symposium on Aging, Wilmington, NC, July, 2001.

 

References (Book Chapters)Velde, B., Wittman, P. (2002) The use of the Lifestyle

Performance Model in a forensic setting and in the community beyond. In G. Fidler and B. Velde (Eds), Life-style performance: A model for engagement in human existence. Thorofare, NJ: Slack Publishers.

Velde,B. & Wittman, P. (2002). The use of the Lifestyle Performance Model in community built health services. In G. Fidler and B. Velde (Eds). Life-style performance: A model for engagement in human existence, Thorofare, NJ: Slack Publishers.

Questions and Discussion

Contact Information Peggy.wittman@eku.edu