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Occupational Therapy Assessment

Use when asked to administer, score, or explain an Occupational Therapy Assessment — functional performance across self-care, productivity, and leisure using the COPM — grounded in FormExamples/form-examples.

Functional performance evaluation using the COPM (Canadian Occupational Performance Measure) across self-care, productivity, and leisure domains.

Scoring

Instrument: COPM. Performance and Satisfaction each rated 1–10.

  • < 5 — significant issues.
  • 5–7 — moderate concerns.
  • > 7 — good performance.

What it covers

Demographics; referral information; self-care activities; productivity activities; leisure activities; performance ratings; satisfaction ratings; environmental factors; physical and cognitive status; and goals and priorities.

Common pitfalls

  • Scoring performance without also capturing satisfaction — the COPM's dual performance/satisfaction rating exists because a person can perform a task adequately but be dissatisfied with how (or whether) they do it — both numbers matter for setting meaningful goals.
  • Choosing activities to rate on the clinician's behalf rather than client-identified priorities — the COPM's design centres on the client identifying which activities matter most to them; substituting a standard checklist misses this client-centred structure.
  • Ignoring environmental factors — a low performance/satisfaction score can stem from environmental barriers (home layout, equipment access) rather than the person's own capacity; the environmental factors section exists to separate these causes.

Learn more

View occupational-therapy-assessment/SKILL.md on GitHub