Turn COPM Ratings Into a Plan
Translate COPM ratings into priority goals and reassessment decisions.
Client lists three occupations: cooking importance 10 performance 2 satisfaction 1; laundry importance 6 performance 5 satisfaction 5; handwriting importance 4 performance 3 satisfaction 7. Prioritize high-importance occupations where performance and satisfaction are both low, then reassess the same occupation. The trap is treating COPM as a form to complete and then reverting to therapist-selected goals. Step 1 Find importance: cooking is 10, the clearest client priority. Importance protects the plan from professional agenda drift. Step 2 Read the gap: performance 2 and satisfaction 1 show the client experiences the occupation as both difficult and unacceptable. Low performance alone is…
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