Learn to Use PREP

The PREP model is a skills-based, family- and client-centred approach to treatment. An occupational therapist works to facilitate participation in the activities of their client’s choosing by modifying aspects of the environment.

By using this approach to coach clients through the process of considering the environment, occupational therapists can build capacity within their clients and their caregivers, families, and communities to identify, minimize, or remove barriers to full participation, both during the current therapeutic interaction and beyond.

1 Make Goals

The occupational therapist meets with the client and/or parents or caregivers and will use the COPM to enable the client to identify issues that they are having with participation in activities at home, at school, in the workplace, or in the community.

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2 Map Out a Plan

For each of the client’s chosen goals, the occupational therapist will work with them to develop an environment-based plan for improving their participation.

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3 Make it Happen

Changes to the environment and activity will have been discussed and planned prior to participation. At this stage it will be important to decide on which changes to try first and there may be some trial and error involved.

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4 Measure the Process and Outcome

Measurement using the COPM happens on a regular basis throughout baseline, during intervention and following intervention. Other measures may be administered before and after the intervention to measure changes in the person’s participation profile.

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5 Move Forward

Using PREP as a tool to empower clients to participate in desired activities supports a strengths- and skills-based approach to intervention. A next step is to encourage clients to share their participation success with others.

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