Green Care: A Conceptual Framework - Frisk i naturen

Christiansen et al (2005) and Kielhofner’s model of human occupation
(MOHO) (Kielhofner, 2002). The relationships between people,
environments, and occupations are dynamic and complex. Each person
has her or his personal characteristics; environments are unique, and the
meanings and value of occupations vary (Christiansen et al, 2005).The
PEOP model can be used to describe the interaction of these elements
within green care interventions.
PEOP is a client-centred model aimed at improving the everyday
performance of necessary and valued occupations and meaningful
participation. The model identifies factors relevant to occupational
performance and participation and can therefore be used to target areas for
therapeutic intervention. The model consists of four elements: what people
want or need to do in their daily living (occupation), the act of doing the
occupation (performance), and the personal (person) and environmental
(environment) factors which support, enable, or restrict the performance
of the activities, tasks, and roles. All of these elements put together lead to
occupational performance and participation (Figure 5.1).
Figure 5.1: The Person-Environment-Occupation-Performance model (PEOP)
PERSON
(Intrinsic Factors)
• Spiritual
• Physiological
• Cognitive
• Neurobehavioral
(Christiansen et al, 2005)
• Psychological
54 Green Care: A Conceptual Framework
OCCUPATION
OCCUPATIONAL
PERFORMANCE
AND
PARTICIPATION
PERFORMANCE
• Social Support
• Social and
Economic Systems
ENVIRONMENT
(Extrinsic Factors)
• Culture and Values
• Built Environment
and Technology
• Natural Environment
Well-Being Quality of Life
The model is based on a belief that people will demonstrate mastery
(human agency) within their world. To meet their personal needs,
individuals must be competent enough to effectively use the available
resources within their living environment. Another postulate of the