This area is for conference presentations.
Metamorphosis by the VdTMoCA
Crofton, A & Taylor, M, May 2009
This presentation provides a very detailed insight in to the implementation of the VdTMoCA in to a women's mental health service. It takes you through a case study of one patient transitioning from the self-differentiation level through to passive participation.
It gives a personal journey with photographs of the patients achievements.
It is inspiring and hosts a wealth of information.
Quantifying the impact of in-patient mental health occupational therapy services based upon treatment pathways and specific outcome measurement. Wilson, S (2015)
Influenced by external drivers for change, Northamptonshire Healthcare NHS Trust, identified the need to better market the value & impact of occupational therapy on functional outcomes.
Through the use and analysis of the Activity Participation Outcome Measure the presentation concludes, the service provided -
Implementation of the VdTMoCA across Adult Mental Health Acute wards in Stafford
Barnhouse, J & Platt, S. (2015)
This PowerPoint presentation describes the transformation of an acute mental health OT inpatient service using the VdTMoCA. Discusses how the service was constructed prior to the changes, the steps taken to implement change and the benefits and challenges experienced through the process. The service state their achievements and outline plans to further embed the model within practice.
Use of the Model of Creative Ability and the Activity Participation Outcome Measure with Group Work for Adults with a Learning Disability
Belcher, M, Poyntz, L & Schon, J. (2013)
3rd International VdT Model of Creative Ability Conference
This presentation focuses on using the VdTMoCA to inform the re-design of a craft group within a learning disability service.
It provides detailed information on the treatment aims, application of the treatment principles and outcomes through use of the APOM as well as gathering patient feedback.
Capacity Building through the levels of Creative Ability using multi-modal sensory techniques
Birkhead, S (2010). International Creative Aability Network conference
This presentation demonstrates the use of sensory techniques through the levels of creative ability.
Flow and VdTMoCA
Broadbent, L & Khatri, R (2017)
5th International VdTMoCA Conference
This presentation links Flow theory with creative ability through a research project aiming to explore personal meaning and its importance in facilitating flow experiences from an occupational therapy perspective.
Selected psychometric properties of the Activity Participation Outcome Measure to describe trends in a forensic population of mental health care users. Brooke, C (2015)
This presentation seeks to answer the following research question -
Is the APOM an appropriate and relevant tool to use as a routine outcome measure in a psychiatric forensic setting to track change and describe trends in activity participation patterns?
Becoming evidence based: The VdTmoCA in outcome measurement
Casteleijn, D & Silaule, O (2017)
5th International VdTMoCA Conference
This presentation initially outlines the need for evidence based practice.
It then presents statistical evidence that the levels of creative ability exist with additional evidence of the validity and reliability of the Activity Participation Outcome Measure (APOM)
The second part of the presentation demonstrates the effectiveness of the APOM in measuring change in activity participation of the mental health care users attending an occupational therapy programme in an acute mental health unit within a rural context in South Africa.
Using the Model of Creative Ability as an outcome measure .
Casteleijn, D (2010)
This presentation initially provides available evidence for the use of ouctome measurement and considers the pros and cons for routine outcome measurement. It then presents detailed analysis of the psychometric properties of the APOM, concluding that the APOM is a consistent and valid tool to detect change in activity participation.
The Vona du Toit Model of Creative Ability and evidence-based practice: Results from routine outcome measurement studies.
Casteleijn, D (2015)
This presentation investigates the benefits and challenges of routine outcome measurement. It then focuses on how data gathered from the APOM can inform practice and service delivery within a range of clincial settings.
An exploration of the relationship of the conceptual theory of the Vona du Toit Model of Creative Ability and the International Classification of Functioning, Disability and Health.
Casteleijn, D & Khatri, R. (2015)
5th International VdTMoCA Conference
This presents the findings of the research question: To explore the relationship between the conceptual theory of the Vona du Toit Model of Creative Ability and the International Classification of Functioning, Disability and Health.
Mental Health Inpatient Setting
Chinembiri, O (2009)
This presentation initially provides a brief overview of an acute mental health in-patient setting and then explains the transformation of the service through implementing the VdTMoCA.
Using APOM to measure performance improvement in an inpatient dementia reenablement centre .
Cocken, J (2013)
International VdTMoCA conference
This is an enlightening presentation demonstrating the positive impact on the use of the VdTMoCA for people with dementia. Using the Activity Participation Outcome Measure it demonstrates an overall improvement in the level of creative ability within a sample of 25 adults.
Transformation and integration within an adolescent medium secure service.
Hosier, B (2009)
International VdTMoCA Conference
This presentation provides a unique insight in to the introduction of the VdTMoCA alongside the Model of Human Occupation.
The use of the Vona Du Toit Model of Creative Ability for Individuals with Personality Disorder.
Jeffries, L (2018)
Tees Esk and Wear Valley mental health NHS trust occupational therapy conference
This presentation focuses on the use of the VdTMoCA for people with personality disorder and illustrates the treatment principles through the use of a case study.
OT pathways: Mindfullness in adult acute mental health for clients with emotionally unstable personality disorder .
Kane, A & Clinton, M. (2015)
International VdTMoCA conference
Exploring the typical development of creative ability in young people .
Koch, L, (2017)
5th International VdTMoCA conference
This presents findings of a PhD study aiming to explore the typical development of creative ability in young people. Additionally it creates descriptors for the self-presentation level of motivation and constructive explorative level of action.
Doing occupational therapy and being an inspired occupational therapy team: Experiences of implementing the VdTMoCA at Broadmoor Hospital
London, A (2017)
5th International VdTMoCA conference
This presentation shares the journey of the OT team in Broadmoor Hospital in transforming the occupational therapy service in the mental health and personality disorder pathways through implementation of the VdTMoCA.
The VdTMoCA in Japan: A summary of key aspects for future research and consideration
Maeda, T (2017)
5th International VdTMoCA conference
This is an enlightening presentation in to the use of the VdTMoCA in a mental health hospital in Nagasaki.
It describes the challenges for the OT team in delivering an occupational therapy service, comparing statistcal information on a global scale.
It then explores the challenges and benefits of implementing the VdTMoCA throughout the occupational therapy service.
Therapeutic environment according to MOCA perspective in forensic inpatient setting.
Misawa,T. (2010)
International VdTMoCA conference
This presentation focuses on the implementation of the VdTMoCA at Sagamihara National Hospital (Japan) within the Rehabilitation department.
It provides insight in to the service and uses a case illustration to demonstrate the success of implementation.
A case example of how clients have responded positively to occupational therapy in a VdTMoCA informed hospital setting (Japan).
Motomura, Y. (2017)
International VdTMoCA conference, London
This presents a detailed case study to demonstrate the effectiveness of the VdTMoCA for a young woman displaying extreme and challenging behaviour requiring care in isolation. The implementation of the VdTMoCA saw a transformation and enabled the wider MDT to see and unlock her potential.
From the outside looking in: Incorporating a non-occupational therapy perspective on using VdTMoCA .
Quan, S & Zywicka-Rospond, G. (2017)
5th International VdTMoCA conference. London.
This presentation provides an insight in to the views of a consultant psychiatrist of occupational therapy, accknowledging the need for the profession to prove its unique contribution to mental health services. Whilst identifying weaknesses in the professions profile and perceived value Dr Quan highlights the quality the VdTMoCA can add to clinical practice.
Applying the VdTMoCA to Paediatric therapy: A collection of perspectives.
Roane, B (2013)
International VdTMoCA conference
This study gathered qualitative and quantitative data from 20 occupational therapists who studied occupational therapy in South Africa.
It investigates the perceived value of studying the VdTMoCA at degree level and how this has been translated to clincial practice.
Challenges and benefits are argued whilst considering the factors which would promote the use of the model in Paediatric services.
VdTMoCA to measure performance at work: a guide to personal development plans during preceptorship
Zywicka-Rospond, G (2015)
4th International VdTMoCA conference
This presentation investigates aligning levels of creative ability with the Knowledge Skills Framework, to demonstrate the potential of the VdTMoCA to assess individuals performance in the workplace and to validate the levels of creative ability using a standardised tool to assess an employee’s performance.
What is effort, minimum effort and maximum effort and how do you know?
Sherwood, W. (2017)
5th International VdTMoCA conference
This presents the findings of Dr Sherwood's PhD study exploring the construct of effort, a fundamental component of creative ability, embedded within the theory. This research contributes to the theory base of creative ability and reaches out to answer more searching questions on the construct of effort.
Use of Activity Participation Outcome Measure within forensic learning disability service
Smalley, L (2017)
5th International VdTMoCA conference. London.
This presentation compares the use of the MOHOST with the implementation of the Activity Participation Outcome Measure. It compares the sensitivity of the tools as well as informing intervention, considering the positives and negatives of application.
Riding the waves of success: Bike maintenance workshops
Birchall, S & Allen, R (2015)
4th International VdTMoCA conference.
This presentation describes the development of bike maintenance workshops as guided by the VdTMoCA. The presentation shares the positive outcomes of the intervention from a service user perspective.
Vona du Toit model of creative ability levels - as manifest in persons with psychiatric disorders, physical disability and in children
van der Reyden, D (2013)
International VdTMoCA conference
This presentation provides invaluable insight and indepth knowledge in to the levels of creative ability comparing a range of populations.
Engagement in VdT model of creative ability within an older adult male mixed functional and organic ward
Vincent, E, Diesel, S and Johnson, L. (2017)
5th International VdTMoCA conference. London
This presentation provides insight in to the use of the VdTMoCA for people with functional and organic illnesses.
It shares how the VdTMoCA changed clincial practice and demonstrates this through case examples and explanation of treatment sessions.
Can the levels of creative ability be applied to supervision and development of staff in the workplace?
Casteleijn, D & Wilson, S. (2017)
5th International VdTMoCA conference. London.
This presentation describes the first phase of a research project focusing on whether the levels of creative ability can be applied to the supervision and development of staff in the workplace in a search to improve effectiveness.
Semi-structured interviews were used to collect staff perceptions of their work role and performance through translating creative ability descriptors in to questions. This was to determine the fit between the interview responses and the creative ability descriptors.
The findings showed that the actions and behaviour of people in employment can be observed in the levels of creative ability.
Reading for well being
Young, C, Marshall, A & Davies, J. (2017)
5th International VdTMoCA conference. London.
This presentation explains the development of a 'Reading for well being' group developed in South Staffordshire and Shropshire Foundation Trust in a Forensic Low Secure Service in Shrewsbury.
It describes how the group was developed through the application of the treatment principles of the VdTMoCA and the outcomes of the intervention.
Seclusion: The end of the road for occupational therapy or a new route with the VdTMoCA?
Jeffries L, (2019)
6h International VdT Model of Creative Ability Conference, London.
This presentation highlights the external drivers to reduce the use of seclusion whilst still accknowledging it as sometimes a necessary intervention. Evidence-based practice provides a paucity of research in to the role of occupational therapists for people in seclusion. Through investigating qualitative research provided insights in to the needs of such individual's. The presentation relates these needs to levels of creative ability and then presents two examples of practice-based evidence which provides a positive stance. The presentation concludes with potential research questions.
How does the VdT Model of Creative Ability Inform OT intervention with impulsive behaviour in Forensic Settings?
Jeffries, L. (2017)
5th International VdTMoCA Conference, London.
This presentation explores the prevelance of impusivity in male patients in a forensic medium secure setting and relates this to levels of creative ability.
The application of the treatment principles in to clinical practice is explained demonstrating specific interventions used to reduce impulsivity through a case study example. The clinical outcomes of intervention are demonstrated through the use of the Activity Participation Outcome Measure. The presentation concludes the effectiveness of using the VdTMoCA to reduce impulsivity.
Beautifully disparate - From total destruction to a beautiful goose
Jeffries, L. (2013)
3rd International VdTMoCA Conference, London.
This presentation provides insight in to the disparate clincial picture individual's with personality disorder can present. Through use of a single case study the presentation guides us through initial assessment through to enlightenment using the VdTMoCA.
Application of the VdTMoCA allowed for accurate assessment and then led the therapist and patient on a powerful journey of discovery through recovery.
This demonstrates the effectiveness of the VdTMoCA in understanding individual's needs with personality disorder and how the model an inform intervention.
Keynote speech
Accessing the creative self
Holsten, H (2010)
2nd International VdTMoCA conference, London.
This keynote speech provides much detail in to the theory of creative ability using a philosophical and reflective stance. The presenter explores the theoretical constructs of the model and enlightens the reader with detailed application of the model in to clinical practice.
Absolom S, Dickson M (2013) Riding the Storm of Adolescence’ Understanding Adolescent Development
ICAN VdTMoCA Conference Presentation
A presentation exploring how theories of normal adolescent development relate to the VdT Model of Creative, illustrated using case studies of young people’s developmental level alongside their level of creative ability.
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PowerPoint presentation briefly outlining a group assessment process underpinned by the VdTMoCA within a community mental health setting in the UK in order to manage number of individuals on the waiting list for assessment. Assessments were completed across 3 or 4 group sessions along with an individual interview. Contents of the assessment group consisted of individual activities completed within the group (a ‘One Miracle’ question collage, Coat of arms / values shield activity) as well as a group construction activity. Photos are used to illustrate. Provides the reader with an idea for structuring assessment of components of creative ability within a mixed ability group setting rather than traditional community 1:1 assessment processes.
PowerPoint presentation based on MBA research with primarily a business management focus considering individuals who have the creative capacity to function at the highest levels of creative ability. Different theories such as flow theory (as well as theory of creative ability) were used to guide analysis of four highly functioning individuals, considering the disciplines, practices and mantras that supported their creativity within unpredictable and uncertain scenarios. A series of loop diagrams detail the components of sustained performance and creative participation identified within the research. The presentation concludes by identifying the need for more research into the higher levels of creative ability, such as development of assessment tools and the need to explore the correlation between leadership and creative ability.
Grobler, A (2010) Growth in the higher levels of CA
International Model of Creative Ability Conference 2010, London.
A study was conducted with a small sample of 25 clients who returned to original place of residence and participated in a minimum of 3 OT interventions, with baseline and post discharge APOMS being completed. Improvement was seen in all patients’ performance across the 8 APOM domains and overall APOM score (level of creative ability). On average results showed clients progressing from Self-differentiation (transitional) to Self-presentation (patient directed) with the largest improvement shown in the areas of motivation, affect and process skills. The APOM is shown as a positive tool to use as part of the MDT’s assessment of improvement in function although limitations to the study are highlighted and opportunities for further research to validate the use of the APOM in older peoples’ mental health suggested.
Cocken, J (2013) Using APOM to measure performance improvement in an inpatient dementia re-enablement centre.
Conference presentation
3rd International VdTMoCA Conference, London.
Brief detail of a masters dissertation focused on the occupational adaptation of fathers living with HIV and AIDS with social issues of poverty, rejection from the community and workplace. Data analysis identified 5 themes around the crisis of living with the condition and re-establishing a different path /role as a father. These were considered in terms of whether the VdTMoCA could help identification of occupational adaptation at different levels of creative ability. Lack of detail within the presentation makes the process, themes and relevance difficult to ascertain for the reader.
Coetzee, Z (2010) Linking the VdTMoCA and social disability: a description of research findings.
Conference presentation
2nd International VdT Model of Creative Ability Conference, London.
Oral presentation notes. A compelling, insightful and honest personal account of the effect of a car accident and resulting quadriplegia detailing Compaan’s view of her level of creative ability from Tone to Passive participation during her initial rehabilitation. This presentation provides an illustration of the process of physical and psychological adjustment to a ‘new’ self following catastrophic injury and offers valuable insights into the understanding of levels of creative ability in physical disability. Factors affecting behaviour and motivation to comply with treatment or push oneself are described, with the importance of family and friends highlighted in the acceptance, rehabilitation and recovery process. The crucial impact of the therapeutic relationship is laid bare, with messages pertinent to every occupational therapist regardless of their clinical setting.
PowerPoint presentation reporting on the development of the VdTMoCA within a secure mental health setting. OT staff identified that assessments were lacking in specific focus on occupational performance and they had become targeted on attendance of activities rather than therapeutic reasoning for the provision of activities. Resulting lack of OT identity and ability to evidence their role led to the team considering the use of the VdTMoCA. Positive experiences of how changes were planned, lessons learned and future visions for development of the service based on the VdTMoCA are shared. Useful insights for teams or individuals considering use of the VdTMoCA in their service.
Davies, G (2013) The VdTMoCA within a private low secure unit and the benefits to OT service, the patients and the hospital
Conference presentation
4th International VdT Model of Creative Ability Conference, London.
This presentation gives an overview of the inpatient service and OT provision prior to implementing the VdTMoCA. The service identifies that patients with acute symptoms were not engaged in the current programme consisting of both closed and open group sessions.
The presentation then goes through the step by step process to embed the model in to practice and how the service was transformed.
The service introduced a three tier programme:
Tier 1 - Tone and self-differentiation level (Therapist and patient directed phases)
Tier 2 - Self-presentation level (Transitional) and Self-presentation (Therapist and patient directed phases)
Tier 3 - Self - presentation (Transitional phase) and passive participation.
The outcomes were extremely positive. There was increased participation and better quality engagement. The OT provision engaged all patients across all levels of creative ability and acutely unwell patients were now receiving treatment.
Chinembiri . O (2009) Implementing the Model of Creative Ability in an acute inpatient mental health setting. Presentation at the 1st VdTMoCA Conference. London.
PowerPoint presentation of the impact of the VdTMoCA through an illustrative case example of a 60 year old male with autistic spectrum disorder and sensory integration difficulties. The presentation describes the individual’s tactile, vestibular and proprioceptive challenges impacting on his ability to engage with the world around him. The change in the individual’s ability over time through the use of one activity - trampolining - is explained in detail starting from the approach of the therapists at Tone (therapist directed phase) through to self-differentiation (therapist directed phase). Text and photographs are used to illustrate how the trampolining activity was broken down to elicit the beginnings of physical contact and limited sensory stimuli which was built upon over time to a point of staying on the trampoline for 30 minutes and marked improvements in his ability to engage with his world. A powerful and extraordinary illustration of significant change through the careful grading of a selected treatment activity using the principles of the VdTMoCA.
Day E & Tinning L (2009) Sensory Integration and Trampolining in learning disabilities: a case example. 1st VdTMoCA Conference. London
Abstract
Impulsivity is evident in a range of mental health diagnoses which are prevalent in forensic settings (Mullen 2000). Poor impulse control is a contributing factor to risk behaviours and is central to the assessment and treatment of this patient population. Whilst there is literature describing the role of Occupational Therapy in Forensic settings there is no evidence to support the role of Occupational Therapy with impulsive behaviours (Couldrick & Alred 2003).
Impulse control is evident within the Vona Du Toit Model of Creative Ability, particularly the ability to manage impulsivity within the Self-Presentation level. Whilst impulsivity is observed within the levels of Tone and Self –Differentiation, intervention is less complex. Its intensity reduces in the Passive Participation level with added increased access to a wider range of interventions (Crouch & Alers 2005).
Poor impulse control has a negative impact on a patient’s ability to successfully explore their environment, essential on this level of Creative Ability.
The treatment principles of the Self-Presentation level were applied with a specific focus on managing impulsivity. This required in-depth analysis of tasks selected and careful consideration of presentation and handling principles. Whilst the treatment priority was focusing on reducing impulsive behaviour, the treatment aims for this level remained a focus. Re-assessment confirmed a positive change in functioning with a reduction in impulsive behaviour as well as a positive impact upon other inter-connected creative ability components (Crouch & Alers 2005).
The potential for the role of Occupational Therapy in managing impulsivity has positive implications.
Jeffries, L (2017) How Does the VdT Model of Creative Ability inform Occupational Therapy Intervention with Impulsive Behaviour in Forensic Settings? The 5th VdTMoCA International Conference. London.
Originating in 13th century China, Tai Chi combines slow, gentle movements with deep regular breathing. Widely practiced it helps improve and maintain physical and mental wellbeing.
The therapy team at Berrywood Hospital wanted to find an exercise which they could develop in accordance with VdTMoCA principles. Tai Chi is suitable for a diverse population with regards to age, gender, diagnosis and fitness levels. The exercises can be adapted for people with physical disabilities, are low impact and can be graded in intensity.
At the Self-differentiation and Self-presentation levels, individual treatments or small groups of short duration were determined to be most effective. Chi balls are used to increase the sensory experience. At Passive Participation and Imitative Participation levels, service users learn how to incorporate the exercise into their daily lives in order to reduce stress, manage their mood and develop community links. Daily ward based sessions are now attended by individuals across all levels. Regular sessions are also undertaken in the therapy department.
Doing Tai Chi based exercise in this setting leads to individuals being physically active, whilst simultaneously relaxing both body and mind, ultimately becoming happier and healthier. It has been found to improve motivation, energy, enhance social skills, improve concentration, increase body awareness, induce a sense of relaxation and restore occupational balance. The method of measurement is observation with verbal and written feedback.
Research continues to suggest that tai chi improves wellbeing. Any activity that treats the body and mind as one should be embraced by the Occupational Therapist.
Jenkins, J & Eastwood, J (2017) Tai chi adapted exercise using VdTMoCA principles in an inpatient mental health service . The 5th International VdTMoCA conference. London.
The presenter, through reflection on experience of applying The VdT Model of Creative Ability to a patient with complex personality disorder, will take the audience through a journey of reflection, learning and acceptance.
Initial assessment of the patient showed a disparate picture, ranging from Self-Differentiation through to Passive Participation. Task assessments showed there was an ability to use and adapt tools, intricately manipulate materials to produce an excellent end product. There was evidence of task concept and abstract thinking. Interactions with people, however, created an alternative picture. It proved difficult to be certain of the level of creative ability, however, initial thoughts were that personal management, use of free time and work ability would be a higher level than social ability.
Time allowed for further observations and gradually the destructive side began to emerge, he destroyed objects, materials, situations, people and himself.
Through applying principles at the Self-Differentiation, Destructive level to a project to build an ice sculpture for the Christmas Party something beautiful emerged. Not only a stunning white Canadian goose but the realisation of what needed to be implemented, despite the trail of destruction left behind.
The presentation will endeavour to demonstrate the reasons behind this disparate picture and assist therapists in working more confidently with the VdT MoCA and people with personality disorder.
Jeffries, L (2013) Beautifully disparate: From total destruction to a beautiful goose . the 3rd International VdTMoCA Conference. London.
In the last thirty years, occupational therapists in paediatric practice have tended to favour bottom-up approaches focused on remediation of client factors and performance skills. As the focus in the profession has shifted back onto occupation, the understanding of the role of the occupational therapist within a paediatric and especially educational setting has become blurred and often poorly defined. Occupational therapists need a way to assess and treat children's occupational performance rather than focussing only on underlying skills.
The VdTMoCA provides a framework for occupational therapists to understand occupational performance, but is poorly described for use with children. The normal development of creative ability in young children has not been explored or described. The purpose of this PhD project was to explore the typical development of creative ability in preschool children in order to develop a description of the VdTMoCA for children.
A qualitative descriptive research design was used with multiple data collection methods organized in three phases. The first two phases collected qualitative interview and observational data and informed the third phase, which made use of the Delphi technique in order to confirm findings.
This presentation focuses on the preliminary results of the first phase of this project and includes interviews with experts in the field regarding the presentation of the motivational levels of self-differentiation, and self-presentation as well as the action levels of incidentally constructive action and constructive exploration in typically developing pre-schoolers.
The indicators of growth through the levels of the VdTMoCA in children are discussed.
Koch, L (2017) Exploring the typical development of creative ability in young children: preliminary findings from phase one. The 5th International VdTMoCA Conference. London.
In the last thirty years, occupational therapists in paediatric practice have tended to favour bottom-up approaches focused on remediation of client factors and performance skills. As the focus in the profession has shifted back onto occupation, the understanding of the role of the occupational therapist within a paediatric and especially educational setting has become blurred and often poorly defined. Occupational therapists need a way to assess and treat children's occupational performance rather than focussing only on underlying skills.
The VdTMoCA provides a framework for occupational therapists to understand occupational performance, but is poorly described for use with children. The normal development of creative ability in young children has not been explored or described. The purpose of this PhD project was to explore the typical development of creative ability in preschool children in order to develop a description of the VdTMoCA for children.
A qualitative descriptive research design was used with multiple data collection methods organized in three phases. The first two phases collected qualitative interview and observational data and informed the third phase, which made use of the Delphi technique in order to confirm findings.
This presentation focuses on the preliminary results of the first phase of this project and includes interviews with experts in the field regarding the presentation of the motivational levels of self-differentiation, and self-presentation as well as the action levels of incidentally constructive action and constructive exploration in typically developing pre-schoolers.
The indicators of growth through the levels of the VdTMoCA in children are discussed.
Koch, L (2017) Exploring the typical development of creative ability in young children: preliminary findings from phase one. The 5th International VdTMoCA Conference. London.
Reports on the Reading for Wellbeing group, which started as an Arts for Health initiative and Cathy and Jacqui (two Technical Instructors) attended the training offered to our forensic services. The training introduced a skill based activity which would help participants to gain experience in reading aloud, share their views and to encourage interaction between peers.
In April 2015 Alison Marshall supported the facilitation of these groups, providing Cathy and Jacqui with help to adapt the group to include VdTMOCA principles and develop service user interest. Alison and Cathy ran a trial group, inviting stable high functioning participants to engage in the task of working 1:1 in preparatory sessions, presenting in front of peers and engaging in feedback and evaluation processes. From this starting point Alison and Cathy began to consider how the activity was challenging the service users and the potential outcomes it could offer them. Group cohesion, consistency and boundaries were the most important foundations for the group to succeed; individual needs were accommodated by changing the structure of the sessions and the approach of the therapist.
By evaluating specific participants facilitators have been able to assess how the group has had a positive impact on overall wellbeing and confidence with respect to interacting with others and engaging in therapies. Facilitators have considered aspects of creative participation to assess this development and plan for future challenge.
Facilitators have supported individuals to develop social norms with respect to group work as well as pro social attitudes. By the nature of Reading for Wellbeing there may be sensitive subject matters that arise in group. These situations can be unexpected and challenging for facilitators and peers and 1:1 work with service users as well as supervision for facilitators is imperative to safety and success.
Marshall, L & Young, C (2017) Reading for wellbeing. The 5th International VdTMoCA Conference. London.
Reports on reflecting on varying views from a multidisciplinary team (MDT) perspective on the role of the occupational therapist in the team and how specialist occupational therapy expertise contributes to the management of patients. This is not always clearly understood even by the MDT and occupational therapists struggles to find an appropriate way to communicate; using language that is understood by non- occupational therapists, to make valuable contribution to MDT discussions. There is a risk that this input is downgraded, especially within these challenging economic times.
The presenters, Consultant Psychiatrist who leads an MDT and Senior Occupational Therapist are making an attempt to articulate what value the occupational therapist can bring, and how this contribution and expertise can be utilised especially in a forensic inpatient setting. This challenge is not specific to this settings, and presenters will highlight principles that can be generalised to other settings.
This was presented from an MDT as well as an OT perspective. From an OT perspective, VdtMoCA has been used to good effect in order to assess patients and to communicate to the MDT and other agencies in clear understandable terms, patients’ functional abilities. This information has been used to inform patients’ progress, but MDTs need to be further educated regarding the positive input that occupational therapists can give in MDT decision making. The Consultant psychiatrist presented on how that information informs tribunal preparation and discharge planning.
Quan, S & Zywicka-Rospond, G (2017) From the Outside Looking In: Incorporating a Non-Occupational Therapy Perspective on Using the VdtMoCA. The 5th Internatioal VdTMoCA Conference. London
There is limited evidence of the therapeutic outcomes measures after rehabilitation for forensic learning disability services and very limited evidence suggesting effective outcome measures to be used with forensic Learning Disability services. Most evidence is aimed at outcomes for physical dysfunction, and limited outcome measures have been done for mental health, learning disability and occupational therapy.
Reports on how the Activity Participation Outcome Measure (APOM) has been used alongside Model of Human Occupational Screening Tool (MoHOST) within this service to outcome Occupational Therapy every three months. Benefits include being more accessible to service users and members of the multi-disciplinary team and capturing smaller changes in skill development and growth, as well as deterioration in skills.
The presentation aims to raise the profile of the use of APOM and Model of Creative ability and how OTs are using APOM to outcome the increase in functional ability and to make recommendations alongside the VdT Model of Creative Ability.
Smalley, L (2017) Use of Activity Participation Outcome Measure (APOM) within Forensic Learning Disability Service. The 5th International VdTMoCA Conference. London.
This conference presentation initially investigates the literature and evidence identifying the pros and cons of routine outcome measurement. It investigates OT outcome measures and then introduces the Activity Participation Outcome Measure developed by D.Casteleijn. The presentation explores with much detail the APOM's psychometric properties, its content validity, construct validity, internal consistency and effect size.
Casteleijn , D (2010) Using the Model of Creative Ability as an outcome measure. The 2nd International VdTMoCA Conference. London.
This presentation introduced the Functional Levels Outcome Measurement (FLOM) suggesting it as an ideal outcome measure for services that use the Vona du Toit Model of Creative Ability to large groups of adult in-patients with psychiatric diagnoses. The presentation gives an example of how the FLOM was used to direct treatment programmes for large numbers of patients and how to track changes in patients and generate evidence of the effect of service delivery. The emphasis of the presentation is directed at the construct validity and reliability of the FLOM on a South African population.
Casteleijn, D, Crawford, S, Graham-Parker, L, Karadimos, L & Michell, S (2013) Validation of the Functional Levels Outcome Measure . The 3rd International VdTMoCA Conference. London.
This presents a conceptual mapping of the VdTMoCA with the ICF recognising the need to ensure its currency in the practice environment. The aim of the study was to explore of the relationship of the conceptual theory of the Vona du Toit Model of Creative Ability and the International Classification of Functioning, Disability and Health. Q methodology was employed, using quantitative methods to analyse qualitative data. Three main themes emerged including, terminology, frameworks and multi-disciplnary working.
Casteleijn, D & Khatri, R (2017) An exploration of the relationship of the conceptual theory of the Vona du Toit Model of Creative Ability and the International Classification of Functioning, Disability and Health. THe 5th International VdTMoCA Conference. London.
Case example of 23yr male with schizophrenia and developmental difficulties within a forensic service. The presentation shows an outline of the key assessment findings and examples of the interventions used and progress made. The author concludes by reflecting on how services try and encourage insight but that this may need to be considered in terms of level of ability and that the model can be useful to a MDT approach.
Misawa, T (2009) Case presentation from Japan. The 1st International VdTMoCA Conference. London
The aim of this study was to explore the alignment of the levels of creative ability with the Knowledge Skills Framework (KSF). In addition, to demonstrate the VdTMoCA may be used to assess people's work performance and to validate the levels of creative ability using a standardised tool to assess an employess performance. The presentation proposes a potential research strategy to achieve these aims.
Zywicka-Rospond, G (2015) VdTMoCA to measure performance at work: a guide to personal development plans during preceptorship? The 4th International VdTMoCA Conference. London.
This presentation uses the VdTMoCA to inform effective management and leadership in the workplace. Two case studies are presented to illustrate how the VdTMoCA can inform the level of creative ability in leadership positions. It concludes there are similarities between OT core skills and leadership theories and suggests the VdTMoCA useful to inform staff develoment in to leadership positions.
Zywicka-Rospond, G (2013) The use of VdT MoCA in staff management and supervision. The 3rd International VdTMoCA Conference. London.
This presentation describes the practice context, Kneesworth House, a secure unit for males and females. After providing a brief explanation of the model, the presentation then applies this to a female service user. It clearly presents the assessment process, confirming the level of creative ability and identifies treatment needs. Using the treatment principles to inform intervention, there are pictorial examples of treatment sessions. This demonstrates the models effectiveness in enabling the client to clearly progress through the levels of creative ability.
Noble, J & Taylor, M (2010) The Model of Creative Ability. The 2nd International VdTMoCA Conference. London.
From the outset this presentation gives a rich description of a male patient experiencing this inpatient service. It explores the challenges he faces, a typical treatment programme meeting his needs as guided by the VdTMoCA.
Sharpe, L (2013) What makes a difference in an older adults mental health service for men? THe 3rd International VdTMoCA Conference. London.
This presentation describes how a service evaluation in an adult mental health service was conducted to understand service effectiveness and reinforce the benefits of using outcomes and consider evidence for the Model. The presentation highlights the difficulties OTs often have using outcome measures but reflects the drive for their use. The service asked OTs to assess their clients with the Global Assessment of Functioning (GAF), the Canadian Occupational Performance Measure (COPM) and the MoCA pre and post intervention. The presentation found correlations between the MoCA and the GAF but did not find any correlations with the COPM and the other measures. The author concluded that OT may be effective in patients recovery and the MoCA was a useful tool in adult mental health.
Samsonraj, R (2010) Measuring OT effectiveness using the Model of Creative Ability. The 2nd International VdTMoCA Conference. London.
This presents a VdTMoCA MSc module developed due to the need for specialist training within an NHSFT. It outlines the aims of the module and the course structure. The presentation continues stipulating cohort requirements and the application process.
Rautenbach, S & Green, S (2009) Professional development for occupational therapists: The Model of Creative Ability. THe 1st VdTMoCA Conference. London.
This presentation explains the inclusion of mindfulness in to the treatment for clients with emotionally unstable personality disorder. It further provides an understanding of the techniques and application within an inpatient mental health setting. The treatment principles are applied to mindfulness as guided by the VdTMoCA before giving practical examples. Clients reported many benefits including; “The exercises and principles were so simple I could do it myself when I needed to. It’s the simplicity of the moves that really helps”, "It’s the only thing that has really worked for me, actually gives me peace and quiet from the worries”
Kane, A & Clinton, M (2015) OT Pathways: Mindfulness in adult acute mental health for clients with emotionally unstable personality disorder. The 4th International VdTMoCA Conference. Birmingham.
In these slides Wendy Sherwood introduces the need for a visual representation of the model to aid learning.
Sherwood, W (2015) What it takes to learn the model and the importance of getting visual . The 4th International VdTMoCA conference. London.
This presentation provides a comprehensive introduction to the VdTMoCA, application to clinical practice ans service outcomes.
Sherwood, W (2015) Vona du Toit Model of Creative Ability. Occupational therapy conference. Plymouth.
This presentation provides a very visual explanation of the VdTMoCA including the theory, treatment principles and levels.
This presentation provides valuable insights in to OT in a mental health hospital in Nagasaki and comparisons between services in the UK and Japan.
It also discusses the challenges and benefits of implementing the VdTMoCA in to clinical practice.
Ookubo, M & Sakuma, S (2015) Current mental health OT and situation for VdTMoCA . The 4th International VdTMoCA Conference. Birmingham.
This power point reflects on the role of the occupational therapist in schools and raises a number of questions about how this is delivered. The presenter suggests the VdTMoCA may be the missing link between education and health within the school system.
Koch, L (2015) Vona du Toit's Model of Creative Ability: The missing link in paediatric occupational therapy. 4th International VdTMoCA Conference, London.
This paper was presented at the Model of Creative Ability Interest Group away day.
This paper clearly describes a case study of a female, in a Japanese mental health facility, who presented on the level of tone upon admission. It clearly explains the progress through the levels detailing the treatment aims, treatment prinicples and activities used in intervention.
This presentation considers the general characteristics of forensic wards in Japan, how skills can be generalised within individual treatment, the importance of intervention to the ward to promote the social aspect of development and how this can transformation motivational levels.
Misawa, T (2010) The Therapeutic environment according to the MoCA perspective in a forensic in-patient setting. 2nd International VdTMoCA Conference. London.
This fascinating presentation provides insight into the challenges faced by an OT service in Japan in implementing the VdTMoCA. Two particular challenges were having no supervisor and needing to have the model translated into Japanese. However, their determination and resourcefulness drove the department forward to begin to embed the model within their clinical practice.
Nakano, Y (2009) Introducing the MOCA to Japan. 1st VdTMoCA Conference, London.
This presentation explains the reasons being using mindfulness techniques within an acute mental health setting and introduces the use of the VdTMoCA treatment principles to inform mindfulness exercise.
Lorkins, M & Clinton, M (2014) Mindfulness in mental health. COT Conference
This presentation initially gives a brief overview of the model. It goes in to much detail about how the model can be applied to clinical practice working through the entire OT process. It provides practical resources relating to assessment, activity ideas and therapy programmes.
Kane, A & Khatri, R (2013) The VdTMoCA: an introduction to the model and it's use in practice. PowerPoint presentation. College of Occupational Therapy Conference.
This is a presentation from an OT using the VdTMoCA in a medical psychiatric hospital in Japan.
It presents a case study of a gentleman who is functioning on the self-differentiation level and displaying violent and self-harming behaviour. It provides a detailed overview of her functioning in the four performance areas, then identifying the main issues and aims of intervention. The presentation then explains the intervention with pictures to bring the case study to life and concludes with future plans.
Nakano, Y (2010) An approach for addressing the memories and concept of client who has suffered traumatic experiences . The 2nd International VdTMoCA conference. London.
This presentation provides information on how the occupational therapy team introduced the VdTMoCA in to a prison setting. It describes the challenges and benefits of using the model for people with a learning disability and personality disorder. It provides case examples and concludes with the positive outcomes achieved through the use of the VdTMoCA within this setting.
Wilson, R (2017) The VdTMoCA behind bars: Becoming a VdTMoCA occupational therapy service in a therapeutic community prison. The 5th International VdTMoCA conference. London.
Following a service restructure to embed the VdTMoCA within clinical practice it was identified that creating care plan templates would be beneficial to inform service delivery based on the model. The presentation provides further rationale for the development of the templates, provides an example and lists the templates created. The presentation concludes with the benefits for clients, the OT team and wider service.
White, B, Kane, A & Lorkins, M (2015) Steering effectiveness of treatment for complex clients in an adult acute mental health setting . The 4th International VdTMoCA conference. Birmingham.
This presentation initially describes the mental health service and provides a brief outline of the model. It then discusses the type of patients within this clinical setting and the role of the OT and MDT in their recovery. The current therapy programme is shared and a new cooking group explained in detail, a Spanish breakfast club. It concludes with further creative ideas for programme development.
Noble, J (2009) From student OT to forensic OT - new ideas from a new perspective. The 10th National forensic OT conference. Newcastle-upon-Tyne.
This presentation provides a detailed explanation of the VdTMoCA within the South African context, giving further details on the theoretical framework and the levels of Creative Ability. It clearly identifies the benefits of the model in the assessment and treatment processes and highlights additional benefits for occupational therapists.
Sherwood, W (2009) College of occupational therapy. 30th Annual conference. Cardiff.
This presentation summarises an MSc dissertation submitted to the Faculty of Health Sciences, University of the Witwatersrand, Johannesburg. The aims of the study were to generate assessment activities for the eight domains of the Activity Participation Outcome Measure, to create guidelines for use of the Activity Participation Assessment and to investigate the content validity of the Activity Participation Assessment.
Rice, C (2010) Activity Participation Assessment: The development of an assessment of activity participation for those suffering from a mental illness. Presentation at the 2nd International VdTMoCA Conference. London.
This presents, Ashoka, a global association of the world’s leading social entrepreneurs. Men and women with system changing solutions for the world's most urgent social problems. It introduces the A2B theory, a hybrid between creative ability, occupational science, entrepreneurial studies, neuroscience and emotional intelligence theories. It aims to bridge gaps between economically challenged areas of South Africa with the initiators of this project to increase productivity and sustainability. In 2010, over 900 individuals had benefitted from this initiative, four entrepreneurial hubs developed, and eight new enterprises create.
V, Shultz (2010) Applied creative ability: From dependency to responsibility: The A2B model of entrepreneurial transformation. The 2nd international VdTMoCA conference. London.
This presentation identifies the need for a vocational rehabilitation programme for mental health service users to enter the open labour market, in South Africa. The OT coffee shop started in 2008. The aims were to improve the ability to work in the open labour market, develop pre-vocational and vocational skills and promote general good mental health. It was a graded therapeutic programme with gradually increasing responsibilities and task demands and provides a detailed explanation of the model of this intervention. The presentation finishes with a selection of photographs illustrating the coffee shop in action.
Soulsby, L (2011) The OT Coffee Shop: Vocational Rehabilitation Project in OT Psychiatry at CHBAH. VdTMoCA conference, Johannesburg, South Africa.
This presentation introduces the possibility of using the model of creative ability within the workplace, in the context of performance management of individuals. The study aimed to explore the possibilities of applying the VdTMoCA in performance management in order to provide a targeted approach for supervisors and managers who need to develop staff. The first phase of the study aimed to, translate existing creative ability level descriptors into questions to use in conducting interviews with a sample of staff, collect perceptions of staff on their work role and performance through these interviews and then determine fit between interview responses of staff and creative ability level descriptors. Preliminary findings indicate that the model of creative ability has potential to be applied in performance management and development of staff however more research is needed.
Wilson, S & Casteleijn, D (2017) Could the levels of Creative Ability be applied to supervision and development of staff in the workplace? The 5th international VdTMoCA conference. London.
This presentation describes a service context struggling with increasing complexity of presentation within an acute mental health setting, with length of stay decreasing and a generic OT group programme focusing on engagement. When people were admitted they were deemed too unwell for occupational therapy. However, in 2009 the entire team were trained in the VdTMoCA and began to implement it in to practice. A pre and post analytical survey demonstrated improved engagement with all patients, even those initially out of reach of OT, targeted treatment aims and treatment focusing on outcomes. Staff reported increased confidence and job satisfaction and there was an increased understanding by the MDT on the role of OT.
Wilson, S (2015) The influence of a new model of practice on the delivery, impact annd value of occupational therapy within the multidisciplinary team (MDT). Advancing Occupational Therapy Conference, Plymouth University.
This presentation explains the Analytical Survey (AS) tool devised by Dain van der Reyden to identify the needs of a large population and inform the intervention strategy. It can also be used where a programme review is necessary and the OT acts in an advisory capacity. It provides a detailed description of the steps of completing an AS and its application in to clinical practice in South Africa and the UK.
van der Reyden, D & White, B (2010) The analytical survey as an evaluation and planning tool. The 2nd international VdTMoCA conference. London.
The aim of this presentation was to enhance awareness of factors leading to different profiles, which may be encountered and explain manifestation. It initially provides a refresher of the VdTMoCA and then directly relates this to children, people with psychiatric disorders and physical disability. It then provides detailed information how the different characteristics of each group impacts on the components of creative ability.
van der Reyden, (2013) Vona du Toit Model of Creative Ability Levels - as manifest in persons with psychiatric disorders, physical disability and in children . The 3rd international VdTMoCA conference. London.
van der Reyden (2012) introduces the models function and fundamental concepts. It explains the positive impact the model can have and its contribution to professional practice concluding with evidence of its diversity to be applied to large populations, different diagnoses and environmental contexts.
van der Reyden, D (2012) The South African Model of Creative Participation. University of KwaZulu Natal, South Africa.
This presentation begins in the 1960's when the VdTMoCA was first applied to children with cerebral palsy, chronic mental illness, ABI and learning disability, with interventions being on an individual basis. However, the focus shifted in the 1970's, with the model being used with larger groups and as a result the Analytical Survey was designed to enable assessment of needs and inform intervention for large populations of up to 2000. It further explains how practice changed in to the 1980's and beyond, articulating its qualities in a detailed SWOT analysis. Concluding with the future needs of its continued development and branching in to the global areana.
van der Reyden (2011) The past 40 years. VdTMoCA conference. Johannesburg, South Africa.
This presentation reviews the VdTMoCA forty years on from its inception. It critques its progression and current situation in the OT profession.
A very detailed explanation of the model is then provided before concluding with future tasks and potential challenges.
van der Reyden, D (2010) Getting our RSA 'creative duck' in a row. University of KwaZulu Natal, South Africa.
This presentation initially describes the service context of a mental health institute in South Africa, with 500 patients and 48% functioning on the tone and self-differentiation levels. It provides the aims of intervention and interventions using pictures of the service to bring the theory to life.
Zietsman, K (2009) Multi model sensory stimulation for mental health care users on levels tone and self-differentiation . The 1st international VdTMoCA conference. London.
This presentation describes the use of the VdTMoCA within a forensic medium secure unit, which also used MOHO within clinical practice. It provides a brief overview of the model and an example of a fruit activity graded through the levels of creative ability, further demonstrating the wider therapuetic programme. It concludes with benefits in MDT working and improvement in the quality of service provision.
Harvey, H & Fuller, K (2009) MCA: Increasing quality delivery of occupational therapy. The 1st international VdTMoCA conference. London.
This presentation provides an update on a medium secure unit which implemented the model two years ago. It presents how the service changed, recognising limitations with using MOHO. It clearly outlines the process of change working through the levels of creative ability, identifying challenges, potential solutions and a great deal of advice and strategies for implementation. s
Harvey, H & Fuller, K (2010) Building the MOCA in to everyday practice: A practical guide to setting yourself the just right challenge . The 2nd international VdTMoCA conference. London.
This presents an MDT assessment tool used with patients with a mental illness in an institution in South Africa. It is based on the VdTMoCA and determines five levels of function of the individuals in the institution. There are ten domains which are assessed by all members of the MDT and the assessment process is explained. The levels of function then inform the treatment package specifically designed for each of the five levels. The presentation concludes with listing the benefits of this assessment tool.
Zietsman, K (2009) MDT therapeutic functional level assessment . The 1st VdTMoCA conference. London.
Whilst this presentation contains very little written information, the pictures shown create a real image of life in South Africa. The detrimental impact of the environment on creative response, creative participation and creative potential, could be envisaged through these images.
du Plessis, R (2015) Connecting the dots - creative ability and environment: making a difference where it matters. The 4th international VdTMoCA conference. Birmingham.
This presentation by Dr Wendy Sherwood presents the initial developments of the Model of Creative Ability in the UK and her pioneering work with OT's in Japan to embedd the model in practice. Whilst the physical distance of OT's using the model is a barrier Dr Sherwood developed supportive networks to enable continued development and growth for OT's outside of South Africa.
Sherwood, W (2010) The model of creative ability - developments abroad. MOCA Colloquium. South Africa.
This presentation explores multi-modal sensory stimulation for mental health care users on levels tone and self-differentiation.
Zietsman, K (2009) Sensory stimulation. 1st VdT MoCA Conference, London
This presentation clearly explains the Therapeutic Functional Level Assessment, its content, how it is administered and how this then informs the rehabilitation programme according to the treatment needs.
Zietsman, K (2009) The MDT Therapeutic Functional Level Assessment. 1st VdTMoCA Conference, London.
The aim of this presentation was to enhance awareness of the factors leading to different profiles which may be encountered and attempt to explain the various manifestations.
van der Reyden, D (2013) The Vona du Toit Model of Creative Ability levels - as manifest in persons with psychiatric disorders, physical disability and in children. 3rd International VdTMoCA Conference, London.
Dain van der Reyden presents the VdTMoCA as 'our model' as originating from the University of Pretoria through the work of Vona du Toit and her students. Dain is pictured with Vona in one of the slides. It describes the healthcare context and the profession of OT at the time. It goes on to explain Vona du Toit's foundational ideas, values and beliefs and how these developed over the next 40 years, closing with future aims. One of these aims was to write a textbook which in 2019 was achieved.
van der Reyden, D (2010) The Vona du Toit Model of Creative Ability - Current status and development. 1st VdTMoCA Conference, London
These notes were made for an opening address by Dain van der Reyden at the Vona and Marie du Toit Creative Ability Conference (1994). The presentation begins with enlightening insight into Vona du Toit's career and the development of the theory of creative ability, exploring the inter-relatedness of volition and action. Following with a critical analysis of the model and concludes with the vital need for research.
van der Reyden,D (1994) History and development of the theory of creative ability. Opening address to the Vona and Marie du Toit Creative Ability Conference. Pretoria, South Africa.
This presentation gives an overview of the model and how the therapy provision is structured around the levels of creative ability.
Beal, J (2008) MCAIG Partnership conference
This presentation explores an eclectic approach to occupational therapy to ensure high quality and innovative practice. The combination of the VdTMoCA and MOHO is presented in a SWOT analysis before explaining how the two models work together in practice.
A presentation by the OT department from the Universtity of Pretoria, South Africa. A unique insight into Vona du Toit's life bringing it to life with photographs of Vona and her husband, Steven.
The presentation takes us through the levels of creative ability with few words, with black and white photos bring the model to life, illustrating the treatment for the different levels of creative ability.
du Plessis, A & de Beer, M (Unknown) Vona du Toit 1922-1974. University of Pretoria.
These are notes for a presentation, date and venue unknown, compiled by Dain van der Reyden an expert in the model.
The notes explore 'what the model gives us' and considers the strengths and limitations.
This poster presentation was given at RCOT Conference 2023 and was used in conjunction with additional information sheets which can also be found in the resources section
This document accompanies the poster presentation which was given at RCOT conference in 2023. The Fake Away group is a collective effort of the men who live on a medium secure rehab ward. The OT uses VdTMoCA to assign different jobs to different people, and the meal made is then shared by all the ward to encourage the community to come together in a productive and prosocial way.