The VdT Model of Creative Ability in the UK

The VdTMoCA is used in a wide range of mental health services including forensic, acute and PICU; recovery services, community mental health, adolescent services, older people, personality disorders, Broadmoor High Secure hospital.

The model is also used in in-patient and residential learning disabilities services, forensic learning disabilities and community learning disabilities teams.

In the physical field, the model is known to be in use in brain injury and peadiatrics.

The UK has a Centre of Excellence at Berrywood Hospital, (inpatient, adult acute mental health) Northampton and also at St Andrew's Healthcare, Robinson Ward, Medium secure male service, Northampton

Levels of creative ability relating to UK services

Health and social care services are designed to deliver degrees of care to meet particular degrees of needs e.g. 24-hour nursing care or monthly appointments in the community.  Therefore, particular levels of creative ability are likely to be seen in people accessing particular services, as one's ability relates to how much one can function independently vs how much support and supervision one needs. The significance of this for occupational therapists is that if you know what the level of needs and ability is for your typical client population, you can design your assessment and intervention accordingly.  This enables therapists to work efficiently and effectively (Sherwood 2005).

For example, clients on the levels of Tone to Self-presentation are most likely to need 24-hour care, in-patient, residential and acute services. Clients on levels of Self-presentation (transitional phase) to Imitative Participation are more commonly seen in rehabilitation and community-based services.

Within the Crouch and Alers (2005) text (see list of resources on Training, CPD & Resources page), Venter and Zietsman (2005) provide a useful diagram to illustrate client levels that are likely to require more care, which levels have the fullest potential for rehabilitation and the grading in between. This diagram can also be used to identify which levels align to particular UK services.

The use of an Analytical Survey, developed by Dain van der Reyden has also been highly effectively used to identify the levels of creative ability of the 'usual' client population within services, as part of enabling services to review and develop their services to better meet clients' needs.  


In which fields of practice is the model used in the UK? What are OTs’ perspectives of the utility, benefits and limitations of the model? MCAIG members can access the findings of a 2013 survey here

In which fields of practice is the model used in the UK?

In which fields of practice is the model used in the UK?

This slide is form the 2013 survey of over 70 occupational therapists and support workers in the UK.

Right click image and open in new window for best clarity of image


What are OTs’ perspectives of the utility, benefits and limitations of the model? Members can access all of the findings of the survey

Articles on the use of the model in the UK include:

Birchall S (2015) Cycling towards recovery. OT News, January, p33

Fuller K, Sherwood W (2011) Supporting Sensory Stimulation in Adults. OT News, May, p46-47

Harvey H, Fuller K (2009) Changing practice through MoCA. OT News, Dec, p41

Hosier B, O’Connell J, Tebbutt L (2011) Occupational Therapy Input for Adolescents with Developmental Disabilities in Secure Settings IN E Gralton (2011) (Ed) Forensic issues in Adolescents with Developmental Disabilities.  London: Jessica Kingsley.

Samsonraj RSP, Loughran MFE, SeckerJ (2012) Evaluating outcomes of therapies offered by occupational therapists in adult mental health. Journal of Mental Health, 21(6). 531-8

Sherwood W (2009) An emerging community of practitioners. OT News, 17(5), p26-27

Sherwood W (2010) An electric event: report on the first national Model of Creative Ability Occupational Therapy Conference.  OT News, 18(2), p38-39

Sherwood W (2010) The first International Model of Creative Ability Conference. FOCUS, July, p3-4

White B (2010) The use of the Analytical Survey within an acute mental health hospital in England. FOCUS, July, p5

Wilson R (2016) And then there was OT. OT News, June, p22-23.

Wilson S (2015) CQC inspection: a positive opportunity to showcase OT. OT News, October, p23.

Wilson S, White B (2011) The journey to service redesign. OT News, August, p36-37

Wilson S, White B (2012) Understanding the needs of service users. OT News, April, p24-25


Research and Networking

Research and Networking

Connections for participation.

Centres of Excellence

Centres of Excellence

Developing UK services as exemplars of the model in practice. Visit the first centre.

Training, CPD and Resources

Training, CPD and Resources

Find out how you can develop your creative ability.

In Global Contexts

In Global Contexts

The cross-national relevance of the VdT MoCA.

Assessment and Treatment

Assessment and Treatment

Assessment, Assessment recording tools and outcome measures

What is the VdT MoCA

What is the VdT MoCA

The Vona du Toit Model of Creative Ability (Vdt MoCA) is an occupational therapy practice model originating from South Africa.