Matthews Model of Clinical Reasoning

Laurie Knis-Matthews, PhD, OT, has been an occupational therapist for over thirty years, primarily focused on mental health practice. Laurie has been conceptualizing the MMCR since she began teaching full-time in academia over twenty-five years ago.

SECTION 1 Clinical Reasoning and Evaluation; 1 Exploring the Literature Related to Clinical Reasoning; 2 The MMCR Approach to Evaluation Guided by the Profession’s Domain of Concern; 3 Compartmentalizing Evaluation Information and Understanding the Person Served; 4 Compartmentalizing Evaluation Information and Understanding the Six Facets of the Environment; 5 Compartmentalizing Evaluation Information to Understand How Activities and Occupations Relate to a Person’s Story; 6 Putting It All Together to Identify Occupational Performance Issue(s); SECTION 2 Intervention; 7 MMCR Five-Step Guide to Infusing the Frame of Reference/Practice Model Into a Person’s Story; 8 Overview to Intervention Planning: Spiraling Within the Top-Middle- Bottom Occupational Performance Issues; 9 Overview to Intervention Planning: Spiraling the Top-Middle-Bottom Occupational Performance Issues Across the Intervention Plan; 10 Overview to Intervention Planning: Spiraling the Top-Middle-Bottom Occupational Performance Issues Across the Intervention Plan Continued; 11 Strategizing the Beginning-Middle-Ending of the Specific Intervention Plan; 12 Strategizing How to Create Change During the Intervention Plan; SECTION 3 Documentation; 13 Documentation Overview and the Evaluation Summary; 14 Documentation Continued: Goal Creation, Progress Notes, and Discharge Summaries; SECTION 4 Case Examples; 15 Case Example: Using the MMCR in an Outpatient Hand Therapy Clinic Over 8 Weeks of Intervention; 16 Case Example: Using the MMCR to Guide a Seven-Day Intervention Plan in an Inpatient Acute Rehab Hospital; 17 Case Example: Using the MMCR to Guide a Six-Month Intervention Plan for an Adult With an Intellectual and Developmental Disability; 18 Case Example: Using the MMCR to Guide a Three-Month Intervention Plan in a Homecare Setting