The kawa japanese for river model translates subjective views of self, life, wellbeing and the meanings of occupations into a naturebased, pictorial concept. Along its meandering path, the quality and character of its flow will vary from place to place, from instance to instance. Carmody s1, nolan r, ni chonchuir n, curry m, halligan c, robinson k. Nov 22, 2011 iwama,2010 other models can be mechanistic and focus on the performance of activities. The kawa model uses the natural metaphor of a river to depict ones life journey. The kawa river wae or wai kawa is a river of seram island, maluku province, indonesia, about 2500 km northeast of the capital jakarta average max.
Appropriateness of the model using the kawa model and the metaphor of a river helps us visualise why play therapy would be appropriate. Kawa means river in japanese and the kawa model uses it as a metaphor for life flow. The key features of kawa model include water, river sidewall and bottom, rocks, driftwood, and space between obstructions. Although, the kawa model does align with the international classification of functioning, disability and health icf. Yes, as long as the ot and ota work on using the kawa model with the client as a team, and follow all professional and state regulations for evaluation, interpretation, goal setting, and assessment. This time round, our river cruise was covered in total darkness, only a little moonlight because it was still covered with clouds. According to iwama 2006b there has been a variety of groups located in different parts of the world which have developed case studies of the models application in diverse practice contexts. The kawa river model was developed by japanese occupational therapists in the 1990s in response to a need for an occupational therapy framework that. Augusta university is the international headquarters for the kawa model. The kawa river model of occupational therapy the ot process. The kawa japanese for river model, developed by japanese and canadian rehabilitation professionals, presents an important and novel alternative to.
Teambuilding has been positively correlated with job satisfaction and quality of client care. Pdf the kawa model in occupational therapy and its. The model uses the metaphor of a river to depict a human life journey. Culturally relevant occupational therapy presents a new conceptual model of practice that heralds an important shift in the discourses of theory and culture in occupational therapy. Along its meandering path, the quality and character of its flow will vary from place to place, from. The purpose of this exploratory qualitative study was to. From the aspect of the eastern cultures it is a way to explain the relevance and purpose of ot interventions. You can use three dimensional objects, you can use art supplies, you can use premade things, or you can even use the app for example that i just talked about. The magic in the kawa model is in the explanation of what is in the persons river. The varying and chronological experience of life is like a river, flowing from the high lands down to the ocean. Kawa model and its appropriate application method in the. The kawa river model has been developed by michael iwama and it is free yes, all students love the word free to use and he wants to. The concepts and the contextual application of the kawa model are by natural design, flexible and adaptable. Iwama overview in the pursuit of providing meaningful and relevant occupational therapy with an increasingly diverse global clientele, occupational therapists are being challenged to examine the relevance, construct and content validity of their contemporary models and practice frameworks.
Occupational therapy is a dynamic health care profession that promotes engagement in meaningful daily and routine occupations, those activities that give meaning and purpose to our lives. Change happens through the river flowspeed, the number, size, or position of rocks, or through driftwood. Quantitative data provided information about general model use within occupational therapy and first impressions of the kawa model. The power of culturally responsive occupational therapy the kawa japanese for river model, developed by japanese and. Preliminary research suggests that the kawa model may be an effective tool for interprofessional collaboration, but studies employing the. Pdf using the kawa model to support family caregiving at a family retreat camp in thailand the kawa river model iwama, 2006. A thesis submitted for the degree of doctor of philosophy. Fortunately, it was not heavy and we still managed to proceed to head out again into kawa kawa river to witness the fireflies. Dec 26, 2016 7 kawa model chapter contents main concepts and definitions of terms 160 elements of the river 162 the river metaphor 165 historical description of models development 166 japanese cultural context 168 centrality of the individual 168 occupational beings 168 reconceptualizing occupation 169 development of the model 170 use of the model in. The article aims to provide information on the kawa model and its application in occupational therapy. Water represents a clients life flow or life energy.
The model is based on the metaphor of nature a river that stands for the meanings of life. The creation of the kawa river model was a fun and engaging tool that helped them to develop ownership of their therapy. A single descriptive case study design with embedded units, related to model application by occupational therapists who attended a kawa model workshop, was used. This article proposes the implementation of the occupational therapy kawa japanese for river model to promote culturally relevant clientcentered care for combat and operational stress control services provided in the military context. The kawa japanese for river model, developed by japanese and canadian rehabilitation professionals, presents an important and novel alternative to contemporary western models of rehabilitation. This pilot study sought to gather information related to the experience of occupational therapists, using the kawa model of practice in a mental health setting. Use of the kawa model to facilitate interprofessional. Pdf using kawa model in family adaptation on the care for the.
Mental health occupational therapy, sensory processing disorder, cbt, find a job, adolescence, art therapy, pediatrics, self help, psychology. If your life was a river, how would you describe the flow of your river right now. Occupational therapists try to enable, assist, restore, and maximize their clients life flows. It communicates the inseparable nature of people from their collective social groups and inseparable quality of occupations from natural and spiritual context. Kawa river model mobile app get it from the app store. Model by beki dellow presentation includes some slides produced by michael iwama 2010, used with his kind permission. The central concept of the kawa model is harmony, which is described as a state of being, where the individual or community is in balance, which relates to the presence of coexistence and interdependence within the context that one is part of. The guiding nature of the kawa river model in ireland. Exploring the experiences of mental health service users engaging with the kawa river model. Two therapists utilized the model with one client, each over a sixweek period.
Enhances occupational therapy and communication in a uk mental health setting written on january 12, 2017, by kavita murthi introduction life is like a river the kawa river in japanese model uses the metaphor of a river to describe a persons life journey. The kawa model, a culturallysensitive model of occupational therapy practice, can enhance patientprovider collaboration, but its use as a tool for teambuilding and collaboration among an interprofessional group has not been studied. Use of the kawa model for teambuilding with rehabilitative. Chapter 6 raising a new, culturally relevant conceptual model of occupational therapy from practice. We must consider the situation holistically and see that engagement is about being. From these origins, the kawa model is now transferred to occupational therapists situated in diverse practice contexts, to develop further. Gain an overview of the kawa river model case study look at some relevant literature relating to the kawa model s use continue reading. A personal highlight was the opportunity to meet michael iwama at the ot show and tell him all about our experiences with the model. Rather than focussing primarily on the individual client, the kawa model focusses on contexts that shape and influence the realities and. The western social imperative of a solitary self on a quest to rationally control a distinctly separate surrounding environment is challenged by the kawa model narrative.
Applying theory to develop interventions for combat and operational stress control this article proposes the implementation of the occupational therapy kawa. Oct 01, 2017 the magic in the kawa model is in the explanation of what is in the persons river. Kawa model the varying and chronological experience of life is like a river, flowing from the highlands down to the ocean. The kawa river model emerged in response to a need for models and theo ries that are relevant to japanese clients cultural background, and it continues to. Kawa model is a model that uses the metaphor of a river with different contextual elements to represent human life. The kawa model 9780443102349 us elsevier health bookshop. Each clients unique river takes its important concepts and configuration from the situation of the subject, in a given time and place. As promised, a post about the kawa model, because i love it so. Application and alternative metaphor for life instructional video displaying the steps to the kawa model using a case vignette of a client with aspergers syndrome. The kawa kawa is japanese for river model of occupational therapy has recently emerged in response to the needs for culturally sensitive conceptual models of practice that adequately address clie. Aug 21, 2017 kawa river model occupational therapy education. The kawa model the kawa japanese for river model aims to be a clientcentered, culturally sensitive model, stressing the uniqueness of each clients real world, everyday life and their individual, unique experiences 2,p. The kawa model brings nature and ecology to occupational therapy. Iwama,2010 other models can be mechanistic and focus on the performance of activities.
Oct 14, 2010 introduction to the kawa model beki dellow 1. These are tools to elicit the clients view of reality rather than forcing interpretation through a universal framework. Nov 05, 2018 the creation of the kawa river model was a fun and engaging tool that helped them to develop ownership of their therapy. The kawa river in japanese model uses the metaphor of a river to view ones life from a metaphysical perspective, with consideration given to the interaction between social and physical environments, life circumstances, assets, and liabilities. Version approved by examiner applicability of the kawa.
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