3. Where does the COPM fit in terms of other assessment I might use (e.g. cognition, strength, self-care)?

Answer: The COPM addresses occupational performance areas. It is the first step in the occupational therapy process. From there, you will likely go on to do further assessment of performance components and/or environmental factors that will help you and the client to understand why the client is experiencing difficulties and to formulate an action plan. This second level of assessment should be guided by the issues identified on the COPM.

The COPM is not meant to replace all other assessments. It is meant to focus on occupational performance problems and to exercise a client-centred approach. Once the client has identified problem areas, you may need to further assess performance components and the environment to understand why the client is experiencing these occupational performance problems and to determine how therapy will proceed.