Occupational Therapy Assessment - MOHO

Model of Human Occupation:

Developed by Kielhofner in 1970’s MOHO seeks to explain how occupation is motivated, patterned,

and performed.

Within MOHO, humans are hypothesized as being made up of three interrelated components:

volition, habituation, and performance capacity.

Volition refers to the motivation for occupation. Habituation refers to the process by which occupation is organised into patterns or routines, and performance capacity refers to the physical and mental abilities that underlie skilled occupational performance.

MOHO also emphasizes that in order to understand human occupation, we must understand the

physical and social environments in which it takes place.

Therefore, this model aims to understand occupations and problems of engaging in occupations

There are more than 20 assessments which have been developed using this model. These


 Volitional questionnaire

 Case formulation

 Single observations forms

 MOHOST (screening tool)

 Interest checklist – which we have made assessable for our clients.

MOHO has a number of benefits when used in practice. It gives us a theoretical framework for understanding where a person's needs were and for planning the appropriate therapeutic interventions,

When using MOHO we do not focus on diagnosis, instead we focus on the person’s experiences and

challenges in occupational participation – this is our true person centred approach. MOHO is the evidence-based and therefore it is highly suitable to be use outcome measures in our assessment, intervention and treatment.

Finally, MOHO Putting Occupation back into Occupational Therapy.

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