Teoh J. Y. & Iwama M. K.
www.kawamodel.com, 2015
performance-based, observation-based, criterion-referenced, non-standardized, interview
Free
https://www.kawamodel.com/download/KawaMadeEasy2015.pdf
Any age. Pediatrics, Mental Health, and Physical Disabilities.
PTSD, Depression, Anxiety, ADHD, COPD, Substance Abuse History
Behavioral Health inpatient units, Outpatient clinics, School-based, acute care, community settings
The purpose of the Kawa Model as an assessment is often to use this assessment for building the client's occupational profile during the interview process. The Kawa model is used to support a client-centered and holistic approach to understanding the client's strengths, barriers, goals, physical and social environment, well-being, and occupations using symbolism.
The five main components of the Kawa Model as an assessment are:
The River Flow or Water: flow of life and priorities
The bottom and walls of the river: positive and negative aspects of the client's physical and social environment
Rocks: What the client sees as their obstacles and challenges in life
Driftwood: Positive and negative personal aspects and resources
Spaces inbetween: opportunities to expand life and the river flow, goals for occupation and well-being
(Iwama & Teoh, 2015; Morin, 2024)
(time to administer, group/individual, if there are subtests, can they be completed individually, are there specific instructions to ensure standardization, etc.)
Reading manual and education on the Kawa Model
occupational therapists
Writing utensils
scissors
markers, crayons, or colored pencils
glue or tape
construction paper
white paper
No explicit scoring procedure as this is an interview-based assessment. The data is qualitative and criterion-based as what the client details for their river flow, driftwood, river bank, spaces between, and rocks determine what questions the interviewer will ask.
As this is a non-standardized interview assessment, there is no normative data for this assessment. This is also a relatively new assessment tool so there is not a lot of data collection to build psychometric data.
From a literature review from Ober et al., the Kawa Model as an assessment tool has been found to help gather data to better understand the client's unique perspectives, priorities, experiences, supports, barriers, environmental and social contexts in order to build a highly individualized and client-centered plan of care (2022).
The Kawa model is dynamic a model of practice, frame of reference, an assessment tool, and can be used as an intervention. It is highly client-centered and strengths-based. This model looks into the social support systems, contexts, environment, mental health, strengths, and barriers to occupational performance of the individual.
The manual provides suggested questions to ask during the interview.
There are no specific details on where to start when providing the interview or what materials to use. This assessment is not recognized outside of OT practice due to being a relatively new model. It may cause emotional triggers to occur and is experience-based instead of symptoms based.
Teoh, J.Y. & Iwama, M.K. (2015). The Kawa Model Made Easy: a guide to applying the Kawa Model in occupational therapy practice (2nd edition). Retrieved from: www.kawamodel.com
The Kawa Model. (2016, August 6). About. The Kawa Model. https://www.kawamodel.com/v1/about/
Morin, A. (2024). Application of the Kawa Model to Facilitate Client-Centered Practice & Professional Development. [PowerPoint slides]. Kodiak Western New England University.
Ober, J. L., Newbury, R. S., & Lape, J. E. (2022). The Dynamic Use of the Kawa Model: A Scoping Review. Open Journal of Occupational Therapy (OJOT), 10(2), 1–12. https://doi-org.wne.idm.oclc.org/10.15453/2168-6408.1952