PLISSIT Model

The PLISSIT model provides an overview of how to approach the topic of sexuality and sexual activity (Palmisano, 2017).

PLISSIT stands for permission, limited information, specific suggestions, and intensive therapy. The therapist progresses through these levels dependent on the client's response. For instance, if a client has no concerns relative to their sexual health or practices, then the therapist would stop after the permission stage. However, if a client continues to request additional information or require services related to sexual activity, then the therapist would continue to progress through the model.

Permission refers to giving the clients permission to bring up the topic of sex. Patients will often not realize that sex is a topic that can be addressed by occupational therapy or they may feel embarassed to discuss it. One way an occupational therapist could provide the patient permission is by including sex in the explanation of which areas OTs can address. For instance, a therapist may say, "In occupational therapy, we address any of your activities of daily living, including things like toileting, showering, and sexual activity."

Limited information refers to providing the client with targeted information regarding their concern. Limited information is only provided once the client identifies an area of concern. This typically refers to information given in a general way. For instance, if a client must follow hip precautions, then the therapist may provide the client with generic information on how to engage in sexual practices while maintaining hip precautions.

Specific suggestions refers to providing the client with information and education for that client's individual sexual practices. If the client requests more information and is open to sharing about their personal experiences, then the therapist may provide this more detailed and individualized education.

Intensive therapy refers to targeted therapeutic interventions to address sex-related issues, including psychological interventions, sex therapy, and biomechanical approaches. If the client requires intensive therapy, they are typically referred to a specialist, such as a pelvic floor specialist.

References

Palmisano, B. (2017, January 4). PLISSIT Model: Introducing sexual health in clinical care. Retrieved from https://www.psychiatryadvisor.com/home/practice-management/plissit-model-introducing-sexual-health-in-clinical-care/