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About the VdT Model of Creative Ability.

The Vona du Toit Model of Creative Ability (VdTMoCA) (du Toit, 1974) is an occupational therapy practice model of contemporary relevance to OTs and other health care professionals and assistants. It is an ability and recovery focused model that enables therapists to facilitate the recovery of volition, motivation and action (occupational performance, doing), understanding the relationship between doing and becoming. The term creative relates to one's ability to change in response to life‘s demands (the creation of oneself), as well as creation of tangible things and solutions to problems.

The model describes sequential levels of volition, motivation and corresponding action, called levels of creative ability. Based on these, Occupational Therapy is offered to match what the person has volition, motivation and ability for, but which also poses a challenge, mastery of which has the potential to result in growth in volition, motivation and ability. The individual's experience of having his/her motivation (needs) met, and experiencing ability to do activities of daily living, both motivates and enables him/her to engage. Through engagement, behaviour and skills are developed towards the next level. Equally, the model informs intervention to maintain and/or prevent decline in ability, e.g. when improvement and growth into higher levels is not possible, or a person has a progressive condition such as dementia.

The model provides a detailed guide to the selection, structuring and presentation of intervention. This includes the use of activity, activity groups and differing situations as the core of Occupational Therapy treatment, but informs all interactions with the individual, including how to approach him/her, structure self-care intervention, and how to develop a meaningful routine that attends to all aspects of daily living including use of free time (leisure). Therefore, this model has effectively enabled a multidisciplinary approach (Murphy, 2017; Quan & Zywicka-Rospond 2017), including family and carers in the design and delivery of care plans according to the person's level (Schon et al., 2017). This supports individuals to meet their potential.

The model provides a means of measuring increase and decrease in motivation and ability, including the Creative Participation Assessment tool (available through ICAN training) and the Activity Participation Outcome Measure (Casteleijn, 2010). The latter is available to Occupational Therapists with depth of knowledge and experience of assessing creative ability.

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