The CHAT Model

Recently I read a very interesting article in the OT Practice journal about the CHAT Model. It's a perfect fit to my approach as an OT; Don't say no, instead try to find a different way.

CHAT stands for  - C - critical conversation
                                H - heartfelt hearing
                                A - amiable adjustment
                                T - timed trials

Conversation-The initial conversation should start early on, in a clear and direct manner, addressing safety and functional difficulties.
Hearing-Listen to concerns brought by the older adult and family members.
Adjustment-Act, learn all possible solutions while prioritizing safety and independence of the older adult. Discuss all options with the older adult and family, implement the solutions.
Trials-Evaluate how the solutions have been implemented, how safety observed, make adjustments if needed.  

Reference;
Parnell, Regina. "Don't Take My Wagon." OT Practice (2014): 15. Print.