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Clark Patrick Heard, OTD, OT Reg. (Ont.)


Spirituality is a multi-faceted concept that includes varied personal, societal, and cultural informers. Despite a relatively high volume of analysis there is significant and ongoing debate about the concept of spirituality in occupational therapy. In particular, this discourse includes questions of relevance, how spirituality might be defined, and what its clinical application might entail.

To date, several models have connected spirituality with occupation but none have supported clinicians in framing occupational performance and occupational performance change in day-to-day clinical practice via a spirituality lens.

This paper describes the Spirituality and Occupation in Living (SOiL) model. This model is designed for day-to-day clinical application in the consideration and analysis of occupational performance. It supports clinicians in partnering with clients, families, and caregivers in framing, analyzing, and respectfully discussing occupational performance through a spirituality lens. It is a model that can be responsive to multi-factorial informers across the care paradigm, is culturally accountable, and supports the integration of co-occupation.


The author declares that he has no competing financial, professional, or personal interest that might have influenced the development or presentation of the work described in this manuscript.