Occupational Therapy in elderly care – informed by MOHO-ExpLOR and REIS assessments

To Whom

Occupational therapists


The environment is a crucial factor affecting occupational participation and provides occupational therapists with a wealth of resources to influence occupational adaptation. The challenge lies in using these resources effectively, and requires an in-depth analysis of existing barriers and supports.

Objectives of the course

  • To examine updated MOHO Environmental theory
  • To appraise the Residential Environment Impact Scale (REIS)
  • To introduce the Model of Human Occupation Exploratory Level Outcome Ratings (MOHO-ExpLOR)


This lecture will outline the advances made by the Model of Human Occupation over the last decade in defining, articulating and measuring key elements in the environment (Fisher, Parkinson and Haglund 2017). Two assessments have been instrumental in contributing to these developments (Parkinson et al 2017):

  • The REIS (Fisher et al 2014), which enables therapists to rate residential facilities over four domains: everyday space, everyday objects, enabling relationships and structure of activities;
  • The recently released MOHO-ExpLOR (Cooper et al 2018) which supports therapists to analyse the impact of the environment on a person’s volition, habituation and skills when a person’s performance and participation are severely impaired.

The lecture is taught in English.


Sue Parkinson (UK), international speaker and freelance MOHO Trainer

Time and Venue

15th of February, 2019
Metropolia University of Applied Sciences, Helsinki


  • 210 € + VAT 24 % (260,40 €)

Price includes MOHO-ExpLOR assessment manual written by Cooper and Parkinson et al.  

  • 40 € + VAT 24 % (49,60 €)  

Price for students without the assessment manual. 


Enroll here by 15th of January, 2019.

We will confirm realisation of the course 1 month before due date.

Cancellation Terms

Cancellation is free if done at least 1 month before the course to begin. Cancellation has to be made in writing (email or letter) to the practical arrangements’ coordinator. If cancellation arrives later, the course fee will be charged in full. The participant can be traded.


Practical Arrangements:     

Marja Pietiläinen
tel. 040 672 5583
marja.pietilainen metropolia fi

Information about the content of the course:

Riitta Keponen
tel. 040 334 5576
riitta.keponen metropolia fi


All rights reserved.

Sue Parkinson.


Sue Parkinson is the lead author of the Model of Human Occupation Screening Tool, (MOHOST), and has worked as a freelance trainer providing MOHO-based workshops since 2003. She collaborated with Gail Fisher to produce a short version of the original REIS which was used as a home assessment in the UK (Parkinson et al 2011). She was also the lead author for the research version of the MOHO-ExpLOR (Parkinson et al 2014), and has authored an intervention handbook – Recovery through Activity (2014) – to provide a forum for participants to reflect on their occupational lives. She is currently working on a book to guide occupational therapists in the creation of occupational formulations and measurable occupation-focused goals.


  • Cooper JR, Parkinson S, de las Heras de Pablo CG, Shute R, Melton J, Forsyth K (2018) A user’s manual for the Model of Human Occupation Exploratory Level Outcome Ratings (MOHO-ExpLOR), version 1.0. Edinburgh: Queen Margaret University.

  • Fisher G, Forsyth K, Harrison M, Angarola R, Kayhan E, Noga P, Johnson C, Irvine L (2014) Residential Environment Impact Scale user’s manual (REIS), version 4.0. Chicago: University of Illinois.

  • Fisher G, Parkinson S, Haglund L (2017) The environment and human occupation. In Taylor R ed. Kielhofner’s Model of Human Occupation. 5th ed. Wolters Kluwer, Philadelphia, 91-106.

  • Parkinson S (2014) Recovery through activity: increasing participation in everyday life. London: Speechmark Publishing.

  • Parkinson S, Cooper J, De les Heras de Pablo CG, Duffy N, Bowyer P, Fisher G, Forsyth K, (2017) Assessments combining methods of information gathering. In Taylor R ed. Kielhofner’s Model of Human Occupation. 5th ed. Wolters Kluwer, Philadelphia, 291-310.

  • Parkinson S, Cooper J, de las Heras de Pablo CG, Forsyth K, (2014) Measuring the effectiveness of interventions when occupational performance is severely impaired. British Journal of Occupational Therapy, 77(2), 78-81.

  • Parkinson S, Fisher G, Fisher J (2011) Development of an occupation-focused home assessment for use in mental health services. Mental Health Occupational Therapy, 16(1), 8-11.