Models & Theory
Japan is one of the world’s largest occupational therapy communities, and it has produced frameworks of its own. Some, like the Kawa model, grew from the ground up out of clinicians’ study meetings. Others, like MTDLP, were designed top-down by the national professional association. Reading them side by side shows two very different ways a profession can build theory.
This section collects my guides to those frameworks — written in English, from inside Japanese practice, with every claim checked against primary sources. Each guide names the original developers and links to the official materials; none of them is an official publication of the frameworks’ rights holders.
Guides in This Section
The Kawa Model: A Japanese OT’s Perspective
The Kawa (river) model explained by a licensed occupational therapist in Japan — its cultural roots, core concepts, clinical use, and why it is quiet at home.
Last updated: 2026-08-02
MTDLP: Japan's Daily Life Performance Tool
MTDLP — the Management Tool for Daily Life Performance — explained by a Japanese OT trained in it: origins, sheets, process, evidence, and real-world uptake.
Last updated: 2026-08-02
Planned Guides
Coming to this section: case examples of the Kawa model in practice, and a comparison of the Kawa model with MOHO — how culture shapes what a framework asks of the therapist. New guides are added to this page automatically when they publish, and each one appears in the RSS feed the same day.