Increasing demands for evidence-based practice can cause dilemmas for practitioners, who are striving to identify assessments and outcome measures that are reliable in their practice setting, clinically useful and flexible. A 6-month preliminary study of the Model of Human Occupation Screening Tool (MOHOST) in a community learning disability service yielded positive results by satisfying all these requirements. The occupational therapists found that the MOHOST facilitated consistent and evidence-based practice, without compromising professional autonomy or a client-centred focus. It appeared straightforward, flexible to use and applicable in a wide range of learning disability settings.
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