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The Kawa Model

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Michael Iwama: Understanding the Kawa Model

Recognizing the need for a theory of occupational therapy developed outside of Western cultures, Michael Iwama, PhD, OTC, associate professor at the University of Toronto, with occupational therapy practitioners in Japan, created the Kawa Model. The model asks clients to draw a river representing their lives; driftwood, waterfalls, rocks and other objects portray obstacles and various events throughout life. It is a model that can and has been translated to fit individuals of all backgrounds.

Hear what Michael Iwama has to say about the development of the Kawa Model, the need for it and its reception thus far.

"No matter what model one uses, it's important to try to appreciate what daily life looks like through the eyes of the client." - Michael Iwama

Applying the Kawa Model

Since its inception, the Kawa Model has been widely received by OTs, OTAs and OT students throughout the world. Among those who have chosen to study the model are Don Paxson, Sarah Johnston and Tom Tobey, graduate students at the University of Southern Maine, Lewiston. They recently spoke with ADVANCE about their research and views on the Kawa Model.

"Culture is defined in many different ways. It's not the way you look. I have an individual culture of my own, so just interacting with different cultures even within the same race or background... My experience is much different than yours."  - Tom Tobey

Illustrating the Flow of Life

To better demonstrate the Kawa Model, we asked one of ADVANCE's illustrators, Dave Perillo, to draw us his river. A new father and long-time artist, this is how he interpreted the theory.

"At this point in my life, there are a few obstacles - I guess you could say some rocks and logs - especially with trying to juggle work and my family. But Sam, my son, and my wife Tracy, they make it all worth it. I don't mind hitting a few rocks."
- Dave Perillo


Videos Archives
 

I used the Kawa Model for the first time whilst undertaking a mental health practice placement (in-service degree). I introduced the Kawa Model to a young man as part of the initial interview process. Asking him to draw a picture of a rive to represent his life, and then a cross section of how his life is now. This client was very creative and had a strong interest in Eastern culture. It worked very well, and gave me a very clear picture of his life flow (or lack of it!) and areas (goals for intervention). I am planning to write a research proposal based on the introduction of the Kawa Model to a cliets at a mental health day hospital. Any comments/feedback about the use of the Kawa would be appreciated!

Beki Dellow,  Student Occupational Therapist,  Day Hopsital (Placement)December 08, 2009
Harrogate



Hi friends and Dear colleagues! Thank you for your interest in the Kawa (River) Model, and thanks to ADVANCE for OT, for producing these videos. Since the book's publication in 2006, the Kawa Model has spread to OT curricula and diverse practice settings all around the world. It is only recently that the model is being 'discovered' in the US and Canada.
I'll just mention that the book is also available on line from Amazon.
In addition to www.kawamodel.com, I would also recommend following the 'DISCUSSION' link on that website to a very vibrant discussion forum/board where OTs and students across 6 continents discuss aspects of the Kawa Model. The discussion includes critiques, innovative ways to use the model, and to talk about how we move this wonderful profession forward. You can also post your questions there and I usually make an effort to add my responses along with other members. It is free and you will not be spammed! Thanks again, everyone! Michael

Michael Iwama,  Associate Professor,  University of TorontoJuly 17, 2009
Toronto, Canada



Thank you for your comments!

You can find out more about the Kawa Model at www.kawamodel.com. There, you'll also be able to order the book and get any other information you may need.

Sue Coyle,  Assistant Editor,  ADVANCE for OTJuly 08, 2009

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