OT/PT Continuing Education Seminar

Two students at a table in a classroom working; Credit Pragyan Bezbaruah from Pexels

THE CO-OP APPROACH: Cognitive Orientation to daily Occupational Performance for Individuals with Motor Coordination Difficulties

About the Conference

Friday and Saturday, Oct. 25-26, 2024 | 8 a.m. - 3 p.m.

Join us for an interactive 2.5-day course and gain a thorough background on fundamentals of Cognitive Orientation to daily Occupational Performance (CO-OP; the CO-OP Approach). Practice CO-OP techniques in an interactive environment and attain skills needed to successfully initiate use of the CO-OP Approach in practice immediately.


This presentation is designed for occupational therapists and physical therapists.

Topic Presented

Internationally acclaimed by therapists and researchers, Cognitive Orientation is a type of therapy that guides individuals to independently discover and develop cognitive strategies to perform the necessary tasks of everyday living such as dressing, grooming, writing, bicycling, swimming, typing and other daily living skills.

Course Description | View Agenda

Have you ever treated a patient that just didn’t seem to understand how to make their bodies do what they wanted? Even with great effort they could not coordinate their movements, produce the correct amount of force or perform familiar activities fluidly?

Ever dealt with frustration when your client does not seem to listen to or understand a single instruction you give? Ever felt like working on balance, strength and coordination just didn’t seem to make the big functional improvement you were hoping for? 

It’s time to shift gears from instructing how to do things to working collaboratively with clients to help them acquire new skills and develop effective strategies to problem-solve functional deficits they may experience throughout their lives. The Cognitive Orientation to daily Occupational Performance (CO-OP) is a performance-based treatment approach for children and adults who experience difficulties completing the skills they want to, need to or are expected to perform. CO-OP is a specifically tailored, active, client-centered approach that engages the individual at the meta-cognitive level to solve performance problems. Focused on enabling success, the CO-OP Approach employs collaborative goal setting, dynamic performance analysis, cognitive strategy use, guided discovery and enabling principles.  

The Cognitive Orientation to daily Occupational Performance Approach was developed to provide therapists with an evidence-based approach to enabling performance success in an effective and efficient way. CO-OP is not only supported by a broad research base but is also embedded in an evidence framework (see references.) Originally designed for children with Developmental Co-ordination Disorder, that is children with motor-based performance problems, it has demonstrated efficacy in helping children and adults with a variety of diagnoses acquire skills and experience success in performing everyday activities that are important to them.

The goal of the Cognitive Orientation to daily Occupational Performance Approach is to enable individuals with performance difficulties, be they physical, cognitive, or other, to succeed in performing the everyday tasks and activities that are important to them. CO-OP uses a process of guided discovery to enable the identification of the specific strategies that will support performance success. In CO-OP individuals learn how to talk themselves through performance problems.

CO-OP and ICAN, Inc logos


At the completion of this course, attendees will be able to:
  1. Identify three client populations that would benefit from CO-OP.
  2. Explain three of the seven key features of CO-OP.
  3. Use the Performance Quality Rating Scale (PQRS) to rate baseline performance on a given case study.
  4. Implement the global strategy of Goal-Plan-Do Check.
  5. Implement two Domain-Specific Strategies.
  6. Create a plan to apply the CO-OP Approach to a selected case study.

CEU Credit

Nebraska Physical Therapy Association (NPTA) CEUs: 1.2 in-person course, 0.3 virtual course (1.5 total.)


Munroe-Meyer Institute
Near the University of Omaha Scott Campus
Warren G. Sanger Conference Center, Room 10046 - First floor
6902 Pine St.
Omaha, NE 68106


Speaker Biographies

Erin Iverson PT, DPT, PCS is a developmental pediatric physical therapist at Cincinnati Children’s Hospital Medical Center (CCHMC). She earned her DPT from Ohio University in 2010 and became a Board-Certified Clinical Specialist in Pediatric Physical Therapy in 2015. In 2018, Erin became a certified Cognitive Orientation to daily Occupational Performance (CO-OP) trained therapist and instructor. Erin has a strong interest in Developmental Coordination Disorder (DCD) and is a co-author of the APTA’s Clinical Practice Guideline for DCD.

Erin Iverson PT, DPT, PCS

Erin Iverson PT, DPT, PCS
Developmental Pediatric Physical Therapist
Cincinnati Children’s Hospital Medical Center (CCHMC)

Patti Sharp, OTD, MS, OTR/L is an occupational therapist with over 20 years of pediatric experience and works in outpatient at Cincinnati Children’s Hospital Medical Center. She received her Master’s in occupational therapy from Washington University in St. Louis in 2001 and her Doctorate from Rocky Mountain University of Health Professions in 2012. She previously worked in burns and neurorehabilitation, but now focuses on enhancing care in the developmental world. Patti has a contagious passion for evidence based practice that she aims to share with students and peers.

Patti Sharp, OTD, MS, OTR/L

Patti Sharp, OTD, MS, OTR/L
Occupational Therapist
Cincinnati Children’s Hospital Medical Center (CCHMC)

Together, Erin and Patti lead the Developmental Coordination Disorder Translating Research And Clinical Knowledge Team, otherwise known as the DCD TRACK Team at Cincinnati Children’s Hospital Medical Center. They are certified as Cognitive Orientation to daily Occupational Performance (CO-OP) therapists and are two of the few Certified CO-OP Instructors in the United States.

Registration Details

Professional: $300

Former MMI Physical Therapy Resident: $200

Register here


Contact us

Please email us with questions or call 402-559-6415.

Sponsored by

UNMC Munroe-Meyer Institute (MMI)
Physical Therapy Department