The Canadian Model of Client-Centred Enablement (CMCE) builds upon the core competency of enablement of occupation therapy. The two asymmetrically curved lines represent the client-therapist relationship and suggest a diverse and evolving collaboration between client and occupational therapist (OT). The two points where the lines intersect resemble the start and end of a therapeutic relationship. "Client-centred enablement is based on enablements foundations and employs enablement skills in a collaborative relationship with clients, who may be individuals, families, groups, communities, organizations, populations, to advance real life toward a vision of health, well-being and justice through occupation" (Townsend & Polatajko, 2007, p. 109).

There are ten critical occupational therapy enablement skills represented in the CMCE, summarized below.

1. Adapt: to respond appropriately will all clients, from individuals to populations.

2. Advocate: raise awareness and lobby to key decision-makers

3. Coach: develop and produce fulfillment in clients lives and improve their performance

4. Collaborate: share knowledge, skills and abilities in mutual respect and genuine interest

5. Consult: exchange information with the client throughout the practice process

6. Coordinate: integrate various stakeholders in a joint action or effort

7. Design/Build: create devices such as assistive technology with clients

8. Educate: employ practices of education with clients

9. Engage: Involve clients in participation

10. Specialize: Use specialized techniques or strategies in specific situations

Effective enablement is complex and occupational therapists are always balancing supports and limitations to enable best practice. Occupational therapists critically evaluate and reflect on strategies to support effective enablement when working with clients.

Reference: Townsend, E. A., & Polatajko, H. J. (2007). Enabling Occupation II: Advancing an Occupational Therapy Vision for Health, Well-being, & Justice Through Occupation: Canadian Association of Occupational Therapists.