Pre and perinatal psychology explores the ongoing impact of life experiences from pre-conception, in-utero and newborn phases. Occupational therapy in maternal health is a growing area of practice that supports mothers and babies when something is getting in the way of them participating in the daily occupations (everyday activities) that they need and want to do. Pre and perinatal psychology is becoming an informer of this work due to its influence on the occupations of birth, mothering, feeding, nurturing, self-care and connection.

The KAWA (Japanese word for ‘river’) model is a unique occupational therapy model that uses a visual representation of a river to explore the experience of life flow and participation across time and space within the context of the environment, challenges or barriers, and supports or enablers. By conceptualising the source of the river as the moment of conception, this model can inadvertently capture – or intentionally include – implicit and conscious memories from very early in a persons lived experience. As a bird’s eye view or river cross section is drawn, repeating imprints and ways of being that flow through significant life events and rite of passage such as conception, being born, menarche, birthing and menopause are powerfully revealed for the purpose of witnessing, honouring or integrating. 

This presentation will be a practical exploration of the KAWA model. We will discuss the parts of the model and ways that pre and perinatal psychology can be reflected in each. There will also be an opportunity to create your own river so please bring along paper and pens, or any other art medium that resonates, to support your personal learning.