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How Does the Model of Human Occupation (MOHO) Provide a Framework for Using Social Stories?

Aditi Mehra, DHSc, OTR/L

June 15, 2026

Question

How does the Model of Human Occupation (MOHO) provide a framework for using social stories?

Answer

The Model of Human Occupation (MOHO) reframes Social Stories from simple scripts into holistic tools that influence a client's motivation, habits, and environmental interaction. By targeting "volition," stories increase a child's personal causation and confidence, helping them feel capable of handling stressful events like fire drills or loud cafeterias. Furthermore, Social Stories support "habituation" by creating predictable routines and "performance capacity" by reducing the sensory and cognitive load during complex activities. This alignment allows OTPs to address the underlying factors that drive participation rather than focusing solely on observable behavior.

 

This Ask the Expert is an edited excerpt from the course, Social Stories For Occupational Therapy Practitioners, presented by Aditi Mehra, DHSc, OTR/L.


aditi mehra

Aditi Mehra, DHSc, OTR/L

Dr. Aditi Mehra is a pediatric occupational therapist with over 25 years of experience across school, clinical, and educational settings. She holds a Bachelorʼs degree in Occupational Therapy from Western Michigan University and a Doctorate in Health Sciences from Midwestern University. During her doctoral studies, she also completed certification training in Behavior Analysis to further deepen her understanding of learning and behavior.

Dr. Mehra is the Director of the Chicago Fit Learning lab, where she integrates Precision Teaching and data-driven learning methodologies to support academic and developmental growth. She is also an Adjunct Professor at Lewis University and develops continuing education trainings for therapists and educators, with a focus on neurodiversity, learning, and AI-supported educational practices.

In addition to her clinical and educational work, Dr. Mehra is currently preparing her first published continuing education presentation and educational resources focused on innovative, evidence-based approaches in therapy and learning. 

 


Related Courses

Social Stories For Occupational Therapy Practitioners
Presented by Aditi Mehra, DHSc, OTR/L
Video

Presenter

Aditi Mehra, DHSc, OTR/L
Course: #6942Level: Introductory2 Hours
  'Lots of great examples using social stories in OT!'   Read Reviews
This session introduces occupational therapy practitioners to the core principles and structure of Social Stories™ based on Gray’s framework. Participants will review current evidence on their effectiveness, limitations, and factors that influence outcomes. We will highlight when Social Stories are most useful—such as for social behaviors, transitions, and self-regulation—and when other strategies may be more appropriate. Attendees will learn a clear step-by-step process for developing individualized stories and see how they can be paired with modeling, visual supports, and prompting to support generalization. The session concludes with a brief look at emerging digital and AI-enhanced social narrative tools shaping future OT practice.

How To Fix Common Handwriting Challenges In Pediatric Therapy
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Pediatric Interventions For Hypoxic Ischemic Encephalopathy (HIE)
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The Magic of Mindfulness: Evidence Based Guidelines for Practicing the Art of Mindfulness in Children
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This is an introductory course to the art of mindfulness as an intervention tool for pediatric occupational therapists. Practitioners will gain an insight to the step by step process to not only practice mindfulness for their own wellbeing but will also learn techniques and strategies to effectively teach mindfulness to children.

Teach Handwriting Using Auditory Feedback
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Text

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  'I had not previously heard of this method'   Read Reviews
Positive reinforcement is an underused yet highly valuable strategy known to motivate students and expedite the learning process. TAGteach is an acoustic form of positive reinforcement utilized to expedite the learning curve in gymnasts, medical students, golfers, etc. Discover how this simple auditory cue can be applied to address handwriting goals faster in OT.