Occupational Performance History Interview-II (OPHI-II)
What It Measures
The OPHI-II asks a person to tell the story of their life through what they have done — the work, the roles, the routines, the turning points — and then helps a therapist make sense of that story both narratively and numerically.
Three things come out of the interview. Ratings on three scales: occupational identity (who the person understands themselves to be), occupational competence (how well they sustain a pattern of doing), and occupational behaviour settings (whether their environments help or hinder). A narrative slope, which plots whether the person's story is rising, falling, or holding steady. And a written life history narrative capturing what the numbers cannot. Each scale item is rated on four points.
Further Reading
Additional Notes
Licensing Notes: The manual contains reproducible forms. Reproduction beyond that requires permission. OPHI-II can be used validly without formal training.
Learn More: Three things worth knowing. The rating anchors are 1 extreme occupational functioning problems, 2 some problems, 3 good and satisfactory functioning, 4 exceptionally competent — a person functioning adequately will mostly score 3s, so 4s are genuinely rare. The interview does not have to follow a fixed order; a script is provided but the conversation adapts. And the developers note it is not suitable for someone in the middle of a major life trauma or on a short inpatient stay, since it depends on reflective capacity and time.
