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class="vector-toc-list-item vector-toc-level-1"> <a class="vector-toc-link" href="#Development_into_a_health_profession"> <div class="vector-toc-text"> 3 Development into a health profession </div> </a> <ul id="toc-Development_into_a_health_profession-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-World_War_I" class="vector-toc-list-item vector-toc-level-1"> <a class="vector-toc-link" href="#World_War_I"> <div class="vector-toc-text"> 4 World War I </div> </a> <ul id="toc-World_War_I-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Inter-war_period" class="vector-toc-list-item vector-toc-level-1"> <a class="vector-toc-link" href="#Inter-war_period"> <div class="vector-toc-text"> 5 Inter-war period </div> </a> <ul id="toc-Inter-war_period-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-World_War_II" class="vector-toc-list-item vector-toc-level-1"> <a class="vector-toc-link" href="#World_War_II"> <div class="vector-toc-text"> 6 World War II </div> </a> <ul id="toc-World_War_II-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Post-World_War_II" class="vector-toc-list-item vector-toc-level-1"> <a class="vector-toc-link" href="#Post-World_War_II"> <div class="vector-toc-text"> 7 Post-World War II </div> </a> <ul id="toc-Post-World_War_II-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Practice_frameworks" class="vector-toc-list-item vector-toc-level-1"> <a class="vector-toc-link" href="#Practice_frameworks"> <div class="vector-toc-text"> 8 Practice frameworks </div> </a> <button aria-controls="toc-Practice_frameworks-sublist" class="cdx-button cdx-button--weight-quiet cdx-button--icon-only vector-toc-toggle"> Toggle Practice frameworks subsection </button> <ul id="toc-Practice_frameworks-sublist" class="vector-toc-list"> <li id="toc-Occupational_Therapy_Practice_Framework_(OTPF,_United_States)" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Occupational_Therapy_Practice_Framework_(OTPF,_United_States)"> <div class="vector-toc-text"> 8.1 Occupational Therapy Practice Framework (OTPF, United States) </div> </a> <ul id="toc-Occupational_Therapy_Practice_Framework_(OTPF,_United_States)-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Canadian_Practice_Process_Framework" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Canadian_Practice_Process_Framework"> <div class="vector-toc-text"> 8.2 Canadian Practice Process Framework </div> </a> <ul id="toc-Canadian_Practice_Process_Framework-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-International_Classification_of_Functioning,_Disability_and_Health_(ICF)" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#International_Classification_of_Functioning,_Disability_and_Health_(ICF)"> <div class="vector-toc-text"> 8.3 International Classification of Functioning, Disability and Health (ICF) </div> </a> <ul id="toc-International_Classification_of_Functioning,_Disability_and_Health_(ICF)-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> <li id="toc-Occupations" class="vector-toc-list-item vector-toc-level-1"> <a class="vector-toc-link" href="#Occupations"> <div class="vector-toc-text"> 9 Occupations </div> </a> <ul id="toc-Occupations-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Practice_settings" class="vector-toc-list-item vector-toc-level-1"> <a class="vector-toc-link" href="#Practice_settings"> <div class="vector-toc-text"> 10 Practice settings </div> </a> <ul id="toc-Practice_settings-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Areas_of_practice_in_the_United_States" class="vector-toc-list-item vector-toc-level-1"> <a class="vector-toc-link" href="#Areas_of_practice_in_the_United_States"> <div class="vector-toc-text"> 11 Areas of practice in the United States </div> </a> <button aria-controls="toc-Areas_of_practice_in_the_United_States-sublist" class="cdx-button cdx-button--weight-quiet cdx-button--icon-only vector-toc-toggle"> Toggle Areas of practice in the United States subsection </button> <ul id="toc-Areas_of_practice_in_the_United_States-sublist" class="vector-toc-list"> <li id="toc-Children_and_youth" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Children_and_youth"> <div class="vector-toc-text"> 11.1 Children and youth </div> </a> <ul id="toc-Children_and_youth-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Health_and_wellness" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Health_and_wellness"> <div class="vector-toc-text"> 11.2 Health and wellness </div> </a> <ul id="toc-Health_and_wellness-sublist" class="vector-toc-list"> <li id="toc-School" class="vector-toc-list-item vector-toc-level-3"> <a class="vector-toc-link" href="#School"> <div class="vector-toc-text"> 11.2.1 School </div> </a> <ul id="toc-School-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Outpatient" class="vector-toc-list-item vector-toc-level-3"> <a class="vector-toc-link" href="#Outpatient"> <div class="vector-toc-text"> 11.2.2 Outpatient </div> </a> <ul id="toc-Outpatient-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Acute_care" class="vector-toc-list-item vector-toc-level-3"> <a class="vector-toc-link" href="#Acute_care"> <div class="vector-toc-text"> 11.2.3 Acute care </div> </a> <ul id="toc-Acute_care-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Community-based" class="vector-toc-list-item vector-toc-level-3"> <a class="vector-toc-link" href="#Community-based"> <div class="vector-toc-text"> 11.2.4 Community-based </div> </a> <ul id="toc-Community-based-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> <li id="toc-Mental_health" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Mental_health"> <div class="vector-toc-text"> 11.3 Mental health </div> </a> <ul id="toc-Mental_health-sublist" class="vector-toc-list"> <li id="toc-Tier_3:_intensive_interventions" class="vector-toc-list-item vector-toc-level-3"> <a class="vector-toc-link" href="#Tier_3:_intensive_interventions"> <div class="vector-toc-text"> 11.3.1 Tier 3: intensive interventions </div> </a> <ul id="toc-Tier_3:_intensive_interventions-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Tier_2:_targeted_services" class="vector-toc-list-item vector-toc-level-3"> <a class="vector-toc-link" href="#Tier_2:_targeted_services"> <div class="vector-toc-text"> 11.3.2 Tier 2: targeted services </div> </a> <ul id="toc-Tier_2:_targeted_services-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Tier_1:_universal_services" class="vector-toc-list-item vector-toc-level-3"> <a class="vector-toc-link" href="#Tier_1:_universal_services"> <div class="vector-toc-text"> 11.3.3 Tier 1: universal services </div> </a> <ul id="toc-Tier_1:_universal_services-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> <li id="toc-Productive_aging" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Productive_aging"> <div class="vector-toc-text"> 11.4 Productive aging </div> </a> <ul id="toc-Productive_aging-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Geriatrics/productive_aging" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Geriatrics/productive_aging"> <div class="vector-toc-text"> 11.5 Geriatrics/productive aging </div> </a> <ul id="toc-Geriatrics/productive_aging-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Visual_impairment" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Visual_impairment"> <div class="vector-toc-text"> 11.6 Visual impairment </div> </a> <ul id="toc-Visual_impairment-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Adult_rehabilitation" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Adult_rehabilitation"> <div class="vector-toc-text"> 11.7 Adult rehabilitation </div> </a> <ul id="toc-Adult_rehabilitation-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Assistive_technology" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Assistive_technology"> <div class="vector-toc-text"> 11.8 Assistive technology </div> </a> <ul id="toc-Assistive_technology-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Travel_occupational_therapy" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Travel_occupational_therapy"> <div class="vector-toc-text"> 11.9 Travel occupational therapy </div> </a> <ul id="toc-Travel_occupational_therapy-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Occupational_justice" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Occupational_justice"> <div class="vector-toc-text"> 11.10 Occupational justice </div> </a> <ul id="toc-Occupational_justice-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Occupational_injustice" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Occupational_injustice"> <div class="vector-toc-text"> 11.11 Occupational injustice </div> </a> <ul id="toc-Occupational_injustice-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Community-based_therapy" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Community-based_therapy"> <div class="vector-toc-text"> 11.12 Community-based therapy </div> </a> <ul id="toc-Community-based_therapy-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Nature-based_therapy" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Nature-based_therapy"> <div class="vector-toc-text"> 11.13 Nature-based therapy </div> </a> <ul id="toc-Nature-based_therapy-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> <li id="toc-Education" class="vector-toc-list-item vector-toc-level-1"> <a class="vector-toc-link" href="#Education"> <div class="vector-toc-text"> 12 Education </div> </a> <ul id="toc-Education-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Philosophical_underpinnings" class="vector-toc-list-item vector-toc-level-1"> <a class="vector-toc-link" href="#Philosophical_underpinnings"> <div class="vector-toc-text"> 13 Philosophical underpinnings </div> </a> <ul id="toc-Philosophical_underpinnings-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Theoretical_frameworks" class="vector-toc-list-item vector-toc-level-1"> <a class="vector-toc-link" href="#Theoretical_frameworks"> <div class="vector-toc-text"> 14 Theoretical frameworks </div> </a> <button aria-controls="toc-Theoretical_frameworks-sublist" class="cdx-button cdx-button--weight-quiet cdx-button--icon-only vector-toc-toggle"> Toggle Theoretical frameworks subsection </button> <ul id="toc-Theoretical_frameworks-sublist" class="vector-toc-list"> <li id="toc-Generic_models" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Generic_models"> <div class="vector-toc-text"> 14.1 Generic models </div> </a> <ul id="toc-Generic_models-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Frames_of_reference" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Frames_of_reference"> <div class="vector-toc-text"> 14.2 Frames of reference </div> </a> <ul id="toc-Frames_of_reference-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> <li id="toc-Global_occupational_therapy" class="vector-toc-list-item vector-toc-level-1"> <a class="vector-toc-link" href="#Global_occupational_therapy"> <div class="vector-toc-text"> 15 Global occupational therapy </div> </a> <ul id="toc-Global_occupational_therapy-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-See_also" class="vector-toc-list-item vector-toc-level-1"> <a class="vector-toc-link" href="#See_also"> <div class="vector-toc-text"> 16 See also </div> </a> <ul id="toc-See_also-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-References" class="vector-toc-list-item vector-toc-level-1"> <a class="vector-toc-link" href="#References"> <div class="vector-toc-text"> 17 References </div> </a> <ul id="toc-References-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-External_links" class="vector-toc-list-item vector-toc-level-1"> <a class="vector-toc-link" href="#External_links"> <div class="vector-toc-text"> 18 External links </div> </a> <ul id="toc-External_links-sublist" class="vector-toc-list"> </ul> </li> </ul> </div> </div> </nav> </div> </div> <div class="mw-content-container"> <main id="content" class="mw-body"> <header class="mw-body-header vector-page-titlebar"> <nav aria-label="Contents" class="vector-toc-landmark"> <div id="vector-page-titlebar-toc" class="vector-dropdown vector-page-titlebar-toc vector-button-flush-left" title="Table of Contents" > <input type="checkbox" id="vector-page-titlebar-toc-checkbox" role="button" aria-haspopup="true" data-event-name="ui.dropdown-vector-page-titlebar-toc" class="vector-dropdown-checkbox " aria-label="Toggle the table of contents" > <label id="vector-page-titlebar-toc-label" for="vector-page-titlebar-toc-checkbox" class="vector-dropdown-label cdx-button cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--weight-quiet cdx-button--icon-only " aria-hidden="true" > Toggle the table of contents </label> <div class="vector-dropdown-content"> <div id="vector-page-titlebar-toc-unpinned-container" class="vector-unpinned-container"> </div> </div> </div> </nav> <h1 id="firstHeading" class="firstHeading mw-first-heading">Occupational therapy</h1> <div id="p-lang-btn" class="vector-dropdown mw-portlet mw-portlet-lang" > <input type="checkbox" id="p-lang-btn-checkbox" role="button" aria-haspopup="true" data-event-name="ui.dropdown-p-lang-btn" class="vector-dropdown-checkbox mw-interlanguage-selector" aria-label="Go to an article in another language. Available in 46 languages" > <label id="p-lang-btn-label" for="p-lang-btn-checkbox" class="vector-dropdown-label cdx-button cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--weight-quiet cdx-button--action-progressive mw-portlet-lang-heading-46" aria-hidden="true" > 46 languages </label> <div class="vector-dropdown-content"> <div class="vector-menu-content"> <ul class="vector-menu-content-list"> <li class="interlanguage-link interwiki-af mw-list-item"><a href="https://af.wikipedia.org/wiki/Arbeidsterapie" title="Arbeidsterapie – Afrikaans" lang="af" hreflang="af" data-title="Arbeidsterapie" data-language-autonym="Afrikaans" data-language-local-name="Afrikaans" class="interlanguage-link-target">Afrikaans</a></li><li class="interlanguage-link interwiki-als mw-list-item"><a href="https://als.wikipedia.org/wiki/Ergotherapie" title="Ergotherapie – Alemannic" lang="gsw" hreflang="gsw" data-title="Ergotherapie" data-language-autonym="Alemannisch" data-language-local-name="Alemannic" class="interlanguage-link-target">Alemannisch</a></li><li class="interlanguage-link interwiki-ar mw-list-item"><a href="https://ar.wikipedia.org/wiki/%D8%B9%D9%84%D8%A7%D8%AC_%D9%88%D8%B8%D9%8A%D9%81%D9%8A" title="علاج وظيفي – Arabic" lang="ar" hreflang="ar" data-title="علاج وظيفي" data-language-autonym="العربية" data-language-local-name="Arabic" class="interlanguage-link-target">العربية</a></li><li class="interlanguage-link interwiki-az mw-list-item"><a href="https://az.wikipedia.org/wiki/Erqoterapiya" title="Erqoterapiya – Azerbaijani" lang="az" hreflang="az" data-title="Erqoterapiya" data-language-autonym="Azərbaycanca" data-language-local-name="Azerbaijani" class="interlanguage-link-target">Azərbaycanca</a></li><li class="interlanguage-link interwiki-be-x-old mw-list-item"><a href="https://be-tarask.wikipedia.org/wiki/%D0%9F%D1%80%D0%B0%D1%86%D0%B0%D1%82%D1%8D%D1%80%D0%B0%D0%BF%D1%96%D1%8F" title="Працатэрапія – Belarusian (Taraškievica orthography)" lang="be-tarask" hreflang="be-tarask" data-title="Працатэрапія" data-language-autonym="Беларуская (тарашкевіца)" data-language-local-name="Belarusian (Taraškievica orthography)" class="interlanguage-link-target">Беларуская (тарашкевіца)</a></li><li class="interlanguage-link interwiki-bg mw-list-item"><a href="https://bg.wikipedia.org/wiki/%D0%A2%D1%80%D1%83%D0%B4%D0%BE%D0%B2%D0%B0_%D1%82%D0%B5%D1%80%D0%B0%D0%BF%D0%B8%D1%8F" title="Трудова терапия – Bulgarian" lang="bg" hreflang="bg" data-title="Трудова терапия" data-language-autonym="Български" data-language-local-name="Bulgarian" class="interlanguage-link-target">Български</a></li><li class="interlanguage-link interwiki-ca mw-list-item"><a href="https://ca.wikipedia.org/wiki/Ter%C3%A0pia_ocupacional" title="Teràpia ocupacional – Catalan" lang="ca" hreflang="ca" data-title="Teràpia ocupacional" data-language-autonym="Català" data-language-local-name="Catalan" class="interlanguage-link-target">Català</a></li><li class="interlanguage-link interwiki-cs mw-list-item"><a href="https://cs.wikipedia.org/wiki/Ergoterapie" title="Ergoterapie – Czech" lang="cs" hreflang="cs" data-title="Ergoterapie" data-language-autonym="Čeština" data-language-local-name="Czech" class="interlanguage-link-target">Čeština</a></li><li class="interlanguage-link interwiki-da mw-list-item"><a href="https://da.wikipedia.org/wiki/Ergoterapi" title="Ergoterapi – Danish" lang="da" hreflang="da" data-title="Ergoterapi" data-language-autonym="Dansk" data-language-local-name="Danish" class="interlanguage-link-target">Dansk</a></li><li class="interlanguage-link interwiki-de mw-list-item"><a href="https://de.wikipedia.org/wiki/Ergotherapie" title="Ergotherapie – German" lang="de" hreflang="de" data-title="Ergotherapie" data-language-autonym="Deutsch" data-language-local-name="German" class="interlanguage-link-target">Deutsch</a></li><li class="interlanguage-link interwiki-et mw-list-item"><a href="https://et.wikipedia.org/wiki/Tegevusteraapia" title="Tegevusteraapia – Estonian" lang="et" hreflang="et" data-title="Tegevusteraapia" data-language-autonym="Eesti" data-language-local-name="Estonian" class="interlanguage-link-target">Eesti</a></li><li class="interlanguage-link interwiki-el mw-list-item"><a href="https://el.wikipedia.org/wiki/%CE%95%CF%81%CE%B3%CE%BF%CE%B8%CE%B5%CF%81%CE%B1%CF%80%CE%B5%CE%AF%CE%B1" title="Εργοθεραπεία – Greek" lang="el" hreflang="el" data-title="Εργοθεραπεία" data-language-autonym="Ελληνικά" data-language-local-name="Greek" class="interlanguage-link-target">Ελληνικά</a></li><li class="interlanguage-link interwiki-es mw-list-item"><a href="https://es.wikipedia.org/wiki/Terapia_ocupacional" title="Terapia ocupacional – Spanish" lang="es" hreflang="es" data-title="Terapia ocupacional" data-language-autonym="Español" data-language-local-name="Spanish" class="interlanguage-link-target">Español</a></li><li class="interlanguage-link interwiki-eo mw-list-item"><a href="https://eo.wikipedia.org/wiki/Okup-terapio" title="Okup-terapio – Esperanto" lang="eo" hreflang="eo" data-title="Okup-terapio" data-language-autonym="Esperanto" data-language-local-name="Esperanto" class="interlanguage-link-target">Esperanto</a></li><li class="interlanguage-link interwiki-eu mw-list-item"><a href="https://eu.wikipedia.org/wiki/Terapia_okupazional" title="Terapia okupazional – Basque" lang="eu" hreflang="eu" data-title="Terapia okupazional" data-language-autonym="Euskara" data-language-local-name="Basque" class="interlanguage-link-target">Euskara</a></li><li class="interlanguage-link interwiki-fa mw-list-item"><a href="https://fa.wikipedia.org/wiki/%DA%A9%D8%A7%D8%B1%D8%AF%D8%B1%D9%85%D8%A7%D9%86%DB%8C" title="کاردرمانی – Persian" lang="fa" hreflang="fa" data-title="کاردرمانی" data-language-autonym="فارسی" data-language-local-name="Persian" class="interlanguage-link-target">فارسی</a></li><li class="interlanguage-link interwiki-fr mw-list-item"><a href="https://fr.wikipedia.org/wiki/Ergoth%C3%A9rapie" title="Ergothérapie – French" lang="fr" hreflang="fr" data-title="Ergothérapie" data-language-autonym="Français" data-language-local-name="French" class="interlanguage-link-target">Français</a></li><li class="interlanguage-link interwiki-ga mw-list-item"><a href="https://ga.wikipedia.org/wiki/Teiripe_saothair" title="Teiripe saothair – Irish" lang="ga" hreflang="ga" data-title="Teiripe saothair" data-language-autonym="Gaeilge" data-language-local-name="Irish" class="interlanguage-link-target">Gaeilge</a></li><li class="interlanguage-link interwiki-gl mw-list-item"><a href="https://gl.wikipedia.org/wiki/Terapia_ocupacional" title="Terapia ocupacional – Galician" lang="gl" hreflang="gl" data-title="Terapia ocupacional" data-language-autonym="Galego" data-language-local-name="Galician" class="interlanguage-link-target">Galego</a></li><li class="interlanguage-link interwiki-ko mw-list-item"><a href="https://ko.wikipedia.org/wiki/%EC%9E%91%EC%97%85%EC%B9%98%EB%A3%8C" title="작업치료 – Korean" lang="ko" hreflang="ko" data-title="작업치료" data-language-autonym="한국어" data-language-local-name="Korean" class="interlanguage-link-target">한국어</a></li><li class="interlanguage-link interwiki-hy mw-list-item"><a href="https://hy.wikipedia.org/wiki/%D4%B7%D6%80%D5%A3%D5%B8%D5%A9%D5%A5%D6%80%D5%A1%D5%BA%D5%AB%D5%A1" title="Էրգոթերապիա – Armenian" lang="hy" hreflang="hy" data-title="Էրգոթերապիա" data-language-autonym="Հայերեն" data-language-local-name="Armenian" class="interlanguage-link-target">Հայերեն</a></li><li class="interlanguage-link interwiki-hi mw-list-item"><a href="https://hi.wikipedia.org/wiki/%E0%A4%91%E0%A4%95%E0%A5%8D%E0%A4%AF%E0%A5%82%E0%A4%AA%E0%A5%87%E0%A4%B6%E0%A4%A8%E0%A4%B2_%E0%A4%A5%E0%A5%87%E0%A4%B0%E0%A5%87%E0%A4%AA%E0%A5%80" title="ऑक्यूपेशनल थेरेपी – Hindi" lang="hi" hreflang="hi" data-title="ऑक्यूपेशनल थेरेपी" data-language-autonym="हिन्दी" data-language-local-name="Hindi" class="interlanguage-link-target">हिन्दी</a></li><li class="interlanguage-link interwiki-hr mw-list-item"><a href="https://hr.wikipedia.org/wiki/Radna_terapija" title="Radna terapija – Croatian" lang="hr" hreflang="hr" data-title="Radna terapija" data-language-autonym="Hrvatski" data-language-local-name="Croatian" class="interlanguage-link-target">Hrvatski</a></li><li class="interlanguage-link interwiki-id mw-list-item"><a href="https://id.wikipedia.org/wiki/Terapi_okupasi" title="Terapi okupasi – Indonesian" lang="id" hreflang="id" data-title="Terapi okupasi" data-language-autonym="Bahasa Indonesia" data-language-local-name="Indonesian" class="interlanguage-link-target">Bahasa Indonesia</a></li><li class="interlanguage-link interwiki-it mw-list-item"><a href="https://it.wikipedia.org/wiki/Terapia_occupazionale" title="Terapia occupazionale – Italian" lang="it" hreflang="it" data-title="Terapia occupazionale" data-language-autonym="Italiano" data-language-local-name="Italian" class="interlanguage-link-target">Italiano</a></li><li class="interlanguage-link interwiki-he mw-list-item"><a href="https://he.wikipedia.org/wiki/%D7%A8%D7%99%D7%A4%D7%95%D7%99_%D7%91%D7%A2%D7%99%D7%A1%D7%95%D7%A7" title="ריפוי בעיסוק – Hebrew" lang="he" hreflang="he" data-title="ריפוי בעיסוק" data-language-autonym="עברית" data-language-local-name="Hebrew" class="interlanguage-link-target">עברית</a></li><li class="interlanguage-link interwiki-ka mw-list-item"><a href="https://ka.wikipedia.org/wiki/%E1%83%A8%E1%83%A0%E1%83%9D%E1%83%9B%E1%83%98%E1%83%97%E1%83%98_%E1%83%97%E1%83%94%E1%83%A0%E1%83%90%E1%83%9E%E1%83%98%E1%83%90" title="შრომითი თერაპია – Georgian" lang="ka" hreflang="ka" data-title="შრომითი თერაპია" data-language-autonym="ქართული" data-language-local-name="Georgian" class="interlanguage-link-target">ქართული</a></li><li class="interlanguage-link interwiki-lt mw-list-item"><a href="https://lt.wikipedia.org/wiki/Ergoterapija" title="Ergoterapija – Lithuanian" lang="lt" hreflang="lt" data-title="Ergoterapija" data-language-autonym="Lietuvių" data-language-local-name="Lithuanian" class="interlanguage-link-target">Lietuvių</a></li><li class="interlanguage-link interwiki-mk mw-list-item"><a href="https://mk.wikipedia.org/wiki/%D0%A0%D0%B0%D0%B1%D0%BE%D1%82%D0%BD%D0%B0_%D1%82%D0%B5%D1%80%D0%B0%D0%BF%D0%B8%D1%98%D0%B0" title="Работна терапија – Macedonian" lang="mk" hreflang="mk" data-title="Работна терапија" data-language-autonym="Македонски" data-language-local-name="Macedonian" class="interlanguage-link-target">Македонски</a></li><li class="interlanguage-link interwiki-ml mw-list-item"><a href="https://ml.wikipedia.org/wiki/%E0%B4%92%E0%B4%95%E0%B5%8D%E0%B4%AF%E0%B5%81%E0%B4%AA%E0%B5%87%E0%B4%B7%E0%B4%A3%E0%B5%BD_%E0%B4%A4%E0%B5%86%E0%B4%B1%E0%B4%BE%E0%B4%AA%E0%B5%8D%E0%B4%AA%E0%B4%BF" title="ഒക്യുപേഷണൽ തെറാപ്പി – Malayalam" lang="ml" hreflang="ml" data-title="ഒക്യുപേഷണൽ തെറാപ്പി" data-language-autonym="മലയാളം" data-language-local-name="Malayalam" class="interlanguage-link-target">മലയാളം</a></li><li class="interlanguage-link interwiki-ms mw-list-item"><a href="https://ms.wikipedia.org/wiki/Terapi_pekerjaan" title="Terapi pekerjaan – Malay" lang="ms" hreflang="ms" data-title="Terapi pekerjaan" data-language-autonym="Bahasa Melayu" data-language-local-name="Malay" class="interlanguage-link-target">Bahasa Melayu</a></li><li class="interlanguage-link interwiki-nl mw-list-item"><a href="https://nl.wikipedia.org/wiki/Ergotherapie" title="Ergotherapie – Dutch" lang="nl" hreflang="nl" data-title="Ergotherapie" data-language-autonym="Nederlands" data-language-local-name="Dutch" class="interlanguage-link-target">Nederlands</a></li><li class="interlanguage-link interwiki-ja mw-list-item"><a href="https://ja.wikipedia.org/wiki/%E4%BD%9C%E6%A5%AD%E7%99%82%E6%B3%95" title="作業療法 – Japanese" lang="ja" hreflang="ja" data-title="作業療法" data-language-autonym="日本語" data-language-local-name="Japanese" class="interlanguage-link-target">日本語</a></li><li class="interlanguage-link interwiki-no mw-list-item"><a href="https://no.wikipedia.org/wiki/Ergoterapi" title="Ergoterapi – Norwegian Bokmål" lang="nb" hreflang="nb" data-title="Ergoterapi" data-language-autonym="Norsk bokmål" data-language-local-name="Norwegian Bokmål" class="interlanguage-link-target">Norsk bokmål</a></li><li class="interlanguage-link interwiki-pl mw-list-item"><a href="https://pl.wikipedia.org/wiki/Terapia_zaj%C4%99ciowa" title="Terapia zajęciowa – Polish" lang="pl" hreflang="pl" data-title="Terapia zajęciowa" data-language-autonym="Polski" data-language-local-name="Polish" class="interlanguage-link-target">Polski</a></li><li class="interlanguage-link interwiki-pt mw-list-item"><a href="https://pt.wikipedia.org/wiki/Terapia_ocupacional" title="Terapia ocupacional – Portuguese" lang="pt" hreflang="pt" data-title="Terapia ocupacional" data-language-autonym="Português" data-language-local-name="Portuguese" class="interlanguage-link-target">Português</a></li><li class="interlanguage-link interwiki-ru mw-list-item"><a href="https://ru.wikipedia.org/wiki/%D0%A2%D1%80%D1%83%D0%B4%D0%BE%D0%B2%D0%B0%D1%8F_%D1%82%D0%B5%D1%80%D0%B0%D0%BF%D0%B8%D1%8F" title="Трудовая терапия – Russian" lang="ru" hreflang="ru" data-title="Трудовая терапия" data-language-autonym="Русский" data-language-local-name="Russian" class="interlanguage-link-target">Русский</a></li><li class="interlanguage-link interwiki-sl mw-list-item"><a href="https://sl.wikipedia.org/wiki/Delovna_terapija" title="Delovna terapija – Slovenian" lang="sl" hreflang="sl" data-title="Delovna terapija" data-language-autonym="Slovenščina" data-language-local-name="Slovenian" class="interlanguage-link-target">Slovenščina</a></li><li class="interlanguage-link interwiki-sr mw-list-item"><a href="https://sr.wikipedia.org/wiki/%D0%9E%D0%BA%D1%83%D0%BF%D0%B0%D1%86%D0%B8%D0%BE%D0%BD%D0%B0_%D1%82%D0%B5%D1%80%D0%B0%D0%BF%D0%B8%D1%98%D0%B0" title="Окупациона терапија – Serbian" lang="sr" hreflang="sr" data-title="Окупациона терапија" data-language-autonym="Српски / srpski" data-language-local-name="Serbian" class="interlanguage-link-target">Српски / srpski</a></li><li class="interlanguage-link interwiki-fi mw-list-item"><a href="https://fi.wikipedia.org/wiki/Toimintaterapia" title="Toimintaterapia – Finnish" lang="fi" hreflang="fi" data-title="Toimintaterapia" data-language-autonym="Suomi" data-language-local-name="Finnish" class="interlanguage-link-target">Suomi</a></li><li class="interlanguage-link interwiki-sv mw-list-item"><a href="https://sv.wikipedia.org/wiki/Arbetsterapi" title="Arbetsterapi – Swedish" lang="sv" hreflang="sv" data-title="Arbetsterapi" data-language-autonym="Svenska" data-language-local-name="Swedish" class="interlanguage-link-target">Svenska</a></li><li class="interlanguage-link interwiki-th mw-list-item"><a href="https://th.wikipedia.org/wiki/%E0%B8%81%E0%B8%B4%E0%B8%88%E0%B8%81%E0%B8%A3%E0%B8%A3%E0%B8%A1%E0%B8%9A%E0%B8%B3%E0%B8%9A%E0%B8%B1%E0%B8%94" title="กิจกรรมบำบัด – Thai" lang="th" hreflang="th" data-title="กิจกรรมบำบัด" data-language-autonym="ไทย" data-language-local-name="Thai" class="interlanguage-link-target">ไทย</a></li><li class="interlanguage-link interwiki-tr mw-list-item"><a href="https://tr.wikipedia.org/wiki/Ergoterapi" title="Ergoterapi – Turkish" lang="tr" hreflang="tr" data-title="Ergoterapi" data-language-autonym="Türkçe" data-language-local-name="Turkish" class="interlanguage-link-target">Türkçe</a></li><li class="interlanguage-link interwiki-uk mw-list-item"><a href="https://uk.wikipedia.org/wiki/%D0%95%D1%80%D0%B3%D0%BE%D1%82%D0%B5%D1%80%D0%B0%D0%BF%D1%96%D1%8F" title="Ерготерапія – Ukrainian" lang="uk" hreflang="uk" data-title="Ерготерапія" data-language-autonym="Українська" 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.ambox-style{border-left:10px solid #fc3}.mw-parser-output .ambox-move{border-left:10px solid #9932cc}.mw-parser-output .ambox-protection{border-left:10px solid #a2a9b1}.mw-parser-output .ambox .mbox-text{border:none;padding:0.25em 0.5em;width:100%}.mw-parser-output .ambox .mbox-image{border:none;padding:2px 0 2px 0.5em;text-align:center}.mw-parser-output .ambox .mbox-imageright{border:none;padding:2px 0.5em 2px 0;text-align:center}.mw-parser-output .ambox .mbox-empty-cell{border:none;padding:0;width:1px}.mw-parser-output .ambox .mbox-image-div{width:52px}@media(min-width:720px){.mw-parser-output .ambox{margin:0 10%}}@media print{body.ns-0 .mw-parser-output .ambox{display:none!important}}</style><table class="box-Globalize plainlinks metadata ambox ambox-content ambox-globalize" role="presentation"><tbody><tr><td class="mbox-image"><div class="mbox-image-div"><img alt="Globe icon." src="//upload.wikimedia.org/wikipedia/commons/thumb/b/bd/Ambox_globe_content.svg/48px-Ambox_globe_content.svg.png" decoding="async" width="48" height="40" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/b/bd/Ambox_globe_content.svg/73px-Ambox_globe_content.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/b/bd/Ambox_globe_content.svg/97px-Ambox_globe_content.svg.png 2x" data-file-width="350" data-file-height="290" /></div></td><td class="mbox-text"><div class="mbox-text-span">The examples and perspective in this article deal primarily with the <a href="/wiki/United_States" title="United States">United States</a> and do not represent a <a href="/wiki/Wikipedia:WikiProject_Countering_systemic_bias" title="Wikipedia:WikiProject Countering systemic bias">worldwide view</a> of the subject. You may <a class="external text" href="https://en.wikipedia.org/w/index.php?title=Occupational_therapy&action=edit">improve this article</a>, discuss the issue on the <a href="/wiki/Talk:Occupational_therapy" title="Talk:Occupational therapy">talk page</a>, or <a href="/wiki/Wikipedia:Article_wizard" title="Wikipedia:Article wizard">create a new article</a>, as appropriate. (May 2022) (<a href="/wiki/Help:Maintenance_template_removal" title="Help:Maintenance template removal">Learn how and when to remove this message</a>)</div></td></tr></tbody></table> <div class="shortdescription nomobile noexcerpt noprint searchaux" style="display:none">Medical intervention</div> <style data-mw-deduplicate="TemplateStyles:r1257001546">.mw-parser-output .infobox-subbox{padding:0;border:none;margin:-3px;width:auto;min-width:100%;font-size:100%;clear:none;float:none;background-color:transparent}.mw-parser-output .infobox-3cols-child{margin:auto}.mw-parser-output .infobox .navbar{font-size:100%}@media screen{html.skin-theme-clientpref-night .mw-parser-output .infobox-full-data:not(.notheme)>div:not(.notheme)[style]{background:#1f1f23!important;color:#f8f9fa}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .infobox-full-data:not(.notheme) div:not(.notheme){background:#1f1f23!important;color:#f8f9fa}}@media(min-width:640px){body.skin--responsive .mw-parser-output .infobox-table{display:table!important}body.skin--responsive .mw-parser-output .infobox-table>caption{display:table-caption!important}body.skin--responsive .mw-parser-output .infobox-table>tbody{display:table-row-group}body.skin--responsive .mw-parser-output .infobox-table tr{display:table-row!important}body.skin--responsive .mw-parser-output .infobox-table th,body.skin--responsive .mw-parser-output .infobox-table td{padding-left:inherit;padding-right:inherit}}</style><table class="infobox"><tbody><tr><th colspan="2" class="infobox-above" style="background-color: lightblue">Occupational therapy</th></tr><tr><td colspan="2" class="infobox-image"><a href="/wiki/File:US_Navy_Occupational_therapists_working_with_outpatients.png" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/e/e4/US_Navy_Occupational_therapists_working_with_outpatients.png/280px-US_Navy_Occupational_therapists_working_with_outpatients.png" decoding="async" width="280" height="320" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/e/e4/US_Navy_Occupational_therapists_working_with_outpatients.png/420px-US_Navy_Occupational_therapists_working_with_outpatients.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/e/e4/US_Navy_Occupational_therapists_working_with_outpatients.png/560px-US_Navy_Occupational_therapists_working_with_outpatients.png 2x" data-file-width="1030" data-file-height="1178" /></a><div class="infobox-caption">US Navy Occupational therapists providing treatment to outpatients</div></td></tr><tr><th scope="row" class="infobox-label"><a href="/wiki/ICD-9-CM_Volume_3" title="ICD-9-CM Volume 3">ICD-9-CM</a></th><td class="infobox-data"><a rel="nofollow" class="external text" href="http://icd9cm.chrisendres.com/index.php?srchtype=procs&srchtext=93.83&Submit=Search&action=search">93.83</a></td></tr><tr><th scope="row" class="infobox-label"><a href="/wiki/Medical_Subject_Headings" title="Medical Subject Headings">MeSH</a></th><td class="infobox-data"><a rel="nofollow" class="external text" href="https://meshb.nlm.nih.gov/record/ui?ui=D009788">D009788</a></td></tr><tr class="noprint"><td colspan="2" class="infobox-full-data"><div style="text-align: right;">[<a href="https://www.wikidata.org/wiki/Q380141" class="extiw" title="d:Q380141">edit on Wikidata</a>]</div></td></tr></tbody></table> Occupational therapy (OT), also known as ergotherapy, is a healthcare profession. Ergotherapy is derived from the Greek <a href="https://en.wiktionary.org/wiki/ergon" class="extiw" title="wiktionary:ergon">ergon</a> which is allied to work, to act and to be active. Occupational therapy is based on the assumption that being active is a basic human need and that purposeful activity has a health-promoting and therapeutic effect. <a href="/wiki/Occupational_science" title="Occupational science">Occupational science</a> the study of humans as 'doers' or 'occupational beings' was developed by inter-disciplinary scholars, including occupational therapists, in the 1980s. The World Federation of Occupational Therapists (WFOT) defines occupational therapy as ‘a client-centred health profession concerned with promoting health and wellbeing through occupation. The primary goal of occupational therapy is to enable people to participate in the activities of everyday life. Occupational therapists achieve this outcome by working with people and communities to enhance their ability to engage in the occupations they want to, need to, or are expected to do, or by modifying the occupation or the environment to better support their occupational engagement'. <a href="#cite_note-1">[1]</a> Many of the Member Organisations of WFOT have agreed a national definition of occupational therapy. In New Zealand occupational therapy is translated into Maori as 'whakaora ngangahau'. 'Whakaora' means ‘to restore to health' and 'ngangahau' is an adjective meaning 'active, spirited, zealous'.<a href="#cite_note-2">[2]</a> Education programmes leading to entry to practice as an occupational therapist can be at diploma, baccalaureate, bachelors, masters or doctoral level. Information about entry level education programmes, currently or previously approved by WFOT, is available on the WFOT <a rel="nofollow" class="external text" href="https://wfot.org/education/wfot-approved-education-programmes">website</a> Occupational therapy is an <a href="/wiki/Allied_health_professions" title="Allied health professions">allied health profession</a>.  In England, allied health professions (AHPs) are the third largest clinical workforce in health and care.<a href="#cite_note-3">[3]</a> Fifteen professions, with 352,593 registrants are regulated by the Health and Care Professions Council in the United Kingdom.<a href="#cite_note-4">[4]</a> <meta property="mw:PageProp/toc" /> <div class="mw-heading mw-heading2"><h2 id="Early_history">Early history</h2>[<a href="/w/index.php?title=Occupational_therapy&action=edit&section=1" title="Edit section: Early history">edit</a>]</div> The earliest evidence of using occupations as a method of therapy can be found in ancient times. In c. 100 BCE, Greek physician <a href="/wiki/Asclepiades_of_Bithynia" title="Asclepiades of Bithynia">Asclepiades</a> treated patients with a mental illness humanely using therapeutic baths, massage, exercise, and music. Later, the Roman <a href="/wiki/Celsus" title="Celsus">Celsus</a> prescribed music, travel, conversation and exercise to his patients. However, by medieval times the use of these interventions with people with mental illness was rare, if not nonexistent.<a href="#cite_note-quiroga-5">[5]</a> <div class="mw-heading mw-heading2"><h2 id="Moral_treatment_and_graded_activity">Moral treatment and graded activity</h2>[<a href="/w/index.php?title=Occupational_therapy&action=edit&section=2" title="Edit section: Moral treatment and graded activity">edit</a>]</div> In late 18th-century Europe, doctors such as <a href="/wiki/Philippe_Pinel" title="Philippe Pinel">Philippe Pinel</a> and <a href="/wiki/Johann_Christian_Reil" title="Johann Christian Reil">Johann Christian Reil</a> reformed the mental asylum system. Their institutions used rigorous work and leisure activities. This became part of what was known as <a href="/wiki/Moral_Treatment" class="mw-redirect" title="Moral Treatment">moral treatment</a>.<a href="#cite_note-peloquin-6">[6]</a> Although it was thriving in Europe, interest in the reform movement fluctuated in the United States throughout the 19th century.[<a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed">citation needed</a>] In the late 19th and early 20th centuries, the establishment of public health measures to control infectious diseases included the building of fever hospitals. Patients with tuberculosis were recommended to have a regime of prolonged bed rest followed by a gradual increase in exercise.<a href="#cite_note-7">[7]</a> This was a time in which the rising incidence of disability related to <a href="/wiki/Work_accident" title="Work accident">industrial accidents</a>, <a href="/wiki/Tuberculosis" title="Tuberculosis">tuberculosis</a>, and mental illness brought about an increasing social awareness of the issues involved.[<a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed">citation needed</a>] The <a href="/wiki/Arts_and_Crafts_movement" title="Arts and Crafts movement">Arts and Crafts movement</a> that took place between 1860 and 1910 also impacted occupational therapy. The movement emerged against the monotony and lost autonomy of factory work in the developed world.<a href="#cite_note-peloquin2005-8">[8]</a> Arts and crafts were used to promote learning through doing, provided a creative outlet, and served as a way to avoid boredom during long hospital stays.[<a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed">citation needed</a>] From the late 1870's, Scottish tuberculosis doctor <a href="/wiki/Robert_William_Philip" title="Robert William Philip">Robert William Philip</a> prescribed graded activity from complete rest through to gentle exercise and eventually to activities such as digging, sawing, carpentry and window cleaning. During this period a farm colony near <a href="/wiki/Edinburgh" title="Edinburgh">Edinburgh</a> and a village settlement near <a href="/wiki/Papworth_Everard" title="Papworth Everard">Papworth</a> in England were established, both of which aimed to employ people in appropriate long-term work prior to their return to open employment.<a href="#cite_note-9">[9]</a> <div class="mw-heading mw-heading2"><h2 id="Development_into_a_health_profession">Development into a health profession</h2>[<a href="/w/index.php?title=Occupational_therapy&action=edit&section=3" title="Edit section: Development into a health profession">edit</a>]</div> In the United States, the health profession of occupational therapy was conceived in the early 1910s as a reflection of the <a href="/wiki/Progressive_Era" title="Progressive Era">Progressive Era</a>. Early professionals merged highly valued ideals, such as having a strong work ethic and the importance of crafting with one's own hands with scientific and medical principles.<a href="#cite_note-10">[10]</a> American social worker <a href="/wiki/Eleanor_Clarke_Slagle" title="Eleanor Clarke Slagle">Eleanor Clarke Slagle</a> (1870-1942) is considered to be the "mother" of occupational therapy.<a href="#cite_note-11">[11]</a> Slagle proposed habit training as a primary occupational therapy model of treatment. Based on the philosophy that engagement in meaningful routines shape a person's wellbeing, habit training focused on creating structure and balance between work, rest and leisure. In 1912, she became director of a department of occupational therapy at <a href="/wiki/The_Henry_Phipps_Psychiatric_Clinic" title="The Henry Phipps Psychiatric Clinic">The Henry Phipps Psychiatric Clinic</a> in Baltimore. <div class="mw-heading mw-heading2"><h2 id="World_War_I">World War I</h2>[<a href="/w/index.php?title=Occupational_therapy&action=edit&section=4" title="Edit section: World War I">edit</a>]</div> <figure typeof="mw:File/Thumb"><a href="/wiki/File:Reeve_41457.jpg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/c/c2/Reeve_41457.jpg/240px-Reeve_41457.jpg" decoding="async" width="240" height="163" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/c/c2/Reeve_41457.jpg/360px-Reeve_41457.jpg 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/c/c2/Reeve_41457.jpg/480px-Reeve_41457.jpg 2x" data-file-width="1990" data-file-height="1352" /></a><figcaption>Occupational therapy during WWI: bedridden wounded are knitting.</figcaption></figure> In 1915, Slagle worked at the first occupational therapy training program, the Henry B. Favill School of Occupations at <a href="/wiki/Hull_House" title="Hull House">Hull House</a> in Chicago.<a href="#cite_note-12">[12]</a> British-Canadian teacher and architect <a href="/wiki/Thomas_B._Kidner" title="Thomas B. Kidner">Thomas B. Kidner</a> was appointed vocational secretary of the Canadian Military Hospitals Commission in January 1916. He was given the duty of preparing soldiers returning from World War I to return to their former vocational duties or retrain soldiers no longer able to perform their previous duties. He developed a program that engaged soldiers recovering from wartime injuries or <a href="/wiki/Tuberculosis" title="Tuberculosis">tuberculosis</a> in occupations even while they were still bedridden. Once the soldiers were sufficiently recovered they would work in a curative workshop and eventually progress to an industrial workshop before being placed in an appropriate work setting. He used occupations (daily activities) as a medium for manual training and helping injured individuals to return to productive duties such as work.<a href="#cite_note-:02-13">[13]</a><figure typeof="mw:File/Thumb"><a href="/wiki/File:Occupational_therapy_psychiatric_hospital.jpg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/1/16/Occupational_therapy_psychiatric_hospital.jpg/300px-Occupational_therapy_psychiatric_hospital.jpg" decoding="async" width="300" height="212" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/1/16/Occupational_therapy_psychiatric_hospital.jpg/450px-Occupational_therapy_psychiatric_hospital.jpg 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/1/16/Occupational_therapy_psychiatric_hospital.jpg/600px-Occupational_therapy_psychiatric_hospital.jpg 2x" data-file-width="1952" data-file-height="1382" /></a><figcaption>Occupational therapy. Toy making in psychiatric hospital. World War I era.</figcaption></figure>The <a href="/wiki/American_entry_into_World_War_I" title="American entry into World War I">entry of the United States into World War I</a> in April 1917 was a crucial event in the history of the profession. Up until this time, occupational therapy was not formalised into a profession. U.S. involvement in the war led to an escalating number of injured and disabled soldiers, which presented a daunting challenge to those in command.[<a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed">citation needed</a>] The inaugural meeting of the <a href="/wiki/National_Society_for_the_Promotion_of_Occupational_Therapy" class="mw-redirect" title="National Society for the Promotion of Occupational Therapy">National Society for the Promotion of Occupational Therapy</a> (NSPOT) was held in Clifton Springs, New York, 15-17 March 1917. The meeting was attended by six founders: George Edward Barton, <a href="/wiki/William_Rush_Dunton" title="William Rush Dunton">William Rush Dunton</a>, <a href="/wiki/Eleanor_Clarke_Slagle" title="Eleanor Clarke Slagle">Eleanor Clarke Slagle</a>, <a href="/wiki/Thomas_B._Kidner" title="Thomas B. Kidner">Thomas B Kidner</a>, Susan Cox Johnson and Isabel Gladwin Newton Barton. <a href="/wiki/Susan_E._Tracy" title="Susan E. Tracy">Susan E. Tracy</a> and Herbert James Hall, did not attend but are considered near founders of the Society.<a href="#cite_note-14">[14]</a> The military enlisted the assistance of NSPOT to recruit and train over 1,200 "reconstruction aides" to help with the rehabilitation of those wounded in the war.<a href="#cite_note-15">[15]</a><a href="#cite_note-16">[16]</a> Dunton's 1918 article "The Principles of Occupational Therapy" appeared in the journal Public Health, and laid the foundation for the textbook he published in 1919 entitled Reconstruction Therapy.<a href="#cite_note-17">[17]</a> Dunton struggled with "the cumbersomeness of the term occupational therapy", as he thought it lacked the "exactness of meaning which is possessed by scientific terms". Other titles such as "work-cure", "ergo therapy" (ergo being the Greek root for "work"), and "creative occupations" were discussed as substitutes, but ultimately, none possessed the broad meaning that the practice of occupational therapy demanded in order to capture the many forms of treatment that existed from the beginning.<a href="#cite_note-:2-18">[18]</a> NSPOT formally adopted the name "occupational therapy" for the field in 1921.<a href="#cite_note-19">[19]</a> <div class="mw-heading mw-heading2"><h2 id="Inter-war_period">Inter-war period</h2>[<a href="/w/index.php?title=Occupational_therapy&action=edit&section=5" title="Edit section: Inter-war period">edit</a>]</div> There was a struggle to keep people in the profession during the post-war years. Emphasis shifted from the altruistic war-time mentality to the financial, professional, and personal satisfaction that comes with being a therapist. To make the profession more appealing, practice was standardized, as was the curriculum. Entry and exit criteria were established, and the American Occupational Therapy Association advocated for steady employment, decent wages, and fair working conditions. Via these methods, occupational therapy sought and obtained medical legitimacy in the 1920s.<a href="#cite_note-quiroga-5">[5]</a> The emergence of occupational therapy challenged the views of mainstream scientific medicine. Instead of focusing purely on the <a href="/wiki/Medical_model_of_disability" title="Medical model of disability">medical model</a>, occupational therapists argued that a complex combination of social, economic, and biological reasons cause dysfunction. Principles and techniques were borrowed from many disciplines—including but not limited to <a href="/wiki/Physical_therapy" title="Physical therapy">physical therapy</a>, <a href="/wiki/Nursing" title="Nursing">nursing</a>, <a href="/wiki/Psychiatry" title="Psychiatry">psychiatry</a>, <a href="/wiki/Rehabilitation_(neuropsychology)" title="Rehabilitation (neuropsychology)">rehabilitation</a>, <a href="/wiki/Self-help" title="Self-help">self-help</a>, <a href="/wiki/Orthopedics" class="mw-redirect" title="Orthopedics">orthopedics</a>, and <a href="/wiki/Social_work" title="Social work">social work</a>—to enrich the profession's scope.[<a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed">citation needed</a>] The 1920s and 1930s were a time of establishing standards of education and laying the foundation of the profession and its organization. Eleanor Clarke Slagle proposed a 12-month course of training in 1922, and these standards were adopted in 1923. In 1928, William Denton published another textbook, Prescribing Occupational Therapy. Educational standards were expanded to a total training time of 18 months in 1930 to place the requirements for professional entry on par with those of other professions. By the early 1930s, AOTA had established educational guidelines and accreditation procedures.<a href="#cite_note-colman-20">[20]</a> <a href="/wiki/Margaret_Barr_Fulton" title="Margaret Barr Fulton">Margaret Barr Fulton</a> became the first US qualified occupational therapist to work in the United Kingdom in 1925. She qualified at the Philadelphia School in the United States and was appointed to the Aberdeen Royal Hospital for mental patients where she worked until her retirement in 1963. US-style OT was introduced into England by Dr <a href="/wiki/Elizabeth_Casson" title="Elizabeth Casson">Elizabeth Casson</a> who had visited similar establishments in America. (Casson had also earlier worked under the transformative English social reformer <a href="/wiki/Octavia_Hill" title="Octavia Hill">Octavia Hill</a>.) In 1929 she established her own residential clinic in Bristol, <a href="/wiki/Dorset_House,_Bristol" title="Dorset House, Bristol">Dorset House</a>, for "women with mental disorders", and worked as its medical director. It was here in 1930 that she founded the first school of occupational therapy in the UK.<a href="#cite_note-21">[21]</a> The Scottish Association of Occupational Therapists was founded in 1932. The profession was served in the rest of the UK by the Association of Occupational Therapists from 1936. (The two later merged to form what is today the Royal College of Occupational Therapists in 1974.)<a href="#cite_note-22">[22]</a> <div class="mw-heading mw-heading2"><h2 id="World_War_II">World War II</h2>[<a href="/w/index.php?title=Occupational_therapy&action=edit&section=6" title="Edit section: World War II">edit</a>]</div> With the US entry into World War II and the ensuing skyrocketing demand for occupational therapists to treat those injured in the war, the field of occupational therapy underwent dramatic growth and change. Occupational therapists needed to be skilled not only in the use of constructive activities such as crafts, but also increasingly in the use of activities of daily living.<a href="#cite_note-:2-18">[18]</a> The body that is now Occupational Therapy Australia began in 1944.<a href="#cite_note-23">[23]</a> <div class="mw-heading mw-heading2"><h2 id="Post-World_War_II">Post-World War II</h2>[<a href="/w/index.php?title=Occupational_therapy&action=edit&section=7" title="Edit section: Post-World War II">edit</a>]</div> Another textbook was published in the United States for occupational therapy in 1947, edited by <a href="/wiki/Helen_S._Willard" title="Helen S. Willard">Helen S. Willard</a> and <a href="/wiki/Clare_S._Spackman" title="Clare S. Spackman">Clare S. Spackman</a>. The profession continued to grow and redefine itself in the 1950s. In 1954, AOTA created the Eleanor Clarke Slagle Lectureship Award in its namesake's honor. Each year, this award recognizes a member of AOTA "who has creatively contributed to the development of the body of knowledge of the profession through research, education, or clinical practice."<a href="#cite_note-24">[24]</a> The profession also began to assess the potential for the use of trained assistants in the attempt to address the ongoing shortage of qualified therapists, and educational standards for occupational therapy assistants were implemented in 1960.<a href="#cite_note-:2-18">[18]</a> The 1960s and 1970s were a time of ongoing change and growth for the profession as it struggled to incorporate new knowledge and cope with the recent and rapid growth of the profession in the previous decades. New developments in the areas of neurobehavioral research led to new conceptualizations and new treatment approaches, possibly the most groundbreaking being the sensory integrative approach developed by A. Jean Ayres.<a href="#cite_note-:2-18">[18]</a> The profession has continued to grow and expand its scope and settings of practice. <a href="/wiki/Occupational_science" title="Occupational science">Occupational science</a>, the study of occupation, was founded in 1989 by Elizabeth Yerxa at the <a href="/wiki/University_of_Southern_California" title="University of Southern California">University of Southern California</a> as an academic discipline to provide foundational research on occupation to support and advance the practice of occupation-based occupational therapy, as well as offer a basic science to study topics surrounding "occupation".<a href="#cite_note-25">[25]</a> In addition, occupational therapy practitioner's roles have expanded to include political advocacy (from a grassroots base to higher legislation); for example, in 2010 PL 111-148 titled the <a href="/wiki/Patient_Protection_and_Affordable_Care_Act" class="mw-redirect" title="Patient Protection and Affordable Care Act">Patient Protection and Affordable Care Act</a> had a habilitation clause that was passed in large part due to AOTA's political efforts.<a href="#cite_note-26">[26]</a> Furthermore, occupational therapy practitioners have been striving personally and professionally toward concepts of occupational justice and other human rights issues that have both local and global impacts. The World Federation of Occupational Therapist's Resource Centre has many position statements on occupational therapy's roles regarding their participation in human rights issues.<a href="#cite_note-27">[27]</a> In 2021, U.S. News & World Report ranked occupational therapy as #19 of their list of '100 Best Jobs'.<a href="#cite_note-28">[28]</a> <div class="mw-heading mw-heading2"><h2 id="Practice_frameworks">Practice frameworks</h2>[<a href="/w/index.php?title=Occupational_therapy&action=edit&section=8" title="Edit section: Practice frameworks">edit</a>]</div> An occupational therapist works systematically with a client through a sequence of actions called an "occupational therapy process." There are several versions of this process. All practice frameworks include the components of evaluation (or assessment), intervention, and outcomes. This process provides a framework through which occupational therapists assist and contribute to promoting health and ensures structure and consistency among therapists.[<a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed">citation needed</a>] <div class="mw-heading mw-heading3"><h3 id="Occupational_Therapy_Practice_Framework_(OTPF,_United_States)">Occupational Therapy Practice Framework (OTPF, United States)</h3>[<a href="/w/index.php?title=Occupational_therapy&action=edit&section=9" title="Edit section: Occupational Therapy Practice Framework (OTPF, United States)">edit</a>]</div> The Occupational Therapy Practice Framework (OTPF) is the core competency of occupational therapy in the United States. The OTPF is divided into two sections: domain and process. The domain includes environment, client factors, such as the individual's motivation, health status, and status of performing occupational tasks. The domain looks at the contextual picture to help the occupational therapist understand how to diagnose and treat the patient. The process is the actions taken by the therapist to implement a plan and strategy to treat the patient.<a href="#cite_note-:1-29">[29]</a> <div class="mw-heading mw-heading3"><h3 id="Canadian_Practice_Process_Framework">Canadian Practice Process Framework</h3>[<a href="/w/index.php?title=Occupational_therapy&action=edit&section=10" title="Edit section: Canadian Practice Process Framework">edit</a>]</div> The Canadian Model of Client Centered Enablement (CMCE) embraces occupational enablement as the core competency of occupational therapy<a href="#cite_note-Townsend-30">[30]</a> and the Canadian Practice Process Framework (CPPF)<a href="#cite_note-Townsend-30">[30]</a> as the core process of occupational enablement in Canada. The Canadian Practice Process Framework (CPPF)<a href="#cite_note-Townsend-30">[30]</a> has eight action points and three contextual element which are: set the stage, evaluate, agree on objective plan, implement plan, monitor/modify, and evaluate outcome. A central element of this process model is the focus on identifying both client and therapists strengths and resources prior to developing the outcomes and action plan.[<a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed">citation needed</a>] <div class="mw-heading mw-heading3"><h3 id="International_Classification_of_Functioning,_Disability_and_Health_(ICF)">International Classification of Functioning, Disability and Health (ICF)</h3>[<a href="/w/index.php?title=Occupational_therapy&action=edit&section=11" title="Edit section: International Classification of Functioning, Disability and Health (ICF)">edit</a>]</div> The <a href="/wiki/International_Classification_of_Functioning,_Disability_and_Health" title="International Classification of Functioning, Disability and Health">International Classification of Functioning, Disability and Health</a> (ICF) is the <a href="/wiki/World_Health_Organization" title="World Health Organization">World Health Organisation</a>'s framework to measure health and ability by illustrating how these components impact one's function. This relates very closely to the Occupational Therapy Practice Framework, as it is stated that "the profession's core beliefs are in the positive relationship between occupation and health and its view of people as occupational beings".<a href="#cite_note-AOTA08-31">[31]</a> The ICF is built into the 2nd edition of the practice framework. Activities and participation examples from the ICF overlap Areas of Occupation, Performance Skills, and Performance Patterns in the framework. The ICF also includes contextual factors (environmental and personal factors) that relate to the framework's context. In addition, body functions and structures classified within the ICF help describe the client factors described in the Occupational Therapy Practice Framework.<a href="#cite_note-AOTA02-32">[32]</a> Further exploration of the relationship between occupational therapy and the components of the ICIDH-2 (revision of the original International Classification of Impairments, Disabilities, and Handicaps (ICIDH), which later became the ICF) was conducted by McLaughlin Gray.<a href="#cite_note-mclaughlin-33">[33]</a> It is noted in the literature that occupational therapists should use specific occupational therapy vocabulary along with the ICF in order to ensure correct communication about specific concepts.<a href="#cite_note-Stamm-34">[34]</a> The ICF might lack certain categories to describe what occupational therapists need to communicate to clients and colleagues. It also may not be possible to exactly match the connotations of the ICF categories to occupational therapy terms. The ICF is not an assessment and specialized occupational therapy terminology should not be replaced with ICF terminology.<a href="#cite_note-Haglund-35">[35]</a> The ICF is an overarching framework for current therapy practices.[<a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed">citation needed</a>] <div class="mw-heading mw-heading2"><h2 id="Occupations">Occupations</h2>[<a href="/w/index.php?title=Occupational_therapy&action=edit&section=12" title="Edit section: Occupations">edit</a>]</div> According to the American Occupational Therapy Association's (AOTA) Occupational Therapy Practice Framework: Domain and Process, 4th Edition (OTPF-4), occupations are defined as "everyday activities that people do as individuals, and families, and with communities to occupy time and bring meaning and purpose to life. Occupations include things people need to, want to and are expected to do".<a href="#cite_note-36">[36]</a> Occupations are central to a client's (person's, group's, or population's) health, identity, and sense of competence and have particular meaning and value to that client.<a href="#cite_note-research.aota.org-37">[37]</a> Occupations include activities of daily living (ADLs), instrumental activities of daily living (IADLs), education, work, play, leisure, social participation, rest and sleep. <div class="mw-heading mw-heading2"><h2 id="Practice_settings">Practice settings</h2>[<a href="/w/index.php?title=Occupational_therapy&action=edit&section=13" title="Edit section: Practice settings">edit</a>]</div> According to the 2019 Salary and Workforce Survey by the American Occupational Therapy Association, occupational therapists work in a wide-variety of practice settings including: hospitals (28.6%), schools (18.8%), long-term care facilities/skilled nursing facilities (14.5%), free-standing outpatient (13.3%), home health (7.3%), academia (6.9%), early intervention (4.4%), mental health (2.2%), community (2.4%), and other (1.6%). According to the AOTA, the most common primary work setting for occupational therapists is in hospitals. Also according to the survey, 46% of occupational therapists work in urban areas, 39% work in suburban areas and the remaining 15% work in rural areas. <a href="#cite_note-38">[38]</a> The <a href="/wiki/Canadian_Institute_for_Health_Information" title="Canadian Institute for Health Information">Canadian Institute for Health Information</a> (CIHI) found that as of 2020 nearly half (46.1%) of occupational therapists worked in hospitals, 43.2% worked in community health, 3.6% work in long-term care (LTC) and 7.1% work in "other", including government, industry, manufacturing, and commercial settings. The CIHI also found that 68% of occupational therapists in Canada work in urban settings and only 3.7% work in rural settings.<a href="#cite_note-39">[39]</a> <div class="mw-heading mw-heading2"><h2 id="Areas_of_practice_in_the_United_States">Areas of practice in the United States</h2>[<a href="/w/index.php?title=Occupational_therapy&action=edit&section=14" title="Edit section: Areas of practice in the United States">edit</a>]</div> <div class="mw-heading mw-heading3"><h3 id="Children_and_youth">Children and youth</h3>[<a href="/w/index.php?title=Occupational_therapy&action=edit&section=15" title="Edit section: Children and youth">edit</a>]</div> <figure class="mw-default-size" typeof="mw:File/Thumb"><a href="/wiki/File:Tire_Swing.JPG" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/8/82/Tire_Swing.JPG/220px-Tire_Swing.JPG" decoding="async" width="220" height="293" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/8/82/Tire_Swing.JPG/330px-Tire_Swing.JPG 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/8/82/Tire_Swing.JPG/440px-Tire_Swing.JPG 2x" data-file-width="1536" data-file-height="2048" /></a><figcaption>Platform swing with tire used during occupational therapy with children</figcaption></figure> Occupational therapists work with infants, toddlers, children, youth, and their families in a variety of settings, including schools, clinics, homes, hospitals, and the community.<a href="#cite_note-40">[40]</a> Evaluation assesses the child's ability to engage in daily, meaningful occupations, the underlying skills (or performance components) which may be physical, cognitive, or emotional in nature, and the fit between the client's skills and the environments and contexts in which the client functions. OT intervention and involves evaluating a young person's occupational performance in areas of <a href="/wiki/Eating" title="Eating">feeding</a>, <a href="/wiki/Play_(activity)" title="Play (activity)">playing</a>, <a href="/wiki/Socialization" title="Socialization">socializing</a> which aligns with their neurodiversity, daily living skills, or attending <a href="/wiki/School" title="School">school</a>.<a href="#cite_note-41">[41]</a><a href="#cite_note-42">[42]</a> In planning treatment, occupational therapists work in collaboration with the children and teens themselves, parents, caregivers, and teachers in order to develop functional goals within a variety of occupations meaningful to the young client.[<a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed">citation needed</a>] Early intervention addresses daily functioning of a child between the ages of birth to three years old. OTs who practice in early intervention support a family's ability to care for their child with special needs and promote his or her function and participation in the most natural environment. Each child is required to have an Individualized Family Service Plan (IFSP) that focuses on the family's goals for the child. It's possible for an OT to serve as the family's service coordinator and facilitate the team process for creating an IFSP for each eligible child.<a href="#cite_note-43">[43]</a> Objectives that an occupational therapist addresses with children and youth may take a variety of forms.<a href="#cite_note-aota.org-44">[44]</a><a href="#cite_note-Case-Smith_2010-45">[45]</a> Examples are as follows:[<a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed">citation needed</a>] <ul><li>Providing rehabilitation activities to children with neuromuscular disabilities such as cerebral palsy</li> <li>Supporting self-regulation within neurodivergent children whose neurobiology does not align with the sensory environment or the contexts in which they function</li> <li>Facilitating <a href="/wiki/Coping_skills" class="mw-redirect" title="Coping skills">coping skills</a> to a child with <a href="/wiki/Generalized_anxiety_disorder" title="Generalized anxiety disorder">generalized anxiety disorder</a>.</li> <li>Consulting with teachers, psychologists, social workers, parents/caregivers, and other professionals who work with children regarding modifications, accommodations and supports in a variety of areas, such as sensory processing, motor planning, <a href="/wiki/Visual_processing" title="Visual processing">visual processing</a>, and executive function skills.</li> <li>Providing individualized treatment for <a href="/wiki/Sensory_processing_sensitivity" title="Sensory processing sensitivity">sensory processing differences</a>.</li> <li>Providing <a href="/wiki/Splint_(medicine)" title="Splint (medicine)">splinting</a> and caregiver education in a hospital burn unit.</li> <li>Instructing caregivers in regard to mealtime intervention for autistic children who have feeding challenges.<a href="#cite_note-46">[46]</a></li> <li>Facilitating <a href="/wiki/Handwriting" title="Handwriting">handwriting</a> development through providing intervention to develop fine motor and writing readiness skills in school-aged children.</li></ul> In the United States, pediatric occupational therapists work in the school setting as a "related service" for children with an Individual Education Plan (IEP).<a href="#cite_note-Case-Smith_2010-45">[45]</a> Every student who receives special education and related services in the public school system is required by law to have an IEP, which is a very individualized plan designed for each specific student (U.S. Department of Education, 2007).<a href="#cite_note-47">[47]</a> Related services are "developmental, corrective, and other supportive services as are required to assist a child with a disability to benefit from special education," and include a variety of professions such as speech–language pathology and audiology services, interpreting services, psychological services, and physical and occupational therapy.<a href="#cite_note-48">[48]</a> As a related service, occupational therapists work with children with varying disabilities to address those skills needed to access the special education program and support academic achievement and social participation throughout the school day (AOTA, n.d.-b).<a href="#cite_note-49">[49]</a> In doing so, occupational therapists help children fulfill their role as students and prepare them to transition to post-secondary education, career and community integration (AOTA, n.d.-b).<a href="#cite_note-50">[50]</a> Occupational therapists have specific knowledge to increase participation in school routines throughout the day, including: <ul><li>Modification of the school environment to allow physical access for children with disabilities</li> <li>Provide assistive technology to support student success</li> <li>Helping to plan instructional activities for implementation in the classroom</li> <li>Support the needs of students with significant challenges such as helping to determine methods for alternate assessment of learning</li> <li>Helping students develop the skills necessary to transition to post-high school employment, independent living or further education (AOTA).</li></ul> Other settings, such as homes, hospitals, and the community are important environments where occupational therapists work with children and teens to promote their independence in meaningful, daily activities.<a href="#cite_note-Case-Smith_2010-45">[45]</a> Outpatient clinics offer a growing OT intervention referred to as "Sensory Integration Treatment". This therapy, provided by experienced and knowledgeable pediatric occupational therapists, was originally developed by A. Jean Ayres, an occupational therapist.<a href="#cite_note-Case-Smith_2010-45">[45]</a> Sensory integration therapy is an evidence-based practice which enables children to better process and integrate sensory input from the child's body and from the environment, thus improving his or her emotional regulation, ability to learn, behavior, and functional participation in meaningful daily activities.<a href="#cite_note-51">[51]</a><a href="#cite_note-52">[52]</a> Recognition of occupational therapy programs and services for children and youth is increasing worldwide.<a href="#cite_note-53">[53]</a> Occupational therapy for both children and adults is now recognized by the United Nations as a human right which is linked to the social determinants of health. As of 2018<a class="external text" href="https://en.wikipedia.org/w/index.php?title=Occupational_therapy&action=edit">[update]</a>, there are over 500,000 occupational therapists working worldwide (many of whom work with children) and 778 academic institutions providing occupational therapy instruction.<a href="#cite_note-54">[54]</a> <div class="mw-heading mw-heading3"><h3 id="Health_and_wellness">Health and wellness</h3>[<a href="/w/index.php?title=Occupational_therapy&action=edit&section=16" title="Edit section: Health and wellness">edit</a>]</div> According to the American Occupational Therapy Association's (AOTA) Occupational Therapy Practice Framework, 3rd Edition, the domain of occupational therapy is described as "Achieving health, well-being, and participation in life through engagement in occupation".<a href="#cite_note-55">[55]</a> Occupational therapy practitioners have a distinct value in their ability to utilize daily occupations to achieve optimal health and well-being. By examining an individual's roles, routines, environment, and occupations, occupational therapists can identify the barriers in achieving overall health, well-being and participation.<a href="#cite_note-FactSheet-56">[56]</a> Occupational therapy practitioners can intervene at primary, secondary and tertiary levels of intervention to promote health and wellness. It can be addressed in all practice settings to prevent disease and injuries, and adapt healthy lifestyle practices for those with chronic diseases.<a href="#cite_note-57">[57]</a> Two of the occupational therapy programs that have emerged targeting health and wellness are the Lifestyle Redesign Program<a href="#cite_note-58">[58]</a> and the REAL Diabetes Program.<a href="#cite_note-59">[59]</a> Occupational therapy interventions for health and wellness vary in each setting:<a href="#cite_note-FactSheet-56">[56]</a> <div class="mw-heading mw-heading4"><h4 id="School">School</h4>[<a href="/w/index.php?title=Occupational_therapy&action=edit&section=17" title="Edit section: School">edit</a>]</div> Occupational therapy practitioners target school-wide advocacy for health and wellness including: <a href="/wiki/Bullying#Prevention" title="Bullying">bullying prevention</a>, backpack awareness, recess promotion, school lunches, and PE inclusion. They also heavily work with students with learning disabilities such as those on the autism spectrum.[<a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed">citation needed</a>] A study conducted in Switzerland showed that a large majority of occupational therapists collaborate with schools, half of them providing direct services within mainstream school settings. The results also show that services were mainly provided to children with medical diagnoses, focusing on the school environment rather than the child's disability.<a href="#cite_note-60">[60]</a> <div class="mw-heading mw-heading4"><h4 id="Outpatient">Outpatient</h4>[<a href="/w/index.php?title=Occupational_therapy&action=edit&section=18" title="Edit section: Outpatient">edit</a>]</div> Occupational therapy practitioners conduct 1:1 treatment sessions and group interventions to address: leisure, health literacy and education, modified physical activity, stress/anger management, healthy meal preparation, and medication management.[<a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed">citation needed</a>] <div class="mw-heading mw-heading4"><h4 id="Acute_care">Acute care</h4>[<a href="/w/index.php?title=Occupational_therapy&action=edit&section=19" title="Edit section: Acute care">edit</a>]</div> Occupational therapy practitioners in acute care assess whether a patient has the cognitive, emotional and physical ability as well as the social supports needed to live independently and care for themselves after discharge from the hospital. <a href="#cite_note-61">[61]</a> Occupational therapists are uniquely positioned to support patients in acute care as they focus on both clinical and social determinants of health.[<a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed">citation needed</a>] Services delivered by occupational therapists in acute care include: <ul><li>Direct rehabilitation interventions, individually or in group settings to address physical, emotional and cognitive skills that are required for the patient to perform self-care and other important activities.</li> <li>Caregiver training to assist patients after discharge.</li> <li>Recommendations for adaptive equipment for increased safety and independence with activities of daily living (e.g. aids for getting dressed, shower chairs for bathing, and medication organizers for self-administering medications).</li> <li>They also perform home safety assessments to suggest modifications for improved safety and function after discharge.</li></ul> Occupational therapists use a variety of models, including the Model of Human Occupation, Person, Environment and Occupation, and Canadian Occupational Performance Model to adopt a client centered approach used for discharge planning. <a href="#cite_note-62">[62]</a> Hospital spending on occupational therapy services in acute care was found to be the single most significant spending category in reducing the risk of readmission to the hospital for heart failure, pneumonia, and acute myocardial infarction. <a href="#cite_note-63">[63]</a> <div class="mw-heading mw-heading4"><h4 id="Community-based">Community-based</h4>[<a href="/w/index.php?title=Occupational_therapy&action=edit&section=20" title="Edit section: Community-based">edit</a>]</div> Occupational therapy practitioners develop and implement community wide programs to assist in prevention of diseases and encourage healthy lifestyles by: conducting education classes for prevention, facilitating gardening, offering ergonomic assessments, and offering pleasurable leisure and physical activity programs.[<a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed">citation needed</a>] <div class="mw-heading mw-heading3"><h3 id="Mental_health">Mental health</h3>[<a href="/w/index.php?title=Occupational_therapy&action=edit&section=21" title="Edit section: Mental health">edit</a>]</div> Mental Health Occupational therapy's foundation in mental health is deeply rooted in the moral treatment movement, which sought to replace the harsh treatment of mental disorders with the establishment of healthy routines and engagement in meaningful activities. This movement significantly influenced the development of occupational therapy, particularly through the contributions of early 20th-century practitioners and theorists like Adolph Meyer, who emphasized a holistic approach to mental health care (Christiansen & Haertl, 2014). According to the American Occupational Therapy Association (AOTA), occupational therapy is based on the principle that "active engagement in occupation promotes, facilitates, supports, and maintains health and participation" (AOTA, 2017). Occupations refer to individuals' activities to structure their time and provide meaning. The primary goals of occupational therapy include promoting physical and mental health and well-being and establishing, restoring, maintaining, and improving function and quality of life for individuals at risk of or affected by physical or mental health disorders (AOTA, 2017). Education and Professional Qualifications Occupational therapists require a master's degree or clinical doctorate, while occupational therapy assistants need at least an associate's degree. Their education encompasses extensive mental health-related topics, including biological, physical, social, and behavioral sciences, and supervised clinical experiences culminating in full-time internships. Both must pass national examinations and meet state licensure requirements. Occupational therapists apply mental and physical health knowledge, focusing on participation and occupation, using performance-based assessments to understand the relationship between occupational participation and well-being. Their education covers various aspects of mental health, including neurophysiological changes, human development, historical and contemporary perspectives on mental health, and current diagnostic criteria. This comprehensive training prepares occupational therapy practitioners to address the complex interplay of client variables, activity demands, and environmental factors in promoting health and managing health challenges (Bazyk & Downing, 2017). Occupational therapy role in mental health practice Occupational therapy practitioners play a critical role in mental health by using therapeutic activities to promote mental health and support full participation in life for individuals at risk of or experiencing psychiatric, behavioral, and substance use disorders. They work across the lifespan and in various settings, including homes, schools, workplaces, community environments, hospitals, outpatient clinics, and residential facilities (AOTA,2017). Occupational therapists and occupational therapy assistants assume diverse roles, such as case managers, care coordinators, group facilitators, community mental health providers, consultants, program developers, and advocates. Their interventions aim to facilitate engagement in meaningful occupations, enhance role performance, and improve overall well-being. This involves analyzing, adapting, and modifying tasks and environments to support clients' goals and optimal engagement in daily activities (AOTA, 2017). Occupational therapy practitioners utilize clinical reasoning, informed by various theoretical perspectives and evidence-based approaches, to guide evaluation and intervention. They are skilled in analyzing the complex interplay among client variables, activity demands, and the environments where participation occurs. For individuals experiencing any mental health issues, his or her ability to participate in occupations actively may be hindered. For example, an individual diagnosed with depression or anxiety may experience interruptions in sleep, difficulty completing self-care tasks, decreased motivation to participate in leisure activities, decreased concentration for school or job-related work, and avoidance of social interactions.[<a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed">citation needed</a>] Occupational therapy utilizes the public health approach to mental health (WHO, 2001) which emphasizes the promotion of mental health as well as the prevention of, and intervention for, mental illness. This model highlights the distinct value of occupational therapists in mental health promotion, prevention, and intensive interventions across the lifespan (Miles et al., 2010). Below are the three major levels of service: <div class="mw-heading mw-heading4"><h4 id="Tier_3:_intensive_interventions">Tier 3: intensive interventions</h4>[<a href="/w/index.php?title=Occupational_therapy&action=edit&section=22" title="Edit section: Tier 3: intensive interventions">edit</a>]</div> Intensive interventions are provided for individuals with identified mental, emotional, or behavioral disorders that limit daily functioning, interpersonal relationships, feelings of emotional well-being, and the ability to cope with challenges in daily life. Occupational therapy practitioners are committed to the recovery model which focuses on enabling persons with mental health challenges through a client-centered process to live a meaningful life in the community and reach their potential (Champagne & Gray, 2011). The focus of intensive interventions (direct–individual or group, consultation) is engagement in occupation to foster recovery or "reclaiming mental health" resulting in optimal levels of community participation, daily functioning, and quality of life; functional assessment and intervention (skills training, accommodations, compensatory strategies) (Brown, 2012); identification and implementation of healthy habits, rituals, and routines to support wellness.[<a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed">citation needed</a>] <div class="mw-heading mw-heading4"><h4 id="Tier_2:_targeted_services">Tier 2: targeted services</h4>[<a href="/w/index.php?title=Occupational_therapy&action=edit&section=23" title="Edit section: Tier 2: targeted services">edit</a>]</div> Targeted services are designed to prevent mental health problems in persons who are at risk of developing mental health challenges, such as those who have emotional experiences (e.g., trauma, abuse), situational stressors (e.g., physical disability, bullying, social isolation, obesity) or genetic factors (e.g., family history of mental illness). Occupational therapy practitioners are committed to early identification of and intervention for mental health challenges in all settings.[<a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed">citation needed</a>] The focus of targeted services (small groups, consultation, accommodations, education) is engagement in occupations to promote mental health and diminish early symptoms; small, therapeutic groups (Olson, 2011); environmental modifications to enhance participation (e.g., create <a href="/wiki/Sensory_friendly" title="Sensory friendly">Sensory friendly</a> classrooms, home, or work environments) <div class="mw-heading mw-heading4"><h4 id="Tier_1:_universal_services">Tier 1: universal services</h4>[<a href="/w/index.php?title=Occupational_therapy&action=edit&section=24" title="Edit section: Tier 1: universal services">edit</a>]</div> Universal services are provided to all individuals with or without mental health or behavioral problems, including those with disabilities and illnesses (Barry & Jenkins, 2007). Occupational therapy services focus on mental health promotion and prevention for all: encouraging participation in health-promoting occupations (e.g., enjoyable activities, healthy eating, exercise, adequate sleep); fostering self-regulation and coping strategies (e.g., mindfulness, yoga); promoting mental health literacy (e.g., knowing how to take care of one's mental health and what to do when experiencing symptoms associated with ill mental health). Occupational therapy practitioners develop universal programs and embed strategies to promote mental health and well-being in a variety of settings, from schools to the workplace.[<a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed">citation needed</a>] The focus of universal services (individual, group, school-wide, employee/organizational level) is universal programs to help all individuals successfully participate in occupations that promote positive mental health (Bazyk, 2011); educational and coaching strategies with a wide range of relevant stakeholders focusing on mental health promotion and prevention; the development of coping strategies and resilience; environmental modifications and supports to foster participation in health-promoting occupations.[<a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed">citation needed</a>] <div class="mw-heading mw-heading3"><h3 id="Productive_aging">Productive aging</h3>[<a href="/w/index.php?title=Occupational_therapy&action=edit&section=25" title="Edit section: Productive aging">edit</a>]</div> Occupational therapists work with <a href="/wiki/Older_adults" class="mw-redirect" title="Older adults">older adults</a> to maintain independence, participate in meaningful activities, and live fulfilling lives. Some examples of areas that occupational therapists address with older adults are driving, <a href="/wiki/Aging_in_place" title="Aging in place">aging in place</a>, <a href="/wiki/Visual_impairment" title="Visual impairment">low vision</a>, and <a href="/wiki/Dementia" title="Dementia">dementia</a> or <a href="/wiki/Alzheimer%27s_disease" title="Alzheimer's disease">Alzheimer's disease</a> (AD).<a href="#cite_note-64">[64]</a> When addressing driving, driver evaluations are administered to determine if drivers are safe behind the wheel. To enable independence of older adults at home, occupational therapists perform <a href="/wiki/Fall_prevention" title="Fall prevention">falls risk</a> assessments, assess clients functioning in their homes, and recommend specific <a href="/wiki/Home_modifications" title="Home modifications">home modifications</a>. When addressing low vision, occupational therapists modify tasks and the environment.<a href="#cite_note-65">[65]</a> While working with individuals with AD, occupational therapists focus on maintaining quality of life, ensuring safety, and promoting independence.[<a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed">citation needed</a>] <div class="mw-heading mw-heading3"><h3 id="Geriatrics/productive_aging">Geriatrics/productive aging</h3>[<a href="/w/index.php?title=Occupational_therapy&action=edit&section=26" title="Edit section: Geriatrics/productive aging">edit</a>]</div> Occupational therapists address all aspects of aging from health promotion to treatment of various disease processes. The goal of occupational therapy for older adults is to ensure that older adults can maintain independence and reduce health care costs associated with hospitalization and institutionalization. In the community, occupational therapists can assess an older adults ability to drive and if they are safe to do so. If it is found that an individual is not safe to drive the occupational therapist can assist with finding alternate transit options. Occupational therapists also work with older adults in their home as part of home care. In the home, an occupational therapist can work on such things as fall prevention, maximizing independence with activities of daily living, ensuring safety and being able to stay in the home for as long as the person wants. An occupational therapist can also recommend home modifications to ensure safety in the home. Many older adults have chronic conditions such as diabetes, arthritis, and cardiopulmonary conditions. Occupational therapists can help manage these conditions by offering education on energy conservation strategies or coping strategies. Not only do occupational therapists work with older adults in their homes, they also work with older adults in hospitals, nursing homes and post-acute rehabilitation. In nursing homes, the role of the occupational therapist is to work with clients and caregivers on education for safe care, modifying the environment, positioning needs and enhancing IADL skills to name a few. In post-acute rehabilitation, occupational therapists work with clients to get them back home and to their prior level of function after a hospitalization for an illness or accident. Occupational therapists also play a unique role for those with dementia. The therapist may assist with modifying the environment to ensure safety as the disease progresses along with caregiver education to prevent burnout. Occupational therapists also play a role in palliative and hospice care. The goal at this stage of life is to ensure that the roles and occupations that the individual finds meaningful continue to be meaningful. If the person is no longer able to perform these activities, the occupational therapist can offer new ways to complete these tasks while taking into consideration the environment along with psychosocial and physical needs. Not only do occupational therapists work with older adults in traditional settings, they also work in senior centre's and ALFs.[<a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed">citation needed</a>] <div class="mw-heading mw-heading3"><h3 id="Visual_impairment">Visual impairment</h3>[<a href="/w/index.php?title=Occupational_therapy&action=edit&section=27" title="Edit section: Visual impairment">edit</a>]</div> Visual impairment is one of the top 10 disabilities among American adults.[<a href="/wiki/Wikipedia:Vagueness" title="Wikipedia:Vagueness">vague</a>]<a href="#cite_note-66">[66]</a> Occupational therapists work with other professions, such as optometrists, ophthalmologists, and certified low vision therapists, to maximize the independence of persons with a visual impairment by using their remaining vision as efficiently as possible. AOTA's promotional goal of "Living Life to Its Fullest" speaks to who people are and learning about what they want to do,<a href="#cite_note-67">[67]</a> particularly when promoting the participation in meaningful activities, regardless of a visual impairment. Populations that may benefit from occupational therapy includes older adults, persons with traumatic brain injury, adults with potential to return to driving, and children with visual impairments. Visual impairments addressed by occupational therapists may be characterized into two types including low vision or a neurological visual impairment. An example of a neurological impairment is a cortical visual impairment (CVI) which is defined as "...abnormal or inefficient vision resulting from a problem or disorder affecting the parts of brain that provide sight".<a href="#cite_note-68">[68]</a> The following section will discuss the role of occupational therapy when working with the visually impaired. Occupational therapy for older adults with low vision includes task analysis, environmental evaluation, and modification of tasks or the environment as needed. Many occupational therapy practitioners work closely with optometrists and ophthalmologists to address visual deficits in acuity, visual field, and eye movement in people with traumatic brain injury, including providing education on compensatory strategies to complete daily tasks safely and efficiently. Adults with a stable visual impairment may benefit from occupational therapy for the provision of a driving assessment and an evaluation of the potential to return to driving. Lastly, occupational therapy practitioners enable children with visual impairments to complete self care tasks and participate in classroom activities using compensatory strategies.<a href="#cite_note-69">[69]</a> <div class="mw-heading mw-heading3"><h3 id="Adult_rehabilitation">Adult rehabilitation</h3>[<a href="/w/index.php?title=Occupational_therapy&action=edit&section=28" title="Edit section: Adult rehabilitation">edit</a>]</div> Occupational therapists address the need for rehabilitation following an injury or impairment. When planning treatment, occupational therapists address the physical, cognitive, psychosocial, and environmental needs involved in adult populations across a variety of settings.[<a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed">citation needed</a>] Occupational therapy in adult rehabilitation may take a variety of forms: <ul><li>Working with adults with <a href="/wiki/Autism" title="Autism">autism</a> at day rehabilitation programs to promote successful relationships and community participation through instruction on <a href="/wiki/Social_skills" title="Social skills">social skills</a><a href="#cite_note-70">[70]</a></li> <li>Increasing the quality of life for an individual with cancer by engaging them in occupations that are meaningful, providing anxiety and stress reduction methods, and suggesting fatigue management strategies<a href="#cite_note-Radomski_2008-71">[71]</a></li> <li>Coaching individuals with hand amputations how to put on and take off a myoelectrically controlled limb as well as training for functional use of the limb<a href="#cite_note-Radomski_2008-71">[71]</a></li> <li>Pressure sore prevention for those with sensation loss such as in spinal cord injuries.</li> <li>Using and implementing new technology such as speech to text software and Nintendo Wii video games<a href="#cite_note-72">[72]</a></li> <li>Communicating via <a href="/wiki/Telehealth" title="Telehealth">telehealth</a> methods as a service delivery model for clients who live in rural areas<a href="#cite_note-73">[73]</a></li> <li>Working with adults who have had a stroke to regain their activities of daily living<a href="#cite_note-74">[74]</a></li></ul> <div class="mw-heading mw-heading3"><h3 id="Assistive_technology">Assistive technology</h3>[<a href="/w/index.php?title=Occupational_therapy&action=edit&section=29" title="Edit section: Assistive technology">edit</a>]</div> Occupational therapy practitioners, or <a href="/wiki/Occupational_therapists" class="mw-redirect" title="Occupational therapists">occupational therapists</a> (OTs), are uniquely poised to educate, recommend, and promote the use of <a href="/wiki/Assistive_technology" title="Assistive technology">assistive technology</a> to improve the quality of life for their clients. OTs are able to understand the unique needs of the individual in regards to occupational performance and have a strong background in <a href="/wiki/Task_analysis" title="Task analysis">activity analysis</a> to focus on helping clients achieve goals. Thus, the use of varied and diverse assistive technology is strongly supported within occupational therapy practice models.<a href="#cite_note-75">[75]</a> <div class="mw-heading mw-heading3"><h3 id="Travel_occupational_therapy">Travel occupational therapy</h3>[<a href="/w/index.php?title=Occupational_therapy&action=edit&section=30" title="Edit section: Travel occupational therapy">edit</a>]</div> Because of the rising need for occupational therapy practitioners in the U.S.,<a href="#cite_note-76">[76]</a> many facilities are opting for travel occupational therapy practitioners—who are willing to travel, often out of state, to work temporarily in a facility. Assignments can range from 8 weeks to 9 months, but typically last 13–26 weeks in length.<a href="#cite_note-77">[77]</a> Travel therapists work in many different settings, but the highest need for therapists are in home health and skilled nursing facility settings.<a href="#cite_note-78">[78]</a> There are no further educational requirements needed to be a travel occupational therapy practitioner; however, there may be different state licensure guidelines and practice acts that must be followed.<a href="#cite_note-79">[79]</a> According to Zip Recruiter, as of July 2019<a class="external text" href="https://en.wikipedia.org/w/index.php?title=Occupational_therapy&action=edit">[update]</a>, the national average salary for a full-time travel therapist is $86,475 with a range between $62,500 to $100,000 across the United States.<a href="#cite_note-80">[80]</a> Most commonly (43%), travel occupational therapists enter the industry between the ages of 21–30.<a href="#cite_note-81">[81]</a> <div class="mw-heading mw-heading3"><h3 id="Occupational_justice">Occupational justice</h3>[<a href="/w/index.php?title=Occupational_therapy&action=edit&section=31" title="Edit section: Occupational justice">edit</a>]</div> The practice area of occupational justice relates to the "benefits, privileges and harms associated with participation in occupations" and the effects related to access or denial of opportunities to participate in occupations. This theory brings attention to the relationship between occupations, health, well-being, and quality of life. Occupational justice can be approached individually and collectively. The individual path includes disease, disability, and functional restrictions. The collective way consists of public health, gender and sexual identity, social inclusion, migration, and environment. The skills of occupational therapy practitioners enable them to serve as advocates for systemic change, impacting institutions, policy, individuals, communities, and entire populations. Examples of populations that experience occupational injustice include refugees, prisoners, homeless persons, survivors of natural disasters, individuals at the end of their life, people with disabilities, elderly living in residential homes, individuals experiencing poverty, children, immigrants, and LGBTQI+ individuals.[<a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed">citation needed</a>] For example, the role of an occupational therapist working to promote occupational justice may include: <ul><li>Analyzing task, modifying activities and environments to minimize barriers to participation in meaningful activities of daily living.</li> <li>Addressing physical and mental aspects that may hinder a person's functional ability.</li> <li>Provide intervention that is relevant to the client, family, and social context.</li> <li>Contribute to global health by advocating for individuals with disabilities to participate in meaningful activities on a global level. Occupation therapists are involved with the World Health Organization (WHO), non-governmental organizations and community groups and policymaking to influence the health and well-being of individuals with disabilities worldwide</li></ul> Occupational therapy practitioners' role in occupational justice is not only to align with perceptions of procedural and social justice but to advocate for the inherent need of meaningful occupation and how it promotes a just society, well-being, and quality of life among people relevant to their context. It is recommended to the clinicians to consider occupational justice in their everyday practice to promote the intention of helping people participate in tasks that they want and need to do.[<a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed">citation needed</a>] <div class="mw-heading mw-heading3"><h3 id="Occupational_injustice">Occupational injustice</h3>[<a href="/w/index.php?title=Occupational_therapy&action=edit&section=32" title="Edit section: Occupational injustice">edit</a>]</div> In contrast, occupational injustice relates to conditions wherein people are deprived, excluded or denied of opportunities that are meaningful to them.<a href="#cite_note-pmid15152723-82">[82]</a> Types of occupational injustices and examples within the OT practice include:<a href="#cite_note-Trimboli-83">[83]</a> Occupational deprivation: The exclusion from meaningful occupations due to external factors that are beyond the person's control. For example, a person with difficulties with functional mobility may find it challenging to reintegrate into the community due to transportation barriers. <ul><li>OTs can help in raising awareness and bringing communities together to reduce occupational deprivation</li> <li>OTs can recommend the removal of environmental barriers to facilitate occupation, whilst designing programs that enable engagement.</li> <li>Advocacy by providing information to policy to prevent possible unintended occupational deprivation and increase social cohesion and inclusion</li></ul> Occupational apartheid: The exclusion of a person in chosen occupations due to personal characteristics such as age, gender, race, nationality, or socioeconomic status. An example can be seen in children with developmental disabilities from low socioeconomic backgrounds whose families would opt out of therapy due to financial constraints. <ul><li>OTs providing interventions within a segregated population must focus on increasing occupational engagement through large-scale environmental modification and occupational exploration.<a href="#cite_note-84">[84]</a></li> <li>OTs can address occupational engagement through group and individual skill-building opportunities, as well as community-based experiences that explore free and local resources</li></ul> Occupational marginalization: Relates to how implicit norms of behavior or societal expectations prevent a person from engaging in a chosen occupation. As an example, a child with physical impairments may only be offered table-top leisure activities instead of sports as an extracurricular activity due to the functional limitations caused by his physical impairments. <ul><li>OTs can design, develop, and/or provide programs that mitigate the negative impacts of occupational marginalization and enhance optimal levels of performance and wellbeing that enable participation</li></ul> Occupational imbalance: The limited participation in a meaningful occupation brought about by another role in a different occupation. This can be seen in the situation of a caregiver of a person with a disability who also has to fulfill other roles such as being a parent to other children, a student, or a worker. <ul><li>OTs can advocate fostering for supportive environments for participation in occupations that promote individuals' well-being and in advocating for building healthy public policy</li></ul> Occupational alienation: The imposition of an occupation that does not hold meaning for that person. In the OT profession, this manifests in the provision of rote activities that do not really relate to the goals or the client's interests. <ul><li>OTs can develop individualized activities tailored to the interests of the individual to maximize their potential.</li> <li>OTs can design, develop and promote programs that can be inclusive and provide a variety of choices that the individual can engage in.</li></ul> Within occupational therapy practice, injustice may ensue in situations wherein professional dominance, standardized treatments, laws and political conditions create a negative impact on the occupational engagement of our clients.<a href="#cite_note-pmid15152723-82">[82]</a> Awareness of these injustices will enable the therapist to reflect on his own practice and think of ways in approaching their client's problems while promoting occupational justice. <div class="mw-heading mw-heading3"><h3 id="Community-based_therapy">Community-based therapy</h3>[<a href="/w/index.php?title=Occupational_therapy&action=edit&section=33" title="Edit section: Community-based therapy">edit</a>]</div> As occupational therapy (OT) has grown and developed, community-based practice has blossomed from an emerging area of practice to a fundamental part of occupational therapy practice (Scaffa & Reitz, 2013). Community-based practice allows for OTs to work with clients and other stakeholders such as families, schools, employers, agencies, service providers, stores, day treatment and day care and others who may influence the degree of success the client will have in participating. It also allows the therapist to see what is actually happening in the context and design interventions relevant to what might support the client in participating and what is impeding her or him from participating.<a href="#cite_note-Scaffa,_M._E._2013-85">[85]</a> Community-based practice crosses all of the categories within which OTs practice from physical to cognitive, mental health to spiritual, all types of clients may be seen in community-based settings. The role of the OT also may vary, from advocate to consultant, direct care provider to program designer, adjunctive services to therapeutic leader.<a href="#cite_note-Scaffa,_M._E._2013-85">[85]</a> <div class="mw-heading mw-heading3"><h3 id="Nature-based_therapy">Nature-based therapy</h3>[<a href="/w/index.php?title=Occupational_therapy&action=edit&section=34" title="Edit section: Nature-based therapy">edit</a>]</div> Nature-based interventions and outdoor activities may be incorporated into occupational therapy practice as they can provide therapeutic benefits in various ways. Examples include therapeutic gardening, <a href="/wiki/Animal-assisted_therapy" title="Animal-assisted therapy">animal-assisted therapy</a> (AAT), and adventure therapy.<a href="#cite_note-86">[86]</a> For instance, parents reported improvement in the emotional regulation and social engagement of their children with autism spectrum disorder (ASD) in a study of parental perceptions regarding the outcomes of AAT conducted with trained dogs.<a href="#cite_note-87">[87]</a> They also observed reductions in problematic behaviors. A source cited in the study found similar results with AAT employing horses and llamas.<a href="#cite_note-88">[88]</a> Gardening in a group setting may serve as a complementary intervention in stroke rehabilitation; in addition to being mentally restful and conducive to social connection, it helps patients master skills and can remind them of experiences from their past.<a href="#cite_note-89">[89]</a> Royal Rehab's Productive Garden Project in Australia, managed by a horticultural therapist, allows patients and practitioners to participate in meaningful activity outside the usual healthcare settings.<a href="#cite_note-90">[90]</a> Thus, tending a garden helps facilitate experiential activities, perhaps attaining a better balance between clinical and real-life pursuits during rehabilitation, in lieu of mainly relying on clinical interventions.[<a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed">citation needed</a>] For adults with acquired brain injury, nature-based therapy has been found to improve motor abilities, cognitive function, and general quality of life. Contributing to a theoretical understanding of such successes in nature-based approaches are: nature's positive impact on problem solving and the refocusing of attention; an innate human connection with, and positive response to, the natural world; an increased sense of well-being when in contact with nature; and the emotional, nonverbal, and cognitive aspects of human-environment interaction.<a href="#cite_note-91">[91]</a> <div class="mw-heading mw-heading2"><h2 id="Education">Education</h2>[<a href="/w/index.php?title=Occupational_therapy&action=edit&section=35" title="Edit section: Education">edit</a>]</div> Worldwide, there is a range of qualifications required to practice as an occupational therapist or occupational therapy assistant. Depending on the country and expected level of practice, degree options include associate degree, Bachelor's degree, entry-level master's degree, post-professional master's degree, entry-level Doctorate (OTD), post-professional Doctorate (DrOT or OTD), Doctor of Clinical Science in OT (CScD), Doctor of Philosophy in Occupational Therapy (PhD), and combined OTD/PhD degrees.[<a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed">citation needed</a>] Both occupational therapist and occupational therapy assistant roles exist internationally. Currently in the United States, dual points of entry exist for both OT and OTA programs. For OT, that is entry-level Master's or entry-level Doctorate. For OTA, that is associate degree or bachelor's degree.[<a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed">citation needed</a>] The <a href="/w/index.php?title=World_Federation_of_Occupational_Therapists&action=edit&redlink=1" class="new" title="World Federation of Occupational Therapists (page does not exist)">World Federation of Occupational Therapists</a> (WFOT) has minimum standards for the education of OTs, which was revised in 2016. All of the educational programs around the world need to meet these minimum standards. These standards are subsumed by and can be supplemented with academic standards set by a country's national accreditation organization. As part of the minimum standards, all programs must have a curriculum that includes practice placements (fieldwork). Examples of fieldwork settings include: acute care, inpatient hospital, outpatient hospital, skilled nursing facilities, schools, group homes, early intervention, home health, and community settings.[<a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed">citation needed</a>] The profession of occupational therapy is based on a wide theoretical and evidence based background. The OT curriculum focuses on the theoretical basis of occupation through multiple facets of science, including occupational science, anatomy, physiology, biomechanics, and neurology. In addition, this scientific foundation is integrated with knowledge from psychology, sociology and more.[<a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed">citation needed</a>] In the United States, Canada, and other countries around the world, there is a licensure requirement. In order to obtain an OT or OTA license, one must graduate from an accredited program, complete fieldwork requirements, and pass a national certification examination.[<a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed">citation needed</a>] <div class="mw-heading mw-heading2"><h2 id="Philosophical_underpinnings">Philosophical underpinnings</h2>[<a href="/w/index.php?title=Occupational_therapy&action=edit&section=36" title="Edit section: Philosophical underpinnings">edit</a>]</div> The <a href="/wiki/Philosophy" title="Philosophy">philosophy</a> of occupational therapy has evolved over the history of the profession. The philosophy articulated by the founders owed much to the ideals of <a href="/wiki/Romanticism" title="Romanticism">romanticism</a>,<a href="#cite_note-Hocking-92">[92]</a> <a href="/wiki/Pragmatism" title="Pragmatism">pragmatism</a><a href="#cite_note-Breines-93">[93]</a> and <a href="/wiki/Humanism" title="Humanism">humanism</a>, which are collectively considered the fundamental ideologies of the past century.<a href="#cite_note-Yerxa-94">[94]</a><a href="#cite_note-McColl-95">[95]</a><a href="#cite_note-Chapparo-96">[96]</a> One of the most widely cited early papers about the philosophy of occupational therapy was presented by <a href="/wiki/Adolf_Meyer_(psychiatrist)" title="Adolf Meyer (psychiatrist)">Adolf Meyer</a>, a psychiatrist who had emigrated to the United States from Switzerland in the late 19th century and who was invited to present his views to a gathering of the new Occupational Therapy Society in 1922. At the time, Dr. Meyer was one of the leading psychiatrists in the United States and head of the new psychiatry department and Phipps Clinic at Johns Hopkins University in Baltimore, Maryland.<a href="#cite_note-Meyer-97">[97]</a><a href="#cite_note-Christiansen2007-98">[98]</a> <a href="/wiki/William_Rush_Dunton" title="William Rush Dunton">William Rush Dunton</a>, a supporter of the National Society for the Promotion of Occupational Therapy, now the American Occupational Therapy Association, sought to promote the ideas that occupation is a basic human need, and that occupation is therapeutic. From his statements came some of the basic assumptions of occupational therapy, which include: <ul><li>Occupation has a positive effect on health and well-being.</li> <li>Occupation creates structure and organizes time.</li> <li>Occupation brings meaning to life, culturally and personally.</li> <li>Occupations are individual. People value different occupations.<a href="#cite_note-Townsend-30">[30]</a></li></ul> These assumptions have been developed over time and are the basis of the values that underpin the Codes of Ethics issued by the national associations. The relevance of occupation to health and well-being remains the central theme.[<a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed">citation needed</a>] In the 1950s, criticism from medicine and the multitude of disabled <a href="/wiki/World_War_II" title="World War II">World War II</a> veterans resulted in the emergence of a more <a href="/wiki/Reductionistic" class="mw-redirect" title="Reductionistic">reductionistic</a> philosophy. While this approach led to developments in technical knowledge about occupational performance, clinicians became increasingly disillusioned and re-considered these beliefs.<a href="#cite_note-Turner-99">[99]</a><a href="#cite_note-Punwar-100">[100]</a> As a result, client centeredness and occupation have re-emerged as dominant themes in the profession.<a href="#cite_note-Douglas-101">[101]</a><a href="#cite_note-Whiteford-102">[102]</a><a href="#cite_note-Polatajko-103">[103]</a> Over the past century, the underlying philosophy of occupational therapy has evolved from being a diversion from illness, to treatment, to enablement through meaningful occupation.<a href="#cite_note-Townsend-30">[30]</a> Three commonly mentioned philosophical precepts of occupational therapy are that occupation is necessary for health, that its theories are based on <a href="/wiki/Holism" title="Holism">holism</a> and that its central components are people, their occupations (activities), and the environments in which those activities take place. However, there have been some dissenting voices. Mocellin, in particular, advocated abandoning the notion of health through occupation as he proclaimed it obsolete in the modern world. As well, he questioned the appropriateness of advocating holism when practice rarely supports it.<a href="#cite_note-Mocellin1-104">[104]</a><a href="#cite_note-Mocellin2-105">[105]</a><a href="#cite_note-Mocellin3-106">[106]</a> Some values formulated by the American Occupational Therapy Association have been critiqued as being therapist-centric and do not reflect the modern reality of <a href="/wiki/Multiculturalism" title="Multiculturalism">multicultural</a> practice.<a href="#cite_note-Kielhofner-107">[107]</a><a href="#cite_note-Hocking/Whiteford-108">[108]</a><a href="#cite_note-109">[109]</a> In recent times occupational therapy practitioners have challenged themselves to think more broadly about the potential scope of the profession, and expanded it to include working with groups experiencing <a href="/wiki/Occupational_injustice" title="Occupational injustice">occupational injustice</a> stemming from sources other than disability.<a href="#cite_note-110">[110]</a> Examples of new and emerging practice areas would include therapists working with <a href="/wiki/Refugee" title="Refugee">refugees</a>,<a href="#cite_note-Occupation-111">[111]</a> children experiencing <a href="/wiki/Obesity" title="Obesity">obesity</a>,<a href="#cite_note-112">[112]</a> and people experiencing <a href="/wiki/Homelessness" title="Homelessness">homelessness</a>.<a href="#cite_note-113">[113]</a> <div class="mw-heading mw-heading2"><h2 id="Theoretical_frameworks">Theoretical frameworks</h2>[<a href="/w/index.php?title=Occupational_therapy&action=edit&section=37" title="Edit section: Theoretical frameworks">edit</a>]</div> A distinguishing facet of occupational therapy is that therapists often espouse the use theoretical frameworks to frame their practice. Many have argued that the use of theory complicates everyday clinical care and is not necessary to provide patient-driven care.[<a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed">citation needed</a>] Note that terminology differs between scholars. An incomplete list of theoretical bases for framing a human and their occupations include the following: <div class="mw-heading mw-heading3"><h3 id="Generic_models">Generic models</h3>[<a href="/w/index.php?title=Occupational_therapy&action=edit&section=38" title="Edit section: Generic models">edit</a>]</div> Generic models are the overarching title given to a collation of compatible knowledge, research and theories that form conceptual practice.<a href="#cite_note-114">[114]</a> More generally they are defined as "those aspects which influence our perceptions, decisions and practice".<a href="#cite_note-115">[115]</a> <ul><li>The Person Environment Occupation Performance model (PEOP) was originally published in 1991 (Charles Christiansen & M. Carolyn Baum<a href="#cite_note-116">[116]</a>) and describes an individual's performance based on four elements including: environment, person, performance and occupation. The model focuses on the interplay of these components and how this interaction works to inhibit or promote successful engagement in occupation.<a href="#cite_note-117">[117]</a></li></ul> Occupation-focused practice models <ul><li>Occupational Therapy Intervention Process Model (OTIPM) (Anne Fisher and others)</li> <li>Occupational Performance Process Model (OPPM)</li> <li>Model of Human Occupation (MOHO) (<a href="/wiki/Gary_Kielhofner" title="Gary Kielhofner">Gary Kielhofner</a> and others) <ul><li>MOHO was first published in 1980. It explains how people select, organise and undertake occupations within their environment. The model is supported with evidence generated over thirty years and has been successfully applied throughout the world.<a href="#cite_note-118">[118]</a></li></ul></li> <li>Canadian Model of Occupational Performance and Engagement (CMOP-E)</li></ul> This framework was originated in 1997 by the Canadian Association of Occupational Therapists (CAOT) as the Canadian Model of Occupational Performance (CMOP). It was expanded in 2007 by Palatjko, Townsend and Craik to add engagement. This framework upholds the view that three components—the person, environment and occupation- are related. Engagement was added to encompass occupational performance. A visual model is depicted with the person located at the center of the model as a triangle. The triangles three points represent cognitive, affective, and physical components with a spiritual center. The person triangle is surrounded by an outer ring symbolizing the context of environment with an inner ring symbolizing the context of occupation.<a href="#cite_note-119">[119]</a> <ul><li>Occupational Performances Model – Australia (OPM-A) (Chris Chapparo & Judy Ranka) <ul><li>The OPM(A) was conceptualized in 1986 with its current form launched in 2006. The OPM(A) illustrates the complexity of occupational performance, the scope of occupational therapy practice, and provides a framework for occupational therapy education.<a href="#cite_note-120">[120]</a></li></ul></li> <li><a href="/wiki/Kawa_model" title="Kawa model">Kawa (River) Model</a> (Michael Iwama)</li> <li>Biopsychosocial models <ul><li>Engel's <a href="/wiki/Biopsychosocial_model" title="Biopsychosocial model">biopsychosocial model</a> takes into account how disease and illness can be impacted by social, environmental, psychological and body functions. The biopsychosocial model is unique in that it takes the client's subjective experience and the client-provider relationship as factors to wellness. This model also factors in cultural diversity as many countries have different societal norms and beliefs. This is a multifactorial and multi-dimensional model to understand not only the cause of disease but also a person-centered approach that the provider has more of a participatory and reflective role.<a href="#cite_note-121">[121]</a></li> <li>Other models which incorporate biology (body and brain), psychology (mind), and social (relational, attachment) elements influencing human health include <a href="/wiki/Interpersonal_neurobiology" title="Interpersonal neurobiology">interpersonal neurobiology</a> (IPNB), <a href="/wiki/Polyvagal_theory" title="Polyvagal theory">polyvagal theory</a> (PVT), and the <a href="/wiki/Dynamic-maturational_model_of_attachment_and_adaptation" title="Dynamic-maturational model of attachment and adaptation">dynamic-maturational model of attachment and adaptation</a> (DMM). The latter two in particular provide detail about the source, mechanism and function of somatic symptoms. Kasia Kozlowska describes how she uses these models to better connect with clients, to understand complex human illness, and how she includes occupational therapists as part of a team to address functional somatic symptoms.<a href="#cite_note-122">[122]</a><a href="#cite_note-:4-123">[123]</a> Her research indicates children with functional neurological disorders (FND) utilize higher, or more challenging, DMM self-protective attachment strategies to cope with their family environments, and how those impact functional somatic symptoms.<a href="#cite_note-:4-123">[123]</a></li> <li>Pamela Meredith and colleagues have been exploring the relationship between the attachment system and psychological and neurobiological systems with implications for how occupational therapists can improve their approach and techniques. They have found correlations between attachment and adult sensory processing, distress, and pain perception.<a href="#cite_note-:5-124">[124]</a><a href="#cite_note-125">[125]</a> In a literature review, Meredith identified a number of ways that occupational therapists can effectively apply an attachment perspective, sometimes uniquely.<a href="#cite_note-126">[126]</a></li></ul></li></ul> <div class="mw-heading mw-heading3"><h3 id="Frames_of_reference">Frames of reference</h3>[<a href="/w/index.php?title=Occupational_therapy&action=edit&section=39" title="Edit section: Frames of reference">edit</a>]</div> Frames of reference are an additional knowledge base for the occupational therapist to develop their treatment or assessment of a patient or client group. Though there are conceptual models (listed above) that allow the therapist to conceptualise the occupational roles of the patient, it is often important to use further reference to embed clinical reasoning. Therefore, many occupational therapists will use additional frames of reference to both assess and then develop therapy goals for their patients or service users.[<a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed">citation needed</a>] <ul><li>Biomechanical frame of reference <ul><li>The biomechanical frame of reference is primarily concerned with motion during occupation. It is used with individuals who experience limitations in movement, inadequate muscle strength or loss of endurance in occupations. The frame of reference was not originally compiled by occupational therapists, and therapists should translate it to the occupational therapy perspective,<a href="#cite_note-127">[127]</a> to avoid the risk of movement or exercise becoming the main focus.<a href="#cite_note-128">[128]</a></li></ul></li> <li>Rehabilitative (compensatory)</li> <li>Neurofunctional (Gordon Muir Giles and Clark-Wilson)</li> <li>Dynamic systems theory</li> <li>Client-centered frame of reference <ul><li>This frame of reference is developed from the work of <a href="/wiki/Carl_Rogers" title="Carl Rogers">Carl Rogers</a>. It views the client as the center of all therapeutic activity, and the client's needs and goals direct the delivery of the occupational therapy process.<a href="#cite_note-129">[129]</a></li></ul></li> <li>Cognitive-behavioural frame of reference</li> <li>Ecology of human performance model</li> <li>The recovery model</li> <li>Sensory integration <ul><li>Sensory integration framework is commonly implemented in clinical, community, and school-based occupational therapy practice. It is most frequently used with children with developmental delays and developmental disabilities such as autism spectrum disorder, <a href="/wiki/Sensory_processing_disorder" title="Sensory processing disorder">Sensory processing disorder</a> and dyspraxia.<a href="#cite_note-130">[130]</a> Core features of sensory integration in treatment include providing opportunities for the client to experience and integrate feedback using multiple sensory systems, providing therapeutic challenges to the client's skills, integrating the client's interests into therapy, organizing of the environment to support the client's engagement, facilitating a physically safe and emotionally supportive environment, modifying activities to support the client's strengths and weaknesses, and creating sensory opportunities within the context of play to develop intrinsic motivation.<a href="#cite_note-131">[131]</a> While sensory integration is traditionally implemented in pediatric practice, there is emerging evidence for the benefits of sensory integration strategies for adults.<a href="#cite_note-132">[132]</a><a href="#cite_note-:5-124">[124]</a></li></ul></li></ul> <div class="mw-heading mw-heading2"><h2 id="Global_occupational_therapy">Global occupational therapy</h2>[<a href="/w/index.php?title=Occupational_therapy&action=edit&section=40" title="Edit section: Global occupational therapy">edit</a>]</div> The World Federation of Occupational Therapists is an international voice of the profession and is a membership network of occupational therapists worldwide. WFOT supports the international practice of occupational therapy through collaboration across countries. WFOT currently includes over 100 member country organizations, 550,000 occupational therapy practitioners, and 900 approved educational programs.<a href="#cite_note-133">[133]</a> The profession celebrates World Occupational Therapy Day on the 27th of October annually to increase visibility and awareness of the profession, promoting the profession's development work at a local, national and international platform.<a href="#cite_note-:3-134">[134]</a> WFOT has been in close collaboration with the World Health Organization (WHO) since 1959, working together in programmes that aim to improve world health.<a href="#cite_note-:3-134">[134]</a> WFOT supports the vision for healthy people, in alignment with the United Nations 17 <a href="/wiki/Sustainable_Development_Goals" title="Sustainable Development Goals">Sustainable Development Goals</a>, which focuses on "ending poverty, fighting inequality and injustice, tackling climate change and promoting health".<a href="#cite_note-:0-135">[135]</a> Occupational therapy is a major player in enabling individuals and communities to engage in "chosen and necessary occupations" and in "the creation of more meaningful lives".<a href="#cite_note-:0-135">[135]</a> Occupational therapy is practiced around the world and can be translated in practice to many different cultures and environments. The construct of occupation is shared throughout the profession regardless of country, culture and context. Occupation and the active participation in occupation is now seen as a human right and is asserted as a strong influence in health and well-being.<a href="#cite_note-:0-135">[135]</a> As the profession grows there is a lot of people who are travelling across countries to work as occupational therapists for better work or opportunities. Under this context, every occupational therapist is required to adapt to a new culture, foreign to their own. Understanding cultures and its communities are crucial to occupational therapy ethos. Effective occupational therapy practice includes acknowledging the values and social perspectives of each client and their families. Harnessing culture and understanding what is important to the client is truly a faster way towards independence.<a href="#cite_note-136">[136]</a> <div class="mw-heading mw-heading2"><h2 id="See_also">See also</h2>[<a href="/w/index.php?title=Occupational_therapy&action=edit&section=41" title="Edit section: See also">edit</a>]</div> <ul><li><a href="/wiki/Busy_work" title="Busy work">Busy work</a></li> <li><a href="/wiki/Occupational_apartheid" title="Occupational apartheid">Occupational apartheid</a></li> <li><a href="/wiki/Occupational_therapy_and_substance_use_disorder" title="Occupational therapy and substance use disorder">Occupational therapy and substance use disorder</a></li> <li><a href="/wiki/Occupational_therapy_in_the_management_of_cerebral_palsy" class="mw-redirect" title="Occupational therapy in the management of cerebral palsy">Occupational therapy in the management of cerebral palsy</a></li> <li><a href="/wiki/Occupational_therapy_in_the_United_Kingdom" title="Occupational therapy in the United Kingdom">Occupational therapy in the United Kingdom</a></li></ul> <div class="mw-heading mw-heading2"><h2 id="References">References</h2>[<a href="/w/index.php?title=Occupational_therapy&action=edit&section=42" title="Edit section: References">edit</a>]</div> <style data-mw-deduplicate="TemplateStyles:r1239543626">.mw-parser-output .reflist{margin-bottom:0.5em;list-style-type:decimal}@media screen{.mw-parser-output .reflist{font-size:90%}}.mw-parser-output .reflist .references{font-size:100%;margin-bottom:0;list-style-type:inherit}.mw-parser-output .reflist-columns-2{column-width:30em}.mw-parser-output .reflist-columns-3{column-width:25em}.mw-parser-output .reflist-columns{margin-top:0.3em}.mw-parser-output .reflist-columns ol{margin-top:0}.mw-parser-output .reflist-columns li{page-break-inside:avoid;break-inside:avoid-column}.mw-parser-output .reflist-upper-alpha{list-style-type:upper-alpha}.mw-parser-output .reflist-upper-roman{list-style-type:upper-roman}.mw-parser-output .reflist-lower-alpha{list-style-type:lower-alpha}.mw-parser-output .reflist-lower-greek{list-style-type:lower-greek}.mw-parser-output .reflist-lower-roman{list-style-type:lower-roman}</style><div class="reflist reflist-columns references-column-width" style="column-width: 30em;"> <ol class="references"> <li id="cite_note-1"><a href="#cite_ref-1">^</a> <style data-mw-deduplicate="TemplateStyles:r1238218222">.mw-parser-output cite.citation{font-style:inherit;word-wrap:break-word}.mw-parser-output .citation q{quotes:"\"""\"""'""'"}.mw-parser-output .citation:target{background-color:rgba(0,127,255,0.133)}.mw-parser-output .id-lock-free.id-lock-free a{background:url("//upload.wikimedia.org/wikipedia/commons/6/65/Lock-green.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-limited.id-lock-limited a,.mw-parser-output .id-lock-registration.id-lock-registration a{background:url("//upload.wikimedia.org/wikipedia/commons/d/d6/Lock-gray-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-subscription.id-lock-subscription a{background:url("//upload.wikimedia.org/wikipedia/commons/a/aa/Lock-red-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .cs1-ws-icon a{background:url("//upload.wikimedia.org/wikipedia/commons/4/4c/Wikisource-logo.svg")right 0.1em center/12px no-repeat}body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-free a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-limited a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-registration a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-subscription a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .cs1-ws-icon a{background-size:contain;padding:0 1em 0 0}.mw-parser-output .cs1-code{color:inherit;background:inherit;border:none;padding:inherit}.mw-parser-output .cs1-hidden-error{display:none;color:var(--color-error,#d33)}.mw-parser-output .cs1-visible-error{color:var(--color-error,#d33)}.mw-parser-output .cs1-maint{display:none;color:#085;margin-left:0.3em}.mw-parser-output .cs1-kern-left{padding-left:0.2em}.mw-parser-output .cs1-kern-right{padding-right:0.2em}.mw-parser-output .citation .mw-selflink{font-weight:inherit}@media screen{.mw-parser-output .cs1-format{font-size:95%}html.skin-theme-clientpref-night .mw-parser-output .cs1-maint{color:#18911f}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .cs1-maint{color:#18911f}}</style><cite id="CITEREFWorld_Federation_of_Occupational_Therapists2012" class="citation web cs1">World Federation of Occupational Therapists (2012). <a rel="nofollow" class="external text" href="https://wfot.org/about/about-occupational-therapy">"About Occupational Therapy"</a>. 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M., PhD (1995), <a rel="nofollow" class="external text" href="http://www1.aota.org/shop_aota/prodview.aspx?TYPE=D&SKU=1132">Occupational Therapy: The First 35 Years, 1900–1930.</a> <a rel="nofollow" class="external text" href="https://web.archive.org/web/20171022131748/http://www1.aota.org/shop_aota/prodview.aspx?TYPE=D&SKU=1132">Archived</a> 2017-10-22 at the <a href="/wiki/Wayback_Machine" title="Wayback Machine">Wayback Machine</a> Bethesda, Maryland: American Occupational Therapy Association, Inc. <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222" /><a href="/wiki/ISBN_(identifier)" class="mw-redirect" title="ISBN (identifier)">ISBN</a> <a href="/wiki/Special:BookSources/978-1-56900-025-0" title="Special:BookSources/978-1-56900-025-0">978-1-56900-025-0</a> </li> <li id="cite_note-peloquin-6"><a href="#cite_ref-peloquin_6-0">^</a> <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222" /><cite id="CITEREFPeloquin1989" class="citation journal cs1">Peloquin SM (August 1989). <a rel="nofollow" class="external text" href="https://doi.org/10.5014%2Fajot.43.8.537">"Moral treatment: contexts considered"</a>. The American Journal of Occupational Therapy. 43 (8): 537–44. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.5014%2Fajot.43.8.537">10.5014/ajot.43.8.537</a>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a> <a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/2672822">2672822</a>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.jtitle=The+American+Journal+of+Occupational+Therapy&rft.atitle=Moral+treatment%3A+contexts+considered&rft.volume=43&rft.issue=8&rft.pages=%3Cspan+class%3D%22nowrap%22%3E537-%3C%2Fspan%3E44&rft.date=1989-08&rft_id=info%3Adoi%2F10.5014%2Fajot.43.8.537&rft_id=info%3Apmid%2F2672822&rft.aulast=Peloquin&rft.aufirst=SM&rft_id=https%3A%2F%2Fdoi.org%2F10.5014%252Fajot.43.8.537&rfr_id=info%3Asid%2Fen.wikipedia.org%3AOccupational+therapy" class="Z3988"> </li> <li id="cite_note-7"><a href="#cite_ref-7">^</a> Patterson 1997, cited in Turner et al., 2003[<a href="/wiki/Wikipedia:Citing_sources#What_information_to_include" title="Wikipedia:Citing sources">full citation needed</a>] </li> <li id="cite_note-peloquin2005-8"><a href="#cite_ref-peloquin2005_8-0">^</a> <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222" /><cite id="CITEREFPeloquin2005" class="citation journal cs1">Peloquin SM (1 November 2005). <a rel="nofollow" class="external text" href="https://doi.org/10.5014%2Fajot.59.6.611">"Embracing our ethos, reclaiming our heart"</a>. 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Lori T Andersen. <a href="/wiki/ISBN_(identifier)" class="mw-redirect" title="ISBN (identifier)">ISBN</a> <a href="/wiki/Special:BookSources/9798985696110" title="Special:BookSources/9798985696110"><bdi>9798985696110</bdi></a>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&rft.genre=book&rft.btitle=Eleanor+Clarke+Slagle%3A+Mother+of+Occupational+Therapy&rft.pub=Lori+T+Andersen&rft.date=2022&rft.isbn=9798985696110&rft.aulast=Andersen&rft.aufirst=Lori%2C+T&rfr_id=info%3Asid%2Fen.wikipedia.org%3AOccupational+therapy" class="Z3988"><code class="cs1-code">{{<a href="/wiki/Template:Cite_book" title="Template:Cite book">cite book</a>}}</code>: CS1 maint: multiple names: authors list (<a href="/wiki/Category:CS1_maint:_multiple_names:_authors_list" title="Category:CS1 maint: multiple names: authors list">link</a>) </li> <li id="cite_note-12"><a href="#cite_ref-12">^</a> <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222" /><cite id="CITEREFReedAndersen2017" class="citation journal cs1">Reed, Kathlyn L.; Andersen, Lori T. 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Occupational Therapy in Health Care. 31 (4): 291–311. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.1080%2F07380577.2017.1376365">10.1080/07380577.2017.1376365</a>. <a href="/wiki/ISSN_(identifier)" class="mw-redirect" title="ISSN (identifier)">ISSN</a> <a rel="nofollow" class="external text" href="https://search.worldcat.org/issn/0738-0577">0738-0577</a>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a> <a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/29039713">29039713</a>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.jtitle=Occupational+Therapy+in+Health+Care&rft.atitle=Eleanor+Clarke+Slagle%3A+Facts+and+Myths&rft.volume=31&rft.issue=4&rft.pages=%3Cspan+class%3D%22nowrap%22%3E291-%3C%2Fspan%3E311&rft.date=2017-10-02&rft.issn=0738-0577&rft_id=info%3Apmid%2F29039713&rft_id=info%3Adoi%2F10.1080%2F07380577.2017.1376365&rft.aulast=Reed&rft.aufirst=Kathlyn+L.&rft.au=Andersen%2C+Lori+T.&rft_id=https%3A%2F%2Fwww.tandfonline.com%2Fdoi%2Ffull%2F10.1080%2F07380577.2017.1376365&rfr_id=info%3Asid%2Fen.wikipedia.org%3AOccupational+therapy" class="Z3988"> </li> <li id="cite_note-:02-13"><a href="#cite_ref-:02_13-0">^</a> <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222" /><cite id="CITEREFFriedland2007" class="citation journal cs1">Friedland, Judith (2007-07-01). <a rel="nofollow" class="external text" href="https://doi.org/10.1177/030802260707000704">"Thomas Bessell Kidner and the Development of Occupational Therapy in the United Kingdom: Establishing the Links"</a>. British Journal of Occupational Therapy. 70 (7): 292–300. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.1177%2F030802260707000704">10.1177/030802260707000704</a>. <a href="/wiki/ISSN_(identifier)" class="mw-redirect" title="ISSN (identifier)">ISSN</a> <a rel="nofollow" class="external text" href="https://search.worldcat.org/issn/0308-0226">0308-0226</a>. <a href="/wiki/S2CID_(identifier)" class="mw-redirect" title="S2CID (identifier)">S2CID</a> <a rel="nofollow" class="external text" href="https://api.semanticscholar.org/CorpusID:72373454">72373454</a>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.jtitle=British+Journal+of+Occupational+Therapy&rft.atitle=Thomas+Bessell+Kidner+and+the+Development+of+Occupational+Therapy+in+the+United+Kingdom%3A+Establishing+the+Links&rft.volume=70&rft.issue=7&rft.pages=%3Cspan+class%3D%22nowrap%22%3E292-%3C%2Fspan%3E300&rft.date=2007-07-01&rft_id=https%3A%2F%2Fapi.semanticscholar.org%2FCorpusID%3A72373454%23id-name%3DS2CID&rft.issn=0308-0226&rft_id=info%3Adoi%2F10.1177%2F030802260707000704&rft.aulast=Friedland&rft.aufirst=Judith&rft_id=https%3A%2F%2Fdoi.org%2F10.1177%2F030802260707000704&rfr_id=info%3Asid%2Fen.wikipedia.org%3AOccupational+therapy" class="Z3988"> </li> <li id="cite_note-14"><a href="#cite_ref-14">^</a> <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222" /><cite id="CITEREFAndersenReed2017" class="citation book cs1">Andersen, Lori T.; Reed, Kathlyn L. (2017). The history of occupational therapy: the first century. Thorofare, NJ: SLACK Incorporated. pp. 15–47. <a href="/wiki/ISBN_(identifier)" class="mw-redirect" title="ISBN (identifier)">ISBN</a> <a href="/wiki/Special:BookSources/978-1-61711-997-2" title="Special:BookSources/978-1-61711-997-2"><bdi>978-1-61711-997-2</bdi></a>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&rft.genre=book&rft.btitle=The+history+of+occupational+therapy%3A+the+first+century&rft.place=Thorofare%2C+NJ&rft.pages=%3Cspan+class%3D%22nowrap%22%3E15-%3C%2Fspan%3E47&rft.pub=SLACK+Incorporated&rft.date=2017&rft.isbn=978-1-61711-997-2&rft.aulast=Andersen&rft.aufirst=Lori+T.&rft.au=Reed%2C+Kathlyn+L.&rfr_id=info%3Asid%2Fen.wikipedia.org%3AOccupational+therapy" class="Z3988"> </li> <li id="cite_note-15"><a href="#cite_ref-15">^</a> <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222" /><cite id="CITEREFGutman1995" class="citation journal cs1">Gutman, Sharon A. (1995-03-01). <a rel="nofollow" class="external text" href="https://research.aota.org/ajot/article/49/3/256/3681/Influence-of-the-U-S-Military-and-Occupational">"Influence of the U.S. Military and Occupational Therapy Reconstruction Aides in World War I on the Development of Occupational Therapy"</a>. The American Journal of Occupational Therapy. 49 (3): 256–262. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.5014%2Fajot.49.3.256">10.5014/ajot.49.3.256</a>. <a href="/wiki/ISSN_(identifier)" class="mw-redirect" title="ISSN (identifier)">ISSN</a> <a rel="nofollow" class="external text" href="https://search.worldcat.org/issn/0272-9490">0272-9490</a>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a> <a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/7741160">7741160</a>. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20230218222919/https://research.aota.org/ajot/article/49/3/256/3681/Influence-of-the-U-S-Military-and-Occupational">Archived</a> from the original on 2023-02-18. Retrieved 2023-02-18.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.jtitle=The+American+Journal+of+Occupational+Therapy&rft.atitle=Influence+of+the+U.S.+Military+and+Occupational+Therapy+Reconstruction+Aides+in+World+War+I+on+the+Development+of+Occupational+Therapy&rft.volume=49&rft.issue=3&rft.pages=%3Cspan+class%3D%22nowrap%22%3E256-%3C%2Fspan%3E262&rft.date=1995-03-01&rft.issn=0272-9490&rft_id=info%3Apmid%2F7741160&rft_id=info%3Adoi%2F10.5014%2Fajot.49.3.256&rft.aulast=Gutman&rft.aufirst=Sharon+A.&rft_id=https%3A%2F%2Fresearch.aota.org%2Fajot%2Farticle%2F49%2F3%2F256%2F3681%2FInfluence-of-the-U-S-Military-and-Occupational&rfr_id=info%3Asid%2Fen.wikipedia.org%3AOccupational+therapy" class="Z3988"> </li> <li id="cite_note-16"><a href="#cite_ref-16">^</a> <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222" /><cite id="CITEREFPettigrewRobinsonMoloney2017" class="citation journal cs1">Pettigrew, Judith; Robinson, Katie; Moloney, Stephanie (2017-01-01). <a rel="nofollow" class="external text" href="https://research.aota.org/ajot/article/71/1/7101100010p1/6265/The-Bluebirds-World-War-I-Soldiers-Experiences-of">"The Bluebirds: World War I Soldiers' Experiences of Occupational Therapy"</a>. The American Journal of Occupational Therapy. 71 (1): 7101100010p1–7101100010p9. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.5014%2Fajot.2017.023812">10.5014/ajot.2017.023812</a>. <a href="/wiki/ISSN_(identifier)" class="mw-redirect" title="ISSN (identifier)">ISSN</a> <a rel="nofollow" class="external text" href="https://search.worldcat.org/issn/0272-9490">0272-9490</a>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a> <a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/28027032">28027032</a>. <a href="/wiki/S2CID_(identifier)" class="mw-redirect" title="S2CID (identifier)">S2CID</a> <a rel="nofollow" class="external text" href="https://api.semanticscholar.org/CorpusID:3771924">3771924</a>. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20230218221018/https://research.aota.org/ajot/article/71/1/7101100010p1/6265/The-Bluebirds-World-War-I-Soldiers-Experiences-of">Archived</a> from the original on 2023-02-18. Retrieved 2023-02-18.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.jtitle=The+American+Journal+of+Occupational+Therapy&rft.atitle=The+Bluebirds%3A+World+War+I+Soldiers%27+Experiences+of+Occupational+Therapy&rft.volume=71&rft.issue=1&rft.pages=7101100010p1-7101100010p9&rft.date=2017-01-01&rft.issn=0272-9490&rft_id=https%3A%2F%2Fapi.semanticscholar.org%2FCorpusID%3A3771924%23id-name%3DS2CID&rft_id=info%3Apmid%2F28027032&rft_id=info%3Adoi%2F10.5014%2Fajot.2017.023812&rft.aulast=Pettigrew&rft.aufirst=Judith&rft.au=Robinson%2C+Katie&rft.au=Moloney%2C+Stephanie&rft_id=https%3A%2F%2Fresearch.aota.org%2Fajot%2Farticle%2F71%2F1%2F7101100010p1%2F6265%2FThe-Bluebirds-World-War-I-Soldiers-Experiences-of&rfr_id=info%3Asid%2Fen.wikipedia.org%3AOccupational+therapy" class="Z3988"> </li> <li id="cite_note-17"><a href="#cite_ref-17">^</a> <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222" /><cite id="CITEREFWilliam_Rush_Dunton1919" class="citation book cs1">William Rush Dunton, Jr (1919). <a rel="nofollow" class="external text" href="https://archive.org/details/reconstructionth00will">Reconstruction Therapy</a>. Inc American Printing House for the Blind. W.B. Saunders Company.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&rft.genre=book&rft.btitle=Reconstruction+Therapy&rft.pub=W.B.+Saunders+Company&rft.date=1919&rft.aulast=William+Rush+Dunton&rft.aufirst=Jr&rft_id=https%3A%2F%2Farchive.org%2Fdetails%2Freconstructionth00will&rfr_id=info%3Asid%2Fen.wikipedia.org%3AOccupational+therapy" class="Z3988"> </li> <li id="cite_note-:2-18">^ <a href="#cite_ref-:2_18-0">a</a> <a href="#cite_ref-:2_18-1">b</a> <a href="#cite_ref-:2_18-2">c</a> <a href="#cite_ref-:2_18-3">d</a> <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222" /><cite id="CITEREFGordon2009" class="citation book cs1">Gordon, Don (2009). Willard & Spackman's Occupational Therapy. 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Australian Occupational Therapy Journal. 62 (6): 370–377. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.1111%2F1440-1630.12227">10.1111/1440-1630.12227</a>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a> <a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/26358525">26358525</a>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.jtitle=Australian+Occupational+Therapy+Journal&rft.atitle=Occupational+therapy+practice+in+acute+physical+hospital+settings%3A+Evidence+from+a+scoping+review&rft.volume=62&rft.issue=6&rft.pages=%3Cspan+class%3D%22nowrap%22%3E370-%3C%2Fspan%3E377&rft.date=2015&rft_id=info%3Adoi%2F10.1111%2F1440-1630.12227&rft_id=info%3Apmid%2F26358525&rft.aulast=Britton&rft.aufirst=L&rft.au=Rosenwax%2C+L&rft.au=McNamara%2C+B&rfr_id=info%3Asid%2Fen.wikipedia.org%3AOccupational+therapy" class="Z3988"> </li> <li id="cite_note-63"><a href="#cite_ref-63">^</a> <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222" /><cite id="CITEREFRogersBaiLavinAnderson2016" class="citation journal cs1">Rogers, A.T.; Bai, G; Lavin, R.A.; Anderson, G.F. 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(2018).</a> <a rel="nofollow" class="external text" href="https://web.archive.org/web/20180728072712/https://www.aota.org/~/media/Corporate/Files/AboutAOTA/Centennial/Brand/Toolbox/Brand-Material/Card/Wallet%20Guide%20high%20res.pdf">Archived</a> 2018-07-28 at the <a href="/wiki/Wayback_Machine" title="Wayback Machine">Wayback Machine</a>, Occupational therapy brand toolbox wallet-sized guide </li> <li id="cite_note-68"><a href="#cite_ref-68">^</a> Anderson, S. L. & Lehman, S. S. (2014). 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Retrieved 23 April 2012.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&rft.genre=unknown&rft.btitle=Veteran+and+Wounded+Warrior+Care&rft.au=American+Occupational+Therapy+Association&rft_id=http%3A%2F%2Fwww.aota.org%2FPractitioners%2FPracticeAreas%2FEmergingAreas%2FRDP%2FVeteran.aspx&rfr_id=info%3Asid%2Fen.wikipedia.org%3AOccupational+therapy" class="Z3988"> </li> <li id="cite_note-75"><a href="#cite_ref-75">^</a> <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222" /><cite id="CITEREFScheibeRedepenningJohnson2021" class="citation web cs1">Scheibe, R.; Redepenning, Sue; Johnson, Michele K. (9 January 2021). <a rel="nofollow" class="external text" href="https://www.aota.org/About-Occupational-Therapy/Professionals/RDP/assistive-technology.aspx">"Assistive Technology in Residential Facilities: A Strategy for Supporting Adults With Complex Needs"</a>. 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Bureau of Labor Statistics, United States Department of Labor. 17 December 2015. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20190828073814/https://www.bls.gov/ooh/healthcare/occupational-therapists.htm">Archived</a> from the original on 28 August 2019. Retrieved 29 August 2012.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&rft.genre=unknown&rft.btitle=Occupational+Outlook+Handbook&rft.pub=Bureau+of+Labor+Statistics%2C+United+States+Department+of+Labor&rft.date=2015-12-17&rft_id=http%3A%2F%2Fwww.bls.gov%2Fooh%2Fhealthcare%2Foccupational-therapists.htm&rfr_id=info%3Asid%2Fen.wikipedia.org%3AOccupational+therapy" class="Z3988"> </li> <li id="cite_note-77"><a href="#cite_ref-77">^</a> <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222" /><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://www.sunbeltstaffing.com/benefits-and-faqs/therapy-faqs/">"Therapy: FAQs"</a>. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20230410134144/https://www.sunbeltstaffing.com/benefits-and-faqs/therapy-faqs/">Archived</a> from the original on 2023-04-10. 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style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Occupational_apartheid" title="Occupational apartheid">Apartheid</a></li> <li><a href="/wiki/Occupational_asthma" title="Occupational asthma">Asthma</a></li> <li><a href="/wiki/Occupational_burnout" title="Occupational burnout">Burnout</a></li> <li><a href="/wiki/Occupational_closure" title="Occupational closure">Closure</a></li> <li><a href="/wiki/Occupational_crime" title="Occupational crime">Crime</a></li> <li><a href="/wiki/Occupational_disease" title="Occupational disease">Disease</a></li> <li><a href="/wiki/Occupational_fatality" title="Occupational fatality">Fatality</a></li> <li><a href="/wiki/Occupational_hygiene" title="Occupational hygiene">Hygiene</a></li> <li><a href="/wiki/Occupational_inequality" title="Occupational inequality">Inequality</a></li> <li><a href="/wiki/Occupational_injury" title="Occupational injury">Injury</a></li> <li><a href="/wiki/Occupational_injustice" title="Occupational injustice">Injustice</a></li> <li><a href="/wiki/Occupational_medicine" title="Occupational medicine">Medicine</a></li> <li><a href="/wiki/Occupational_prestige" title="Occupational prestige">Prestige</a></li> <li><a href="/wiki/Occupational_health_psychology" title="Occupational health psychology">Psychology</a></li> <li><a href="/wiki/Occupational_psychosis" title="Occupational psychosis">Psychosis</a></li> <li><a href="/wiki/Occupational_rehabilitation" class="mw-redirect" title="Occupational rehabilitation">Rehabilitation</a></li> <li><a href="/wiki/Repetitive_strain_injury" title="Repetitive strain injury">Repetitive strain injury</a></li> <li><a href="/wiki/Occupational_safety_and_health" title="Occupational safety and health">Safety and health</a></li> <li><a href="/wiki/Occupational_science" title="Occupational science">Science</a></li> <li><a href="/wiki/Occupational_stress" title="Occupational stress">Stress</a></li> <li><a href="/wiki/Occupational_therapist" title="Occupational therapist">Therapist</a></li> <li><a class="mw-selflink selflink">Therapy</a></li> <li><a href="/wiki/Occupational_therapy_in_the_United_Kingdom" title="Occupational therapy in the United Kingdom">Therapy in the United Kingdom</a></li></ul> </div></td></tr><tr><td class="navbox-abovebelow" colspan="2"><div> <dl><dt><img alt="" src="//upload.wikimedia.org/wikipedia/commons/thumb/8/83/Symbol_template_class_pink.svg/16px-Symbol_template_class_pink.svg.png" decoding="async" width="16" height="16" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/8/83/Symbol_template_class_pink.svg/23px-Symbol_template_class_pink.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/8/83/Symbol_template_class_pink.svg/31px-Symbol_template_class_pink.svg.png 2x" data-file-width="180" data-file-height="185" /> See also templates</dt> <dd><a href="/wiki/Template:Aspects_of_corporations" title="Template:Aspects of corporations">Aspects of corporations</a></dd> <dd><a href="/wiki/Template:Aspects_of_jobs" title="Template:Aspects of jobs">Aspects of jobs</a></dd> <dd><a href="/wiki/Template:Aspects_of_organizations" title="Template:Aspects of organizations">Aspects of organizations</a></dd> <dd><a href="/wiki/Template:Aspects_of_workplaces" title="Template:Aspects of workplaces">Aspects of workplaces</a></dd> <dd><a href="/wiki/Template:Occupational_safety_and_health" title="Template:Occupational safety and health">Occupational safety and health</a></dd> <dd><a href="/wiki/Template:Employment" title="Template:Employment">Employment</a></dd></dl> </div></td></tr></tbody></table></div> <div class="navbox-styles"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1129693374" /><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1236075235" /></div><div role="navigation" class="navbox" aria-labelledby="Occupational_safety_and_health784" style="padding:3px"><table class="nowraplinks mw-collapsible autocollapse navbox-inner" style="border-spacing:0;background:transparent;color:inherit"><tbody><tr><th scope="col" class="navbox-title" colspan="2"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1129693374" /><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1239400231" /><div class="navbar plainlinks hlist navbar-mini"><ul><li class="nv-view"><a href="/wiki/Template:Occupational_safety_and_health" title="Template:Occupational safety and health"><abbr title="View this template">v</abbr></a></li><li class="nv-talk"><a href="/wiki/Template_talk:Occupational_safety_and_health" title="Template talk:Occupational safety and health"><abbr title="Discuss this template">t</abbr></a></li><li class="nv-edit"><a href="/wiki/Special:EditPage/Template:Occupational_safety_and_health" title="Special:EditPage/Template:Occupational safety and health"><abbr title="Edit this template">e</abbr></a></li></ul></div><div id="Occupational_safety_and_health784" style="font-size:114%;margin:0 4em"><a href="/wiki/Occupational_safety_and_health" title="Occupational safety and health">Occupational safety and health</a></div></th></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Occupational_disease" title="Occupational disease">Occupational diseases</a> and <a href="/wiki/Occupational_injury" title="Occupational injury">injuries</a></th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Acrodynia" title="Acrodynia">Acrodynia</a></li> <li><a href="/wiki/Asbestosis" title="Asbestosis">Asbestosis</a></li> <li><a href="/wiki/Occupational_asthma" title="Occupational asthma">Asthma</a></li> <li><a href="/wiki/Barotrauma" title="Barotrauma">Barotrauma</a></li> <li><a href="/wiki/Berylliosis" title="Berylliosis">Berylliosis</a></li> <li><a href="/wiki/Brucellosis" title="Brucellosis">Brucellosis</a></li> <li><a href="/wiki/Occupational_burnout" title="Occupational burnout">Burnout</a></li> <li><a href="/wiki/Byssinosis" title="Byssinosis">Byssinosis ("brown lung")</a></li> <li><a href="/wiki/Occupational_cardiovascular_disease" title="Occupational cardiovascular disease">Cardiovascular</a></li> <li><a href="/wiki/Chalicosis" title="Chalicosis">Chalicosis</a></li> <li><a href="/wiki/Chronic_solvent-induced_encephalopathy" title="Chronic solvent-induced encephalopathy">Chronic solvent-induced encephalopathy</a></li> <li><a href="/wiki/Chronic_stress" title="Chronic stress">Chronic stress</a></li> <li><a href="/wiki/Chimney_sweeps%27_carcinoma" title="Chimney sweeps' carcinoma">Chimney sweeps' carcinoma</a></li> <li><a href="/wiki/Coalworker%27s_pneumoconiosis" class="mw-redirect" title="Coalworker's pneumoconiosis">Coalworker's pneumoconiosis ("black lung")</a></li> <li><a href="/wiki/Concussions_in_sport" title="Concussions in sport">Concussions in sport</a></li> <li><a href="/wiki/Decompression_sickness" title="Decompression sickness">Decompression sickness</a></li> <li><a href="/wiki/De_Quervain_syndrome" title="De Quervain syndrome">De Quervain syndrome</a></li> <li><a href="/wiki/Erethism" title="Erethism">Erethism</a></li> <li><a href="/wiki/Occupational_hazards_associated_with_exposure_to_human_nail_dust" class="mw-redirect" title="Occupational hazards associated with exposure to human nail dust">Exposure to human nail dust</a></li> <li><a href="/wiki/Farmer%27s_lung" title="Farmer's lung">Farmer's lung</a></li> <li><a href="/wiki/Fiddler%27s_neck" title="Fiddler's neck">Fiddler's neck</a></li> <li><a href="/wiki/Flock_worker%27s_lung" title="Flock worker's lung">Flock worker's lung</a></li> <li><a href="/wiki/Glassblower%27s_cataract" title="Glassblower's cataract">Glassblower's cataract</a></li> <li><a href="/wiki/Golfer%27s_elbow" title="Golfer's elbow">Golfer's elbow</a></li> <li><a href="/wiki/Hearing_loss" title="Hearing loss">Hearing loss</a></li> <li><a href="/wiki/Hospital-acquired_infection" title="Hospital-acquired infection">Hospital-acquired infection</a></li> <li><a href="/wiki/Indium_lung" title="Indium lung">Indium lung</a></li> <li><a href="/wiki/Laboratory_animal_allergy" title="Laboratory animal allergy">Laboratory animal allergy</a></li> <li><a href="/wiki/Lead_poisoning#Occupational_exposure" title="Lead poisoning">Lead poisoning</a></li> <li><a href="/wiki/Low_back_pain" title="Low back pain">Low back pain</a></li> <li><a href="/wiki/Mesothelioma" title="Mesothelioma">Mesothelioma</a></li> <li><a href="/wiki/Metal_fume_fever" title="Metal fume fever">Metal fume fever</a></li> <li><a href="/wiki/Mule_spinners%27_cancer" title="Mule spinners' cancer">Mule spinners' cancer</a></li> <li><a href="/wiki/Noise-induced_hearing_loss" title="Noise-induced hearing loss">Noise-induced hearing loss</a></li> <li><a href="/wiki/Phossy_jaw" title="Phossy jaw">Phossy jaw</a></li> <li><a href="/wiki/Pneumoconiosis" title="Pneumoconiosis">Pneumoconiosis</a></li> <li><a href="/wiki/Radium_jaw" title="Radium jaw">Radium jaw</a></li> <li><a href="/wiki/Repetitive_strain_injury" title="Repetitive strain injury">Repetitive strain injury</a></li> <li><a href="/wiki/Silicosis" title="Silicosis">Silicosis</a></li> <li><a href="/wiki/Silo-filler%27s_disease" class="mw-redirect" title="Silo-filler's disease">Silo-filler's disease</a></li> <li><a href="/wiki/Sports_injury" title="Sports injury">Sports injury</a></li> <li><a href="/wiki/Surfer%27s_ear" title="Surfer's ear">Surfer's ear</a></li> <li><a href="/wiki/Tennis_elbow" title="Tennis elbow">Tennis elbow</a></li> <li><a href="/wiki/Tinnitus" title="Tinnitus">Tinnitus</a></li> <li><a href="/wiki/Writer%27s_cramp" title="Writer's cramp">Writer's cramp</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Occupational_hygiene" title="Occupational hygiene">Occupational hygiene</a></th><td class="navbox-list-with-group navbox-list navbox-even hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Occupational_hazard" title="Occupational hazard">Occupational hazard</a> <ul><li><a href="/wiki/Biological_hazard" title="Biological hazard">Biological hazard</a></li> <li><a href="/wiki/Chemical_hazard" title="Chemical hazard">Chemical hazard</a></li> <li><a href="/wiki/Physical_hazard" title="Physical hazard">Physical hazard</a></li> <li><a href="/wiki/Psychosocial_hazard" title="Psychosocial hazard">Psychosocial hazard</a></li></ul></li> <li><a href="/wiki/Occupational_stress" title="Occupational stress">Occupational stress</a></li> <li><a href="/wiki/Hierarchy_of_hazard_controls" title="Hierarchy of hazard controls">Hierarchy of hazard controls</a></li> <li><a href="/wiki/Prevention_through_design" title="Prevention through design">Prevention through design</a></li> <li><a href="/wiki/Exposure_assessment" title="Exposure assessment">Exposure assessment</a></li> <li><a href="/wiki/Occupational_exposure_limit" title="Occupational exposure limit">Occupational exposure limit</a></li> <li><a href="/wiki/Occupational_epidemiology" title="Occupational epidemiology">Occupational epidemiology</a></li> <li><a href="/wiki/Workplace_health_surveillance" title="Workplace health surveillance">Workplace health surveillance</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Professions</th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Environmental_health" title="Environmental health">Environmental health</a></li> <li><a href="/wiki/Industrial_engineering" title="Industrial engineering">Industrial engineering</a></li> <li><a href="/wiki/Occupational_health_nursing" title="Occupational health nursing">Occupational health nursing</a></li> <li><a href="/wiki/Occupational_health_psychology" title="Occupational health psychology">Occupational health psychology</a></li> <li><a href="/wiki/Occupational_medicine" title="Occupational medicine">Occupational medicine</a></li> <li><a href="/wiki/Occupational_therapist" title="Occupational therapist">Occupational therapist</a></li> <li><a href="/wiki/Safety_engineering" title="Safety engineering">Safety engineering</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/List_of_occupational_safety_and_health_agencies" title="List of occupational safety and health agencies">Agencies</a> and organizations</th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%">International</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/European_Agency_for_Safety_and_Health_at_Work" title="European Agency for Safety and Health at Work">European Agency for Safety and Health at Work</a></li> <li><a href="/wiki/International_Labour_Organization" title="International Labour Organization">International Labour Organization</a></li> <li><a href="/wiki/World_Health_Organization" title="World Health Organization">World Health Organization</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">National</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Canadian_Centre_for_Occupational_Health_and_Safety" title="Canadian Centre for Occupational Health and Safety">Canadian Centre for Occupational Health and Safety</a> (Canada)</li> <li><a href="/wiki/Federal_Institute_for_Occupational_Safety_and_Health" title="Federal Institute for Occupational Safety and Health">Federal Institute for Occupational Safety and Health</a> (Germany)</li> <li><a href="/wiki/Istituto_nazionale_per_l%27assicurazione_contro_gli_infortuni_sul_lavoro" title="Istituto nazionale per l'assicurazione contro gli infortuni sul lavoro">Istituto nazionale per l'assicurazione contro gli infortuni sul lavoro</a> (Italy)</li> <li><a href="/wiki/National_Institute_for_Safety_and_Health_at_Work" title="National Institute for Safety and Health at Work">National Institute for Safety and Health at Work</a> (Spain)</li> <li><a href="/wiki/Health_and_Safety_Executive" title="Health and Safety Executive">Health and Safety Executive</a> (UK)</li> <li><a href="/wiki/Occupational_Safety_and_Health_Administration" title="Occupational Safety and Health Administration">Occupational Safety and Health Administration</a></li> <li><a href="/wiki/National_Institute_for_Occupational_Safety_and_Health" title="National Institute for Occupational Safety and Health">National Institute for Occupational Safety and Health</a> (US)</li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Standards</th><td class="navbox-list-with-group navbox-list navbox-even hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Accord_on_Fire_and_Building_Safety_in_Bangladesh" title="Accord on Fire and Building Safety in Bangladesh">Bangladesh Accord</a></li> <li><a href="/wiki/OHSAS_18001" title="OHSAS 18001">OHSAS 18001</a></li> <li><a href="/wiki/ISO_45001" title="ISO 45001">ISO 45001</a></li> <li><a href="/wiki/Occupational_Safety_and_Health_Convention,_1981" title="Occupational Safety and Health Convention, 1981">Occupational Safety and Health Convention, 1981</a></li> <li><a href="/wiki/Worker_Protection_Standard" title="Worker Protection Standard">Worker Protection Standard</a> (US)</li> <li><a href="/wiki/Working_Environment_(Air_Pollution,_Noise_and_Vibration)_Convention,_1977" title="Working Environment (Air Pollution, Noise and Vibration) Convention, 1977">Working Environment Convention, 1977</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Safety</th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Checklist" title="Checklist">Checklist</a></li> <li><a href="/wiki/Code_of_practice" title="Code of practice">Code of practice</a></li> <li><a href="/wiki/Contingency_plan" title="Contingency plan">Contingency plan</a></li> <li><a href="/wiki/Diving_safety" title="Diving safety">Diving safety</a></li> <li><a href="/wiki/Emergency_procedure" title="Emergency procedure">Emergency procedure</a></li> <li><a href="/wiki/Emergency_evacuation" title="Emergency evacuation">Emergency evacuation</a></li> <li><a href="/wiki/Hazard" title="Hazard">Hazard</a></li> <li><a href="/wiki/Hierarchy_of_hazard_controls" title="Hierarchy of hazard controls">Hierarchy of hazard controls</a> <ul><li><a href="/wiki/Hazard_elimination" title="Hazard elimination">Hazard elimination</a></li> <li><a href="/wiki/Administrative_controls" title="Administrative controls">Administrative controls</a></li> <li><a href="/wiki/Engineering_controls" title="Engineering controls">Engineering controls</a></li> <li><a href="/wiki/Hazard_substitution" title="Hazard substitution">Hazard substitution</a></li> <li><a href="/wiki/Personal_protective_equipment" title="Personal protective equipment">Personal protective equipment</a></li></ul></li> <li><a href="/wiki/Job_safety_analysis" title="Job safety analysis">Job safety analysis</a></li> <li><a href="/wiki/Lockout-tagout" class="mw-redirect" title="Lockout-tagout">Lockout-tagout</a></li> <li><a href="/wiki/Permit_To_Work" class="mw-redirect" title="Permit To Work">Permit To Work</a></li> <li><a href="/wiki/Operations_manual" title="Operations manual">Operations manual</a></li> <li><a href="/wiki/Redundancy_(engineering)" title="Redundancy (engineering)">Redundancy (engineering)</a></li> <li><a href="/wiki/Risk_assessment" title="Risk assessment">Risk assessment</a></li> <li><a href="/wiki/Safety_culture" title="Safety culture">Safety culture</a></li> <li><a href="/wiki/Standard_operating_procedure" title="Standard operating procedure">Standard operating procedure</a></li> <li><a href="/wiki/Immediately_dangerous_to_life_or_health" title="Immediately dangerous to life or health">Immediately dangerous to life or health</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Legislation</th><td class="navbox-list-with-group navbox-list navbox-even hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Diving_regulations" title="Diving regulations">Diving regulations</a></li> <li><a href="/wiki/Occupational_Safety_and_Health_Act_(United_States)" title="Occupational Safety and Health Act (United States)">Occupational Safety and Health Act (United States)</a></li> <li><a href="/wiki/Potty_parity" title="Potty parity">Potty parity</a> (<a href="/wiki/Potty_parity_in_the_United_States" title="Potty parity in the United States">United States</a>)</li> <li><a href="/wiki/Right_to_sit" title="Right to sit">Right to sit</a> (<a href="/wiki/Right_to_sit_in_the_United_States" title="Right to sit in the United States">United States</a>)</li> <li><a href="/wiki/Workers%27_right_to_access_the_toilet" title="Workers' right to access the toilet">Workers' right to access the toilet</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">See also</th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Aerosol" title="Aerosol">Aerosol</a></li> <li><a href="/wiki/Break_(work)" title="Break (work)">Break</a></li> <li><a href="/wiki/Break_room" title="Break room">Break room</a></li> <li><a href="/wiki/Drug_policy" title="Drug policy">Drug policy</a></li> <li><a href="/wiki/Effects_of_overtime" title="Effects of overtime">Effects of overtime</a></li> <li><a href="/wiki/Environment,_health_and_safety" title="Environment, health and safety">Environment, health and safety</a></li> <li><a href="/wiki/Environmental_toxicology" title="Environmental toxicology">Environmental toxicology</a></li> <li><a href="/wiki/Ergonomics" title="Ergonomics">Ergonomics</a></li> <li><a href="/wiki/Fire_Fighter_Fatality_Investigation_and_Prevention_Program" title="Fire Fighter Fatality Investigation and Prevention Program">Fire Fighter Fatality Investigation and Prevention Program</a></li> <li><a href="/wiki/Hawks_Nest_Tunnel_disaster" title="Hawks Nest Tunnel disaster">Hawks Nest Tunnel disaster</a></li> <li><a href="/wiki/Health_physics" title="Health physics">Health physics</a></li> <li><a href="/wiki/Hostile_work_environment" title="Hostile work environment">Hostile work environment</a></li> <li><a href="/wiki/Indoor_air_quality" title="Indoor air quality">Indoor air quality</a></li> <li><a href="/wiki/International_Chemical_Safety_Card" class="mw-redirect" title="International Chemical Safety Card">International Chemical Safety Card</a></li> <li><a href="/wiki/Job_strain" title="Job strain">Job strain</a></li> <li><a href="/wiki/National_Day_of_Mourning_(Canadian_observance)" title="National Day of Mourning (Canadian observance)">National Day of Mourning (Canada)</a></li> <li><a href="/wiki/NIOSH_air_filtration_rating" title="NIOSH air filtration rating">NIOSH air filtration rating</a></li> <li><a href="/wiki/Overwork" title="Overwork">Overwork</a></li> <li><a href="/wiki/Process_safety" title="Process safety">Process safety</a></li> <li><a href="/wiki/Public_health" title="Public health">Public health</a></li> <li><a href="/wiki/Quality_of_working_life" title="Quality of working life">Quality of working life</a></li> <li><a href="/wiki/Risk_management" title="Risk management">Risk management</a></li> <li><a href="/wiki/Safety_data_sheet" title="Safety data sheet">Safety data sheet</a></li> <li><a href="/wiki/Source_control_(respiratory_disease)" title="Source control (respiratory disease)">Source control</a></li> <li><a href="/wiki/Toxic_tort" title="Toxic tort">Toxic tort</a></li> <li><a href="/wiki/Toxic_workplace" title="Toxic workplace">Toxic workplace</a></li> <li><a href="/wiki/Workers%27_compensation" title="Workers' compensation">Workers' compensation</a></li> <li><a href="/wiki/Workplace_hazard_controls_for_COVID-19" title="Workplace hazard controls for COVID-19">Workplace hazard controls for COVID-19</a></li> <li><a href="/wiki/Workplace_health_promotion" title="Workplace health promotion">Workplace health promotion</a></li></ul> </div></td></tr><tr><td class="navbox-abovebelow hlist" 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