The occupational therapist as a consultant

Current changes in the health care delivery system have resulted in expanded roles for many occupational therapists in which they have had no training and little previous experience. The occupational therapy manager and administrator, in particular, is asked frequently to consult with and engage in collaborative efforts with interdepartmental personnel, community agencies, and consortia of health care services. Also, occupational therapists in private practice and the school systems often are asked to assume the role of a consultant. The necessary background and skills to perform effectively as a consultant in a variety of systems, including political lobbying activities, are presented in this article in a case approach to the issues. The theoretical constructs and the process of consultation are described in the case presentation.