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Occupational therapy practice in the US healthcare system conflicts with client-centered care principles. Focusing on impairment rather than occupation hinders therapeutic potential and client well-being.

Keywords:
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Area of Science:

  • Occupational therapy
  • Healthcare systems analysis
  • Client-centered practice

Background:

  • The corporate healthcare culture in a free market economy presents challenges to occupational therapy.
  • There is a noted incongruence between current occupational therapy practices and the profession's core philosophy.
  • The emphasis on reimbursement-driven models may compromise client-centered care.

Purpose of the Study:

  • To critically analyze occupational therapy practice within the corporate healthcare culture.
  • To demonstrate the incongruence between current practices and the profession's philosophical basis.
  • To highlight the importance of client-centered practice.

Main Methods:

  • Critical analysis of occupational therapy practice.
  • Examination of the healthcare culture in a free market economy.
  • Comparison of current practices with the profession's espoused philosophy and values.

Main Results:

  • Current occupational therapy practice in the US is incongruent with client-centered principles.
  • Practice focused on impairment and function diverges from the core tenet of occupation.
  • Therapeutic potential is limited in settings not conducive to occupational participation.

Conclusions:

  • Client-centered practice is best realized through occupation-focused interventions in natural environments.
  • Impairment-focused services in unfamiliar settings are not aligned with authentic client-centered practice.
  • Occupation-focused interventions are unique, authentic, and sustainable for the profession.