Designing accessible cities: An occupational therapy perspective on sustainable transportation

As cities grapple with climate change and rising inequities in access to transportation, sustainable infrastructure-such as pedestrian pathways, cycling networks, and public transit-offers a path forward. This article explores sustainable transportation through the lens of occupational therapy, emphasizing the profession's unique focus on the interaction between people, their environments, and their meaningful daily activities. It argues that investing in safe, accessible, and sustainable transit systems not only supports environmental goals such as reducing greenhouse gas emissions but also advances occupational justice by enabling greater participation in work, education, and community life-particularly for individuals with disabilities and other marginalized groups. Using evidence from urban planning, public health, and occupational therapy, the article outlines infrastructure improvements that promote equitable and sustainable mobility. It also highlights the role of occupational therapy practitioners as advocates for inclusive design and sustainability, demonstrating how their expertise in environmental modification can inform efforts to create healthier, more livable cities for all.