Application of the occupational adaptation framework in child and adolescent occupational therapy practice. A case study

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The occupational adaptation frame of reference asserts that a person's occupational functioning may be improved through positive changes in his/her adaptive processes. This framework's authors advocate that occupational adaptation theory can be applied to practice with clients of all ages (Schultz & Schkade, 1992). Published literature to date has been focused on the application of this framework with adults and adolescents.


This paper reviews the major theoretical constructs and guide to practice of occupational adaptation theory whilst interweaving descriptions of its application to a paediatric case study conducted within a child and adolescent mental health unit.


While it was shown through the case study that the occupational adaptation frame of reference can guide occupational therapy practice with a child nearing adolescence critical reflections about the experience suggest some challenges for the practitioner and students.

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