Health reform promotes the delivery of patient-centered care. Occupational therapy's rich history of client-centered theory and practice provides an opportunity for the profession to participate in the evolving discussion about how best to provide care that is truly patient centered. However, the growing emphasis on patient-centered care also poses challenges to occupational therapy's perspectives on client-centered care. We compare the conceptualizations of client-centered and patient-centered care and describe the current state of measurement of client-centered and patient-centered care. We then discuss implications for occupational therapy's research agenda, practice, and education within the context of patient-centered care, and propose next steps for the profession.

Several factors associated with disparities in continued EBF were identified. The application of the LCHD framework furthers understanding of the multiple and interacting risks associated with early discontinuation of EBF.

Expanding client-centred thinking to include awareness, understanding, and respect for social determinants of occupation may enhance therapist-client interactions and outcomes of the occupational therapy process, and address gaps in current thinking that may contribute to occupational injustices.

Occupational therapists are part of multidisciplinary teams supporting infants with feeding and eating difficulties, including problems related to initiation and continuation of breastfeeding. We have the opportunity to expand our role in breastfeeding promotion by also defining breastfeeding as a child-rearing and health management and maintenance occupation and broadening our clientele to include health and wellness populations. The use of a health promotion approach enables occupational therapy practitioners to better address environmental and contextual barriers to engagement in breastfeeding, barriers also encountered by healthy populations. Healthy People 2020 calls for increased rates of exclusive breastfeeding in the United States, given evidence of the health benefits of breastfeeding for infants, women, and society. Occupational therapists are well positioned to assist individuals, organizations, and populations in establishing habits and routines supportive of continued breastfeeding while lessening environmental and contextual barriers. Occupational therapists should consider emerging practice opportunities as consultants for breastfeeding promotion.