Background: 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.
Method: 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.
Conclusion: 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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