“…In addition, OTs surveyed by Holmes and Scaffa (2009b) identified promoting the profession, acting as change agents, serving under-served communities, and educating students as unique rewards experienced in community-based practice. Perceived challenges in community-based practice were more wide ranging; they included lack of reimbursement, insufficient funding and staffing, lack of understanding/value for OTs' role, feeling unsupported (Homes & Scaffa, 2009b;Ramsey, 2011;Wood et al, 2013), lack of preparation based on entrylevel education (Adam et al, 2014), and a loss of specialization due to the team-based approach that characterizes community-based mental health practice (Fox, 2013). Several of these challenges are directly linked to the nature of community-based practice, since OTs often work in non-traditional roles without the profession support of other OTs and often within systems that lack traditional reimbursement structures.…”