Historically, there has been much debate and discussion about the difficulty in defining occupational therapy. Personally, occupational therapy is a passion. A passion to enable people to achieve their full potential, to work towards their goals and be all they can and want to be and more. The true aspiration of the occupational therapist is no different in mental or physical health-occupational therapy supports people to develop skills to overcome the challenges that restrict them and to utilise their strengths to enable them to live the lives they want to live. Despite the significant changes in health and social care systems over the last decade and the current financial challenges we face, I am inspired by the creativity and adaptability of our profession. We actively seek out new scopes of practice, identifying the need for and highlighting the benefit of occupational therapy. We have outstanding clinicians, researchers, educators and managers, all of whom are exceptional leaders-determinedly working to develop, deliver and evidence the best of what occupational therapy can offer in mental health. We are beginning to embrace the requirements to develop and apply evidence that demonstrates our unique contribution to mental health service delivery and show the effectiveness of our interventions. Occupational therapy in mental health has commenced its journey to adopt an evidence and values-based approach. The chapters within this book reflect the initiatives, developments and evidence of our profession in mental health practice; however, we have not yet arrived at our destination. To ensure we deliver high quality care, cost effective