Occupational Therapy in Crisis

Abstract The occupational therapy profession in the United States is in crisis. This is not a new phenomenon in occupational therapy’s history; we have previously experienced two crises, in the 1940s and 1970s. Crises arise when the current professional paradigm insufficiently addresses occupational therapy practice challenges. Similar to the past, there are issues in society, health care, and the profession prompting this identity crisis. Occupational therapy practitioners no longer have a consensus about the field’s theoretical base, view of humans, and scope of practice. By calling attention to this crisis, we hope to awaken occupational therapy practitioners to actively decide the future of our profession.

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Publication Details

Journal
American Journal of Occupational Therapy
Published
2026-05-28
DOI
https://doi.org/10.5014/ajot.2026.051454
Primary Topic
Occupational Therapy Practice and Research
Type
article
Field-Weighted Citation Impact
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article

Occupational Therapy in Crisis

Wanda J. Mahoney, Stacy Smallfield
American Journal of Occupational Therapy
Occupational Therapy Practice and Research
article

Occupational Therapy in Crisis

Wanda J. Mahoney, Stacy Smallfield
article en

Abstract

Abstract The occupational therapy profession in the United States is in crisis. This is not a new phenomenon in occupational therapy’s history; we have previously experienced two crises, in the 1940s and 1970s. Crises arise when the current professional paradigm insufficiently addresses occupational therapy practice challenges. Similar to the past, there are issues in society, health care, and the profession prompting this identity crisis. Occupational therapy practitioners no longer have a consensus about the field’s theoretical base, view of humans, and scope of practice. By calling attention to this crisis, we hope to awaken occupational therapy practitioners to actively decide the future of our profession.

American Journal of Occupational TherapyVol. 80(4)
Nebraska Medical Center (US), Washington University in St. Louis (US)
Openalex Percentile: Top 3%
Occupational Therapy Practice and Research
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