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INTRODUCTION
The Occupational Therapy Practice Framework: Domain and Process, 2nd Edition Framework- IÎ) is an official document of the American Occupational Therapy Association (AOTA). Intended for internal and external authences, it presents a summary of interrelated constructs that define and guide occupational therapy1 practice. The Framework was developed to articulate occupational therapy's contribution to promoting the health and participation of people, organizations, and populations through engagement in occupation. It is not a taxonomy, theory, or model of occupational therapy and therefore must be used in conjunction with the knowledge and evidence relevant to occupation and occupational therapy. The revisions included in this second edition are intended to refine the document and include language and concepts relevant to current and emerging occupational therapy practice.
Implicit within this summary are the professions core beliefs in the positive relationship between occupation and health and its view of people as occupational beings. "All people need to be able or enabled to engage in the occupations of their need and choice, to grow through what they do, and to experience independence or interdependence, equality, participation, security, health, and well-being" (Wilcock & Townsend, 2008, p. 198). With this aim, occupational therapy is provided to clients, the entity that receives occupational therapy services. Clients may be categorized as
* Persons, including families, caregivers, teachers, employers, and relevant others;
* Organizations, such as businesses, industries, or agencies; and
* Populations within a community, such as refugees, veterans who are homeless, and people with chronic health disabling conditions (Movers & Dale, 2007).
The Framework is divided into two major sections: (1) the domain, which oudines the profession's purview and the areas in which its members have an established body of knowledge and expertise (see Figure 1), and (2) the dynamic occupation and client-centered process used in the delivery of occupational therapy services (see Figure 2). The domain and process of occupational therapy direct occupational therapy practitioners2 to focus on performance of occupations that results from the dynamic intersection of the client, the context and environment, and the clients occupations (Christiansen &: Baum, 1997; Christiansen, Baum, & Bass-Hagen, 2005; Law, Baum, & Dunn, 2005). Although the domain and process are described separately, in actuality, they are inextricably linked in a transactional relationship (see Figure 3).