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What is occupational therapy?

What's occupational therapy?

Occupational therapy helps you live your best life at home, at work – and everywhere else. It’s about being able to do the things you want and have to do. That could mean helping you overcome challenges learning at school, going to work, playing sport or simply doing the dishes. Everything is focused on your wellbeing and your ability to participate in activities.

It’s also a science-based, health and social care profession that’s regulated by the Health and Care Professions Council.

Discover how occupational therapy helped Melanie Reid, a journalist and writer with the Times, live again after a life-changing spinal injury. 

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Read about actress Adjoa Andoh, best known for her role as Lady Danbury in Bridgerton, and her daughter talk about the difference occupational therapy has made for them living with dyspraxia. 

Every school needs an OT, says Adjoa Andoh

  • Read about Adjoa Andoh

What’s occupational therapy’s role in health and social care? 

Occupational therapy is a solution to many of the UK’s health and care needs. By prioritising prevention and early intervention, occupational therapists help people manage their health and reduce the frequency and need for crisis interventions and care services.  

By helping people live well for longer, occupational therapy saves money and reduces pressure on health and social care services. Within integrated health and care systems, occupational therapists can deliver better outcomes and create a more sustainable system for all. 

The occupational therapy workforce needs to be positioned in communities, including include GP practices, schools, social services, housing associations, care homes and places of work. By working proactively with people where they are, we will empower them to manage their changing needs and reduce pressure on the NHS and the wider health and care system. 

Occupational therapy is key to a better future for many people and must be included in the strategic planning and allocation of resources to manage health, education, housing and care needs in the UK. 

Take a look at our Workforce strategy to understand more about where occupational therapy needs to be positioned for maximum impact.    

What are occupations? 

An occupation is any activity that we need, want or like to do to live and to look after our physical and mental health, and our emotional and spiritual wellbeing. We do occupations from the moment we’re born, on our own or with others. 

Occupation isn’t just your job or activities of daily living. An occupation can be self-care, such as washing, eating or sleeping; productive, such as work, study, caring or domestic activities; and leisure, such as playing sports, hobbies or socialising.  

We’re all different and so are the occupations that matter to us. They vary depending on our environment, interests and values, talents and skills. Our occupations also change throughout our lives.  

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Who do occupational therapists work with?

Occupational therapists work with adults and children of all ages who have a wide range of conditions.

Most commonly, they help those living with mental health conditions, or physical or learning disabilities. And you’ll find them helping people live their best life in health organisations, social care services, housing, education and voluntary organisations.

Many occupational therapists practice independently too and work with members of the public, asylum seekers and refugees, alongside the police or fire services, or with psychiatric services.

Why do occupations matter? 

Occupations are essential to living. They give our lives meaning, purpose and structure. They help shape who we are, connect us with others and help create our identity and sense of belonging. Through occupation we enhance our health and quality of life. 

Focusing on occupation leads to improvements in our ability to do the things we need and want to do, our social relationships, communication and connections as well as our mood, rest and sleep.  

Occupations are particularly important when we’re going through times of change. When we can’t do an occupation anymore or we need to adjust the way we do it, because of ill health or other barriers, our sense of self and purpose may change. This is where occupational therapy comes in.  

What does an occupational therapist do?

An occupational therapist helps people of all ages overcome challenges completing everyday tasks or activities – what we call ‘occupations’.

Occupational therapists see beyond diagnoses and limitations to hopes and aspirations. They look at relationships between the activities you do every day – your occupations – alongside the challenges you face and your environment.

Then, they create a plan of goals and adjustments targeted at achieving a specific set of activities. The plan is practical, realistic and personal to you as an individual, to help you achieve the breakthroughs you need to elevate your everyday life.

This support can give people a renewed sense of purpose. It can also open up new opportunities and change the way people feel about the future.

Children and young people

Occupational therapists help babies, infants, children and young people grow, learn, have fun, socialise and play – so they can develop, thrive and reach their full potential.

The focus could be on self-care, like getting ready to go out, eating a meal or using the toilet. It could be around being productive – going to nursery or school, or volunteering. Or it could simply be about improving their ability to play with friends, compete at sport or take part in hobbies.

People with physical disabilities and long-term conditions

Occupational therapists help people with physical disabilities and long term conditions to get the most out of life.

The emphasis is on finding an optimal level, whatever the barrier. That often means looking at how an activity, or the physical or social environment it takes place in, can be modified or adapted to make things easier. Just as importantly, the therapist will discuss how someone feels about their ability to tackle problems.

People with learning disabilities

Occupational therapists help people with all types of learning disabilities to enjoy life, work and leisure activities as independently as possible.

These activities range from things around the home, like cooking, or using public transport so they can make the most of their community’s facilities. The goal might be to support people into voluntary work or employment or help with parenting skills. Occupational therapists often look to include other family members and support workers in their approach too – so everyone understands the needs of the individual.

People with mental health conditions

Occupational therapists help people with a wide range of mental health conditions enjoy everyday activities that lead to a sense of purpose and enhance their chances of recovery.

The aim could be to improve self-care, from rebuilding a morning route to regular walks or learning to cook healthy meals. It could be about managing finances better by developing a budget. Or the focus might be building confidence to go out again, talk with neighbours or join a local group. Occupational therapists also look at helping people develop professional skills, so they can apply for work and build careers.

Older people

Occupational therapists help older people do activities that are important to them, enhance their wellbeing and keep them healthy. This can include putting into place solutions that keep them safe and active, like walking aids or changes to the home. Occupational therapists can also help to find more opportunities for social contact and work with them to increase their confidence when meeting new people.

People at the end of life

Occupational therapists help people to have a good end of life by still experiencing what they most value. They can teach strategies and techniques that help people conserve their energy for the activities they want to do. They might also organise equipment and make changes to the physical environment to allow the person to die at home.

Getting support from occupational therapists 

If you find it challenging carrying out activities that you need, want or like to do then you might benefit from the support of an occupational therapist. 

Support from occupational therapists

An occupational therapist will consider your strengths, abilities and health care needs. They will find out what you want and need to be able to do and then consider if your environment supports or hinders your ability to do them. They can then find ways to make life easier. This might include support with self-care, household chores, getting out and about, adaptations to your home, finding or staying in work or education, or taking part in social and leisure activities. 

Arranging to see an occupational therapist

Speak with your GP or another health or social care professional - they might be able to arrange for you to see an occupational therapist.  

  • Get help making an OT referral 

If you see an occupational therapist on the NHS, or through education or social services, you will not have to pay. Alternatively, you could consider contacting a local independent occupational therapist. You will need to pay for their services. 

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