Description
Occupational Therapy Practice Framework: Domain and Process, 4th Edition (OTPF-4)
The American Occupational Therapy Association publishes the Occupational Therapy Practice Framework as the official foundational document for practitioners, students, educators and researchers. It sets out the profession’s core belief in the relationship between occupation and health, and gives the field a shared language and structure.
The book has two parts. The Domain section outlines the profession’s purview and the areas where OT practitioners have an established body of knowledge. The Process section describes the actions practitioners take when they deliver client-centered services focused on engagement in occupations.
What the domain covers
The Domain section works through occupations, client factors, performance skills, performance patterns and contexts, and shows how these interact with the evaluation, intervention and outcomes that make up the OT process.
What is new in this edition
- Health Management is introduced as its own distinct occupational category.
- The concept of contexts is expanded to incorporate environmental and personal factors.
- Terminology is updated, with expanded discussion of gender identity, sexual orientation and systemic inequalities within personal factors of context.
Book details
- Title: Occupational Therapy Practice Framework: Domain and Process
- Edition: 4th edition (OTPF-4)
- Publisher: American Occupational Therapy Association (AOTA)
- ISBN-13: 9781569004883
Questions buyers ask
Who publishes the OTPF-4?
The American Occupational Therapy Association, as the official framework document for the profession.
Who is this book for?
Occupational therapy practitioners, students, educators and researchers who need the field’s shared terminology and structure.
What is new in the 4th edition?
Health Management is added as its own occupational category, contexts are expanded to include environmental and personal factors, and terminology around gender identity, sexual orientation and systemic inequalities is updated.
How is the book organized?
Into two sections, Domain and Process, covering the scope of OT practice and the actions practitioners take with clients.
Is this a clinical practice book or a reference document?
It is the official reference document, used for clinical reasoning, documentation and defining the profession’s scope.







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