Our responsibility to be strategic with resources is greatest when they are scarce.

Even though the profession is growing (WFOT, 2018), occupational therapists are always a scarce resource. Incumbent on us is the duty to practice in ways that honour this reality.

Two issues emerge when considering how to do this:

  • leverage – how can I have the biggest possible impact, and
  • leadership – how can I strengthen leadership in this field of practice?


Impact at a micro level means those who use your services, your work peers, your occupational therapy students and colleagues experience positive changes.

Occupational therapy changes occupational opportunities at an individual level but it should not stop there.

Aware of the immense need, we must also work to increase the chance of those occupational opportunities being sustained and scaled to reach other people.

Impact at a meso level means your organisation, professional association, or regional response to displaced people are changed by your contributions.

Typically these types of contributions demand being ‘at the table’ to hear what is said, to give feedback, shape agendas, reframe discussions, and influence decision making. We can leverage our input by contributing at a meso level.

This is why the focus of this site is increasing the number of practitioners in paid work in this field of practice. These positions afford a seat at the table, and are the linchpin for other types of professional contributions such as research, education, advocacy, and pro bono service.

Impact at a macro level means you’re contributing to changes in your country, national systems or professional systems enabling the profession to make positive contributions to society.


World Federation of Occupational Therapists (WFOT) (2018). 2018 Occupational Therapy Human Resources Project (Full) – Alphabetical. Retrieved from: