title: Occupational well-being: rethinking occupational therapy outcomes.
abstract: BACKGROUND
  Outcomes in occupational therapy focus largely on increasing and enhancing the quality of clients' occupational performance, and thus, the importance of clients'subjective experiences of their occupations are often overshadowed.
  
  
  OBJECTIVE
  In this paper, the concept of occupational well-being is introduced. Our intent is to extend the focus beyond occupational performance and draw attention to individuals' subjective occupational experiences.
  
  
  RESULTS
  We contend that occupational well-being is enhanced when individuals' occupational needs, including their needs for accomplishment, affirmation, agency, coherence, companionship, pleasure, and renewal are consistently met.
  
  
  CONCLUSIONS
  Occupational therapists can play a vital role in enabling clients to compose or re-orchestrate their occupational lives so they are able to meet their occupational needs more consistently. This role may be fulfilled by intervening directly with clients or by indirectly influencing clients' occupational lives or society at large to effect changes at an environmental or organizational level.
authors.affiliation: School of Occupational Therapy, Dalhousie University, Halifax, Nova Scotia, B3H 3J5. susan.doble@dal.ca
authors.forename: Susan E
authors.initials: SE
authors.lastname: Doble
authors.forename: Josiane Caron
authors.initials: JC
authors.lastname: Santha
mesh_terms: D006801:Humans; D007899:Leisure Activities; D009788:Occupational Therapy / Q000458:organization & administration*; D012944:Social Support; D016896:Treatment Outcome