title: Client-centred occupational therapy with children: A critical perspective.
abstract: BACKGROUND
  Client-centredness is a central theme within occupational therapy; however, its application within clinical practice has not been thoroughly examined within the literature.
  
  
  OBJECTIVE
  The aim of this practice reflection is to provide a critical perspective on client-centredness in occupational therapy practice with children.
  
  
  METHODS
  Two action points of the Canadian Practice Process Framework (CPPF): Set the Stage and Agree on Objectives and Plan are applied to examine the concept of client-centred practice using a common practice example.
  
  
  RESULTS
  There are multiple benefits to using a client-centred approach to goal setting and developing a therapy plan. Practical challenges to client-centred practice include a lack of time, organizational support, and professional autonomy. Therapists may exert power over clients by enforcing institutional policies that prioritize the client diagnosis and organizational processes.
  
  
  CONCLUSIONS
  The authors support a client-centred approach to occupational therapy practice with children but suggest that therapists may feel conflicted in trying to apply these principles within the current context of rehabilitation for children. Occupational therapists are encouraged to identify opportunities where they can advocate for a client-centred approach to services.
authors: CanChild Centre for Childhood Disability Research, McMaster University , Hamilton, Ontario , Canada.
authors: Michelle
authors: M
authors: Phoenix
authors: Sandra
authors: S
authors: Vanderkaay
mesh_terms: D002170:Canada; D002675:Child, Preschool; D006801:Humans; D009788:Occupational Therapy; D010347:Patient Care Planning; D018802:Patient-Centered Care / Q000379:methods*
keywords: Canadian Practice Process Framework; family-centred care; practice reflection