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How to Write a Client’s Occupational Profile: Examples of Actual Clients

Each of the occupational profile examples below is based on actual clients evaluated for occupational therapy. The AOTA Occupational Profile Template was used to gather the information. No example is perfect, and each occupational profile is as unique as the client being evaluated. The occupational profiles below will inform the selection of assessments and outcomes and completion of the analysis of occupational performance needed to develop the plan of care. See the Occupational Therapy Practice Framework: Domain and Process (3rd ed.) for more information on the OT evaluation process.

Second Grade Client Evaluated in School-Based Practice

Second grade student referred to school-based occupational therapy secondary to poor handwriting and increased behavioral outbursts in class. His teacher reports that his handwriting is illegible and that he is having behavioral outbursts with increasing frequency. He currently receives special education services for a speech and language impairment. The occupational therapy evaluation starts with the following occupational profile. Read more.

2.5-Year-Old Client Evaluated in a Pediatric Outpatient Clinic

The client and family were referred to outpatient occupational therapy after receiving a new diagnosis of autism spectrum disorder. The client was evaluated after the family expressed concerns that he was having difficulty feeding himself, sleeping, and engaging in social situations. The occupational therapy evaluation starts with the following occupational profile. Read more.

Middle School Client Evaluated in School-Based Practice

A 10-year-old client was referred for occupational therapy evaluation during the individualized education program (IEP) process. Members of the team identified the need due to global motor delays, difficulty socializing and participating with peers, difficulty participating in daily activities including school work, and difficulty following simple directions unless provided in a one-on-one setting. The occupational therapy evaluation starts with the following occupational profile. Read more.

45-Year-Old Client Evaluated in an Outpatient Clinic

A 45-year-old client was referred to occupational therapy services after chronic back pain began to increase and interfere with his work and home life. The client is having difficulty managing with dressing, functional transfers, work, sleep, home management, and providing care for his children. The occupational therapy evaluation starts with the following occupational profile. Read more.