This article reviews the current challenges facing the occupational therapy profession: meeting patients' needs, professional standard setting, measurement of health care outcomes, audit, research and development, the education of staff, organisational restructuring, reprofiling, resource management and contracting. It is argued that some of these challenges can be met through the development of multidisciplinary, collaborative clinical care profiles, the principles and advantages of which are described in relation to the practice of occupational therapy.
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