The contribution of occupational therapy to the management of the health service is largely an unexplored domain. This article examines the meaning of effective management practice and the integration of occupational therapy values and skills within the management role. It proposes a link between the occupational therapy philosophy and a participative approach to management. The benefits and challenges that develop from this particular management style are highlighted, with particular reference to the power dimension of the health service. The use of power in organisational life is explored and the nature of participative management is reviewed in the light of this. The article concludes by advocating the positive use of power within the political arena and by encouraging all occupational therapists to participate fully in the management of their services.
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