Abstract
At some point during their career, nearly all occupational therapists will work with a person who has a cognitive or perceptual impairment that produces difficulties in occupational engagement. This person may be a child, teenager, adult or older person, and the occupational therapist may be working in a hospital, community centre, school or residential care facility. The purpose of this chapter is to provide an overview of different types of cognitive and perceptual problems, a range of evaluation strategies that an occupational therapist may use, and ideas for implementing and evaluating therapy. The chapter is illustrated with the story of Jill and Vivian to provide detailed information on how an occupational therapist may work with an individual who is experiencing occupational performance problems as a result of cognitive and perceptual problems. An occupational perspective is taken, so the chapter focuses on practical ideas for occupation-based assessment and intervention. However, the chapter draws on the work of neuropsychologists, speech therapists and occupational therapists (Árnadóttir, 1990; Bradshaw & Mattingley, 1995; Katz; 2011; Lezak, 1995; Ponsford, 2004; Unsworth, 1999).
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