The concept of adaptive devices, as suggested by Schwartz during his keynote address at the 1992 Massachusetts Association of Occupational Therapy conference, is perhaps one of the greatest ideas in occupational therapy. Adaptive devices play an integral role in the philosophy and process of occupational therapy; as they modify and assist in an individual's environment, adaptive devices promote the greatest amount of independence and an optimal level offunctioning. Present in home, school, worksite, and community recreational settings, adaptive devices are found everywhere in our environment, in both simple and complex