12/01/2025
We talk a lot about “occupation-based practice,” but most of us were never actually taught where occupation came from.
Spoiler: it wasn’t brushing teeth or simulated ADLs.
From 1790–1899, occupation was skilled craftwork, identity rebuilding, community participation, and meaningful contribution.
People weren’t “practicing functioning.” They were reclaiming themselves.
Somewhere along the line, we shrank that history into an ADL checklist — and now insurance companies use that misunderstanding to deny skilled care.
This episode breaks down the TRUE roots of our profession… and how misunderstanding them is trapping OT today.
🎧 Episode 1 is live: 1790–1899 — The Origins of Occupation Under Pressure
A brutally honest look at where OT really started, and the one thing you can do this week to reclaim meaning in your practice.
If history has taught us anything… it’s to stay outspoken.