This text specifically focuses on how environments (physical, social, cultural, institutional) can be used by occupational therapists to enable occupational performance with all types of clients. It should provide a framework to think about how environments fit into occupational therapy theory and practice. Examples of different approaches to occupational therapy intervention involving environments are demonstrated. Community settings, institutions, mental health, pediatrics, hand rehabilitation, health promotions and gerontology are just a few of the areas covered. Each chapter contains real world scenarios from occupational therapists about how the environment can be used to optimize occupational performance.