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This article has been peer reviewed. It is the author’s final published version in The American Journal of Occupational Therapy, Volume 44, Issue 10, October 1990, Pages 923-929.

The published version is available at DOI: 10.5014/ajot.44.10.923. Copyright © American Occupational Therapy Association


This paper offers a method by which to train students in the provision of culturally relevant, in-home environmental adaptations for persons with chronic disabilities. On the basis of a theoretical framework, the student therapist learns about the client's life-style and offers adaptations that evolve from a collaborative problem-solving process. The training process has been developed and refined over a 3-year period. A case study illustrates the student's application of theory and practice and the outcome for the client of this service provision approach.

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