Introduction: Sexuality and intimacy are fundamental to human existence and wellbeing. The WHO recognizes sexual function and intimate relationships as a critical functioning domain in the Package of Interventions for Rehabilitation, further affirming sexual rights as human rights. Although many professions address aspects of sexuality and intimacy, occupational therapists are the experts in understanding and reducing the impact of client factors, performance skills and patterns, and contextual demands to promote optimal participation and performance of these valued occupations. The Occupational Therapy Sexual Assessment Framework (OTSAF) was developed to define the complex occupational nature of sexuality, while the Occupational Performance Inventory of Sexuality and Intimacy (OPISI) is the practical assessment tool that implements this framework in clinical practice.
Objectives: Understand the complex occupational nature of sexuality and intimacy Understand how the OPISI translates theory into clinical assessment Showcase international adoption through multilingual translations Illustrate how the scope of OT aligns with WHO initiatives in addressing sexual functions and intimate relationships
Approach: This presentation examines OTSAF's conceptual elements and demonstrates how OPISI translates them into practical assessment. This comprehensive framework-to-assessment approach effectively converts abstract sexual rights principles into concrete, actionable clinical practice, while consistently centering client autonomy and personal values throughout the therapeutic process.
Implications: The OTSAF/OPISI approach clarifies sexuality's occupational nature while enabling practical assessment. Global applicability is shown through multicultural translations. Implications include justification for including sexuality in OT practice.
Contribution: OTSAF and OPISI catalyzed a paradigm shift—moving sexuality from optional to professional obligation. This positions OT as a leader in rights-based healthcare, advancing the profession through integrating sexual rights as occupational rights.