Introduction/Rationale: Poverty is a complex, multidimensional issue that profoundly impacts occupational participation and health outcomes. As occupational therapists work within diverse communities, understanding their role in addressing poverty is critical. While discussions about the intersection of poverty and occupational therapy practice are increasing, there remains a need for deeper insight into how therapists engage with these challenges in everyday practice.
Objectives: This study explores how occupational therapists in Aotearoa New Zealand navigate the realities of poverty in traditional and emerging practice areas. It seeks to understand their approaches, ethical dilemmas, and opportunities for intervention.
Methods/Approach: Using an interpretive description methodology, semi-structured interviews were conducted with nine occupational therapists from various practice areas and geographical locations. This approach allowed for a nuanced exploration of therapists’ experiences, perspectives, and strategies in responding to poverty-related challenges.
Results/Practice implications: Findings confirm that poverty is a pervasive issue in occupational therapy practice, requiring therapists to engage holistically — intellectually, emotionally, and practically. Therapists conceptualized their engagement as a balance between head, heart, and hands. Although occupational therapists align their work with core professional values, they also encounter ethical dilemmas that challenge their scope of practice. Addressing poverty requires systemic thinking, advocacy, and a commitment to social justice.
Conclusion/Contribution to the occupational therapy profession: Occupational therapists worldwide will encounter poverty in their practice. This study highlights the discomfort and ethical tensions that arise when engaging with poverty, emphasizing that avoidance is not a neutral option. The findings encourage therapists to critically reflect on their current responses and explore ways to expand their engagement in ethical, sustainable, and impactful ways.