The family occupies an important role in the lives of persons with a p
hysical, developmental, or mental disability; however, the extent and
manner in which occupational therapists work with families is not know
n. A questionnaire concerning family-therapist involvement was sent to
occupational therapists. Responses of 340 occupational therapists wit
h a primary practice area of physical disabilities, developmental disa
bilities, or mental health were compared. Results indicated that the a
mount of contact with families of clients, reasons for family-therapis
t interactions, and attitudes about the family's abilities and involve
ment were affected by the respondent's area of practice. Respondents i
n all three practice areas identified scheduling difficulties as the b
iggest issue affecting their involvement with families of their client
s. Implications discussed include the need to obtain an understanding
of families' desired level of involvement and the importance of contin
uing education opportunities for occupational therapists in changing a
ttitudes about working with families. This study also suggests that th
e role of occupational therapists with families in mental health setti
ngs needs to be better articulated and shared with professional peers.