Our mandate for the new millennium: Evidence-based practice

The health care environment of the past quarter century went through numero us evolutionary processes that affected how occupational therapy services w ere provided. The last iterations of these processes included requests for the evidence that supported what we were doing. This year's Eleanor Clarke Slagle Lecture (a) examines the strength of the evidence associated with oc cupational therapy interventions-what we do and how we do it-(b) raises dil emmas we face with our ethical principles when some of our practices are ba sed an limited evidence, and (c) proposes a framework of continued competen cy to advance the evidence base of occupational therapy practice in the new millennium.