This groundbreaking text by two noted educators and practitioners, with contributions by specialists in their fields, presents a comprehensive, evidence-based approach to pediatric therapy. Their work reflects the focus of practice today—facilitating the participation of children and their families in everyday activities in the content of the physical and cultural environments in which they live, go to school, and play. The authors describe the occupational roles of children in an ecocultural context and examine the influence of that context on the participation of a child with physical, emotional, or cognitive limitations.