LGBTQ+: Application

OT Role Fulfillment

The application of OT with the LGBTQ+ population can be done through a variety of roles and approaches. Below are some examples and ideas to help you envision just a few of the possibilities. 


  • Host a LGBTQ+ healthcare competency event at your organization
  • Compose articles or create educational materials and submit to OT magazines, journals, or websites
  • Share/disperse resources on social media platforms or at your facility to provide information regarding LGBTQ+ matters
  • Advocate for gender-neutral bathrooms to promote inclusivity and social belongingness
  • Advocate and request that your organization's intake paperwork include more gender options than just male and female (such as "transgender" or "other"); also that it includes more than just married and single options (such as "in a partnership")


  • Include material about OT's role with LGBTQ+ population in OT curriculum
  • Create CEU courses to educate about OT's role and about the needs of the LGBTQ+ population
  • Be a speaker at a state or national OT conference
  • As a fieldwork educator, discuss LGBTQ+ matters and considerations concerning clients with students; set the example by having LGBTQ+ resources


  • Create your own consulting business to serve the LGBTQ+ population
  • Write and sell a book on LGBTQ+ population and OT application
  • Create and sell a phone application to facilitate the LGBTQ+ population's engagement in occupations or an education application for OT's
  • Create and sell a toolkit for OT practitioners with resources regarding the treatment of LGBTQ+ individuals

Leader / Administration

  • Become a leader with AOTA with a focus on LGBTQ+ matters
  • Create an environment for inclusivity
  • Promote and provide education regarding LGBTQ+ matters
  • Identify and address issues at own institution that limit the LGBTQ+ population from achieving their highest level of independence and occupational participation

Policy Developer

  • Propose and advocate for OT services inclusion within federal grants at local community centers serving the LGBTQ+ population
  • Support and advocate for legislation that prevents the discrimination of LGBTQ+ individuals


  • Conduct research with OT providers to identify how OT's are addressing the needs of the LGBTQ+ population
  • Conduct research with the LGBTQ+ population to identify unmet needs for all realms of health and wellness


  • Create a program at a LGBTQ+ community center that addresses issues such as social participation, mental health, wellness, etc.
  • Consult at businesses or healthcare centers to facilitate the creation of an inclusive environment
  • See treatment ideas below 

Direct Service Provider

  • Have LGBTQ+ resources readily available to provide to clients 
  • Ask clients their name to confirm identity per protocol; then ask what they like to be called and respect their wishes
  • See treatment ideas below 

Suggested Frameworks & Models

  • Health Equity Promotion Model

  • Minority Stress Model 
  • Model of Human Occupation (MOHO)

  • Person-Environment-Occupation Model (PEO)

  • Person-Environment-Occupation-Performance Model (PEOP)

Suggested Assessments

  • Activity Card Sort
  • Adolescent/Adult Sensory Profile
  • Assessment of Living Skills and Resources-Revised 2 (ALSAR-R2)
  • Assessment of Motor and Process Skills (AMPS)
  • Beck Anxiety Inventory (BAI)
  • Beck Depression Inventory (BDI)
  • Canadian Occupational Performance Model (COPM)
  • Child Occupational Self-Assessment (COSA)
  • Coping Inventory
  • Family Needs Scale
  • Life Balance Inventory
  • Model of Human Occupation Screening Tool (MOHOST)
  • Occupational CIrcumstances Assessment-Interview Rating (OCAIRS)
  • Occupational Performance History Interview (OPHI-II)
  • Occupational Questionnaire (OQ)
  • Participation and Environment Measure for Childen and Youth (PEM-CY)
  • Pediatric Volitional Questionnaire (PQV)
  • Role Checklist (RC)
  • Volitional Questionnaire

Treatment Ideas

ADLs and IADLs

  • Choosing and utilizing identity-confirming clothing and form-changing items
  • Educating and practicing identity-confirming grooming practices (Shaving, hair styling, make-up, painting nails, etc.)
  • Medication management (includes hormone therapy for individuals who are transgender)
  • Assisting with legal document changes
  • Assisting with identifying LGBTQ+ friendly healthcare providers and housing opportunities
  • Assisting with dating and issues surrounding sexual participation/intimacy
  • Assisting with religious participation


  • Address gender-specific requirements for school uniforms

Play, Leisure, and Social Participation

  • Host LGBTQ+ events or include LGBTQ+ representation at current events, especially at SNFs and ALFs 
  • Assistance with role transitions
  • Education on bullying and available resources
  • Advocate for transgendered individuals participation in sports

Rest and Sleep

  • Education of health benefits
  • Mindfulness
  • Positioning
  • Relaxation techniques
  • Sleep hygiene
  • Sleep schedule
  • Sleeping arrangements

Work and Volunteering

  • Address gender-specific requirements for workplaces
  • Role-play conversations for self-advocacy discussions with workplaces