本專題演講主要說明職能治療介入應結合以家庭為中心的原則與著重以職能為基礎。透過搭起臨床與個案日常生活的橋樑，將能帶來比傳統介入模式更強而有力的效果。這種介入方式需符合個案與家庭的優先順序及信念，配合他們的生活型態量身打造，考慮所有家庭成員的需求並取得平衡，如此才能讓介入成效持久。這個介入方式的轉變需要：使用以職能為基礎和參與的評量、使用以個案為中心的互動方式以利量身打造，以及設計對個人具有意義、高度情境化並融入社會的職能治療介入。我將以兩個案例來說明以職能為基礎、以家庭為中心的服務模式。

This keynote argues we need to combine principles of family-centeredness with an occupation-based focus in our occupational therapy interventions. This will foster more powerful interventions than traditional approaches by bridging  om the clinic into clients’ daily lives. Such a practice would need to be responsive to the client’s and family’s priorities and beliefs, to be tailored to their lifestyles, to consider and balance all of the family member’s needs, and thus will produce interventions that are sustainable over time.  is shi in practice requires: using occupation-based and participation assessments; using a client-centered interactional approach to facilitate tailoring; and designing personally-meaningful, highlycontextualized, and socially-integrating occupational therapy interventions. Two case studies are presented to illustrate occupation-based family-centered practice