Home programs are one component of occupational therapy service delivery that improves outcomes for clients and furthers the gains made in therapy. Home programs are individually designed activities and exercises that are intended to be incorporated into the client’s daily routine. Adherence to home programs, however, can be challenging and adherence rates range from 40-70%. Occupational therapy focuses on the use of meaningful, functional activities that have inherent therapeutic power. Home programs utilizing functional activity have been shown to increase effectiveness and follow-through for clients. Despite this evidence, very few activitybased home program resources exist for occupational therapists. Thus, a manual containing 37 ideas for activity-based home programs was created for use at the University of Puget Sound Onsite Occupational Therapy Clinic. A pilot study was completed to determine the effectiveness and organization of the manual. The final, completed manual is available in the resource room and online on the student Moodle course website for OT661
