How should an occupational therapist respond to a family offering a cash gift for services rendered?

The most appropriate response for an occupational therapist when offered a cash gift for services rendered is to decline the gift and explain the no-gift policy. This is consistent with ethical guidelines set forth by professional organizations, such as the American Occupational Therapy Association (AOTA), which discourage accepting gifts of substantial value. Accepting gifts can create a conflict of interest, potentially compromise the therapeutic relationship, and lead to perceptions of favoritism or bias.

By declining the cash gift and explaining the rationale behind a no-gift policy, the therapist reinforces professional boundaries and maintains the integrity of the occupational therapy profession. This response not only protects the therapist but also helps educate the family on professional standards, fostering an understanding of the therapist’s commitment to ethical practice.