Reed, K2019-07-222019-07-2220162016New Zealand Journal of Occupational Therapy, 63(1), 4-13.1171-0462https://hdl.handle.net/10292/12682None of us can predict what the future holds. However, as an agent of change, occupational therapists will not only strengthen the profession, they will make a significant difference to the health, well-being, and occupational outcomes of the people and communities we serve. I suggest the challenges ahead include: how and where we practice, how to be more responsive in the bi-cultural context, how to educate the next generation of occupational therapists, how to support and develop leaders, and how to build a stronger profession. Our success in the changing world will require reform, responsibility, and innovation. "He waka eke noa" - we are all in this same boat together.This is the Author's Accepted Manuscript of a paper published in the New Zealand Journal of Occupational Therapy, 63(1), April 2016 by Occupational Therapy New Zealand Whakaora Ngangahau Aotearoa. All rights reserved.Occupational therapyChange agentsTransformational changeBi-cultural contextLeadershipJournal ArticleOpenAccess10.3316/informit.988800015708969