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 paper has been published in the New Zealand Journal of Occupational Therapy, 63(1), April 2012 by Occupational Therapy New Zealand Whakaora Ngangahau Aotearoa. All rights reserved.Occupational therapy; Change agents; Transformational change; Bi-cultural context; LeadershipJournal ArticleOpenAccess