Did you know that occupational therapy originated in the mental health setting? The profession developed from the mental hygiene movement of the early 20th century. The first occupational therapists worked with American soldiers who came back home “shell shocked” after World War I, teaching them crafts and vocational skills that would improve their morale. From there, occupational therapy continued into community health centers after the deinstitutionalization movement in the mid-20th century. In fact, most occupational therapists once worked in mental health. That number has decreased over the years, but new opportunities are arising with recent changes in the mental health field.