Assistive technology (AT) is any artefact that enables participation in activities usually limited by disability. Frequently, AT suffers from poor design engagement and utilisation. Moreover, up to 30% of all AT is abandoned within a year, negatively impacting users. This presents an ongoing challenge for occupational therapists (OTs) who work with assistive technologies. A literature review was conducted using a Preferred Reporting Items for Systematic Reviews and Meta-Analysis protocol to understand this issue and its implications for the design community. This study explores current themes of AT abandonment and the role of OT within the lens of design thinking. Studies, including design intervention in AT, were subsequently highlighted. This led to comparing this literature with more traditional health literature, exploring the potential enablers and barriers for design in engaging with AT. This evidenced the benefits of collaboration between design and OT disciplines to improve the product and reduce abandonment issues.

This article confronts the challenges and opportunities presented by medical-legal partnerships (MLPs) representing families impacted by the family regulation system. Based on the authors’ experience developing a collaboration between a medical-legal partnership, interdisciplinary law school clinic and nurse home visiting program focused on clients impacted by the family regulation system, the article challenges traditional conceptions of the MLP model and proposes an expanded vision for MLPs to address systemic injustice and improve outcomes for families.