In AOTA Vision 2025, what does 'effective' mean?

• A. Evidence-based and client-centered
• B. Evidence-based, client-centered, and cost effective
• C. Client-centered and cost effective only
• D. Evidence-based and cost effective only

Answer: (B)

Effective in this context means services that produce meaningful client outcomes by combining three elements: solid evidence, active collaboration with the client, and consideration of costs. Evidence-based practice ensures interventions are supported by current research and best practices. Client-centered care means working with the client to align goals, preferences, and values, so the outcomes matter to them and are more likely to be achieved. Cost effectiveness focuses on delivering value—achieving good results without unnecessary cost, promoting accessibility and sustainability of services. Together, these ensure that therapy is proven, personalized, and prudent with resources, which is why the best answer includes all three aspects.