Despite such positive outcomes of meaningful engagement, recent studies have suggested that elderly residents are inactive for most of their time, are engaged in passive activities, and do not experience significant verbal interaction with their caregivers. This session explores meaningful activities by focusing on the intersection of the individual, his/her occupations, and the environment. Participants are offered techniques for soliciting individual preferences, interests, roles, and hobbies and using these to encourage client choice and control over activities. Following the PEO Model of Care, techniques for adapting activities and the environment to continue to meet the needs of changing medical conditions, those with dementia, and the most frail residents will be suggested.