The includes new theoretical perspectives, case examples, and adapted reflection activities to further meet the needs of students and entry-level professionals. New chapters address:•    Followership in the context of leadership•    A systems approach to leadership•    Shared leadership•    Transforming health care with leaders for change demonstrates the potential of occupational therapy leadership and encourages the next generation of students and clinicians to advance their understanding and application of occupational therapy and leadership theory for best practices.