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The objective is to demonstrate the existing evidence in Occupational Therapy in people with neurological diseases and/or physical dysfunction to verify that O.T. treatment is cost-effective and efficient in the Health System. Also to explain the O.T. profile in this area, the interventions and programs involved. Methodology carried out was a bibliographic search in the main bibliographic bases (PubMed, OTseeker, Scopus, Web of Knowledge), giving greater emphasis to reviews. The results conclude that the role of the occupational therapist in the interdisciplinary team is efficient and effective for the Health and Economic System of the Comunidad Foral because it means reducing long-term dependence of this population through a good rehabilitative treatment. The conclusion is that the needs observed in the survey on Disabilities, Impairments and Dependency Situations carried out in 2008 exist, and after evidencing the efficacy of the occupational therapist, we understand that it isnecessary to implement an interdisciplinary intervention.