Objective. This study examined the occupations of mothering very young children with physical disabilities.

Method. Two single, urban, Black mothers in their mid-20s were interviewed with a semistructured protocol. The audiotaped, transcribed data were analyzed with a phenomenological method.

Results. The context of the challenging urban environment was a constant influence that shaped the participants’ occupations of mothering. The major overarching theme derived from the data was that mothering was “what I got to do” in relation to their particular child. Two subthemes were identified: (a) mothering as caring and (b) the impact of social supports on the occupations of mothering.

Conclusion. To plan meaningful, effective interventions, occupational therapy practitioners need to understand the context in which mothering occupations occur and to ensure that mothers’ caring occupations and social support needs are addressed in the therapeutic partnership.

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