Download the SWAG Activities. A free subscription is required.


A Structured Work Activity Group (SWAG) is a suite of simulated work activities, each of which is graduated in terms of demand.

SWAG activities are used to provide persons who have experienced cognitive impairments with opportunities to practice work activities at a level that is commensurate with their current ability and to be presented with just-right challenges that gradually improve ability.

This is the original set of activities that were developed at the Washington University School of Medicine Program in Occupational Therapy, and are provided at no charge.

To properly administer these activities you will need to make some of your own equipment. If you are interested in a more comprehensive set of the SWAGs that include upgraded files and recorded audio materials please visit the SWAG Upgrade page at Matheson Development.

In addition to the SWAG Upgrade Matheson Development also offers the SWAG Upgrade Plus for professionals who are looking for an already-assembled complete set of equipment, as well as an in-depth professional manual for the SWAGs.


Eight activities that simulate these bookkeeping and secretarial activities at the St. Francis International Library, a simulated employer and the O*Net Ability Questionnaire. You may select as many as interest you.

Also included are instructions on how to set up and use each activity, along with numerous PDF and Excel files that allow the therapist to print and create his or her own activity materials.

For the activities list please see the list of available downloads below. You may choose multiple files (or all files) for download.


“As a community mental health Occupational Therapist, I work towards the goal of returning clients to competitive community employment. Illness, medications, and periods of under-stimulation often create performance issues relating to reduced cognitive function. In my clinical practice, I find the SWAG offers functional collateral, naturally enhancing client self-report. The SWAG allows clinical observation (in a reality-based context) of sustained and divided attention, processing speed, approach/follow through of tasks, and prioritization. The opportunity to observe clients’ current functional capabilities and to assess their capacity to follow written multistep instructions is of great value. The tasks given to clients closely resemble tasks in a mainstream employment environment, which enhances clients’ confidence, sense of empowerment, and their much-desired re-acquisition of a productive role.”

Kathryn A. McKall, BSc, MOT
Occupational Therapist
Vancouver, British Columbia, Canada