In this study, researchers sought to understand elementary school teachers' attitudes and needs while working in inclusive classes. Understanding teachers' needs is relevant to occupational therapists, who have the potential to work collaboratively with them within inclusive practice settings. Qualitative interviews were conducted with 12 elementary school teachers with more than 5 years working experience in inclusive schools in Armenia. Thematic analysis was used to explore the data. The findings suggest that teachers were enthusiastic to create equal opportunities for children with special needs. They discussed the need for societal attitudes to change. Teachers were very much aware of their professional gaps, needs, and mentioned the importance of skilled professionals in inclusive schools. They valued inclusion and the rebuilding of physical and social environments to foster the engagement and participation of children with special needs. The teachers expressed ideas shared by occupational therapists, such as the desire to enhance the personal and environmental conditions for each child with special needs in inclusive schools.