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Occupation Profile for Occupational Therapist Assistants

Assist occupational therapists in providing occupational therapy treatments and procedures. May, in accordance with State laws, assist in development of treatment plans, carry out routine functions, direct activity programs, and document the progress of treatments. Generally requires formal training.


Significant Points

  • Occupational therapist assistants generally must complete an associate degree or a certificate program; in contrast, occupational therapist aides usually receive most of their training on the job.
  • Employment is projected to grow much faster than the average as demand for occupational therapy services rises and as occupational therapists increasingly use assistants and aides.
  • Job prospects should be very good for occupational therapist assistants; job seekers holding only a high school diploma might face keen competition for occupational therapist aide jobs.


$42,060.00 Median Annual Wage 1,000 Average Job Openings Per Year
0.0 Average Unemployment Percentage 0.0 Percentage That Completed High School
25,000 Employment Numbers in 2006 85.6 Percentage That Had Some College
31,000 Employment Numbers in 2016 (est.) 13.3 Percentage That Went Beyond College Degree

Sample Job Titles
Behavior Specialist
Certified Occupational Therapist Assistant (COTA)
Certified Occupational Therapy Assistant (COTA)
Certified Occupational Therapy Assistant-Licensed (COTA-L)
Health Service Worker
Independent Living Specialist
Licensed Occupational Therapy Assistant
Occupational Therapist Assistant
Occupational Therapy Assistant
Physical Therapist Assistant (PTA)
Rehabilitation Assistant
Technician, Occupational Therapy

  • These occupations usually involve using communication and organizational skills to coordinate, supervise, manage, or train others to accomplish goals. Examples include funeral directors, electricians, forest and conservation technicians, legal secretaries, interviewers, and insurance sales agents.
  • Most occupations in this zone require training in vocational schools, related on-the-job experience, or an associate's degree. Some may require a bachelor's degree.
  • Previous work-related skill, knowledge, or experience is required for these occupations. For example, an electrician must have completed three or four years of apprenticeship or several years of vocational training, and often must have passed a licensing exam, in order to perform the job.
  • Employees in these occupations usually need one or two years of training involving both on-the-job experience and informal training with experienced workers.

An associate degree or a certificate from an accredited community college or technical school is generally required to qualify for occupational therapist assistant jobs. In contrast, occupational therapist aides usually receive most of their training on the job.

Education and training. There were 126 accredited occupational therapist assistant programs in 2007. The first year of study typically involves an introduction to health care, basic medical terminology, anatomy, and physiology. In the second year, courses are more rigorous and usually include occupational therapist courses in areas such as mental health, adult physical disabilities, gerontology, and pediatrics. Students also must complete 16 weeks of supervised fieldwork in a clinic or community setting.

Applicants to occupational therapist assistant programs can improve their chances of admission by taking high school courses in biology and health and by performing volunteer work in nursing care facilities, occupational or physical therapists’ offices, or other health care settings.

Occupational therapist aides usually receive most of their training on the job. Qualified applicants must have a high school diploma, strong interpersonal skills, and a desire to help people in need. Applicants may increase their chances of getting a job by volunteering their services, thus displaying initiative and aptitude to the employer.

Licensure. In most States, occupational therapist assistants are regulated and must pass a national certification examination after they graduate. Those who pass the test are awarded the title Certified Occupational Therapy Assistant.

Other qualifications. Assistants and aides must be responsible, patient, and willing to take directions and work as part of a team. Furthermore, they should be caring and want to help people who are not able to help themselves.

Advancement. Occupational therapist assistants may advance into administration positions. They might organize all the assistants in a large occupational therapy department or act as the director for a specific department such as sports medicine. Some assistants go on to teach classes in accredited occupational therapist assistant academic programs or lead health risk reduction classes for the elderly.

Nature of Work

Occupational therapist assistants and aides work under the direction of occupational therapists to provide rehabilitative services to persons with mental, physical, emotional, or developmental impairments. The ultimate goal is to improve clients’ quality of life and ability to perform daily activities. For example, occupational therapist assistants help injured workers re-enter the labor force by teaching them how to compensate for lost motor skills or help individuals with learning disabilities increase their independence.

Occupational therapist assistants, commonly known as occupational therapy assistants, help clients with rehabilitative activities and exercises outlined in a treatment plan developed in collaboration with an occupational therapist. Activities range from teaching the proper method of moving from a bed into a wheelchair to the best way to stretch and limber the muscles of the hand. Assistants monitor an individual’s activities to make sure that they are performed correctly and to provide encouragement. They also record their client’s progress for the occupational therapist. If the treatment is not having the intended effect, or the client is not improving as expected, the therapist may alter the treatment program in hopes of obtaining better results. In addition, occupational therapist assistants document the billing of the client’s health insurance provider.

Occupational therapist aides typically prepare materials and assemble equipment used during treatment. They are responsible for a range of clerical tasks, including scheduling appointments, answering the telephone, restocking or ordering depleted supplies, and filling out insurance forms or other paperwork. Aides are not licensed, so the law does not allow them to perform as wide a range of tasks as occupational therapist assistants.

Work environment. Occupational therapist assistants and aides need to have a moderate degree of strength because of the physical exertion required to assist patients. For example, assistants and aides may need to lift patients. Constant kneeling, stooping, and standing for long periods also are part of the job.

The hours and days that occupational therapist assistants and aides work vary by facility and with whether they are full- or part time. For example, many outpatient therapy offices and clinics have evening and weekend hours to coincide with patients’ schedules.

Related Occupations

Sources: Career Guide to Industries (CGI), Occupational Information Network (O*Net), Occupation Outlook Handbook (OOH)

Median annual earnings of occupational therapist assistants were $42,060 in May 2006. The middle 50 percent earned between $34,130 and $50,230. The lowest 10 percent earned less than $26,050, and the highest 10 percent earned more than $58,270. Median annual earnings in the industries employing the largest numbers of occupational therapist assistants in May 2006 were:

Offices of physical, occupational and speech therapists, and audiologists $45,130
Nursing care facilities 43,280
General medical and surgical hospitals 40,060

Median annual earnings of occupational therapist aides were $25,020 in May 2006. The middle 50 percent earned between $20,460 and $32,160. The lowest 10 percent earned less than $17,060, and the highest 10 percent earned more than $44,130. Median annual earnings in the industries employing the largest numbers of occupational therapist aides in May 2006 were:

Offices of physical, occupational and speech therapists, and audiologists $26,960
General medical and surgical hospitals 26,360
Nursing care facilities 25,520

For the latest wage information:

The above wage data are from the Occupational Employment Statistics (OES) survey program, unless otherwise noted. For the latest National, State, and local earnings data, visit the following pages:

  • Occupational therapist assistants
  • Occupational therapist aides
  • Job Outlook

    Employment is expected to grow much faster than average as demand for occupational therapy services rises and as occupational therapists increasingly use assistants and aides. Job prospects should be very good for occupational therapist assistants. Job seekers holding only a high school diploma might face keen competition for occupational therapist aide jobs.

    Employment change. Employment of occupational therapist assistants and aides is expected to grow 25 percent from 2006 to 2016, much faster than the average for all occupations. In the short run, the impact of proposed Federal legislation imposing limits on reimbursement for therapy services may adversely affect the job market for occupational therapist assistants and aides. Over the long run, however, demand for occupational therapist assistants and aides will continue to rise because of the increasing number of individuals with disabilities or limited function.

    The growing elderly population is particularly vulnerable to chronic and debilitating conditions that require therapeutic services. These patients often need additional assistance in their treatment, making the roles of assistants and aides vital. Also, the large baby-boom generation is entering the prime age for heart attacks and strokes, further increasing the demand for cardiac and physical rehabilitation. In addition, future medical developments should permit an increased percentage of trauma victims to survive, creating added demand for therapy services. An increase of sensory disorders in children will also spur demand for occupational therapy services.

    Occupational therapists are expected to increasingly utilize assistants and aides to reduce the cost of occupational therapy services. Once a patient is evaluated and a treatment plan is designed by the therapist, the occupational therapist assistant can provide many aspects of treatment, as prescribed by the therapist.

    Job prospects. Opportunities for individuals interested in becoming occupational therapist assistants are expected to be very good. In addition to employment growth, job openings will result from the need to replace occupational therapist assistants and aides who leave the occupation permanently over the 2006-16 period. Occupational therapist assistants and aides with prior experience working in an occupational therapy office or other health care setting will have the best job opportunities. However, individuals with only a high school diploma may face keen competition for occupational therapist aide jobs.


    Occupational therapist assistants and aides held about 33,000 jobs in 2006. Occupational therapist assistants held about 25,000 jobs, and occupational therapist aides held approximately 8,200. About 29 percent of jobs for assistants and aides were in hospitals, 23 percent were in offices of occupational therapists, and 21 percent were in nursing and residential care facilities. The rest were primarily in community care facilities for the elderly, home health care services, individual and family services, and State government agencies.

    • Mathematics — Knowledge of arithmetic, algebra, geometry, calculus, statistics, and their applications.
    • Engineering and Technology — Knowledge of the practical application of engineering science and technology. This includes applying principles, techniques, procedures, and equipment to the design and production of various goods and services.
    • Sales and Marketing — Knowledge of principles and methods for showing, promoting, and selling products or services. This includes marketing strategy and tactics, product demonstration, sales techniques, and sales control systems.
    • Medicine and Dentistry — Knowledge of the information and techniques needed to diagnose and treat human injuries, diseases, and deformities. This includes symptoms, treatment alternatives, drug properties and interactions, and preventive health-care measures.
    • Physics — Knowledge and prediction of physical principles, laws, their interrelationships, and applications to understanding fluid, material, and atmospheric dynamics, and mechanical, electrical, atomic and sub- atomic structures and processes.
    • Equipment Maintenance — Performing routine maintenance on equipment and determining when and what kind of maintenance is needed.
    • Coordination — Adjusting actions in relation to others' actions.
    • Active Learning — Understanding the implications of new information for both current and future problem-solving and decision-making.
    • Writing — Communicating effectively in writing as appropriate for the needs of the audience.
    • Troubleshooting — Determining causes of operating errors and deciding what to do about it.
    • Near Vision — The ability to see details at close range (within a few feet of the observer).
    • Stamina — The ability to exert yourself physically over long periods of time without getting winded or out of breath.
    • Explosive Strength — The ability to use short bursts of muscle force to propel oneself (as in jumping or sprinting), or to throw an object.
    • Oral Comprehension — The ability to listen to and understand information and ideas presented through spoken words and sentences.
    • Hearing Sensitivity — The ability to detect or tell the differences between sounds that vary in pitch and loudness.
    • Core — Design, fabricate, and repair assistive devices and make adaptive changes to equipment and environments.
    • Core — Observe and record patients' progress, attitudes, and behavior, and maintain this information in client records.
    • Core — Assemble, clean, and maintain equipment and materials for patient use.
    • Core — Maintain and promote a positive attitude toward clients and their treatment programs.
    • Core — Teach patients how to deal constructively with their emotions.
    • Monitoring and Controlling Resources — Monitoring and controlling resources and overseeing the spending of money.
    • Guiding, Directing, and Motivating Subordinates — Providing guidance and direction to subordinates, including setting performance standards and monitoring performance.
    • Assisting and Caring for Others — Providing personal assistance, medical attention, emotional support, or other personal care to others such as coworkers, customers, or patients.
    • Repairing and Maintaining Electronic Equipment — Servicing, repairing, calibrating, regulating, fine-tuning, or testing machines, devices, and equipment that operate primarily on the basis of electrical or electronic (not mechanical) principles.
    • Getting Information — Observing, receiving, and otherwise obtaining information from all relevant sources.
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