How to Become an Occupational Therapy Assistant or Aide About this section
Occupational therapy aides help patients with billing and insurance forms.
Occupational therapy assistants need an associate’s degree from an accredited occupational therapy assistant program. All states regulate the practice of occupational therapy assistants. Occupational therapy aides typically need a high school diploma or equivalent and are trained on the job.
Education and Training
Occupational therapy assistants typically need an associate’s degree from an accredited program. Occupational therapy assistant programs are commonly found in community colleges and technical schools. In 2017, there were more than 200 occupational therapy assistant programs accredited by the Accreditation Council for Occupational Therapy Education, a part of the American Occupational Therapy Association.
These programs generally require 2 years of full-time study and include instruction in subjects such as psychology, biology, and pediatric health. In addition to taking coursework, occupational therapy assistants must complete at least 16 weeks of fieldwork to gain hands-on work experience.
People interested in becoming an occupational therapy assistant should take high school courses in biology and health education. They also can increase their chances of getting into a community college or technical school program by doing volunteer work in a healthcare setting, such as a nursing care facility, an occupational therapist’s office, or a physical therapist’s office.
Occupational therapy aides typically need a high school diploma or equivalent. They are trained on the job under the supervision of more experienced assistants or aides. Training can last from several days to a few weeks and covers a number of topics, including the setting up of therapy equipment and infection control procedures, among others. Previous work experience in healthcare may be helpful in getting a job.
Both occupational therapy assistants and aides often need certifications in cardiopulmonary resuscitation (CPR) and basic life support (BLS).
Adaptability. Assistants must be flexible when treating patients. Because not every type of therapy will work for each patient, assistants may need to be creative when working with occupational therapists to determine the best therapy to achieve a patient’s goals.
Compassion. Occupational therapy assistants and aides frequently work with patients who struggle with many of life’s basic activities. As a result, they should be compassionate and have the ability to encourage others.
Detail oriented. Occupational therapy assistants and aides must quickly and accurately follow the instructions, both written and spoken, of an occupational therapist. In addition, aides must pay attention to detail when performing clerical tasks, such as helping a patient fill out an insurance form.
Interpersonal skills. Occupational therapy assistants and aides spend much of their time interacting with patients and therefore should be friendly and courteous. They also should communicate clearly with patients and with patients’ families to the extent of their training.
Physical strength. Assistants and aides need to have a moderate degree of strength because of the physical exertion required to assist patients. Constant kneeling, stooping, and standing for long periods also are part of the job.
Licenses, Certifications, and Registrations
All states regulate the practice of occupational therapy assistants, with most requiring licensure. Licensure typically requires the completion of an accredited occupational therapy assistant education program, completion of all fieldwork requirements, and passing the National Board for Certification in Occupational Therapy (NBCOT) exam. Some states have additional requirements.
Occupational therapy assistants must pass the NBCOT exam to use the title “Certified Occupational Therapy Assistant” (COTA). They must also take continuing education classes to maintain their certification.
The American Occupational Therapy Association also offers a number of specialty certifications for occupational therapy assistants who want to demonstrate their specialized level of knowledge, skills, and abilities in specialized areas of practice such as low vision or feeding, eating, and swallowing.
Occupational therapy aides are not regulated by state law.
Some occupational therapy assistants and aides advance by gaining additional education and becoming occupational therapists. A small number of occupational therapist “bridge” education programs are designed to qualify occupational therapy assistants to advance and become therapists.