April is Occupational Therapy Month, so in honor of that, I thought I would do a series on what Occupational Therapy is and highlight some of the areas of practice that OTs work in.
What is Occupational Therapy?
Before we get into what Occupational Therapists (OTR/L) and Occupational Therapy Assistants (COTA/L) do in different fields, what is Occupational Therapy?
The American Occupational Therapy Association describes OT as follows:
In its simplest terms, occupational therapists and occupational therapy assistants help people across the lifespan participate in the things they want and need to do through the therapeutic use of everyday activities (occupations). Common occupational therapy interventions include helping children with disabilities to participate fully in school and social situations, helping people recovering from injury to regain skills, and providing supports for older adults experiencing physical and cognitive changes.
A term you will hear a lot with OT is Activities of Daily Living or ADLs. This term refers to any task or skill that a person needs to complete as part of their daily routine. Things such as bathing, toileting, cooking, cleaning, driving, and hobbies are things that Occupational Therapy professionals help their clients to either relearn or increase their strength in order to complete these skills again.
Areas that you will see Occupational Therapy professionals in are:
- Hospitals (acute and inpatient rehab)
- Out-patient therapy centers (including hand therapy)
- Early Intervention (birth to 3)
- Nursing rehabilitation centers
- Mental health hospitals and centers
- Hippo-therapy (Using horses to increase better body mechanics and balance).
Types of OT Degrees
There are two different types of Occupational Therapy degrees. A masters degree (and some doctorate level programs now) to become an Occupational Therapist (OTR) and an associate level degree to become an Occupational Therapy Assistant (OTA). As of 2025, and OTR position will be doctorate level and OTA will become a bachelor degree in the United States. Many programs overseas are still at the masters or bachelor level for OTR positions.
A therapist with a masters degree/doctorate or OTR completes evaluations, creates treatment plans, treatment of the client, discharge paperwork, and also supervision of the OTAs.
An OTA is able to collect data for evaluations, however, they cannot assess or make conclusions or recommendations based on the evaluation. OTA also complete all treatments and documentation during sessions and must also be supervised by the OTR.
Do you have any questions about Occupational Therapy? Comment below and let me know!