December 15, 2009

Occupational Therapist Assistants and Aides


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.


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.


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.


Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, 2008-09 Edition, Occupational Therapist Assistants and Aides, on the Internet at http://www.bls.gov/oco/ocos166.htm (visited December 16, 2009).

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