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Occupational Therapist

Occupational therapy assistants and aides help patients develop, recover, and improve the skills needed for daily living and working. Occupational therapy assistants are directly involved in providing therapy to patients, while occupational therapy aides typically perform support activities. Both assistants and aides work under the direction of occupational therapists.

Occupational therapy assistants typically do the following:
  • Help patients do therapeutic activities, such as stretches and other exercises
  • Lead children who have developmental disabilities in play activities that promote coordination and socialization
  • Teach patients how to use special equipment; for example, showing a patient with Parkinson’s disease how to use devices that make eating easier
  • Record patients’ progress, report to occupational therapists, and do other administrative tasks

Occupational therapy aides typically do the following:
  • Prepare treatment areas, such as setting up therapy equipment
  • Transport patients
  • Clean treatment areas and equipment
  • Help patients with billing and insurance forms
  • Perform clerical tasks, including scheduling appointments and answering telephones

Occupational therapy assistants collaborate with occupational therapists to develop and carry out a treatment plan for each patient. Activities in plans range from teaching the proper way for patients to move from a bed into a wheelchair to the best way to stretch their muscles. 

For example, an occupational therapy assistant might work with injured workers to help them get back into the workforce by teaching them how to work around lost motor skills. Occupational therapy assistants also may work with people with learning disabilities to teach them skills that allow them to be more independent.

Assistants monitor activities to make sure patients are doing them correctly. They also encourage the patients. They record the patient’s progress so the therapist can change the treatment plan if the patient is not getting the desired results.

Occupational therapy aides typically prepare materials and assemble equipment used during treatment. They may assist patients with moving to and from treatment areas. After a therapy session, aides clean the treatment area and any communal equipment.

Occupational therapy aides also fill out insurance forms and other paperwork and are responsible for a range of clerical tasks, such as scheduling appointments, answering the telephone, and monitoring inventory levels.
Personality & Interest

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Occupational therapy assistants typically have an interest in the Doer and Helper interest areas, according to the Holland Code framework. The Doer interest area indicates a focus on working with tools and machines, and making or fixing practical things. The Helper interest area indicates a focus on assisting, serving, counselling, or teaching other people.

If you are not sure whether you have a Doer or Helper interest which might fit with a career as an occupational therapy assistant, you can take a career test to measure your interests.

Occupational therapy assistants should also possess the following specific qualities:

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 caring and have the ability to encourage others.


Detail oriented. Occupational therapy assistants and aides must be able to quickly and accurately follow the instructions, both written and spoken, of an occupational therapist.


Flexibility. 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 type of therapy to use for achieving a patient’s goals.


Interpersonal skills. Occupational therapy assistants and aides spend much of their time interacting with patients. They should be friendly and courteous, and they should be able to communicate with patients to the extent of their ability and 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.
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