Occupational therapy practitioners help clients participate in daily activities when the ability to do so has been compromised by illness, injury, or disability.
We believe that health is more than alleviating a diagnosis. It is being able to participate in life to your fullest potential. That's why we focus on helping you participate in the daily activities that you find meaningful.
This page is your complete introduction to occupational therapy practice.
We believe that an essential part of healing is being able to participate in the daily activities that you find meaningful. For a child, this might mean playing with friends. For an adult, this might mean being able to fix a meal for your loved ones.
We call these meaningful daily routines "activities of daily living." These basic building blocks of daily life are what occupational therapist help you participate in, when it has become difficult to do so.
Here is the complete list of the activities an OT can help with:
An occupational therapist’s work varies from setting to setting, but the treatment process tends to follow a particular flow.
OT begins with an evaluation in which the therapist collects information on your history, health status, and what activities you are currently limited in. They use this information to layout a plan of care that involves specific goals and the treatment techniques they will use to achieve them.
Occupational Therapy Treatment
Subsequent treatments focus on some combination of providing physical, emotional, or cognitive interventions to help you achieve your goals. Therapists also consider whether modification of the environment/activity may help set you up for success.
Here are some examples of how Medicare (the gold standard in reimbursement) codes different treatments:
Discharge From Occupational Therapy
Coming to the end of occupational therapy does not mean the road to recovery is over. It simply means that you no longer need the skilled oversight of a therapist to continue. At discharge, OTs often provide education to you and your caregiver about how you can continue therapy independently, for example, by providing a home exercise program. I also recommend requesting a summary of the treatment and your progress.
OTs work with individuals across the lifespan, from newborns to older adults, and address physical and mental health. The most common settings where occupational therapists work are as below.
To give you an idea of how OT practitioners are distributed in the approximately 150,000 jobs in the US, here are the percentages of according to the AOTA 2015 Salary and Workforce Survey. (9664 OT practitioners were surveyed.)
To learn more about each OT practice area, click on an interview below.
To learn more about OT jobs in your area, check out my occupational therapy jobs board.
The scope of occupational therapy is very broad and encompasses many complex issues. Thus many practitioners benefit from receiving advanced certification in particular areas. Common areas of specialization include:
The post “Where to Go with an OT Degree” gives you a more in-depth breakdown of the different areas and what it takes to obtain certification.
In all states, there are two professional licenses that are available to occupational therapy practitioners: occupational therapist and certified occupational therapy assistant.
The current entry-level degree for an occupational therapist is a Masters of Science in occupational therapy. The credentials “MS OT/L or “OT/L” indicate this level of education
There are also a growing number of programs offering a doctorate in occupational therapy. The credential “OTD” indicates this level of education.
Prior to 2007, only a bachelor’s degree was needed to practice as an occupational therapist. Those who obtained their license before this were grandfathered into the licensing.
Certified Occupational Therapy Assistants
COTAs require an associate’s degree from a certified program. From there, they must pass a national exam to before practicing. Read here for a complete overview of their scope of practice.
Some OT departments also employ occupational therapy aides. These are non-licensed professionals who do not deliver OT treatments but instead help with daily operations of the department.
In the early 1900s, patients were languishing in hospitals and mental facilities for weeks, months and sometimes years. We now know that many of the treatments they were undergoing were ineffective.
In this time, there began a movement of social workers, nurses, and psychiatrists. They believed patients could take their healing into their own hands by engaging in activities versus lying in bed. This appeared to not only speed their recovery but also prepare them more fully for discharge from the hospital.
The official founding of the profession is considered to be March 15, 1917, when the National Society for the Promotion of Occupational Therapy was founded in Clifton Springs, NY.
Over the next 100 years, robust science would back up the success occupational therapists had been observing. We are continuing to learn about the science of motivation, neuroplasticity, self-efficacy, sensory integration, etc. Our profession continues to evolve and incorporate cutting edge science and common sense to provide the best care.
Some of my favorite facts about OT history include:
I also love this quote abut our origins from the book "Occupational Therapy: The First 30 Years:"
Patients were not merely diseased organs or tissues to be seen through the lens of a microscope or the image of a radiograph. They were whole persons needing care beyond the acute stage of illness. Furthermore, occupational therapists argued, complex social, economics and biological reasons caused disease, not single microbes.
To learn more about OT history check out my blog post, 10 Amazing Moments in OT History.
Occupational therapy is an personalized science. We strive to balance tailoring our care to individual needs and preferences with adhering to protocols that have solid evidence behind them.
One of the easiest ways to find out about the evidence supporting the occupational therapy resources you are receiving is to ask your occupational therapist.
There are several journals dedicated to sharing evidence about occupational therapy resources including:
You can also find articles about the effectiveness of different OT techniques of Verywell.com, including:
To find other clinical resources utilized by OTs, check out the Elevate OT Resource Library.
Occupational therapy is a partnership. Your participation is just as important as your therapist’s. Here are some resources for getting the most out of your experience.
If you are seeing an occupational therapist for the first time, you probably have lots of questions before even arriving at the evaluation. Here are some resources to help you prepare.
This page is geared toward occupational therapy within the United States. But, occupational therapy is a globally strong profession. See the other resources below for more information about occupational therapy within your country:
Many other countries that have occupational therapy associations but do not have websites. See a more complete directory at the World Federation of Occupational Therapists website.