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Occupational Therapy Assistants and Aides

SOC: 31-2010 • Data from U.S. Bureau of Labor Statistics & O*NET

Key Insights

Occupational Therapy Assistants and Aides are a dynamic career within the sector, offering a unique blend of opportunities and challenges for professionals seeking meaningful work.

The median annual salary for this occupation is $66,050, which is below the typical salary for this field. Over the next decade, employment is projected to grow by 18.0%, reflecting very strong growth trends and exceptional demand for this field . The automation risk for this occupation is 48.0%. This suggests a high degree of job security, as automation is less likely to impact this role in the near future. Work-life balance is rated as 6.0, which can be an important factor for job satisfaction and overall well-being.

Individuals with Social, Conventional, or Investigative personality traits tend to thrive in this career. Key skills for success include Adaptability, Compassion, Detail oriented, Interpersonal skills, Physical stamina, Physical strength. Developing and refining these abilities can set you apart from other candidates and help you excel in your role. Notable strengths for this occupation are High Demand, Flexible Work, Continuous Learning. Leveraging these strengths can lead to greater job satisfaction and career advancement. Some common challenges professionals may encounter include Burnout Risk, Rapid Technological Change. Being aware of these potential obstacles can help you prepare and develop strategies to overcome them.

The highest employment levels for this occupation are found in Texas, offering strong job prospects in that region. The leading industry for this role is Nursing care facilities (skilled nursing facilities), which may provide additional opportunities for specialization and growth.

Whether you are just starting your career journey or looking to make a change, Occupational Therapy Assistants and Aides offers a compelling mix of salary potential, job outlook, and personal fit. By understanding the key factors that influence success in this field, you can make informed decisions and position yourself for long-term achievement.

What They Do

Occupational Therapy Assistants and Aides help patients recover, develop, or maintain daily living and work skills under the supervision of occupational therapists. They implement treatment plans, guide exercises, and support patients in achieving functional independence. Their work is critical in rehabilitation, healthcare, and long-term care settings.

This career is well suited for individuals who enjoy healthcare, patient interaction, and assisting with rehabilitation and skill development.

What Do Occupational Therapy Assistants and Aides Do?

These professionals support occupational therapists by providing therapy, preparing patients, and assisting with daily activities.

Common responsibilities include:

  • Implementing prescribed therapy plans and exercises
  • Assisting patients with daily living activities, such as dressing, grooming, or mobility
  • Monitoring patient progress and reporting observations to therapists
  • Preparing therapy materials and adaptive equipment
  • Supporting therapeutic recreational or vocational activities
  • Maintaining patient records and documentation
  • Educating patients and families on therapy goals and techniques

Key Areas of Occupational Therapy Assistance

Assistants and aides may focus on specific patient populations or therapeutic activities:

  • Pediatric Therapy: Supporting children with developmental or physical challenges
  • Geriatric Therapy: Assisting older adults with mobility, cognition, and daily living skills
  • Physical Rehabilitation: Implementing exercises and activities for recovery from injury or illness
  • Adaptive and Assistive Technology: Helping patients use adaptive equipment and tools
  • Patient Education and Support: Teaching techniques to maintain functional independence

Skills and Abilities Needed

Occupational therapy assistants and aides combine clinical, physical, and interpersonal skills.

Core Professional Skills

- Implementation of therapy exercises and activities - Use of adaptive equipment and assistive technology - Monitoring and documenting patient progress - Patient education and support - Collaboration with occupational therapists and healthcare teams - Safety and infection control practices

Personal Qualities That Matter

- Empathy and patience - Strong communication and interpersonal skills - Physical stamina and manual dexterity - Attention to detail and observation skills - Motivation and encouragement for patients - Reliability and teamwork ability

Education and Career Pathway

This role typically requires formal education and supervised training:

  • Associate’s Degree (for Assistants): Occupational therapy assistant program
  • On-the-Job Training (for Aides): Learning therapy techniques, equipment use, and patient support
  • Certification or Licensure (required in most states for Assistants): Credentialing through national or state boards
  • Clinical Experience: Supervised practice in rehabilitation, clinics, or healthcare facilities
  • Continuing Education: Staying current with therapeutic methods, safety protocols, and patient care techniques

Where Do Occupational Therapy Assistants and Aides Work?

They are employed in organizations providing rehabilitation and healthcare services:

  • Hospitals and Rehabilitation Centers
  • Long-Term Care and Assisted Living Facilities
  • Outpatient Therapy Clinics
  • Schools and Pediatric Therapy Programs
  • Home Healthcare Services

Work environments include therapy rooms, clinics, patient homes, and long-term care facilities.

Is This Career Difficult?

This career requires physical stamina, interpersonal skills, and attention to detail. Assistants and aides must follow therapy plans accurately, support patients, and collaborate with healthcare teams.

Who Should Consider This Career?

This career may be a strong fit if you:

  • Enjoy helping patients regain or maintain daily living skills
  • Are patient, empathetic, and supportive
  • Have good communication and observation skills
  • Can perform physical tasks and assist with therapy exercises
  • Want a career contributing to rehabilitation and quality of life

How to Prepare Early

  • Take courses in biology, health sciences, and human development
  • Volunteer or intern in rehabilitation centers, hospitals, or therapy programs
  • Develop communication, empathy, and patient care skills
  • Explore accredited occupational therapy assistant programs
  • Gain hands-on experience through supervised practice or clinical internships

Occupational therapy assistants and aides support patients in developing and maintaining daily living and work skills, promoting independence and enhancing quality of life.

Career Video

Video from CareerOneStop, sponsored by U.S. Department of Labor

Key facts

Median: $66,050
Employment: 54,400
Growth (2024–2034): +18.0%

Top Skills

Adaptability Compassion Detail oriented Interpersonal skills Physical stamina Physical strength

StartRight Career Intelligence Metrics

Job Growth Outlook

+18.0%
Exceptional growth: This field is projected to grow much faster than average, with strong demand for new professionals.

Automation Risk Assessment

Medium Risk
48.0% probability of being automated in the next 10-20 years. This job has some routine elements but still requires human judgment and interaction.

Work-Life Balance Score

6.0/10
Good work-life balance based on typical work schedules, stress levels, and time demands.

Personality Fit (RIASEC Profile)

5.8
Realistic
6.0
Investigative
4.4
Artistic
8.4
Social
4.6
Enterprising
7.4
Conventional
Powered by O*NET Career Profiling

Personality Match: The higher the score (out of 10), the better this career matches that personality type. People with similar interests and work styles tend to be most satisfied in careers that match their personality profile.

O*NET Official Logo Official assessment tool by the U.S. Department of Labor

Strengths

  • High Demand
  • Flexible Work
  • Continuous Learning

Challenges

  • Burnout Risk
  • Rapid Technological Change

Median Salary Comparison

Employment projection (2024–2034)

Geographic Employment & Wage Analysis

BLS OEWS Data Updated 2024-05
View Interactive BLS Maps

States with Highest Employment

  • Texas 21,390
  • California 19,080
  • Florida 14,290
  • New York 10,920
  • Ohio 10,760
  • Pennsylvania 7,850
  • Illinois 7,290
  • Michigan 6,800
  • Virginia 5,700
  • North Carolina 5,680
BLS OEWS data (2024-05)

Regional Wage Variations

  • Texas 2%
    $67,469
  • California -5%
    $62,840
  • Florida -2%
    $64,668
  • New York -20%
    $53,092
  • Ohio -10%
    $59,752
  • Pennsylvania -14%
    $56,959
  • Illinois -7%
    $61,319
  • Michigan -20%
    $52,937
  • Virginia -1%
    $65,300
  • North Carolina -6%
    $62,317
BLS OEWS state wage data
Top Metropolitan Areas
New York-Newark-Jersey City
Employment: High Growth: +3.2%
Los Angeles-Long Beach
Employment: High Growth: +2.8%
Chicago-Naperville-Elgin
Employment: Medium Growth: +1.5%
Dallas-Fort Worth
Employment: Medium Growth: +4.1%
San Francisco-Oakland
Employment: High Growth: +2.3%
Based on BLS metropolitan area data
Industries with Highest Concentrations
Nursing care facilities (skilled nursing facilities)
85%
Hospitals; state, local, and private
70%
Offices of other health practitioners
55%
Regional Job Market Outlook
Strong
West Coast
Stable
Northeast
Growing
South