Geriatric Occupational Therapy Assistant (OTA)

A Geriatric Occupational Therapy Assistant (OTA) specializes in working with older adults, focusing on helping them maintain or regain their independence and participate in daily activities. Geriatric OTAs address various issues such as mobility, cognitive decline, and chronic conditions that may affect daily functioning. Here’s everything you need to know about the job of a Geriatric OTA.

face masks on blue background

Roles and Responsibilities

Assessment and treatment planning

Under the supervision of an Occupational Therapist (OT), Geriatric OTAs assist in assessing clients’ needs, strengths, and challenges. They also contribute to the development and implementation of individualized treatment plans based on the client’s unique needs and goals.

Therapeutic interventions

Geriatric OTAs use various therapeutic interventions to help older adults maintain or improve their functional abilities, such as activities of daily living (ADL) training, mobility and balance exercises, cognitive stimulation, and adaptive strategies for self-care tasks.

Adaptive equipment

Geriatric OTAs may teach clients and their families how to use adaptive equipment, such as walkers, grab bars, or dressing aids, to promote independence and safety in daily activities.

Home modifications

Geriatric OTAs may provide recommendations for home modifications to improve accessibility, safety, and functionality for older adults. Examples include installing ramps, widening doorways, or adding handrails.

Collaboration with families and professionals

Geriatric OTAs collaborate closely with clients’ families, caregivers, and other professionals (e.g., nurses, physical therapists, social workers) to ensure a comprehensive and coordinated approach to the client’s care. They may provide education, training, and support to families and caregivers to help them better understand and address the client’s needs.

Monitoring progress and adjusting treatment

Geriatric OTAs regularly monitor clients’ progress towards their therapy goals and adjust treatment strategies as needed. They communicate this progress to the supervising OT, the client’s family, and other team members to ensure everyone is working together effectively.

Documentation and reporting

Geriatric OTAs are responsible for documenting clients’ progress, therapy sessions, and any changes in the client’s needs or goals. This documentation is essential for communicating with the supervising OT, other professionals, and insurance providers.

Continuing education and professional development

Geriatric OTAs should stay up-to-date with the latest research, best practices, and emerging trends in geriatric occupational therapy. This may involve attending workshops, conferences, or completing continuing education courses to maintain licensure and enhance their skills.

Working as a Geriatric OTA is a rewarding career that allows you to make a meaningful impact on the lives of older adults and their families. By helping clients maintain or regain their independence and participate in daily activities, you support their ability to age with dignity and enhance their overall quality of life.

Work Environment

Geriatric OTAs work in a variety of settings, including skilled nursing facilities, assisted living communities, outpatient clinics, hospitals, home health care, and adult day care centers. They may also provide services in clients’ homes when required.

Client population

Geriatric OTAs work with older adults who may experience age-related changes, cognitive decline, physical impairments, or chronic conditions such as arthritis, stroke, Parkinson’s disease, or Alzheimer’s disease.

Skills and Qualities

To become a successful Geriatric Occupational Therapy Assistant (OTA), you’ll need to possess a specific set of skills and qualities that enable you to effectively work with older adults and their families. In addition to meeting the educational and licensure requirements, having these attributes will help you excel in your role.

  1. Empathy and compassion: Understanding and empathizing with the struggles and emotions of older adults and their families is essential in providing effective and supportive care.
  2. Patience: Older adults may require more time to complete tasks or learn new skills, so it’s crucial to remain patient and understanding during therapy sessions.
  3. Strong communication skills: You’ll need to effectively communicate with older adults, their families, and other professionals, both verbally and in writing. Good listening skills are also essential.
  4. Adaptability and flexibility: Older adults’ needs and abilities can change quickly, so it’s important to be adaptable and ready to modify therapy plans and activities as needed.
  5. Problem-solving skills: Being able to identify barriers to a client’s progress and come up with creative solutions is crucial in geriatric occupational therapy.
  6. Observational skills: Geriatric OTAs must accurately observe and assess a client’s abilities, needs, and progress.
  7. Time management and organizational skills: Managing your schedule, organizing therapy sessions, and keeping accurate records are essential tasks for a Geriatric OTA.


  1. Education: To become an OTA, you must first complete an associate degree program in occupational therapy assisting, which is accredited by the Accreditation Council for Occupational Therapy Education (ACOTE). These programs typically take about two years to complete and include coursework in anatomy, physiology, geriatric care, therapeutic interventions, and fieldwork.
  2. Fieldwork: As part of your associate degree program, you will complete supervised fieldwork experiences in various settings, including geriatric placements. This hands-on experience allows you to apply the skills and knowledge gained in the classroom and gain valuable real-world experience.
  3. National Certification: After completing your degree, you will need to pass the National Board for Certification in Occupational Therapy (NBCOT) exam for Occupational Therapy Assistants. This exam tests your knowledge and skills related to occupational therapy principles and practice.
  4. State Licensure: Most states require OTAs to obtain a license to practice. Licensure requirements vary by state but typically include passing the NBCOT exam, submitting an application, and paying a licensing fee. Some states may also require continuing education for license renewal.
  5. Specialized Experience: While not a formal requirement, gaining experience working with older adults, either through fieldwork or employment, can help you become more comfortable and skilled in geriatric settings. Some OTAs may choose to pursue additional certifications or training in geriatric occupational therapy to enhance their expertise in this area.

Scroll to Top