Pediatric Occupational Therapy Assistant (OTA)

A Pediatric Occupational Therapy Assistant (OTA) specializes in working with children, from infants to adolescents, and focuses on helping them develop or improve their motor, sensory, cognitive, and social skills. Pediatric OTAs play a vital role in supporting children’s participation in daily activities, routines, and their overall development. Here’s everything you need to know about the job of a Pediatric OTA.

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Roles and Responsibilities

Assessment and treatment planning

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

Therapeutic interventions

Pediatric OTAs use various therapeutic interventions to help children develop or improve their skills, such as fine motor and gross motor activities, sensory integration strategies, self-care training, social skills development, and play-based therapy. They also provide support in areas such as handwriting, feeding, dressing, and self-regulation.

Adaptive equipment

Pediatric OTAs may teach children and their families how to use adaptive equipment, such as specialized seating, utensils, or communication devices, to promote independence and participation in daily activities.

Collaboration with families and professionals

Pediatric OTAs collaborate closely with children’s families, caregivers, and other professionals (e.g., teachers, speech therapists, physical therapists) to ensure a comprehensive and coordinated approach to the child’s care. They may provide education, training, and support to families and caregivers to help them better understand and address the child’s needs.

Monitoring progress and adjusting treatment

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

Documentation and reporting

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

Continuing education and professional development

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

Working as a Pediatric OTA is a rewarding career that allows you to make a meaningful impact on the lives of children and their families. By helping children develop and improve their skills, you support their ability to participate in daily activities, achieve their goals, and enhance their overall quality of life.

Work Environment

Pediatric OTAs work in a variety of settings, including schools, early intervention programs, outpatient clinics, hospitals, and private practice. They may also provide home-based services for children who require support in their home environment.

Client population

Pediatric OTAs work with children who have a wide range of conditions and disabilities, such as developmental delays, autism spectrum disorder, cerebral palsy, Down syndrome, sensory processing disorders, learning disabilities, ADHD, or physical impairments.

Skills and Qualities

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

  1. Patience: Working with children can be challenging at times, and it’s crucial to remain patient when they have difficulty with tasks or become frustrated during therapy sessions.
  2. Empathy and compassion: Being able to understand and empathize with the struggles and emotions of children and their families is essential in providing effective and supportive care.
  3. Creativity: Pediatric OTAs often need to think outside the box and develop engaging, age-appropriate activities that capture children’s interests while addressing their therapeutic needs.
  4. Strong communication skills: You’ll need to effectively communicate with children, their families, and other professionals. This includes active listening, clear verbal communication, and written documentation.
  5. Flexibility: Children’s needs and abilities can change quickly, so it’s important to be adaptable and ready to modify therapy plans and activities as needed.
  6. Problem-solving skills: Being able to identify barriers to a child’s progress and come up with creative solutions is crucial in pediatric occupational therapy.
  7. Observational skills: Pediatric OTAs must be able to observe and assess a child’s abilities, needs, and progress accurately.
  8. Time management and organizational skills: Managing your schedule, organizing therapy sessions, and keeping accurate records are essential tasks for a Pediatric 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, pediatric development, therapeutic interventions, and fieldwork.
  2. Fieldwork: As part of your associate degree program, you will complete supervised fieldwork experiences in various settings, including pediatric 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 children, either through fieldwork or employment, can help you become more comfortable and skilled in pediatric settings. Some OTAs may choose to pursue additional certifications or training in pediatric occupational therapy to enhance their expertise in this area.

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