Close Server: KOPWWW05 | Not logged in

Welcome to Health Care POV | sign in | join
COTA Thoughts


Published July 25, 2014 10:06 AM by Tim Banish
I still receive emails from people asking about COTA jobs and schools. I had one just recently asking about entering the field into pediatrics. As much as I hated to steer someone away from entering the profession, I had to make them aware of the few opportunities available in peds for a COTA.

With 86% of all COTAs employed in Long Term Care (LTC), that is where most find employment. A few will continue their education to specialize in one area of Occupational Therapy, not necessarily to advance their degree but to gain the skills and knowledge needed for their selected niche.

So where do COTAs work? Here's some information from my experience:

Nursing Homes or Long Term Care (LTC). Most facilities provide therapy to their residents under Medicare or other insurance. In this setting a COTA would be responsible for patient education on dressing, bathing, transfers, strengthening, adaptive equipment training and more as the OTR determines. Basically the COTA addresses dressing and bathing of the person while educating them on adaptive techniques and equipment in an effort to achieve more independence with these daily tasks.

Hospitals are another place a COTA can find employment. In this setting the routine will be similar as a nursing home. The big differences are that the patient's may be more complicated (illness wise) and their length of stay will be shorter. As they become more stable they will probably be moved to a LTC facility. Depending on the hospital you work at you might have patients who are on oxygen, feeding tubes, IV's and other similar live sustaining devices. In my experience I find the pace in a hospital to be fast, usually having just 30 minutes to complete a treatment and move to the next patient.

Outpatient Clinics. Although my experience tells me that very few COTA's work in outpatient clinics due to insurance and/or Medicare regulations, the patients seen here tend to be higher functioning. Most are typically recovering from a surgery, fracture, or other sort of non-life threatening injury or illness. The pace is more relaxed, and treatments are scheduled for a specific duration depending on the therapy needed.

Home Health is an area that has expanded recently, meaning more jobs for COTA's. Insurances prefer to have the person at home to save money rather than leaving them in LTC. Be prepared to almost live in your car though, because you will be traveling from house to house. One drawback that I note with Home Health is that any needed equipment has to travel with you. In my days of Home Health my car(s) looked like a rolling office with bags of equipment, paperwork files, and splinting materials. I also mentioned cars, as in multiple vehicles. Think about this before you leap into this area. The price of gas, car maintenance, and insurance costs can put a dent in your earnings. A major breakdown of your vehicle can mean no work as well as a big repair bill or needing a new car.

Schools. In this setting the assessments typically focus on the specific skills the child needs to succeed in the school environment, such as seating posture, grasp and control of classroom tools, self‐regulation, and the development of sensory motor skills. Employment in this area will demand some experience and additional education.

Mental Health Settings can range from a facility similar to a nursing home, a group home, or a hospital-like facility where people with mental handicaps reside or attend on a regular basis. This is the area where OT began years ago, doing crafts with the mentally handicapped to teach them job skills. Additional education beyond the required degree would be beneficial in this setting.

Education only--a small percentage of COTA's work as educators or teach at a college. As AOTA changes requirements for educators I see this area being closed to COTAs who do not hold a Bachelor's degree.

My final thought today regarding COTA employment is that almost anyone who has a compassionate heart will find their niche in OT. Some areas will definitely entail more physical work while other areas will require more mental exertion. If you want to work as a COTA the two year program is not that difficult to complete, and there are many types of settings to find a job you are happy with.


Until next time, hope all your "Thoughts" are Good-



You Might Also Like...

Specializing as an OTA

OTAs looking to boost their skills and stand out might consider a specialty certification.


Hello, I am a 2nd year COTA student who is about to walk away from the profession because of toileting and adult diapers. With 86% of COTAs working at long-term care or acute settings, there doesn't seem to be much left for those squeamish folks like me. I welcome comments, please.

Jenniffer Smith September 15, 2014 6:58 PM


Thanks for your comment. COTA jobs are out there but the trend is part time. You'll still find some busier places offering full time.

With your past schooling I would try for the MOT, you'll have many more opportunities that way.

Good Luck

Tim Banish, COTA, Retired August 29, 2014 8:02 AM
Cincinnati OH

Thank you for another informative article. I also just finished reading your article about lack of COTA jobs (from June 11,2013).

Do you still find this to be the case? The article (and subsequent comments) made it sound as if COTA was a dying field (if you wanted a full- time, middle class salary). The post above sounds much more promising. Have you seen more opportunities for COTAs in the last year? Would you recommend COTA for a middle aged career switcher-who will need full time employment?

I am returning to school after 15 years (have a BA and most pre-reqs for MOT... Just 15 years out of date...unexpected family illness got in the way of MOT). I wonder if I would be better served trying to find an MOT program that would work with my old pre-reqs.

Thank you for any advice you or your readers may have.

Rachel , Health Information August 22, 2014 11:44 PM

leave a comment

To prevent comment spam, please type the code you see below into the code field before submitting your comment. If you cannot read the numbers in the image, reload the page to generate a new one.

Enter the security code below: