Health Guide USA
America's Online Health Resource Guide

State Occupational Therapy Boards

State Occupational Therapy Boards, often operating under a Department of Health or a larger professional licensing umbrella, hold the fundamental purpose of protecting the public by ensuring competent and ethical practice in the field of occupational therapy. Their core function is the licensing of Occupational Therapists (OTs) and the certification or registration of Occupational Therapy Assistants (OTAs). The boards ensure professional competence by mandating accredited education (master's or doctoral degree for OTs), supervised fieldwork, and successful completion of the National Board for Certification in Occupational Therapy (NBCOT) examination. They also define the legal scope of practice - which centers on enabling individuals to participate in the activities of daily life (occupations) - and enforce ethical and continuing education standards through the state's Occupational Therapy Practice Act.

The importance of this strict oversight is vital given the sensitive nature of rehabilitation and the risks associated with unlicensed practitioners. An unlicensed individual lacks the verified clinical reasoning and specialized training to properly assess a patient's physical, cognitive, and psychosocial barriers to function. Seeking care from an unqualified person can lead to inaccurate assessments, harmful or inappropriate therapeutic interventions that result in joint injury or regression, failure to address complex cognitive deficits after stroke or brain injury, and provision of incorrect assistive technology. This can severely impede a person's recovery, independence, and quality of life. By regulating licensure, State Occupational Therapy Boards ensure that patients receive safe, effective, and client-centered interventions tailored to restoring their ability to engage in meaningful life roles.

Use the resources below to learn more about the work of your State Occupational Therapy Board.





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