The difference between OTR and COTA
Roles and Responsibilities
| OTR | COTA |
Evaluation | OTR initiates and directs the evaluation, interprets data and develops the intervention plan.
| -COTA completes delegated assessments. -Verbal and written reports of observations and client’s capabilities.
|
Intervention Planning
| OTR is responsible for the overall development of intervention plan.
| -Collaborates with OTR and client. -Be knowledgeable of results of evaluation. -Provides input. |
Intervention Implementation
| -Overall responsibility. -Delegates & provides appropriate supervision.
| -Knowledgeable of client's goals. -Selects, implements and makes modifications to interventions considering: -Competencies -Client’s goals -Requirements of practice setting. |
Intervention Review
| OTR determines the need for continuing, modifying or discontinuing OT services.
| COTA contributes to this process: -Provides information about client’s response to intervention. Relays any communication during therapy sessions. |
Targeting & Evaluating Outcomes | OTR responsible for selecting, measuring and interpreting client outcomes.
| -OTA needs to be knowledgeable of the client's expected outcomes. -Share information about client's achievement of these outcomes. -May implement outcome measurements. -Provide client discharge resources.
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* Roles and responsibilities may vary by setting.