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Colorado Occupational Therapy Scope of Practice

How is occupational therapy defined in Colorado?

"Occupational therapy" means the therapeutic use of everyday life activities with individuals or groups for the purpose of participation in roles and situations in home, school, workplace, community, and other settings.

What is included in the practice of occupational therapy?

The practice of occupational therapy in Colorado includes:

Methods or strategies selected to direct the process of interventions such as:

    • Establishment, remediation, or restoration of a skill or ability that has not yet developed or is impaired;
    • Compensation, modification, or adaptation of an activity or environment to enhance performance;
    • Maintenance and enhancement of capabilities without which performance of everyday life activities would decline;
    • Promotion of health and wellness to enable or enhance performance in everyday life activities; and
    • Prevention of barriers to performance, including disability prevention;

Evaluation of factors affecting activities of daily living, instrumental activities of daily living, education, work, play, leisure, and social participation, including:

    • Client factors, including body functions such as neuromuscular, sensory, visual, perceptual, and cognitive functions, and body structures such as cardiovascular, digestive, integumentary, and genitourinary systems;
    • Habits, routines, roles, and behavior patterns;
    • Cultural, physical, environmental, social, and spiritual contexts and activity demands that affect performance; and
    • Performance skills, including motor, process, and communication and interaction skills;

Interventions and procedures to promote or enhance safety and performance in activities of daily living, instrumental activities of daily living, education, work, play, leisure, and social participation, including:

    • Therapeutic use of occupations, exercises, and activities;
    • Training in self-care, self-management, home management, and community and work reintegration;
    • Identification, development, remediation, or compensation of physical, cognitive, neuromuscular, sensory functions, sensory processing, and behavioral skills;
    • Therapeutic use of self, including a person's personality, insights, perceptions, and judgments, as part of the therapeutic process;
    • Education and training of individuals, including family members, caregivers, and others;
    • Care coordination, case management, and transition services;
    • Consultative services to groups, programs, organizations, or communities;
    • Modification of environments such as home, work, school, or community and adaptation of processes, including the application of ergonomic principles;
    • Assessment, design, fabrication, application, fitting, and training in assistive technology and adaptive and orthotic devices and training in the use of prosthetic devices, excluding glasses, contact lenses, or other prescriptive devices to correct vision unless prescribed by an optometrist;
    • Assessment, recommendation, and training in techniques to enhance functional mobility, including wheelchair management;
    • Driver rehabilitation and community mobility;
    • Management of feeding, eating, and swallowing to enable eating and feeding performance; 
    • Application of physical agent modalities and therapeutic procedures such as wound management; techniques to enhance sensory, perceptual, and cognitive processing; and
    • Manual techniques to enhance performance skills.

What is specifically excluded from the practice?


Are there any special trainings or requirements?



Colo. Rev. Stat. § 12-270-104

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