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Massachusetts Occupational Therapy Aides

What is the definition of an aide?

A health care worker who is trained on the job to meet specific needs within an occupational therapy department. An aide is required to work under the direct supervision of an occupational therapist or occupational therapy assistant. An occupational therapy aide may also be known as a rehabilitation aide or other similar title.

Performance of Services by Occupational Therapy Aides

Activities which may be performed by occupational therapy aides under appropriate supervision are restricted to:

    • Follow-up of functional and ambulation activities;
    • Follow-up of routine specific exercises;
    • Application of superficial heat and cold; and
    • Non-treatment related activities, such as secretarial and housekeeping, transporting clients and preparation for treatment. These activities must be performed under the supervision of an occupational therapist or occupational therapist assistant.

What type of supervision is required?

An occupational therapist must provide direct supervision to the following persons rendering occupational therapy services:

    • Occupational therapist students;
    • Occupational therapy assistant students; and
    • Occupational therapy aides, rehabilitation aides, or persons known by other similar titles.

Direct Supervision. A process by which a supervisor is on the premises and available to provide supervision in the form of aid, direction, and instruction when procedures or activities are performed.


The supervising occupational therapist or occupational therapy assistant must co-sign the documentation of occupational therapy aides.


259 CMR 3.02

259 CMR 3.04

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