Careers & Employment Outlook Occupational therapist assistants help clients with rehabilitative activities and exercises outlined in a treatment plan developed in collaboration with an occupational therapist. Activities range from teaching the proper method of moving from a bed into a wheelchair to the best way to stretch and limber the muscles of the hand. Assistants monitor an individual's activities to make sure that they are performed correctly and to provide encouragement. They also record their client's progress for the occupational therapist. If the treatment is not having the intended effect, or the client is not improving as expected, the therapist may alter the treatment program in hopes of obtaining better results. In addition, occupational therapist assistants document the billing of the client's health insurance provider. EmploymentOccupational therapist assistants and aides held about 34,400 jobs in 2008, with assistants holding about 26,600 jobs and aides holding approximately 7,800 jobs. About 28 percent of jobs for assistants and aides were in offices of other health practitioners, 27 percent were in hospitals, and 20 percent were in nursing care facilities. The rest were primarily in community care facilities for the elderly, home healthcare services, individual and family services, and government agencies. Job Outlook Employment is expected to grow much faster than average as demand for occupational therapy services rises and as occupational therapists increasingly use assistants and aides. Job prospects should be very good for occupational therapist assistants. Jobseekers holding only a high school diploma might face keen competition for occupational therapist aide jobs. EarningsMedian annual wages of occupational therapist assistants were $48,230 in May 2008. The middle 50 percent earned between $39,240 and $57,810. The lowest 10 percent earned less than $31,150, and the highest 10 percent earned more than $65,160. For more information visit the U.S. Department of Labor Occupational Outlook Handbook.