Career Overview
Occupational therapists help people whose abilities have changed because of illness, injury, aging or developmental, emotional or psychological challenges. They use a mix of physical and mental health approaches to help people stay as independent as possible and regain skills as they heal or grow.
This work calls for strong critical thinking, clear communication and the ability to understand and apply research. Occupational therapists need to be empathetic, creative, good team members, able to work on their own and confident in using sound judgement.
Workers in this group can do some or all the following:
- Assess patient’ functional abilities, participation, and environmental barriers through observation, interview and/or standardized or functional assessment
- Develop and implement individualized interventions to support safe and effective participation in self-care, work, and community life
- Develop individual and group programs to promote, develop, restore and maintain the patient’s participation in all aspects of their life
- Collaborate with other health care providers and interdisciplinary teams to design and monitor patient-centred care plans
- Provide consultation and education to promote health, prevent disability and maximize independence in daily activities
- Create and maintain accurate clinical documentation
- Supervise support staff and students and contribute to training and mentorship
Members of this group can work for healthcare facilities, schools or social service agencies, or be self-employed.
Job Titles
Duties
An occupational therapist’s duties include:
- Assessing patient physical, cognitive, emotional and psychosocial function and environmental barriers, safety risks, and overall capacity in home, community and workplace settings
- Developing individualized, goal-driven intervention, rehabilitation and treatment plans
- Leading patients through physical rehabilitation, learning compensatory strategies, fatigue management, cognitive functioning therapy, returning to the workplace and similar activities
- Educating patients and their families about their limitations, responsibilities and needs
- Assessing home and community environments for safety and accessibility
- Recommending adaptive equipment, aids, modifications and assistive technology and ensuring that this equipment fits the patient and the therapeutic goal
- Supporting accessibility planning and home modifications
- Communicating with physicians, insurers, vendors, employers, legal stakeholders and interdisciplinary teams
- Writing reports, translating clinical findings into functional implications and documenting progress and outcomes
- Meeting regulatory, professional and insurer reporting requirements
- Supervise junior occupational therapists and other clinicians on multi-disciplinary teams
Occupational therapists can specialize in working with specific populations such as children, people with dementia, people with traumatic brain injuries and chronic pain patients. They may also provide special interventions such as return-to-work programs.
Earnings
Earnings is income that workers receive in exchange for their labour. Depending on the type of employment, earnings can be in the form of wages (hourly), salaries (fixed monthly or annual) or self-employed earnings.
Work Environment
# Workers Employed
2,615% Employed Full Time
58%Occupational therapists practice across public and private sectors in hospitals, rehabilitation clinics, private community practices, home-based services, schools, industry and community programs. Services are frequently delivered directly in the environments where patients live, work and participate in daily and leisure activities as well as in medical settings.
Members of this group typically work 40-hour weeks, but the combination of shift work and house calls can mean evening and weekend work is also required.
Work in this field can be both physically and emotionally demanding. Therapists may have to do considerable lifting, carrying, walking, standing and crouching as well as interacting with patients during emotionally difficult situations. In some practices, therapists may also have to use a computer for extended periods of time during report preparation.
Career Pathways
In hospital settings, most occupational therapists begin their careers in entry-level clinical roles and progress with experience into senior clinician, specialist or leadership positions. Advancement into management is possible with additional training in supervision, program development, and health system operations.
As members of this group gain expertise, opportunities open in specialized practice areas such as complex rehabilitation, mental health, pediatrics, workplace injury, accessibility, quality improvement and research. Some move into consultant roles, contribute to policy or program design or help shape service delivery at an organizational level. Others pursue teaching roles in universities, colleges or clinical education, supporting the next generation of therapists.
Occupational therapy offers multiple pathways for growth: clinicians can remain focused on advanced hands-on practice, transition into leadership, develop niche expertise or combine clinical work with education, research, or consulting.
Occupational Interests
It’s important to understand what kinds of occupations align with your interests.
For more about occupational interests visit Skills for the Future Workforce > Characteristics.
Here are the top occupational interest(s) for this career profile:
Education, Training and Skills
Occupational therapy in B.C. is regulated by two distinct authorities. The Canadian Association of Occupational Therapists (CAOT) determines the academic criteria required to qualify as an occupational therapist, while the College of Health and Care Professionals Of BC (CHCPCBC) determines the field work process required and handles provincial registration as an occupational therapist.
Registration to practice as an occupational therapist in B.C. with the CHPCBC requires:
- Graduation from a master’s program in occupational therapy approved by the CAOT
- Field work as determined by the CHCPCBC
At present, the only institution within B.C. currently offering master’s degrees in occupational therapy is the University of British Columbia (UBC). Students educated outside of B.C. must demonstrate that their program is equivalent.
Occupational therapists who are certified for that occupation by a regulator elsewhere in Canada can apply for the same certification from the regulator in B.C. Under the terms of the Canadian Free Trade Agreement (CFTA), most applicants who are transferring their credentials from elsewhere in Canada will not be required to complete additional training or testing. However, the B.C. regulator may ask applicants to provide further information such as a letter of good standing, references, or criminal record check.
For those who trained outside of Canada and never received certification from any Canadian jurisdiction, a full assessment is likely needed. Most occupational regulators have a process for assessment and recognize internationally trained applicants.
Contact the CHCPC for details on how to apply for certification in B.C.
For information about labour mobility in Canada, visit www.workersmobility.ca.
View a list of Professional Regulatory Authorities in B.C.
Education programs in B.C.
Top Skills
Every job calls for a certain set of skills. Knowing those skills is the first step in finding a good career fit.
Here, you will find the 10 most relevant workplace skills. Some are more important to achieving success in a certain career than others. These skills may come naturally to you or you may need to gain them through education, training and experience.
See the list of work-related skills below, ranked in order of importance for this career. Check out the list and see if this career matches your skills—take that first step!
Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
Talking to others to share information effectively.
Actively looking for ways to help people.
Understanding written sentences and paragraphs in work-related documents.
Being aware of others’ reactions and understanding why they react as they do.
Choosing and using training, instructional methods and procedures appropriate for the situation when learning or teaching new things.
Teaching others how to do something.
Keeping track of and assessing your performance, other individuals, or organizations to make improvements or take corrective action.
Communicating effectively in writing as appropriate for the needs of the audience.
Understanding how new information could be used to solve current and future problems in making decisions.
Labour Market Statistics
Discover data, facts and information that have been gathered and analyzed. Learn about the characteristics of the economy and labour market in B.C.
Employment
Find out about employment types and trends by region and industry.
Employment
2,615Employment by Region
| Region | Employment | % Employment of this Occupation |
|---|---|---|
| Cariboo | 60 | 2.3% |
| Kootenay | 50 | 1.9% |
| Mainland/Southwest | 1,715 | 65.6% |
| North Coast and Nechako | 35 | 1.3% |
| Northeast | 10 | 0.4% |
| Thompson-Okanagan | 275 | 10.5% |
| Vancouver Island/Coast | 470 | 18.0% |
Labour Market Outlook
The B.C. Labour Market Outlook is a 10-year forecast of the expected supply and demand for labour in the province. It’s usually updated every year. The purpose is to provide British Columbians with the knowledge to make informed decisions on careers, skills training, education and hiring.
Forecasted Job Openings (2025-2035)
1,610Forecasted Job Openings
Forecasted Employment Growth Rate
Composition of Job Openings
Job Openings by Region (2025-2035)
| Region | Job Openings | Avg. Annual Employment Growth |
|---|---|---|
| Cariboo | 30 | 1.7% |
| Kootenay | 30 | 2.2% |
| Mainland/Southwest | 1,080 | 2.2% |
| North Coast and Nechako | 20 | 1.9% |
| Northeast | Not available | Not available |
| Thompson-Okanagan | 150 | 2.1% |
| Vancouver Island/Coast | 290 | 2.1% |
Industry Highlights
Learn about the opportunities in B.C.'s major industries, including employment trends, earning potential, locations of work and more.
Forecasted Job Openings by Industry
| Industry | Job Openings (2025-2035) |
|---|---|
| Health Care and Social Assistance | 1,580 |
| Educational Services | 20 |
| Finance, Insurance and Real Estate | 10 |
Insights from Industry
B.C.’s population is growing and aging, and more people are seeking care outside of hospitals. At the same time, technology, greater awareness of health needs and changes in how autism and related conditions are supported are increasing demand for occupational therapists. This demand is especially strong in northern and rural communities, where health services are often limited and there aren’t enough new graduates to fill available roles.
Because of this shortage, new occupational therapists are finding more job openings, including positions that once required more experience. Temporary roles are also common because many occupational therapists are women and maternity leaves create regular vacancies. As the need continues to rise, more opportunities for on the job training and mentorship are likely to grow as well.
Industry reports that the trend for workers moving to community practice (private practice) is expected to continue, as privatization and insurance coverage for occupational therapy services becomes more common.
Some practices have adopted technologies for consultations provincewide. The move to electronic health records requires computer skills and basic office software knowledge. Occupational therapists may also work more often on teams delivering services through tele-health technologies.
Resources
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Association of Canadian Occupational Therapy Regulatory Organizations (ACOTRO)acotro-acore.org/
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Canadian Association of Occupational Therapists – BC (CAOT BC)www.caot.ca/site/rc/caot-bc?nav=sidebar
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CAOT – Internationally Educated Occupational Therapistswww.caot.ca/site/ieot/intleducatedot?nav=sidebar
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Fraser Healthwww.fraserhealth.ca/
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Health Match BCwww.healthmatchbc.org/
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Interior Health – Jobsjobs.interiorhealth.ca/
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Island Healthwww.islandhealth.ca/
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Northern Health – Careerscareers.northernhealth.ca/
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Providence Health Carewww.providencehealthcare.org
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Provincial Health Services Authoritywww.phsa.ca/
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Vancouver Coastal Health (VCH)www.vch.ca/
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B.C. Ministry of Healthwww.gov.bc.ca/health/
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University of British Columbiaosot.ubc.ca/