2. Can an occupational therapy assistant (OTA) administer the COPM?

Answer: The COPM is designed as an initial assessment where the therapist takes the first steps in establishing the therapeutic relationship and gives clients the opportunity to tell us about what is troubling them or what daily routines and activities are both challenging and important to them. This is a step that in most practices is typically done by the therapist. The OTA will often be more involved in later steps where goals have been identified and mutually agreed upon, assessments to understand why the client is experiencing these difficulties are done and a plan is developed. That being said, this can vary, and we recommend that people check with their own regulatory requirements and regulations.
In locations where this practice is present or being considered, the implications are that the OT is prepared to accept responsibility for the outcomes of the OTA’s appraisal.