OTR-COTA collaboration in home health: Roles and supervisory issues

This article describes the registered occupational therapist (OTR)-certified occupational therapy assistant (COTA) team within the home health setting. It reviews regulations and guidelines for supervision, team interactions, and collaboration with other health care professionals and para-professionals. With the complexities of providing treatment in a client's home, the team members must combine their resources to successfully achieve desired outcomes. The article addresses various areas in which quality OTR-COTA collaboration enhances therapy effectiveness in reaching established treatment goals in a realistic and creative manner.