Supervision of occupational therapy assistants

An occupational therapy assistant must be supervised by an occupational therapist. 1. An occupational therapist may not supervise more than three occupational therapy assistants licensed or limited permitholders at the same time. 2. An occupational therapy assistant must be directly supervised as needed by evidence of clinical practice, and indirectly supervised as is necessary. In determining the methods, frequency, and content of supervision, an occupational therapist shall consider all of the following: a. Complexity of clients' needs. b. Number and diversity of clients. c. Skills of the occupational therapy assistant. d. Type of practice setting. e. Changes in practice settings. f. Requirements of the practice setting. g. Other regulatory requirements. 3. An occupational therapist and a supervised occupational therapy assistant shall make a written supervision plan, including all of the following: a. Documentation that the occupational therapy assistant is competent to perform the services provided. b. Documentation of the frequency, methods, and content of supervision. c. Documentation of periodic evaluation of the occupational therapy assistant's competence and the supervision necessary. 4. An occupational therapist shall file with the board a substantiation of supervision form for each occupational therapy assistant supervised before the occupational therapy assistant may practice. If there is a change in supervisors, the new supervisor shall immediately file a new substantiation of supervision form. The form is available from the board. 5. An occupational therapist, who is unavailable to supervise an occupational therapy assistant for more than one day, shall arrange to have supervision available by another occupational therapist as necessary.