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How much do behavioral health occupational therapy jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for behavioral health occupational therapy in the United States is $45.37, according to ZipRecruiter salary data. Most workers in this role earn between $38.70 and $50.96 per hour, depending on experience, location, and employer.

What is behavioral health occupational therapy?

Behavioral Health Occupational Therapy is a specialized area of occupational therapy that focuses on helping individuals with mental health and emotional challenges develop the skills needed to participate in daily life. Occupational therapists in this field work with clients to manage symptoms, improve coping strategies, and enhance their ability to engage in meaningful activities at home, work, or in the community. They use therapeutic activities and interventions tailored to each person’s needs to support mental wellness and overall functioning.

What skills and qualifications are needed to thrive as a behavioral health occupational therapist?

To thrive as a Behavioral Health Occupational Therapist, you need a master's degree in occupational therapy, licensure, and specialized knowledge in mental health conditions and therapeutic interventions. Familiarity with assessment tools, documentation software, and evidence-based treatment planning is typical in this role. Strong interpersonal skills, cultural sensitivity, and resilience are vital for building trust and supporting clients through challenging behavioral health issues. These competencies enable effective client-centered care, accurate documentation, and successful outcomes in complex mental health environments.

How does a behavioral health occupational therapist collaborate with other mental health professionals in a clinical setting?

Behavioral Health Occupational Therapists work closely with psychiatrists, psychologists, social workers, and nurses to develop comprehensive care plans for clients. They participate in multidisciplinary team meetings, sharing their assessments and progress reports to ensure coordinated interventions. Collaboration often includes joint goal-setting, co-leading group therapy sessions, and providing input on discharge planning to support clients’ functional recovery and successful community reintegration.

What is the difference between Behavioral Health Occupational Therapy vs Physical Therapist?

AspectBehavioral Health Occupational TherapyPhysical Therapist
CredentialsOccupational Therapist (OT) license, often with specialization in behavioral healthPhysical Therapist (PT) license, with specialization in musculoskeletal or neurological rehab
Work EnvironmentHospitals, mental health clinics, outpatient centers, community programsHospitals, outpatient clinics, rehab centers, sports facilities
Industry UsageBehavioral health, mental health, addiction treatmentRehabilitation, sports medicine, orthopedics

Behavioral Health Occupational Therapists focus on helping clients improve daily functioning and coping skills related to mental health and behavioral issues. In contrast, Physical Therapists primarily work on restoring physical mobility and strength. While both roles require specialized licenses and may work in healthcare settings, their focus areas and client needs differ significantly.

More about Behavioral Health Occupational Therapy jobs

What cities are hiring for Behavioral Health Occupational Therapy jobs?

Cities with the most Behavioral Health Occupational Therapy job openings:

What states have the most Behavioral Health Occupational Therapy jobs?

States with the most job openings for Behavioral Health Occupational Therapy jobs include:

What job categories do people searching Behavioral Health Occupational Therapy jobs look for?

The top searched job categories for Behavioral Health Occupational Therapy jobs are:

Behavioral Health Occupational Therapy jobs near you
Infographic showing various Behavioral Health Occupational Therapy job openings in the United States as of August 2026, with employment types broken down into 6% As Needed, 49% Full Time, 41% Part Time, and 4% Contract. Highlights an 96% In-person, and 4% Remote job distribution, with an average salary of $94,375 per year, or $45.4 per hour.

Occupational Therapy Assistant COTA - Home Health

Interim HealthCare of Lexington, MA

Lexington, MA • Remote

$60K - $70K/yr

Full-time, Part-time

Medical, Dental, Vision, PTO

Re-posted 22 days ago

Job description

Occupational Therapy Assistant COTA 

Home Health

 Lexington, MA

Please apply if you are within 25miles

Experience a therapy career that comes with work-life balance! As a Home Health OT for Interim HealthCare®, you can set your own schedule and enjoy the freedom that comes with it.

For more than 55 years, Interim HealthCare has been an employer of choice to Occupational Therapists seeking a more flexible career. As a Home Health COTA, you’ll have the ability to customize therapy to each patient’s needs and implement strategies that make their home an easier place to navigate. If you’re ready to experience the rewards that home health therapy brings, you are made for this!

Our Home Health Occupational Therapy Assistant enjoy some excellent benefits:

  • $60,000- $70,000 Salary/ Year 
  • 1:1 therapist-to-patient ratios where you impact outcomes
  • Flexible assignments, autonomy and work-life balance
  • Online training, growth and ability to earn CEUs
  • Tuition discounts through Rasmussen University
  • PTO, Holiday Pay, Medical/ Dental/ Vision

As a Home Health Occupational Therapist, here’s a big-picture view of what you’ll do:

  • Provide occupational therapy Treatments to patients unable to perform daily tasks due to an illness or injury under OT supervision
  • Work as part of a home health team which may include an RN, LPN, CNA, HHA, PT and SLP, focused on the patient’s plan of care and personal goals 
  • Assess patient, observe deficits, establish therapy goals and document progress
  • Assist patient with exercises to improve fine motor skills and coordination
  • Suggest adaptive equipment such as grab bars and shower chairs to offer added support
  • Assess fall risks and introduce strategies to improve home safety
  • Educate patient and family on plan of care, exercises, goals and self-care

A few must-haves for Home Health Occupational Therapists:

  • Graduate of an accredited Occupational Therapy Assistant Program and active COTA license in Massachusetts 
  • Minimum of 1 years of occupational therapy experience, ideally in home healthcare
  • CPR certification 
  • Knowledge of state and federal home health regulations
  • Good clinical Judgement, strong interpersonal skills, resourceful and compassionate

Why Work for Interim HealthCare?

Founded in 1966, Interim HealthCare is the nation’s first home care company and a leading employer of Home Health Occupational Therapists (OTs). Operating through 300+ offices, our commitment to you is expressed through a family-oriented culture that values and appreciates therapists, and a passion to put patients first. Join a nationwide network of OTs who are making a significant impact in the lives of others through the personalized, home-based therapy they provide.

Interim HealthCare is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.

 

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