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(Therapy Assistant, OT Assistant, Healthcare Support Worker, Rehabilitation Assistant)
Health & Social Care
Salary
€28,000 - €40,000/yr
Level
Operational
Outlook
Growing
Sector
Health & Social Care
As an Occupational Therapy Assistant you work alongside registered occupational therapists to help clients carry out everyday activities such as dressing, cooking, and moving safely around their home or care setting. You assist in delivering therapy programmes, preparing equipment and adapted materials, and supporting clients to practise the skills they are working on. You may work with people of all ages — from children with developmental needs to older adults recovering from stroke or illness — across HSE community services, acute hospitals, residential care facilities, and private clinics. You record observations on client progress, report back to the supervising occupational therapist, and help ensure a safe and supportive environment at all times.
Listen: a day as an Occupational Therapy Assistant
Your alarm goes off at 7:15 a.m. You work for a HSE community therapy team based in a primary care centre, so you aim to be at your desk by 8:30 a.m. You start by checking the shared diary and reading any messages from the supervising occupational therapist, Siobhán. She has left a note asking you to collect a bath board and a long-handled sponge from the equipment store before the first home visit. By 9:00 a.m. you are in the van heading to an older gentleman named Pádraig who is recovering from a hip replacement. At his house you help him practise getting in and out of a chair using the technique Siobhán demonstrated last week. You note how many attempts he needs, whether he uses the grab rail correctly, and how tired he appears. You write these observations on a paper visit sheet that you will transfer onto the HSE client-record system, Healthlink, back at the centre.

Orla O Duin, Occupational Therapy Manager
HSE Ireland
A QQI Level 5 award in Healthcare Support or Community and Health Services is the typical entry route for this role and can be completed through a PLC course at a College of Further Education. Leaving Certificate subjects such as Biology, Home Economics, and LCVP are helpful preparation, as is experience of caring or voluntary work. Some employers also accept a QQI Level 6 Higher Certificate in Health or Social Care for more responsibility within the assistant role. Health and social care assistants working in regulated settings may be required to register with CORU, Ireland's Health and Social Care Professionals Council, so it is worth checking current requirements as registration rules evolve. Those wishing to progress to become a fully qualified occupational therapist would need to pursue an NFQ Level 8 Honours Bachelor degree in Occupational Therapy at a university such as TCD, UCC, or University of Galway, which requires CAO points. Garda vetting is mandatory for all roles working with vulnerable adults or children.
Most people begin as an occupational therapy assistant after completing a QQI Level 5 or Level 6 qualification, gaining experience in HSE community teams, hospitals, or private care settings. With experience, you may take on a senior assistant role with responsibility for supervising other support staff or coordinating equipment stores. Those who wish to advance further can pursue an NFQ Level 8 degree in Occupational Therapy through the CAO or graduate entry routes, qualifying as a registered occupational therapist with CORU. Continued professional development, specialisation in areas such as paediatrics, mental health, or older persons' care, and growing service demands across Ireland all create opportunities for career progression.
AI-powered tools are beginning to assist in areas such as digital activity scheduling, progress tracking, and the recommendation of adaptive equipment, which occupational therapy assistants may use to support their daily work. Tele-rehabilitation platforms that allow remote therapy delivery are becoming more common in Irish HSE services, meaning assistants may support clients through video-based sessions as well as in person. However, the hands-on, relationship-centred nature of this role — helping someone button a shirt, practise using a walking frame, or build confidence in the kitchen — cannot be replicated by technology. AI is therefore likely to complement rather than replace occupational therapy assistants, potentially freeing up more time for direct client interaction.
→ Occupational Therapy Assistant (Current role)
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Organisations in Ireland that employ people in this occupation.
Nationwide
Assists OTs in hospitals, community and disability services nationwide
Galway, Cork, Roscommon, Limerick
Supports OT programmes for adults and children with intellectual disabilities
Dublin, Limerick, Tipperary
Delivers therapy support to people with intellectual and physical disabilities
Nationwide
Assists OTs supporting people with disabilities toward independent daily living
Dublin, Cork, Galway, Waterford, Nationwide
Supports OT-led therapy programmes for children and adults with disabilities
Palmerstown, Dublin
Assists registered OTs delivering daily living skills programmes to residents
Dublin, Kildare, Wicklow
Supports OT sessions helping older residents maintain independence and mobility
Nationwide
Assists OTs in nursing homes with residents' functional rehabilitation activities
Belfast, Dublin, Nationwide
Supports OT-led programmes for people with mental health and disability needs
Dublin, Cork, Galway, Nationwide
Assists OTs helping brain injury survivors regain everyday functional skills
Dublin
Supports OT programmes for children and adults with intellectual disabilities
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