The Difference Between SROT and Expert Witness OT

At Think Therapy 1st, we believe in clarity when it comes to occupational therapy in legal settings. One of the key distinctions that often needs explanation is the difference between Specialist Rehab Occupational Therapists (SROT) and Expert Witness OT. While both roles involve specialist OT knowledge, their purpose, responsibilities, and approach are significantly different.

Date: 16 April 2025

Author: Visions

Edited By: Visions

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What is an SROT?

Specialist Rehab Occupational Therapists focus on assessment, treatment, and rehabilitation to help clients regain independence and improve their quality of life. They work directly with clients, often within a rehabilitation framework, to deliver hands-on therapy and practical support.

Key Aspects of an SROT:

  • Client-Led, Function-Focused Therapy – Helping individuals develop skills for daily life, work, and leisure activities.
  • Hands-On Rehabilitation – Direct therapy sessions addressing mobility, cognitive function, and practical adaptations.
  • Progress Tracking – Setting therapy goals and monitoring improvements over time.
  • Collaborative Working – Working alongside case managers, medical professionals, and families to create tailored rehab plans.
  • Practical Equipment & Adaptations – Recommending aids and environmental modifications to improve independence.

What is Expert Witness OT?

Expert Witness OTs provide objective, medico-legal assessments rather than direct therapy. Their role is to provide independent reports for court cases, often in personal injury or medical negligence claims. These reports help solicitors and insurers understand the long-term impact of an injury and the associated rehabilitation needs.

Key Aspects of Expert Witness OT:

  • Independent, Non-Treatment Role – The OT does not provide therapy but assesses and reports.
  • Objective, Evidence-Based Reports – Providing detailed assessments on the client’s rehabilitation needs, prognosis, and cost implications.
  • Legal Framework Knowledge – Understanding court procedures, legal requirements, and the responsibilities of an expert witness.
  • Future-Focused Assessments – Estimating long-term care and rehabilitation needs based on medical evidence.
  • Court Attendance & Testimony – In some cases, the OT may be required to give evidence in court.

Key Aspects of an SROT:

Feature SROT Expert Witness OT
Direct Therapy & Rehab Yes No
Hands-on client support Yes No
Independent legal report writing No Yes
Court appearances No Yes
Future cost projections No Yes
Objective legal assessments No Yes

Why Does This Distinction Matter?

At Think Therapy 1st, we do things differently. Unlike expert witness OTs, our Specialist Rehab Occupational Therapists (SROTs) focus on hands-on rehabilitation, helping clients regain function and independence through meaningful, practical therapy. If you’re an OT looking for a role where therapy comes first, Think Therapy 1st offers an exciting opportunity to be part of a knowledgeable, supportive team. As an SROT, you’ll deliver client-led therapy, function-focused outcomes, and real rehabilitation. Join a network that values therapy and impact. Get in touch to learn more about working with us.