Restatement of Why ACVREP is Developing a Certification for Occupational Therapists in Vision Loss

In the next five years, North America is expected to have 9.5 million adults with visual impairment, with prevalence and annual incidence rates steadily increasing. This growth means more individuals will live with permanent vision impairment for longer periods, yet there are only 4,068 certified professionals nationwide to serve this population as of January 2025. The current shortage makes it critical to increase the number of qualified professionals who can provide services to those with vision loss. Without action, it is likely that a significant number of adults with vision loss will remain unserved.

ACVREP’s certification for occupational therapists (OTs) specializing in vision loss aims to address this gap by enabling OTs to evidence their additional education, training, and expertise in vision impairment and blindness. While OTs bring a strong foundation in general rehabilitation, this certification will build on their education with specialized training in vision rehabilitation. Certification candidates will need to meet rigorous requirements and pass a comprehensive exam based on the Body of Knowledge and Applied Skills, ensuring their ability to support individuals with vision loss effectively.

Purpose of the Public Comment Period

ACVREP is committed to moving forward with developing this certification for OTs seeking additional education and training to serve adults with vision loss. The public comment period offers practitioners and consumers the opportunity to:

1. Ensure the Body of Knowledge and Applied Competencies support the Scope of Practice.
2. Confirm the Eligibility Requirements align with the certification's objectives.

The intent is not to debate the certification's development but to refine its criteria. Comments should focus on specific language within the criteria that may raise concerns or need clarification, with actionable suggestions for improvement.

ACVREP recognizes that terminology used in occupational therapy may differ from language commonly used in the vision field. Feedback is essential to ensure clarity and alignment. It is also critical to note that OTs in vision rehabilitation work collaboratively with low vision optometrists and ophthalmologists, who also have a role in initiating the patient referral and overseeing the rehabilitation plan of care.

Supporting Existing Certifications

Some have suggested ACVREP focus solely on expanding current certifications instead of developing this new one. ACVREP is actively doing both. Efforts include funding initiatives like the Vision Serve Alliance Medicare Reimbursement pilot project and partnering with Success Beyond Sight to attract more professionals into the existing certifications of orientation and mobility, vision rehabilitation therapy, low vision therapy and assistive technology.

This balanced approach ensures the field continues to grow while addressing the immediate need for specialized OTs to serve the increasing population of individuals with vision loss.