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Role of Occupational Therapy with Role of Occupational Therapy with Children and YouthChildren and Youth
in School-Based Practicein School-Based Practice
Occupational Therapy Practitioners promote functional abilities and engagement in daily routines.
...the “occupation” of life skills…
Areas of Occupation • Work• Leisure/Play• Social Participation• ADL/ IADL• Education
Used with permission from D. Woodyard
Under Part B of IDEAUnder Part B of IDEAUnder Part B of IDEAUnder Part B of IDEAServices are provided through Services are provided through the IEP to promote academic the IEP to promote academic
success and social success and social participation…participation…
...to access, progress, and ...to access, progress, and participate in the general participate in the general
curriculum in the least curriculum in the least restrictive environment.restrictive environment.
OT is designated as a related service under Part B of IDEA and is considered a pupil service under NCLB.
Definition of OT in Part B Regulation
Occupational therapy—“(i) Means services provided by aqualified occupational therapist; and(ii) Includes—(A) Improving, developing, orrestoring functions impaired or lostthrough illness, injury, or deprivation;(B) Improving ability to perform tasksfor independent functioning if functionsare impaired or lost; and(C) Preventing, through earlyintervention, initial or furtherimpairment or loss of function.”
(Pub. L. 108-446)
Through collaboration, team-based, individualized goals are established to:
• promote school success • reach outcomes…
…Outcomes are related to:
Classroom skillsPlayground and sports participationSelf-help skillsSocial participationMobilitySocial-emotional learningAssistive technology needsSensory regulationPrevocational and transition needs
In school-based practice, occupational therapy practitioners support all children, with or without disabilities, to fulfill their roles as students.
Through…
Early Intervening Services:• Response to Intervention• Positive Behavior Supports
Early Intervening Services
Provided when occupational therapy practitioners support students in general education before they are referred to special education.
Occupational Therapy in Action
Examples of service or support that a school–based occupational therapist might offer include:
Evaluate the student’s strengths and abilities through observations, and other formal and informal methods
Used with permission from Claudia Mielach
Promote independence & function
Identify services and modifications necessary for the child to actively
participate
Used with permission from Jan Emerick Brothers
In the classroom• Seating/positioning modifications• Classroom management• Handwriting
Used with permission from Jan Emerick Brothers
On the playground• Social participation skills• Motor skills for engagement in activities• Self-advocacy skills
Copyright AOTA
In the lunchroom• Promoting independence in self-feeding• Developing peer relationships• Organizing self and materials
Used with permission from Kathy Adams
• Safety • Seating needs• Evacuation procedures
On the school bus
Copyright AOTA
Through the hallways• Geographical orientation• Locker management• Self-care in bathroom
Copyright AOTA
Occupational therapy practitioners support all children’s ability to succeed throughout their daily routines in school.
Addressing sensory needs• Self-regulation• Tolerating sensory input• Alerting/attending
Copyright AOTA
Addressing social-emotional needs• Managing and expressing emotions• Turn-taking skills• Impulse control
Copyright AOTA
Offering transition plans and services• Prevocational training• Leisure activity analysis• Community mobility
Copyright AOTA
Providing supports through assistive technology
Used with permission from Chris Ruggerio
Providing adaptations or modifications necessary for
participation
Used with permission from J. Schoonover
Occupational therapy practitioners work collaboratively with the team for school
success of all students.
Used with permission from J. Schoonover
How can we help you?
• Direct service• Consultation• Training and development
To learn more, contact the American Occupational Therapy Association
www.aota.org301-652-AOTA (2682)
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