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