Tiny Transformations

This happens. The results of the school’s evaluation may be different than your child’s medical diagnosis. It’s also important to remember that school is NOT the final say on your child’s potential. They may offer very little support to your child, underestimate their abilities, or disagree with you on what support your child needs. You will probably need to advocate for the services and support you believe your child needs.

The occupational therapy process includes an OT evaluation before care starts. Here are the four steps your family can expect when starting occupational therapy:

1. Complete OT evaluation. An occupational therapist first identifies your strengths and needs through a thorough OT evaluation, also known as an OT assessment or screening. You’ll answer questions about you your skills, and you will most likely demonstrate these skills via hands-on activities with the therapist. Evaluations can last 30 minutes to a couple hours.
2. Approve OT plan. The therapist develops a care plan with individualized goals and customized interventions based on your needs. You can also share any specific goals or concerns before approving the OT plan.
3. Start therapy sessions. The therapist works directly with you, using various strategies and exercises to systematically improve areas of limitations and to build upon your strengths. If there are others part of your care team, the therapist may teach strategies for supporting your individualized needs at home and may recommend tools and techniques to use at home, in the community, or in the classroom to help you thrive.
4. Monitor your progress. You can expect ongoing progress monitoring and communication to ensure you're achieving your short and long-term goals.

Even if a provider offers parent training, it may look different from one provider to another. For example, an in-home provider might conduct a parent training session directly following a therapy session with your child to help explain what they’ve been working on with your child. At larger organizations, you might have a support group of families who are dealing with similar issues.

The main role of developmental-behavioral pediatricians is to evaluate kids who aren’t developing, learning or behaving the way their peers are. You might be referred to one after an evaluation through school or from your state-run early intervention program. 

These specialists can help you understand certain behaviors you’re seeing and come up with a diagnosis. For example, if your child acts up at school and in other settings, you or the teacher may suspect your child has ADHD. But there are other issues that may look like, such as anxiety. And many kids will have more than one issue.