A student may have motor, sensory, self-care, or functional difficulties—but does that mean they need school-based OT? This clinical reasoning guide helps OTs connect concerns to meaningful school participation and educational need.
When a student struggles with written work, the answer is not always “more handwriting practice.” And it’s not just a fast-as-possible choice between handwriting or keyboarding or speech-to-text tools. Sometimes the real question is: What is getting in the way…
“My Students Keep Writing Their 2s Backward.” I have been hearing some version of this from teachers over and over: “They keep reversing 2.” And then: “They’re doing it with 3 and 5, too.” Number reversals can certainly be part…
Does Every OT Concern Require Direct Therapy? No—and that distinction matters in school-based occupational therapy. When a student is struggling at school, the conversation can move very quickly from: “There is a concern.” to: “How many minutes of OT should…
If a Student Can Do It Sometimes, Do They Really Have a Skill Deficit? What changes between the times the student succeeds and the times the student struggles? The Skill Deficit vs. Performance Barrier Decision Tree My Story: The IEP…