School OT Decision Tree Library
Choose the question you are working through. These practical guides help school-based occupational therapists organize their reasoning and connect decisions to student participation.
Start with your school OT question
Is this concern educationally relevant?
Consider how the concern affects access, participation, and progress at school.
What level of OT support does this student need?
Work through support options in the context of classroom needs and the school team.
Is it a skill deficit or a performance barrier?
Look beyond task completion to understand what is getting in the way.
Should I address pencil grasp first?
Connect handwriting observations to functional outcomes before choosing a target.
Keep exploring
Browse the latest decision guides or explore the School OT/PT Foundations 101 course bundle for structured professional development.
