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Occupational therapy (school-based)

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School-based occupational therapy helps students take part in school tasks, such as handwriting, using tools, self-care and managing sensory needs.

Topic: Services, placement and staff

In plain terms

School OTs focus on what a student needs to do at school: write, cut, open lunch containers, manage materials, use a keyboard, dress for recess, or stay regulated in a busy classroom. Therapy can be direct, in the classroom, or consultation with teachers about tools and routines. School OT is educationally focused, which can differ from clinic-based OT.

How it shows up in an IEP

OT goals should name the school task, not only the underlying skill: "will write a 3-sentence response legibly enough for an unfamiliar reader to read 90% of words" rather than "will improve fine motor strength."

Example

The rule

Federal reference: 34 CFR §300.34(c)(6).

Related terms

  • Fine motor skillsFine motor skills are the small, precise movements of the hands and fingers used for tasks like writing, cutting, buttoning and using utensils.
  • Visual-motor integrationVisual-motor integration is the coordination of what the eyes see with how the hands move, as in copying shapes, letters or diagrams.
  • Sensory processingSensory processing is how the nervous system takes in, organizes and responds to sensory information like sound, touch, movement and light.
  • Related servicesRelated services are supports, such as speech therapy, transportation or counseling, that a student needs to benefit from special education.
  • Adaptive equipmentAdaptive equipment is gear that helps a student with a disability sit, move, eat, write or take part in activities more independently.

On IEP Atlas

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