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Occupational therapy, fine motor and sensory

School occupational therapy is about access to the school day: writing legibly enough to be read, managing scissors and fasteners, opening a lunch container, and staying regulated enough to learn.

These guides cover OT goals for handwriting, keyboarding, fine motor, visual motor, self-care and sensory processing. They show how to measure handwriting with a consistent rubric, how to write a sensory goal as behavior the teacher can see, which accommodations reduce the motor load of classwork, and how direct and consult service models differ on the IEP.

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How-to guides

Examples

  • Copying from the board: near-point and far-point copying goals

    12 near-point and far-point copying IEP goals with baselines, criteria and measures, a decision table, and when to replace copying with notes or a photo.

  • Fine motor accommodations (pencil grips, slant boards, keyboards)

    24 fine motor accommodations written the way they should read in the IEP, with who provides each one, when it applies, and its effect on grading and testing.

  • Fine motor goals for preschoolers

    24 fine motor IEP goals for preschoolers built into play, art, snack and classroom routines, with baselines, embedded data and weak versus better rewrites.

  • Fine motor IEP goals

    12 fine motor IEP goals tied to real classroom tasks: grasp and endurance, in-hand skills, scissors and tools, and fasteners, each with a baseline.

  • IEP goals for bilateral coordination

    16 bilateral coordination IEP goals built on school tasks: holding paper, opening containers, rulers and tape, self-care and PE, plus activities by type.

  • IEP goals for buttons, zippers and fasteners

    16 IEP goals for zippers, buttons, snaps, Velcro and buckles, with a zipper task analysis, teaching tips and data methods for school routines.

  • IEP goals for cursive handwriting

    24 cursive IEP goals for lowercase and capital letters, joins, reading cursive, speed and signatures, each with a baseline, a criterion and a measure.

  • IEP goals for dressing

    20 dressing IEP goals built on school routines: coats at arrival, shirts and pants, shoes and orthotics, changing for PE and redressing after the bathroom.

  • IEP goals for handwriting spacing and sizing

    12 IEP goals for word spacing, letter spacing, letter size and fitting writing into the space given, with scoring rules that make each gap and letter countable.

  • IEP goals for letter formation

    24 letter formation IEP goals by letter family, capitals, reversals, the alphabet from memory and numerals, with a 4-point scoring guide for each letter.

  • IEP goals for noise sensitivity

    16 noise sensitivity IEP goals that build participation: preparing for loud events, managing headphones, staying in loud places and asking for what helps.

  • IEP goals for pencil grasp

    24 pencil grasp IEP goals that measure what the grasp does for the student: comfort, pressure, endurance and setup, plus the stages of grasp development.

  • IEP goals for scissor skills

    16 scissor skills IEP goals from snipping to cutting shapes and class projects, with a stage table, activities for each stage and a ruler-based scoring method.

  • IEP goals for sensory breaks

    20 sensory break IEP goals that measure what the student does: noticing the need, asking, choosing the right break, running the routine and returning to work.

  • IEP goals for shoe tying

    16 shoe tying IEP goals scored with a 7-step task analysis, plus how to teach shoe tying, when to switch to elastic laces and how to measure it.

  • IEP goals for visual tracking and scanning

    24 visual tracking and scanning IEP goals tied to school tasks: keeping your place in text, worksheets, tables, math columns and moving targets in PE.

  • IEP progress report comments for OT goals

    24 occupational therapy progress report comments for fine motor, handwriting, typing, visual motor, self-care and sensory goals, each built from the goal data.

  • In-hand manipulation IEP goals

    20 in-hand manipulation IEP goals for translation, shift and rotation, each tied to a class task with a baseline, criterion and measure, plus a decision table.

  • Occupational therapy IEP goals for autism

    24 OT IEP goals for autistic students: self-care, class routines, sensory self-advocacy, tool use, play and transitions, written for participation.

  • Occupational therapy IEP goals for executive functioning

    12 OT IEP goals for executive functioning: materials and workspace, motor sequences, getting started and pacing physical routines, with baselines and measures.

  • OT IEP goals for handwriting

    12 OT handwriting goals for letter formation, sizing, spacing, copying and speed, each with a baseline, a work-sample measure and a weak versus better rewrite.

  • OT IEP goals for kindergarten

    24 OT IEP goals for kindergarten across classroom tools, early writing, visual motor skills, self-care, routines and sensory supports, each with a baseline.

  • OT IEP goals for sensory processing

    16 sensory processing IEP goals written as behavior a teacher can see: asking for supports, self-monitoring, joining loud settings and returning to work.

  • Pre-writing strokes and shape copying IEP goals

    24 pre-writing IEP goals for imitating strokes, copying shapes, tracing, coloring, grasp and the bridge to letters, each with a baseline, criterion and measure.

  • Sensory accommodations (headphones, seating, movement)

    20 sensory accommodations written the way an IEP should read them: what, when, how much and who provides it, with an accommodation or modification check.

  • Visual discrimination and visual perceptual IEP goals

    16 visual perceptual IEP goals for discrimination, figure-ground, visual memory and scanning, each with a baseline, criterion and measure, and a decision table.

Comparisons

  • OT vs PT at school: who does what

    School OT helps with hand skills, self-care and school routines; school PT helps a student move safely around school. A side-by-side table and 3 cases.

  • School-based OT vs clinical OT

    School-based OT helps a student take part in school under an IEP; clinical OT treats needs in daily life under a care plan. A side-by-side table and 3 cases.

Templates

For parents

  • OT goals explained for parents

    What occupational therapy goals in an IEP mean, in plain words: an annotated example to hold next to your child's plan, questions to ask and next steps.

  • Sensory needs and the IEP

    How sensory needs show up in an IEP, for parents: an example with notes to hold next to your child's plan, questions to ask, and where to get free help.

Explainers

IEP Atlas Pro

Turn your goals into progress reports

Pro tracks every goal on your caseload and drafts the report for you. Free for 14 days.

Count trials, prompts, and minutes live in the session; the graph and trend line draw themselves; progress reports are drafted from your data.