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Building Blocks Pediatric Occupational Therapy Services

Fairfield Connecticut Occupational Therapist

203-341-0178
943 Post Rd E Suite A
Westport, CT 06880
bbpedot@yahoo.com
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Lets Learn about RTI & IEP!

June 12, 2023 By admin

What is an RTI?

  • RTI stands for Response to Intervention
  • RTI is an approach that schools use to help all students who may be struggling in school the support they need to thrive in school
  • Tier 1 of RTI includes core universal classroom instruction for all students
  • Tier 2 of RTI is targeted intervention for specific groups of students. This can include small group lessons with a few students 2-3 times per week.
  • Tier 3 of RTI includes small group work or it can also mean individual lessons. Most kids who receive tier 3 support still spend time in the general education classroom but also may spend time one-on-one .

What is an IEP?

  • IEP stands for Individualized Education Plan
  • An IEP is a written statement of an educational program designed to meet a child’s individual needs for ages 3-21. An IEP must have set learning goals for your child and the services that the school district will provide to the child
  • The IEP progress first begins by the parents requesting an evaluation for the child to receive testing. Once the child has been evaluated and the testing results come in, the school has to determine if the child is eligible for an IEP. They must ask two questions (does your child have one or more of the 13 conditions that are covered under the special education law IDEA? and does your child need services and accommodations to succeed at school?)
  • The IEP team will decide if your child qualifies for an IEP at an eligibility meeting. This meeting can include the parents, representative of the school district, social worker, general education teachers, occupational therapists, speech-language pathologists, and physical therapists, and if appropriate the child with a disability
  • If the IEP team finds that your child is eligible for an IEP, an IEP will be created to assist the child in gaining independence in the educational setting
  • An IEP includes:
    • Presents levels of educational performance
    • Evaluation procedure and performance criteria
    • Modifications and accommodations the child needs to participate in regular education class, general education curriculum or extra circular activities
    • Special education and related services required by the child including transportation and vocational education programs
    • Recommended instructional settings and a list of people who will work with your child to implement the IEP
    • The date of services will begin and end, and the frequency of identified services
    • The length of the school day/year
    • Statement of accommodations and modifications needed to facilitate district wide testing
    • Transition services needed

What is an IEE?

  • An IEE is an independent educational evaluation
  • If the parents disagree with the results of the child’s evaluation and results, the parents have a right to a private evaluation. Sometimes schools are required to pay for an IEE. If the parents do not agree with the results of the school’s evaluation, they have a right to ask for an IEE at public expense
  • An IEE is an evaluation conducted by a qualified examiner, such as an occupational therapist, neuropsychologist, or clinical psychologist who is not employed by the school district responsible for the public education of the child
  • The outside testing can include the child’s history, conversation, and observation of the child. It can include intelligence and achievement testing or information processing, memory reasoning, physical skills such as fine and gross motor, handwriting, and speech testing
  • Once the child has been tested, the parents will get a written report including what tests were used, and the results of the tests. The report will include a statement about how these issues affect the child and recommendations for things that can be done to help
  • The results then can be shared with the school and can provide information to help the parents and school find ways to support the child’s learning

 

What is an IFSP? 

  • IFSP stands for Individual Family Services Plan
  • An IFSP includes information regarding the child’s current level of development for children ages birth to 3 with a developmental delay or who require extra help with their physical, cognitive, or social-emotional development
  • The IFSP progress begins when a caregiver or healthcare care provider has concerns about a child’s development
  • A formal evaluation of the child’s skills is conducted to assess their developmental milestones. This evaluation will provide insight to what areas the child needs support as well as areas of strength the child has
  • A plan and goals with outcomes will then be created that reflect the desired changes for the child and family
  • An IFSP can include, occupational therapy, speech and language therapy, physical therapy, social workers, or psychological counseling
  • IDEA requires that the children must receive services in a natural environment to the maximum extent possible, usually occurring in the home setting

 

What is a 504 Plan?

  • 504 plans are formal plans that schools develop to give kids with disabilities the support they need. 504 plans are covered under the Section 504 of the Rehabilitation Act to prevent discrimination towards students with disabilities in school
  • 504 offers accommodations including:
    • Changes in the environment (ex: taking tests in a quiet space/different room)
    • Changes to instruction (ex: one-on-one instruction with student about key concepts)
    • Changes to the curriculum and how it is presented (ex: getting typed notes written for the student)
    • To receive a 504 plan, students do not need to get an evaluation like an IEP. The family can request a 504 plan through the 504 coordinator. The school will then have a meeting to decide if the child qualifies for a 504 plan. This can include looking a medical history, diagnosis, grades, and teacher recommendations

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🧠✨ Does your child struggle with executive fu 🧠✨ Does your child struggle with executive functioning or motor planning?

Difficulty getting started, following directions, staying organized, getting dressed, learning new movements, or completing routines may reflect developing skills—not a lack of motivation.

🧠 Executive functioning helps children plan, organize, focus, manage emotions, and complete tasks.

🤸‍♂️ Motor planning helps children figure out how to move their bodies for everyday activities, play, sports, and new skills.

Occupational therapy can help children:

✅ Break tasks into manageable steps
✅ Improve planning, coordination, and independence
✅ Build problem-solving and self-regulation skills
✅ Gain confidence at home, school, and during play

✨ Small steps lead to big accomplishments!

📲 Swipe through our parent guide to learn more. Save and share with a parent, teacher, or caregiver!

#OccupationalTherapy #ExecutiveFunctioning #MotorPlanning #PediatricOT #explore
🦷🚫 TEETH ARE NOT FOR BITING PEOPLE! 💛 Do 🦷🚫 TEETH ARE NOT FOR BITING PEOPLE! 💛

Does your little one bite when they’re frustrated, overwhelmed, excited, or just need some extra sensory input? 😬🫣

You are definitely not alone! 💕

SO many parents come to me looking for help with biting, and it’s something I address frequently as a pediatric occupational therapist! 🌈🧠

Here’s what I want parents to understand. Biting is often a form of communication! 💬

Sometimes it means:
🌀 My body feels overwhelmed!
😤 I’m frustrated!
🦷 My mouth needs sensory input!
🥺 I don’t know how to tell you what I need!
⚡ I need help regulating my body!

And here’s something SO important! ❤️

We want children to understand that biting is not okay, but having big feelings IS okay! 💕

Instead of children thinking, “I’m bad” or “I’m not good,” we want to teach them what their bodies need and what they can do INSTEAD of biting! 🙌

✨ That’s why I created this simple, parent-friendly guide! ✨

It’s filled with practical pediatric OT strategies to help you understand WHY biting happens, support regulation, and teach safer replacement behaviors. 🧸🦷🌈

Because our goal isn’t just to STOP the biting. It’s to understand what’s driving it and help children develop the skills they need to succeed! 💪💛

👉 SWIPE through for simple strategies you can start using today!

💬 Have you dealt with biting at home or in the classroom?

📌 SAVE this post for later!
💕 SHARE it with a parent, teacher, or caregiver who could use these tips!

💛 Building Blocks Pediatric Occupational Therapy

#PediatricOT #Sensory #ParentingTips #Biting #Explore
What if we stopped asking, “What sensory activit What if we stopped asking, “What sensory activity should a child do at a specific time?” and started asking, “What is this child’s nervous system telling us right now?”

That is the shift.

Sensory supports can be incredibly helpful, but children do not always need the same input at the same time every day. Sleep, stress, transitions, noise, hunger, emotions, school demands, and the environment can all change what the nervous system needs in a given moment.

We should shift from following a rigid sensory schedule to observing first, then choosing regulation supports that match the child’s current needs.

Sometimes that may be heavy work or deep pressure. Sometimes it may be movement and alerting input. Sometimes the child may need less stimulation, a quieter space, or simply time to reset.

The goal is not just to “do sensory.” The goal is to support regulation, participation, body awareness, independence, and confidence.

Different moments. Different needs. The right regulation supports. 💛

#PediatricOT #SensoryProcessing #Explore #OccupationalTherapy #RegulationSupports
I thought this was so true and so funny 😂🧩 I thought this was so true and so funny 😂🧩

Scheduling OT clients around school, sports, siblings, therapies, cancellations, makeups… and then somehow fitting in your OWN kids’ lives and schedules too. 🤪

Basically one giant game of Tetris where the pieces never stop moving!

Who can relate? 😉🤪😜

#OccupationalTherapy #PediatricOT #OTLife #TherapistHumor #Explore
Here’s a simple visual for therapists to share w Here’s a simple visual for therapists to share with parents as a helpful handout on the developmental sequence of pencil grasps. ✏️

As a seasoned professional, one of my goals is to get practical, easy-to-use tools into the hands of as many therapists, parents, teachers, and caregivers as possible. If something I create can make a concept easier to understand or support a child’s development, I want it shared.

Please feel free to use it, share it, save it, and pass it along. I hope it helps! 💛
#PediatricOT #PencilGrasp #FineMotorSkills #Handwriting #Explore
Cutest William — a day in his OT session! 🤩 Cutest William — a day in his OT session! 🤩

Such huge growth today and such a gift to witness his progress in feeding and regulation skills. 💛 We are seeing him trying new texture foods, expanding his repertoire, and feeling more confident. He is also beginning to move toward more rotary chewing patterns, building upon all of the foods he already feels comfortable eating. His trach was removed a few months ago, and although he still has a G-tube, we are continuing to work on building safe and confident oral feeding skills.

We always start with high sensory input prior to feeding to help his body feel ready to learn. Today William wore his weighted vest and engaged in calming, organizing input including vibration plate + therapeutic music from Vital Links to support regulation and attention.

We also did gentle body massage and oral-motor input to the outside of his cheeks before moving into Z-Vibe work to help prepare his mouth for feeding success.

🥄 Then we moved into feeding!

We incorporated an acrylic stand mirror during feeding practice to support visual feedback and body awareness while eating. This helped William better understand mouth movements and positioning as we worked on oral control and coordination.

We are also introducing more intentional tongue and oral-motor awareness work, helping William become more comfortable handling food inside his mouth and learning how to use his tongue to move and manage food. We are working on tongue lateralization, positioning food onto the chewing surfaces, progressing from a munching pattern toward rotary chewing, and learning how to gather food together to form a manageable bolus for swallowing. 🤩

💡 OT TIP:
High sensory input before feeding or other challenging tasks can make a big difference. Movement, vibration, deep pressure, therapeutic listening, a metronome, or other calming and organizing input can help prepare the nervous system for participation.

✨ Small supports = big growth ✨

#Explore #PediatricOT #FeedingTherapy #SensoryIntegration #OTTips
FINE MOTOR + HANDWRITING STRATEGIES: A THERAPIST-F FINE MOTOR + HANDWRITING STRATEGIES: A THERAPIST-FRIENDLY GUIDE! ✨✏️

I know how much time therapists spend creating parent handouts, finding pictures, explaining tools, and putting together home programs — so I thought I would start sharing some of mine! 💛

My goal is to create resources that therapists can easily share with families and that parents can actually use at home — one less thing on your plate. 🌈

This guide focuses on the skills that support successful handwriting and everyday fine motor development, including:

🌟 Fine motor skills
🌟 Hand strengthening
🌟 Pencil grasp and pencil control
🌟 Visual motor integration
🌟 Visual perceptual skills
🌟 Bilateral coordination
🌟 Weight-bearing and proprioceptive activities
🌟 Handwriting strategies

You’ll also find some of my favorite tools and simple strategies for home, including different pencil grips, the HandyWriter, weighted writing tools, writing slant boards, adapted scissors, visual guides, spacing tools, and activities to strengthen the entire hand. ✋✏️

One of the biggest things I remind families is that handwriting is about so much more than holding a pencil!

Before we expect a child to sit down and write, we want to look at the foundations: shoulder stability, core strength, hand strength, bilateral coordination, visual attention, visual perception, motor planning, and the ability to coordinate what the eyes see with what the hands are doing.

Sometimes the best “handwriting practice” doesn’t involve a pencil at all. 💪🌈

Think:
✨ Animal walks
✨ Wheelbarrow walking
✨ Crawling
✨ Weight-bearing through open hands
✨ Playdough and resistive activities
✨ Clothespins and tongs
✨ Cutting activities
✨ Vertical surface play
✨ Visual scanning and visual perceptual games

SAVE this guide for your therapy toolbox and SHARE it with a parent, teacher, or therapist who could use a few new fine motor and handwriting ideas! 💾📤

These strategies are meant to provide general ideas and are not a substitute for an individualized occupational therapy evaluation when concerns are impacting a child’s participation or development.

#PediatricOT #FineMotorSkills #Handwriting #VisualMotor #explore
🌈 SOCIAL-EMOTIONAL TOOLBOX FOR PARENTS, TEACHER 🌈 SOCIAL-EMOTIONAL TOOLBOX FOR PARENTS, TEACHERS & THERAPISTS 🌈

Occupational therapy is personal to me. I truly love what I do, I love the children and families I work with, and I want to help as many people as I can. ❤️

After 25 years as an occupational therapist, I’ve learned there isn’t one strategy that works for every child or every moment. That’s why I created this Social-Emotional Handout & Toolbox for parents, teachers, therapists, caregivers, and anyone supporting children.

It’s filled with quick, practical tools you can reach for in the moment—recognizing body signals, emotional regulation, anxiety and worry, frustration and anger, transitions, flexible thinking, friendships, sensory strategies, movement, calming tools, and repairing after a hard moment.

My hope is that you save it, share it, and use it when a child needs a little extra support. Sometimes having the right tool at the right time can make all the difference. 💛

Please reach out anytime with questions, for additional resources, or if you’d like me to become part of your child’s team. Helping children, families, teachers, and fellow therapists is truly why I love what I do. 🌈

#PediatricOT #SocialEmotionalSkills #TeacherTools #TherapyTools #Explore
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