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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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RTI, 504, IEP’S PPT’S: Parents Cheat Sheet

May 6, 2024 By admin

 

 

 

 

 

 

Navigating your childs individualized needs within school can be daunting. You want to ensure they receive the help they need while not being intrusive in their school experience. Luckily, there are plans in place that can help make the best of both worlds! Below are several plans for students as well as what they target, how to start the discussion with the school, and what to expect from each.

RTI: Response to Intervention 

An RTI is a multi-tiered approach that schools use to help students with difficulty with academics or behavior. Its purpose is to identify struggling students early and support them so they can thrive in school. The goal is to intervene and start helping so that the student doesn’t fall behind.  This starts as a screen for all children in general education classrooms. If a student is detected to be struggling, they will be provided with interventions at increasing levels of intensity to accelerate their rate of learning. The service is provided by multiple staff members, including teachers, special educators, and specialists. Each child has an individual plan to systematically guide and monitor the child’s progress and response to intervention. All students who receive an RTI will engage in this within the classroom for ongoing monitoring to collect data and examine what supports or hinders the child’s success. Parents are involved throughout this process ensuring their goals, instruction, and intervention appropriately help the child. The process is divided into three tiers. Parents can request an RTI by writing a formal letter to the school’s coordinator requesting a review with any appropriate documentation (could be from doctors, therapists, etc). 

Tier 1: 

High-quality classroom instruction, screening, and group interventions. This consists of identifying students, observation, and screening through a curriculum-based measurement for a maximum of 8 weeks. If the child does not progress academically or behaviorally or they need more support at the end of the 8 weeks, they will be moved to tier two. 

Tier 2: 

Targeted interventions, consist of increasingly intensive instruction, the size of the groups they are in becomes smaller, and the frequency increases, all in conjunction with with their general curriculum. If the student continues to show little progress they move to tier three. 

Tier 3:

Intensive interventions and comprehensive evaluation, where the student will receive an individualized intensive intervention that targets the skill deficits. If this does not help, the student becomes eligible for special education under the IDEA utilizing the data collected during each of the tiers. Parents are allowed to request a formal evaluation at any point during this process. 

504 Plan

A 504 is a plan to support a child to thrive in school who has a documented disability. This provides students with adjustments to their learning environments. This is supported not by the IDEA (Individuals with Disabilities Education Act) but by Section 504 of the Rehabilitation Act of 1973 (the student qualifies for extra services but not specialized instruction). Accommodations to a child’s schedule in terms of classroom environment, recordings of lessons, separate testing environment, and extended time, are all aspects of learning that can be adjusted to best support the child’s needs. To qualify for a 504 plan the child must have a “qualifying disability that substantially limits a major life activity.” For example, a mental or physical impairment makes it much harder for the child to partake in walking, talking, learning, reading, concentrating, thinking and communicating. The difference between a 504 plan and an IEP is that a 504 does not include specialized instruction or services which may include something like a learning specialist, occupational therapist, etc. Parents can be in contact with teachers to communicate their concerns for their students, formal documentation and follow-up will come later. 

 

IEP: Individualized Education Plan

An IEP is an individualized education plan is supported by the IDEA (Individuals with Disabilities Education Act) which guarantees all students the right to learn in schools that have federal funding. An IEP consists typically of individualized accommodations, receiving extra support in or out of the classroom or they can be in a specialized classroom. This is provided to students who have documentation of a disability that requires extended help and more structure to be successful in school. Parents can request an IEP with appropriate documentation following the school’s protocols.

 

PPT: Planning and Placement Team 

A Planning and Placement team is a group of interdisciplinary members comprised of an administrator, special education teacher, regular education teacher, pupil personnel representative, and specialties such as speech, occupational therapy, physical therapy, and school psychology. PPTs review referrals to special education to determine eligibility for special education services and develop or modify any education plans as needed. Evaluations are used by the PPT to determine a child’s strengths and determine what services the child would most benefit from. This group develops a child’s IEP including the student’s levels of educational performance, special education and related services, annual educational goals, short-term objectives, special transportation requirements, the extent the student will participate in the regular school program, modifications to the regular school program, testing accommodations, and determining the progress and effectiveness of the current plan in place. Meetings are held annually and parents are given copies of all documentation. Once a plan is set, the implementation happens in school within 10 days of the meeting.


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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
PRIMITIVE REFLEXES: NOW WITH VISUALS! ✨ My orig PRIMITIVE REFLEXES: NOW WITH VISUALS! ✨

My original Primitive Reflexes Parent Guide received so much attention and such wonderful feedback! 💛 One of the biggest requests was: “Can you show us pictures of the exercises?”

So here you go! 🌈

I created visual examples to go along with the home strategies so parents can more easily see what each movement should look like and feel more confident practicing them at home.

Primitive reflexes can play an important role in the foundations for movement, posture, coordination, balance, body awareness, attention, regulation, handwriting, motor planning, and everyday functional skills.

This guide covers:
🌟 Moro
🌟 ATNR
🌟 STNR
🌟 TLR
🌟 Spinal Galant
🌟 Palmar Grasp

You’ll also find simple home activities like cross-crawl, cat-cow, bird-dog, log rolls, starfish movements, animal walks, hand-strengthening activities, deep pressure, and breathing—now with pictures to provide a clear visual! 📸

The goal isn’t perfection. Keep the movements slow, playful, comfortable, and consistent. Even a short daily movement routine can be a great way to support foundational skills through play. 💪🌈

📚 For more information: Primitive Reflexes: Retained Reflexes and Integration Techniques by Justine Bedocs, OTR/L, available on Amazon.

💾 SAVE this guide to use at home and 📤 SHARE it with a parent, teacher, or therapist who may find the visuals helpful!

Primitive reflexes are only one piece of a child’s development. Individual concerns should always be evaluated by a qualified professional.

#PrimitiveReflexes #PediatricOT #OccupationalTherapy #HomeProgram #explore
🧡 WHY BALANCE ACTIVITIES MATTER! Balance is SO 🧡 WHY BALANCE ACTIVITIES MATTER!

Balance is SO much more than just standing without falling! Balance activities help build the underlying skills kids need to move, learn, play, and feel confident in their bodies. 🌈

Working on balance helps develop:

✨ Core strength & stability
✨ Postural control
✨ Coordination
✨ Motor planning
✨ Body awareness & proprioception
✨ Vestibular processing
✨ Bilateral coordination
✨ Protective reactions
✨ Focus & attention
✨ Confidence with movement

And when balance improves, we often see improvements in everyday skills too—running, jumping, climbing, navigating playgrounds, sitting upright for learning, participating in sports, dressing, and moving safely through the environment.

Balance boards are one of my favorite OT tools because there are SO many ways to use them—rocking, wobbling, squatting, reaching, playing games, or even using them during tummy time!

💙 Better balance → stronger bodies → more confident kids!

#Balance #Explore #OccupationalTherapy #PediatricOT #MovePlayGrow
🧡 THE PEANUT BALL — SUCH A GREAT BANG FOR YOU 🧡 THE PEANUT BALL — SUCH A GREAT BANG FOR YOUR BUCK!

I truly love a peanut ball for home therapy. For around $20, there are so many ways to use it while working on important underlying skills through play.

Sit, bounce, stretch, do pizza squishes, work on puzzles, strengthen the core, build balance, improve body awareness, motor planning and so much more.

It’s simple, affordable, fun, and one of those therapy tools that can grow with your child. 🌈

One inexpensive tool. So many possibilities.

Always supervise and choose activities that are appropriate for your child.

#PediatricOT #OccupationalTherapy #PeanutBall #ParentTips #Explore
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