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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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🎧 Did you know sound can be used as a therapeut 🎧 Did you know sound can be used as a therapeutic tool?

Therapeutic Listening is more than simply listening to music. It uses specially designed recordings to help support sensory processing, attention, self-regulation, and participation in everyday activities.

When combined with occupational therapy, movement, and play, Therapeutic Listening can help children build the skills they need to feel more regulated and engaged throughout their day.

Every listening program is individualized by an occupational therapist based on each child’s unique strengths and goals.

✨ Head to our blog to learn:
• What Therapeutic Listening is
• How it works
• Who it may benefit
• Why it’s used in pediatric OT

Have you heard of Therapeutic Listening before? Let us know in the comments! ⬇️ #OccupationalTherapy #PediatricOT #TherapeuticListening #SensoryProcessing #SensoryIntegration
Why do pediatric OTs care about crawling? 🐻💙 Why do pediatric OTs care about crawling? 🐻💙

Crawling is about so much more than just helping your baby get from one place to another. It’s an important developmental skill that supports strength, coordination, sensory processing, and body awareness.

When babies crawl, they are building the foundation for future skills like walking, climbing, handwriting, and everyday activities. Crawling also encourages cross-body movement, helping both sides of the brain communicate and supporting overall motor development.

While every child develops differently, crawling provides so many opportunities for babies to explore, learn, and build important skills through movement.

Want to learn more about why crawling matters and how it supports your child’s development? 🧠✨

Check out our newest blog: “Why Crawling Is an Important Milestone”
🔗 Link in bio!

#PediatricOT #OccupationalTherapy #ChildDevelopment #BabyDevelopment #explorepages
Congratulations to our sweet Vivian Schmidt on her Congratulations to our sweet Vivian Schmidt on her high school graduation from Staples High! 💜

It is so hard to believe it’s time to say goodbye as you head off to Texas Christian University.

Over the past few years, you’ve become such a special part of the Building Blocks Pediatric Occupational Therapy Services family. Through your volunteering and internship, you’ve touched the lives of so many children with your kindness, patience, compassion, and joyful spirit.

You are every smile you’ve shared, every child you’ve encouraged, every laugh you’ve sparked, and every connection you’ve made. Those moments will stay with all of us forever.

We all love you, we’re so proud of you, and we know you’re going to accomplish incredible things. Keep chasing your dreams, and maybe one day you’ll come back as an occupational therapist and work alongside us. We’d love that more than you know.

Good luck at TCU, Vivian. Go shine your light, we can’t wait to see all you’ll accomplish! 💜🐸

#BuildingBlocksPediatricOTServices #TexasChristianUniversity #StaplesHighSchool #WestportCT #FutureOT
Welcome to Building Blocks Pediatric OT! ✨ Take Welcome to Building Blocks Pediatric OT! ✨ Take a peek inside our clinic and explore the spaces where children learn, play, and grow every day. From our fine motor room to our sensory gym, every area is thoughtfully designed to support development through meaningful, engaging therapy experiences. 💙
We’re proud to share our space with Speech & Feeding Kids, giving families access to both pediatric occupational therapy and speech-language pathology services in one convenient location.
📍 943 Post Rd E #A, Westport, CT 06880
We’d love to welcome your family to our clinic! 💙
#occupationaltherapy #pediatricot #westport #ᴇxᴘʟᴏʀᴇᴘᴀɢᴇ  @building_blocks_stories @speechandfeedingkids @justinecarol77 @drake079
Recognizing feelings is only the first step. Knowi Recognizing feelings is only the first step. Knowing what to do next is where true self regulation begins.

There are many wonderful programs that help children identify emotions and body signals, including the Zones of Regulation®, The Alert Program® (“How Does Your Engine Run?”), The Mood Meter®, The Incredible 5 Point Scale®, The Superflex® Curriculum, and The Color Monster®. These programs teach children to recognize how they feel through interoception, our ability to notice internal body sensations like a racing heart, tense muscles, butterflies in the stomach, or low energy.

But once a child recognizes how they feel…

Then what?

This is often the missing piece.

I created this quick visual guide to bridge the gap between recognizing body signals and choosing sensory strategies that help children regulate.

A child in the Red Zone may benefit from deep breathing, deep pressure, a quiet space, or asking for help. A child in the Yellow Zone may need movement, heavy work, or calming sensory input before becoming overwhelmed. A child in the Blue Zone may need alerting activities to wake up the brain and body.

Most importantly, every nervous system is unique.

What helps one child feel calm may make another child more alert. What energizes one child may overwhelm another. Self regulation is not about finding one strategy that works for everyone. It is about helping each child discover their own sensory toolbox through trial, observation, and practice.

This guide gives parents, teachers, therapists, and students a simple way to:
• Recognize body signals
• Connect feelings with sensory needs
• Choose regulation strategies
• Build independence and self awareness
• Develop lifelong self regulation skills

The goal isn’t just identifying emotions. It’s empowering children to understand their own nervous system and know what helps them return to a calm, regulated, and ready-to-learn state.

#Interoception #SensoryIntegration #explorepage #BuildingBlocksPediatricOccupationalTherapyServices #occupationaltherapy
Recognizing feelings is only the first step. Knowi Recognizing feelings is only the first step. Knowing what to do next is where true self regulation begins.

There are many wonderful programs that help children identify emotions and body signals, including the Zones of Regulation®, The Alert Program® (“How Does Your Engine Run?”), The Mood Meter®, The Incredible 5 Point Scale®, The Superflex® Curriculum, and The Color Monster®. These programs teach children to recognize how they feel through interoception, our ability to notice internal body sensations like a racing heart, tense muscles, butterflies in the stomach, or low energy.

But once a child recognizes how they feel…

Then what?

This is often the missing piece.

I created this quick visual guide to bridge the gap between recognizing body signals and choosing sensory strategies that help children regulate.

A child in the Red Zone may benefit from deep breathing, deep pressure, a quiet space, or asking for help. A child in the Yellow Zone may need movement, heavy work, or calming sensory input before becoming overwhelmed. A child in the Blue Zone may need alerting activities to wake up the brain and body.

Most importantly, every nervous system is unique.

What helps one child feel calm may make another child more alert. What energizes one child may overwhelm another. Self regulation is not about finding one strategy that works for everyone. It is about helping each child discover their own sensory toolbox through trial, observation, and practice.

This guide gives parents, teachers, therapists, and students a simple way to:
• Recognize body signals
• Connect feelings with sensory needs
• Choose regulation strategies
• Build independence and self awareness
• Develop lifelong self regulation skills

The goal isn’t just identifying emotions. It’s empowering children to understand their own nervous system and know what helps them return to a calm, regulated, and ready-to-learn state.

#Interoception #SensoryIntegration #explorepage #BuildingBlocksPediatricOccupationalTherapyServices #OccupationalTherapy
Wondering what happens during an occupational ther Wondering what happens during an occupational therapy session? 
What Is OT and What Will I Do There? was written to help take the mystery out of pediatric occupational therapy. Whether your child is preparing for their very first OT visit or you’re a parent, teacher, or therapist looking for a simple way to explain what OT is, this book makes it easy to understand.
Children will discover that OT is so much more than play. Every swing, obstacle course, craft, game, and activity has a purpose, helping build the skills needed for everyday life, including fine motor skills, sensory processing, self-care, emotional regulation, visual motor integration, and confidence.
My goal is to help children feel excited about therapy and help families understand the “why” behind everything we do. ❤️
Have you ever wondered what OT is all about?
#OccupationalTherapy #PediatricOT #ChildDevelopment #SensoryIntegration #explorepage
The Wilbarger Deep Pressure & Proprioceptive Techn The Wilbarger Deep Pressure & Proprioceptive Technique (DPPT)
Also known as the Wilbarger Brushing Protocol

The Wilbarger Protocol is a sensory-based OT intervention that provides deep pressure and proprioceptive input to help organize the nervous system, improve body awareness, and reduce tactile defensiveness.

Who may benefit?
• Tactile defensiveness
• Clothing or grooming sensitivities
• Emotional dysregulation
• Attention and transition difficulties
• Sensory seeking or avoiding behaviors
• Some children with sensory processing differences, ADHD, autism, or developmental delays

Brushing
🖐️ Firm, even pressure
• Brush proximal to distal
• No back-and-forth brushing
• Long, smooth strokes
• Keep the brush flat against the skin
• Brush arms, hands, back, legs, and feet only
🚫 Never brush the face, chest, stomach, or groin

Joint Compressions
🤲 Immediately follow brushing
• Support the limb
• Keep joints neutral
• Compress gently through the joint
• Never twist, pull, or force a joint

Benefits
✅ Better regulation
✅ Improved attention
✅ Increased body awareness
✅ Reduced tactile defensiveness
✅ Greater participation in daily activities

DPPT should only be taught and supervised by a trained occupational therapist and is individualized for every child.

💙 Helping children feel regulated, confident, and successful.

#OccupationalTherapy #explorepage  #SensoryProcessing #Brushing #WilbargerProtocol
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