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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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Understanding IFSPs and IEPs: How Educational Services Support Children from Birth Through 21

June 14, 2026 By admin

 

While they serve different age groups, both IFSPs and IEPs are created to help children receive the support they need to grow and succeed. These plans are part of special education services designed to support children’s development, learning, and participation in daily life.

What do IFSPs and IEPs have in Common?

Both IFSPs and IEPs:

  • Are developed under IDEA (Individuals with Disabilities Education Act)
  • Require parental consent and involvement
  • Are created if a child qualifies for services
  • Are reviewed and updated regularly
  • Focus on supporting development and participation

What is an IFSP?

An IFSP (Individualized Family Service Plan) is for children from birth to age 3 who have developmental delays or disabilities.

Evaluations look at key areas of development:

  • Physical (movement, vision, hearing)
  • Communication (understanding and expressing language)
  • Cognitive (learning and problem-solving)
  • Social-emotional (relationships and emotions)
  • Adaptive skills (feeding, dressing, routines)

A key feature of an IFSP is that it supports the whole family. Services are often provided in natural environments such as the home or daycare.

Services may include:

  • Occupational therapy
  • Physical therapy
  • Speech therapy
  • Special instruction
  • Family support and training

What is an IEP?

An IEP (Individualized Education Program) is for children ages 3 through 21 who qualify for school-based special education services.

It focuses on a child’s educational performance, including:

  • Academic skills (reading, writing, math)
  • Communication
  • Motor skills
  • Social-emotional development
  • Functional and self-care skills

Evaluations may include classroom observations, assessments, and input from parents and teachers.

Services may include:

  • Occupational therapy
  • Physical therapy
  • Speech-language therapy
  • Counseling services
  • Special education instruction
  • Classroom supports and accommodations

Transition from IFSP to IEP

Around age 3, children receiving Early Intervention services may transition to school-based services. If eligible, the school team develops an IEP to continue supporting the child in an educational setting.

Parent Rights

Parents are key members of the team and have the right to:

  • Participate in meetings
  • Ask questions and review results
  • Consent to or decline services
  • Request evaluations
  • Advocate for their child’s needs

Role of Occupational Therapy

Occupational therapists may be part of both IFSP and IEP teams. OT helps children build skills for daily life, including:

  • Play and engagement
  • Fine motor and handwriting skills
  • Self-care tasks
  • Sensory regulation
  • Participation in school routines

What Happens After Age 21?

In most states, eligibility for special education services through an IEP ends when a student reaches the maximum age allowed under state law or graduates with a regular high school diploma.

However, support does not necessarily end at age 21. As students transition into adulthood, they may be eligible for services and supports through community agencies, vocational rehabilitation programs, colleges and universities, independent living programs, and other adult service providers.

Transition planning is an important part of the IEP process and is designed to help students prepare for life after high school, including education, employment, and independent living.

Occupational therapists can play a role in transition planning by helping students develop skills needed for employment, independent living, community participation, and post-secondary education.

Key Takeaway

IFSPs and IEPs are different in structure, but both exist to support children in reaching their developmental and educational potential. Understanding them can help families feel more confident navigating services and advocating for their child


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As a pediatric occupational therapist, I often tal As a pediatric occupational therapist, I often talk about going deeper than just “take a deep breath.” Deep breathing is more than a simple instruction—it’s a powerful tool that helps children connect with their bodies, regulate their emotions, and calm their nervous systems.
One of my favorite ways to teach this is with a breathing ball. It’s simple, colorful, and engaging, giving children a visual and hands-on way to understand what’s happening inside their bodies.
As you slowly open the ball, encourage your child to take a slow, deep breath in through their nose, imagining their lungs filling up just like the ball expands. This helps them become aware of how their body feels when they breathe in.
Then, as you slowly close the ball, have them gently blow all the air out through their mouth until their “chipmunk cheeks” are completely empty. Encourage them to keep blowing until every last bit of air is out. This full exhale is just as important as the inhale—it helps release tension and signals the body to relax.
Repeat this several times. The movement of the ball helps children pace their breathing and stay focused, making it much easier than simply telling them to “take a deep breath.” Over time, this builds body awareness, supports self-regulation, and helps children learn how to calm themselves when they feel overwhelmed.
This is an easy strategy to use at home, in the classroom, before homework, before bed, or anytime a child is feeling anxious, frustrated, or needs a reset.
Sometimes the simplest tools can make the biggest difference. 💙
#explorepages  #SelfRegulation #DeepBreathing #Sensory #Interoception
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?
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• 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
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Benefits
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Sometimes the most meaningful therapy doesn’t lo Sometimes the most meaningful therapy doesn’t look like “therapy” at all.
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Swipe through to learn:
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Want to learn more? Our newest blog takes a deeper dive into visual perception and how OT supports these important skills. Check out the link in our bio!

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Check out our latest blog post using the link in our bio to read more about my journey into OT!

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When you play on the floor with your child or foll When you play on the floor with your child or follow their lead in a game, you are actually engaging in part of an important pediatric occupational therapy method known as Floortime!

This is a relationship-based therapy for children that helps with emotional and developmental growth. 

Check out our latest blog post using the link in our bio to learn more!

#FloortimeMethod #PediatricOT #OccupationalTherapy #BuildingBlocksOT
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