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OT in a School Setting

Becky Meyers

Occupational Therapist, Ascension Catholic School

2025-01-19

Becky Meyers is an Occupational Therapist for Ascension Catholic School. She discussed why OT in a school setting is crucial, how it differs from clinical OT, and what we can do at home.

Notes from January 19th - Becky Meyers - OT in Education

  • Becky is the OT on staff at Ascension Catholic School
  • She has worked in schools across the country in public schools with children from 3 to 21yo

Medical OT vs School OT:

Medical School
Requires doctor's referral, diagnosis, insurance approval In public school an IEP is required; at ACS Becky can consult with teachers for shorter-term needs
Insurance requires individualized treatment plans Specifically targets classroom needs
Covers skills across all daily living domains Designed to build new function and help access education
Typically for rehab or reinstating function

Skills Targeted by School OT:

(Definitions from The OT Tool Box) - Fine motor - Precision, finger dexterity, coordination - Visual motor - Integration of visual information with actions - Visual perceptual skills - Making sense of what we see - General Motor Coordination - Hop, skip, jump, push and pull - Self Regulation - Manage emotions, behavior and attention - Self Care - Dressing, toileting, etc. - Executive Function - Attention, problem solving, flexible thinking, working memory

What Happens in the School:

  1. Teacher or special ed coordinator identifies need
  2. OT assesses both the child and the environment
  3. OT writes individualized plan with 3 strategies: build motor skills, adapt materials, adapt environment

Practical Tools & Resources:

“For you created my inmost being; you knit me together in my mother’s womb. I praise you because I am fearfully and wonderfully made; your works are wonderful, I know that full well.”

— Psalm 139:13–14