The goal of the assessment and diagnosis process in occupational therapy

  • Identify factors that enable or hinder normal development and functioning, taking into account the priorities of the child and his family, using standardized and non-standardized assessment tools.
  • Determine the severity and complexity of the problem, according to the levels of functional difficulty in the functional skill areas relevant to the child, according to his abilities and life circumstances.
  • Determine the need or lack of need for occupational therapy intervention.
  • Determine the form of therapeutic intervention (individual/group therapy/parent and educator guidance/monitoring).
  • Determine the objectives and desired outcomes of the intervention.
  • Determine the duration and frequency of therapeutic intervention.
  • Referral to additional treatment agents or other modalities

The role of the occupational therapist in assessment

The occupational therapist is very important in evaluating the child, especially with regard to independence skills, play skills, cognitive skills, social interaction, and sensory and sensory integration disorders.

The role of the occupational therapist is to develop the child's skills and help him/her become independent in daily life activities and perform fine motor skills, cognitive skills, gross motor skills, and sensory processing. The assessment session is of great importance to determine the child's abilities and identify strengths and weaknesses to determine the appropriate program. Parents also play an important role in the assessment process in terms of determining the level of severity of their children's disorders, their aspirations, and setting appropriate logical goals for their children to put in the treatment program.

The duration of the evaluation with the occupational therapist ranges from half an hour to an hour depending on each child’s condition.

The evaluation session is divided into three sections:

Section One: The Child's Medical History

Every child is unique, so each child’s needs are different, and the treatment plan will be different for each case. The pediatric occupational therapist will review the child’s medical history and discuss any concerns the parents may have about their condition. The child’s skills will be assessed through a combination of standardized tests and assessments and by monitoring the child’s response through play and during functional activities.

Section Two: Measuring and Evaluating the Child’s Performance and Abilities

  • The specialist begins by assessing the child’s condition, the skills he can master, and the skills that need training and improvement, and then sets goals and intervention plans to work on in the upcoming treatment sessions.
  • To develop a treatment plan, the occupational therapist will use several approved tests and assessments, including:
    • Activities of daily living: such as putting on and taking off clothes and shoes, eating with hands or using cutlery, where the child's independence in performing tasks is assessed.
    • Fine motor skills: such as coordination in using the hands, and holding small objects such as a pen or scissors.
    • Gross motor skills: such as overall body coordination during motor activities such as throwing a ball or jumping.
    • Sensory disturbances: such as hypersensitivity or hyposensitivity to environmental stimuli, such as smells, sounds, or touch.
    • Sensory motor skills: The child is assessed through play and observation of his use of toys and his control over them.

Section Three: Personal Interview with Parents

After the assessment, parents are interviewed to ask how independent and self-reliant the child is in daily activities such as eating, brushing teeth, dressing, using the bathroom, and getting ready for bed. Communication and behaviors such as crying or clapping are also discussed in order to develop an appropriate treatment program.

At the end of the session

The occupational therapist will provide an analysis and treatment plan, and recommend appropriate treatment options, whether individual sessions, intensive sessions, or teletherapy, depending on the child's condition and family circumstances.

Important Notes

The program is customized

The program is customized to suit the needs of each individual child.

Patience and commitment

Occupational therapy requires patience and commitment from the child, his family, and the treatment team.

If you feel your child is struggling with daily activities, fine motor skills, sensory disorders, autism, ADHD, gross motor skills, or more, don’t hesitate to consult an occupational therapist. Occupational therapy can make a huge difference in your child’s life and give them the tools they need to reach their full potential.

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