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Occupational therapy for dummies like me.

 
 
boomerang
 
  1  
Reply Thu 22 May, 2008 10:46 am
That's a good idea. I'll see if I can find a way to contact her directly. There was such a huge maze of crap required to get to this point that I'm not entirely sure that doing that will be possible.

And this is an "evaluation session" so I'm not sure how that might differ.
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Noddy24
 
  1  
Reply Fri 23 May, 2008 06:06 am
Tell him that he is going to the hospital not to be "treated" but because the hospital has a lab where he can work on "self-treatment". The therapist will make suggestions, but Mo is going to be in charge.
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boomerang
 
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Reply Fri 23 May, 2008 07:59 am
Control is certainly a big thing for Mo. I have to be careful with how I deal it out because he never forgets anything and sometimes putting him in charge backfires. He stretches the endurance of my inventiveness.

I'm trying not to show my nervousness about the other dropping shoe of his saying "Why do you think something is wrong with me?" like it did when we saw the old therapist and like it does every time we have to see a doctor. Then we get into the weird cycle of "There isn't anything wrong with you." "Then why do I have to see a doctor?" "Because blahblahblah." "Why do you think somethings wrong with me?"

My head spins with anticipation.


I found this at another website but it sounds pretty standard:

Quote:
An occupational therapy evaluation assess through standardized tests and clinical evaluations the following:
Visual Perception
Visual tracking
Hand skills inclusive of but not limited to dexterity and manipulation Handwriting Bimanual functions: such as cutting, catching a ball, etc.
Strength and range of motion
Balance
Body Image
Task Skills
Self-cares
Sensory motor developmental abilities
Explanation of standardized tests
The ETCH is a standardized test of handwriting performance evaluating legibility size, formation, writing line awareness, spacing and sequencing. A score of 95% is considered fluid writing. Inclusive in the test samples are near and far point copy skills as well as dictation and number writing.

The functional neuro-assessment tests how the child approaches, executes and completes specific developmental tasks. The functional assessment of neuro-motor abilities tests the child's functional responses in play/game situations. It factors visual, sensory, motor and cognitive components of task.

The Goodenough-Harris Drawing Test is a test of fine motor-cognitive/organizational abilities as well as body image.

The PEER is a multi-task evaluation that combines neuro-developmental, behavioral and health components. It provides normative scored observations that help define developmental areas of concern. It evaluates developmental attainment, associated observation, neuro-maturation, as well as a tasks analysis of the input (visual, verbal, sequential, somesthic), storage (short-term memory ,experiential acquisition) and output (fine motor, motor sequence, verbal sequence and verbal expressive) functions.

The Visual Motor Inventory (VMI) is a standardized test that identifies significant difficulties that some children may have in integrating, or coordinating their perceptual and motor (finger and hand movement) abilities. Visual-motor integration is the degree to which visual perception and finger-hand movements are well coordinated.

The Wide Range Assessment of Visual Motor Abilities tests the child in the three spheres of visual motor/perceptual development. It provides a psychometrically sound assessment of visual-motor, visual spatial, and fine motor skills. A score of 50 % with a standard score of 100 is considered within the average range.

The Handwriting Without Tears Evaluation, is criterion referenced test of paper pencil production that looks at habituated responses from memory and with a sample.

The Sensory modulation/regulation assessment looks at the sensory systems of tactile, visual, proprioceptive, vestibular, auditory, taste/oral, and olfactory observing both attentional and regulatory responses.

The OT "Play/ Sensory" Evaluation looks at task approach, language, and behavior in various novel motor tasks.

Sensory History is a standardized checklist formulated by Winnie Dunn, OTR for the purpose of determining which situations elicit overly alert behavioral responses. It covers auditory, visual, tactile, movement, body position, emotional/social, and activity level responses. It is scored as always, frequently, occasionally, seldom and never
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sozobe
 
  1  
Reply Fri 23 May, 2008 08:02 am
I know that sounds drier than dry but I think from the kid point of view it amounts to "playing a lot of games while someone takes notes."

i.e.

Quote:
The functional assessment of neuro-motor abilities tests the child's functional responses in play/game situations.
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Noddy24
 
  1  
Reply Fri 23 May, 2008 11:05 am
Tell Mo there is nothing wrong with him. Sometimes he and the rest of the world aren't a good fit.

The rest of the world is full of round holes. Let him decide whether he's rectangular or square or hexagonal or pentagonal or a nicely-rounded sphere.

A lot of therapy is just the same as acting lessons. You learn how to take the stage and make people listen to you and be nice to you.
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boomerang
 
  1  
Reply Fri 23 May, 2008 01:57 pm
Those are very good suggestions! Thank you, soz and Noddy. Those give me a good start to weave my speech around.
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littlek
 
  1  
Reply Fri 23 May, 2008 05:25 pm
As I said earlier, the OT is a fun place in school. You get to play. You have to do a little work first and in between playing. But it really is like an indoor playground.
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boomerang
 
  1  
Reply Fri 23 May, 2008 05:35 pm
Just in time littlek!

Let's hope the evaulation part of the deal is similar to the therapy part of the deal.

I'm just out the door on my way to pick him up from the Boy's and Girl's Club. When he goes on Fridays I usually take him around the corner to a little pizza place for dinner, just me and him. It's relaxing and we often talk about the big, important things at that time. I was/am planning on talking to him about it tonight.

Wish me luck!
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dlowan
 
  1  
Reply Fri 23 May, 2008 05:40 pm
Most kids enjoy OT testing....it really IS lots of games.


Sometimes it's actually done in an OT gym...with swings and all kinds of fun vestibular testing stuff.
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littlek
 
  1  
Reply Fri 23 May, 2008 05:50 pm
Good Luck, Boomer!
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boomerang
 
  1  
Reply Sat 24 May, 2008 07:04 am
Except for making for a really awkward first date for the couple at the next table, our conversation went really well.

I told him that I had made him an appointment and that I had done a lot of reading and asking and thinking about it and that I had learned that it can be kinda fun, actually, and that it could maybe really help him "try easier" (our version of try harder).

He's worried and suspicious about it but he asked a lot of questions so that's good, showing he hasn't rejected the idea.

Things calmed down and we paid and got in the car to drive home. He had some more questions... good.

Then we pull into our street and he sees the "For Sale" sign in front of his best friend's house and just completely lost it.

That got me off the hook of having to answer any more questions about OT but we'll have a whole new fish to fry today.
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Noddy24
 
  1  
Reply Sat 24 May, 2008 07:42 am
Boomer--

Sometimes life is one damn thing after another.

Hold your dominion.
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littlek
 
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Reply Sat 24 May, 2008 10:26 am
Oy!
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boomerang
 
  1  
Reply Tue 27 May, 2008 11:47 am
The OT just called. She had read his files. She doesn't think she can help him. She's referring us to a psychologist.

He cried all weekend about his friend so I guess it's okay if I have a turn now, huh?
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dlowan
 
  1  
Reply Tue 27 May, 2008 04:17 pm
Sorry to hear that....



What was the OT supposed to help him with, I never quite got that.


If you don't mind saying here....
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boomerang
 
  1  
Reply Tue 27 May, 2008 04:53 pm
Well... I guess I don't know. "Life skills", I suppose. Adaptive behavior.

I told her that our family physician had referred us and that is why I had made the appointment, that finding him the help he needs is all I'm after. We talked for a long time.

She just thinks that he needs a "multi-pronged" approach and wants him to go to "the clinic" which consists of a pediatrician and a psychologist and which may or may not include OT or other forms of therapy. She just didn't feel that OT alone could help him and that we first have to determine what the underlying neurological, physiological, or psychological problems before OT would even know where to start.

I've said before that Mo isn't an easy child. I haven't really delved publically too much into how uneasy he can be (for both himself and others) because he deserves some privacy. He's complicated.

But to have a professional at an incredibly well respected children's hospital say "he's too complicated for me" is kind of a heartbreak.
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ehBeth
 
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Reply Tue 27 May, 2008 05:04 pm
That must have been hard to hear.

Multi-pronged/multi-disciplinary may be the right way to go, but it is hard to hear.

~~~

I can't imagine it will be easy to get Mo through a full diagnostic assessment process. You're definitely going to need all of the strength you can gather to get yourself, let alone Mo, to the point of being prepared to do this. I wish I could offer more than virtual support to you.
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dlowan
 
  1  
Reply Tue 27 May, 2008 05:24 pm
boomerang wrote:
Well... I guess I don't know. "Life skills", I suppose. Adaptive behavior.

I told her that our family physician had referred us and that is why I had made the appointment, that finding him the help he needs is all I'm after. We talked for a long time.

She just thinks that he needs a "multi-pronged" approach and wants him to go to "the clinic" which consists of a pediatrician and a psychologist and which may or may not include OT or other forms of therapy. She just didn't feel that OT alone could help him and that we first have to determine what the underlying neurological, physiological, or psychological problems before OT would even know where to start.

I've said before that Mo isn't an easy child. I haven't really delved publically too much into how uneasy he can be (for both himself and others) because he deserves some privacy. He's complicated.

But to have a professional at an incredibly well respected children's hospital say "he's too complicated for me" is kind of a heartbreak.



Yeah, but if she's an OT working without support of a mental health specialist team, that makes sense.....don't see it as a Big Black Mark.

Unlike Beth, I have found most OT's to be pretty timid re kids with the problems Mo has.

And, it may be helpful.


If it's done the way it is here it's no big drama.


Just a few interviews and psychological testing (which most kiddy psychs know how to make fun) and mebbe a scan.....and perhaps he'll get into that OT gym!

That's pretty cool...cos he ought to get pictures or graphs of his brain!!!! They want to find all about Mo's brain, to see if there's stuff they can do to help him train it better (some brains are like great, high-spirited horses....they tend to be a bit harder to settle, but man, once they do...wow!!! You may observe here that there's lots of ways to talk to kids about such processes. They KNOW they are struggling.)


Then the team get together to discuss Mo, and you guys get feedback.
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Noddy24
 
  1  
Reply Fri 30 May, 2008 02:38 pm
Boomer--

Summertime and the livin' is easy?

Hah!

Hold your dominion.
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littlek
 
  1  
Reply Fri 30 May, 2008 02:59 pm
Ah..... too bad. So.... has he still been seeing the therapist?
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