Occupational Therapy services are an integral part of
the programming at LPS. Each student at the Elementary and Middle School
level is evaluated and, if indicated, an appropriate treatment plan
is implemented. The varying services are as follows:
Elementary School Occupational Therapy Service
Services
Individual or group treatments
O.T. consultations to academic teachers in order to assist with classroom
accommodations to enhance performance
Table top activities and gross motor or movement in the Sensorimotor
Room
Visual Perceptual Motor Skills Addressed
Fine Motor Skills- manipulating small objects, using
scissors, pencil control, hand strength and bilateral coordination
Visual Perceptual Skills- visual discrimination, visual
memory, spatial relations, form constancy, sequential memory, figure
ground and visual closure
Visual Motor Integration Skills- the use of visual
perception and fine motor skills for writing, copying shapes and completing
various complex fine motor activities (i.e.constructional)
Sensorimotor- postural control, shoulder stability,
motor planning skills, body awareness and ocular motor skills
Gross Motor Skills-strength, coordination, balance,
eye-hand coordination, ball skills and endurance
Skills addressed in O.T. sessions vary according to each student
and are identified through an O.T. evaluation as well as observations
made by an LPS Occupational Therapist. These skills are worked on
through the use of a wide variety of techniques ranging from arts
and craft projects, pencil and paper work and board games to strengthening
and coordination exercises.
Activities in the Sensorimotor Room are implemented using a sensory
integrative or perceptual motor approach and may include obstacle
courses, activity stations, exercises, and therapeutic games. Various
types of therapeutic equipment are used such as scoot.er boards, balance
beams, body socks, a trampoline, therapy balls and several types of
swings.
Thinking Maps are incorporated into treatment sessions to assist
with organizing and completing presented activities.
Middle School Occupational Therapy
What is Middle School Work Center/ O.T.?
Middle School Work Center/ot. is an extension of Occupational Therapy
(ot.) services for older children at LPS.
What skills are addressed in Work Center/ O.T.?
- Skills and accommodations for sensory, motor and visual perceptual
limitations
- Executive functioning skills such as task initiation, organization,
sequencing and problem solving
- Self-esteem, social skill development and self-awareness as related
to the students sense of independence in school and at home
How are these skills addressed?
These skill areas are addressed within the context of practical learning
experiences. Students engage in various activities involving students’
interests, life skills and age appropriate “jobs”. Students
may be involved in the floowing activities in Work Center/ O.T:
- Calendar/monthly planner skills activities
- Phone skills activities
- Basic cooking skills
- Off-campus activities such as food shopping
- Office type tasks
- School/community service activities
Involvement in these activities facilitates the development of Work
Center/ O.T. skills. Work related vocabulary and basic work behaviors
are emphasized throughout the curriculum.
What tools are used to address skill development?
- Organizational tools such as To do lists, calendars and task cards
help students to initiate, problem solve, sequence and organize
tasks.
- Thinking Maps are incorporated into activities to assist students
with initiation, organization, sequencing, problem solving and overall
independence.
Skills Rating sheets are completed at the end of each
class to give students feedback on their performance in various skills
areas such as attitude, initiation, independence, work quality and
task completion.
The ACT Program
(Activate/Calm/Think)
Many of the children in our Elementary and Middle School Program have
mild to significant issues with sensory processing and modulating
their level of arousal. These difficulties can have a significant
impact on the student’s readiness to learn, ability to focus,
and overall performance in the classroom. The ot. Department at LPS
has developed a simple program to assist the teaching faculty with
the implementation of some strategies that can be utilized in the
classroom and therapy sessions. These activities will hopefully help
students “Activate/ Calm /Think” and therefore prepare
their systems to learn.
The ACT Program was introduced in November 2006 to all Elementary
and Middle school faculty. A school-wide presentation was conducted
and received support and enthusiasm. Specific exercises and activities
were demonstrated, posters were provided (including pictures of students
performing the exercises), and “fidget boxes” were provided
for every teacher. These exercises/activities may be done at the start
of each class as part of the students’ routine upon entering
the classroom. Or, the activities can be done during the midpoint
of the period or during class transitions if the teacher determines
it may be beneficial in order to re-focus the students. These activities
will also provide much needed and legitimate “movement breaks”
in a structured manner.
It is hoped that the program will become a natural part of the classroom
activities and can be incorporated into the curriculum as we have
with Thinking Maps. In this way, the students will also learn to independently
utilize some of these strategies in school as well as ot.her areas
of their lives.
The program consists of five simple exercises that can be done in
a variety of ways. Each exercise is designed to provide specific sensory
input which have a “grounding” effect as well as provide
ot.her sensory stimulation.
Specific exercises are the following:
1. Deep Breath with stretch
2. Chair Push-ups
3. Elbow Squeezes
4. Leg Squeezes
5. Shake Hands
6. Weighted Beanbag Toss (can be combined with a classroom activity)
The activities are beneficial WITHOUT requiring any specialized equipment
or large classroom space. A beanbag is the only item needed for the
six exercises.
The faculty was encouraged to initially choose a particular group
of their students who appear to have the most difficulty making transitions
(either at the start of class or when changing activities during class).
Most classes and students would benefit from this program and it is
hoped that benefits will be seen with the target groups and then utilized
more globally.
After the initial training presentation, staff was encouraged to begin
the implementation of the program. Checklists were provided for staff
to give feedback regarding benefits of the program and ongoing consultation
has been provided as needed within the classroom.
Training for Students:
- Exercises have been incorporated /reinforced during ot./Work Center
sessions for all students who receive direct services by the ot.
Department
- An ot. was assigned to every Social Studies class in order to
train all students within a classroom setting.
- Some students (selected by the ot.) participated in the classroom
training sessions as assistants.
The ot. Department hopes that the ACT Program will be anot.her tool
for the staff at LPS to utilize in assisting our students reach an optimal
level of learning.