Peds Home Health General Brief Review

What is the core OT focus for ASD in home health?

Support regulation, communication, play, transitions, and routines using sensory strategies, visual supports, and caregiver coaching.

How do you address sensory modulation deficits in ASD?

Use proprioceptive input, deep pressure, predictable sensory routines, and environmental simplification to stabilize arousal.

How do you address social/play deficits in ASD?

Model joint attention, use parallel→interactive play scaffolding, embed visual supports, and coach caregivers to practice turn‑taking.

How do you address transitions in ASD?

Use first/then boards, visual schedules, countdown timers, and consistent routines to reduce anxiety and improve predictability.

What is the OT priority for ADHD in home health?

Improve attention, impulse control, task initiation, and regulation through environmental supports and movement‑based strategies.

How do you address attention deficits in ADHD?

Break tasks into small steps, use visual timers, reduce clutter, and incorporate movement breaks to maintain engagement.

How do you address impulsivity in ADHD?

Use clear expectations, structured routines, heavy work before seated tasks, and visual rules to support self‑control.

What is the OT focus for CP in home health?

Optimize functional mobility, positioning, ADLs, fine motor skills, and caregiver handling techniques.

How do you address tone/postural deficits in CP?

Use adaptive seating, weight‑bearing, slow controlled movements, and caregiver training for safe positioning.

How do you address fine motor deficits in CP?

Use bilateral tasks, adaptive grips, hand‑over‑hand assistance, and activities promoting isolated movement.

What is the OT priority for Down Syndrome?

Support hypotonia, motor planning, self‑care, communication, and participation in routines.

How do you address hypotonia in Down Syndrome?

Use core strengthening, supported sitting, weight‑bearing, and repetitive motor practice in functional play.

How do you address motor planning deficits?

Use simple, repetitive sequences, visual modeling, and high‑interest tasks to build consistency.

What is the OT focus for developmental delay?

Build foundational motor, sensory, cognitive, and social skills through play and routine‑based intervention.

How do you address milestone delays?

Identify lagging skills, use graded play tasks, embed practice into daily routines, and coach caregivers to repeat skills frequently.

What is the OT priority for SPD?

Improve modulation, discrimination, and praxis to support participation and emotional regulation.

How do you address modulation deficits?

Use proprioceptive input, environmental adjustments, predictable sensory routines, and co‑regulation strategies.

How do you address praxis deficits?

Use obstacle courses, sequencing tasks, imitation games, and graded motor planning challenges.

What is the OT focus for prematurity?

Support feeding, sensory regulation, motor development, and caregiver confidence with handling and positioning.

How do you address sensory sensitivities in preemies?

Use slow transitions, dim lighting, deep pressure, and gentle exposure to sensory input.

How do you address motor delays in preemies?

Use tummy time variations, supported sitting, midline play, and frequent short motor practice sessions.

What is the OT priority for behavioral challenges?

Identify underlying sensory, emotional, or skill deficits and use co‑regulation, visual supports, and predictable routines.

How do you address emotional regulation deficits?

Use co‑regulation, breathing games, sensory calming strategies, and consistent routines.

How do you address compliance challenges?

Use first/then language, choices, visual rules, and tasks broken into achievable steps.

When does head control develop?

Around 3 months; address deficits with tummy time, supported sitting, and midline play.

When does rolling emerge?

4–6 months; address deficits with side‑lying play, facilitated rolling, and reaching across midline.

When does independent sitting occur?

6 months; address deficits with core strengthening, supported sitting, and reaching outside base of support.

When does crawling emerge?

7–10 months; address deficits with tummy time, weight‑shifting, and motivating toys placed just out of reach.

When does walking occur?

12–15 months; address deficits with cruising, push toys, supported walking, and balance play.

When do hands come to midline?

2–3 months; address deficits with midline toys, hand‑over‑hand play, and visual tracking.

When does reaching emerge?

3–4 months; address deficits with supported sitting, high‑contrast toys, and graded reaching tasks.

When does pincer grasp develop?

9–12 months; address deficits with small object play, finger isolation games, and snack‑based practice.

When does scribbling begin?

12–18 months; address deficits with chunky crayons, vertical surfaces, and imitation scribbles.

When does copying a circle occur?

3 years; address deficits with tracing, dot‑to‑dot, and large circular motions.

When does social smiling emerge?

6–8 weeks; address deficits with face‑to‑face interaction, exaggerated expressions, and responsive play.

When does joint attention develop?

9–12 months; address deficits with pointing games, turn‑taking, and shared toy exploration.

When does cooperative play emerge?

4–5 years; address deficits with simple group games, role play, and shared goal tasks.

When do babbles emerge?

4–6 months; address deficits with sound imitation, singing, and responsive vocal play.

When do first words appear?

10–14 months; address deficits with modeling, labeling routines, and simple sign language.

When does two‑word phrasing emerge?

18–24 months; address deficits with expansion (“more juice”), choices, and routine‑based communication.

When does spoon feeding begin?

10–12 months; address deficits with hand‑over‑hand assistance, adaptive spoons, and sensory warm‑ups.

When does cup drinking develop?

12–18 months; address deficits with open‑cup practice, jaw support, and slow‑flow cups.

When does rotary chewing emerge?

2–3 years; address deficits with chewy foods, oral‑motor play, and graded texture exposure.