IN PROGRESS - Week 1: Pediatric Evaluations

From lectures on May 12 and May 14

What is the difference between a screening and an evaluation?

screening is NOT paid, evaluation is

True or False

When completing an occupational profile for a pediatric client, you should ONLY talk to the parent to gather information.

False - yes, you will talk to the parent to gather SOME information but you should also communicate/build rapport with the child.

What are common components that make up an evaluation report?

client profile, occupational performance/assessment findings, recommendations

Why do we evaluate and assess?

• to plan interventions

• to monitor progress

• to get/confirm a diagnosis

• predict outcomes and create discharge plans

Who can gather/include information in regard to the occupational profile in a pediatric evaluation?

the child, parent, teacher, IEP team, or from documentation review

Where would the OT gather information in about the analysis of performance during a pediatric evaluation?

from assessments, observations, and clinical skills

What are some sources of information that an OT can gather important information from for a pediatric evaluation?

Hint: 8 sources were mentioned in class

1. chart review

2. clinical observations

3. interviews

4. standardized assessments

5. non-standardized assessments

6. screeners

7. intake forms

8. collaboration with other team members

What kinds of diagnoses are common to see as a clinical OT working in pediatrics?

Autism, ADHD, feeding/sensory issues, CP

What kinds of diagnoses are common to see as a school-based OT?

ADHD is the most common

What kinds of diagnoses are common to see as a hospital-based OT working with the pediatric population?

acute type diagnoses

A clinic based OT uses a ____ model while a school based OT uses a ______ model.

medical ; education

What are common treatment areas a clinic based OT will focus on?

• fine motor/gross motor

• self-care/self-help

• motor planning

• sensory processing

• picky eating

What are some common treatment areas a school based OT will focus on?

• pencil grasp

• writing legibility

• sensory/emotional regulation

• executive functioning

• assistive technology

What are the 5 steps to a school based OT evaluation?

1. school referral meeting completed

2. consent for evaluation and screenings

3. screenings

4. evaluation completed (by the OT)

5. services rendered and eligibility determined

What are the 4 steps to a clinical OT evaluation process?

1. referral from doctor (if needeD)

2. evaluation completed

3. report submitted to insurance for denial or approval

4. services rendered - OT decides if child would benefit from services

What are the 4 steps to a hospital OT evaluation?

1. referral/order from doctor

2. screening (may be completed at this stage if needed)

3. report documented

4. services rendered - OT decides if child would benefit from services

What happens before we begin an evaluation?

referral, intake, interview/screening

Where do referrals come from in an early intervention setting?

• pediatrician

• other healthcare professionals (lactation specialists, etc.)

• family members (self-refer)

Where do referrals come from in a school setting?

• Early intervention transitioning

• pediatrician

• school professional

Where do referrals come from in an outpatient clinical setting?

• pediatrician

• self-referral (parent)

• inpatient services

• therapy team member

What is the purpose of a referral and intake?

to get enough information about areas of strengths, needs, prior services, etc. so the OT can plan a parent interview and eval