Service Delivery Models in the School: A Case Study Application

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Video Runtime: 89 Minutes, Learning Assessments: 39 Minutes

In this course, four student (preschool, elementary, middle, and high school) cases are presented to illustrate best practice considerations for service delivery in schools. These are a continuation of the cases presented in Evaluation Strategies and Case Examples for School-Based Therapists. The course begins with a review of key principles for occupational therapy service, followed by a brief description of the occupational therapy options that can be used. The course then describes cases centered around children in preschool, elementary, middle school, and high school, including service delivery considerations for each age group, different “clients” an occupational therapist may consider when providing occupational therapy, and utilization of the OTPF-III as a guide. The course concludes with a Q&A session discussing issues around transiting to school-based service.

Meet your instructor

Yvonne Swinth

Dr. Swinth is a professor and program chair at the University of Puget Sound. She has more than 25 years of experience working in pediatrics, primarily in school-based settings. Within the schools, she has provided therapy services for children from birth to 21 years of age and has been involved in the development of several…

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Chapters & learning objectives

1. Application

In this chapter, a review of key principles for occupational therapy service delivery in the schools is presented. This is followed by a brief review (from the overview of service delivery course) of the occupational therapy options that could be used.

2. Phoung

In this chapter, we will discuss the occupational therapy program for Phoung, a preschooler who is a foster child. The team has completed an evaluation and determined that occupational therapy services should include hands-on services, with team supports and systems supports.

3. Jose

During this chapter, the learner will meet Jose, a second grader who has an autism spectrum disorder. Dr. Yvonne Swinth interviews a school-based occupational therapist regarding how the therapist would approach service delivery for Jose (same therapist that discussed her evaluation approach). Emphasis is not only on 1:1 hands-on services, but on services in context (classroom) and how to support teachers as well.

4. Meghan

Meghan is a seventh grader who is in a self-contained classroom. She has had occupational therapy in the schools since preschool. Meghan uses an AAC device for communication and has poor motor skills, behavioral issues, and poor sensory skills. She is able to learn when motivated but can be complacent in the classroom. The learner will have opportunities to download and draft an intervention plan as the service delivery options for Meghan are discussed.

5. Matt

Matt is a high school student with tetraplegic cerebral palsy. Matt has received occupational therapy throughout his educational career, both as hands-on direct and team supports. Matt attends mostly general education classes with accommodations/adaptations. He uses assistive technology to support participation (power wheelchair and computer with alternative access). His special education includes some academic support and related services (OT, PT, SLP).

6. Q&A

In this chapter, a panel of school-based occupational therapists discusses service delivery in the schools. They explore issues such as transitioning to the schools, provision of services on behalf of the child, and resources that support effective service delivery.

More courses in this series

Effective Evaluation Strategies for School Based Therapists

Yvonne Swinth

Evaluation Strategies and Case Examples for School Based Therapists

Yvonne Swinth