Occupational Therapy

The evaluation and treatment of skills necessary to participate in everyday activities (occupations).  Common occupational therapy interventions include helping children acquire skills to participate fully in school and social situations, helping children with sensory processing issues, improving visual processing difficulties, helping people recovering from injury to regain skills, and providing supports for older adults experiencing physical and cognitive changes.

Key areas:

  • OT (Birth to 18yrs)
  • Fine motor skills
  • Self-care skills
  • Hand writing skills
  • Visual perceptual skills
  • Visual motor skills
  • Integrated Listening Systems (ILS)
  • Sensory Integration


Birth to 6 months

Fine Motor Development

  • Hands are frequently open.
  • Supports head for more than a moment when held upright.

Sensory Development

  • Visually tracks a moving toy from side to side while lying on back.
  • While lying on back, keeps head centered to watch faces or toys.
  • Able to be calmed with rocking, touching,and gentle sounds.
  • Enjoys a variety of movements (ex. bouncing on knee).

6 to 12 months

Fine Motor Development

  • Plays with hands by touching them together.
  • Begins to hold bottle independently around 9 months.

Sensory Development

  • Observes environment from a variety of positions – while lying on back or tummy, sitting, crawling, and standing with assistance.
  • Enjoys listening to music.
  • Explores toys with fingers and mouth.
  • Crawls to, or away from, objects seen at a distance.

12 to 18 Months

Fine Motor Development

  • Uses index finger in isolation to explore toys.
  • Feeds self with thumb and forefinger.
  • Removes toys from a container.

Sensory Development

  • Has a regular sleep schedule.
  • Eats and increasing variety of foods.

18 months to 2 years

Fine motor development

  • Imitates scribbling with a crayon.
  • Can stack blocks 3 to 4 cubes high.
  • Manipulates toys into containers.

2 to 3 years

Fine Motor Development

  • Attempts to use a utensil for feeding.
  • Snips paper edge with scissors.
  • Imitates horizontal and vertical lines with a crayon.