OT on consult basis?

iVillage Member
Registered: 04-30-2010
OT on consult basis?
6
Sun, 05-30-2010 - 2:24pm

I don't know if any of you have children in OT but figured I'd ask about my DD's OT anyways.


I was at the school having lunch with my girls Friday and ran into Katlyn's OT. She told me Katlyn had improved greatly since their sessions started a little over a year ago and that she thinks next year that she will only be on a consult basis. I agree with her on Katlyn's improvement....her handwritting is now legible, she is having an easier time dressing and feeding herself and so forth. However, I am not so sure we are exactly where we need to be yet. My concern is due to my daughter breaking her arm a week ago. She fell off her bike and broke her right arm which is her prominent arm/hand.

Avatar for ralenth
iVillage Member
Registered: 03-27-2003
Sun, 05-30-2010 - 3:19pm

It would concern me, too. But if there is regression, just ask for an IEP meeting ASAP in the fall, and you should be able to get it started again.

They've moved Alex from weekly OT to being on a consult basis, too. He's doing MUCH better, but it also makes me nervous!!

Photobucket

DSC_4424
DSC_1103
iVillage Member
Registered: 05-02-2004
Mon, 05-31-2010 - 11:44am

If you didn't sign anything changing the IEP then it isn't changed. That said, I would still follow up in the fall and make sure that she is being seen weekly until such time as you agree and sign. Or, call her now, and clarify that her IEP stays the same until you sign for it to be changed. I would say you just want to clarify so that she doesn't have to rearrange her schedule in the fall to fit your daughter in weekly until you are both sure that there is no regression.

You may also want to check with your doctor about getting some OT over the summer for this so that she will be ready for school. Using this medical issue should be enough for insurance to pay, although it may be of limited duration.

iVillage Member
Registered: 04-30-2010
Mon, 05-31-2010 - 4:49pm

Thank you for your response.


I haven't signed anything and her IEP is still in place until her next ARD. I haven't been notified as to when her next meeting is going to be.


I think I was just surprised by the fact that she didn't seem concerned about regression with my DD (who has been known to regress during the summer months). Also, I would think any one with a broken arm/leg would benefit from OT/PT

iVillage Member
Registered: 03-25-2003
Tue, 06-01-2010 - 10:33am

The broken limb thing--maybe, maybe not on needing extra OT--I understand where you are coming from, but it's also possible they wouldn't. It'll take a few days to get the strength back, of course, once the cast is off, but they "bounce" pretty fast at this age, usually. Seems like if she's *really* ready to be released from OT, then a couple weeks practice should get her back on track.

Naturally, I haven't the foggiest if she's really ready for release, if that makes sense? And I totally know what you mean about some people making you feel like a worrying-mom. Sometimes they are right, and sometimes they are wrong. Is she actually saying that she thinks this Dr. puts casts on kids without them needing it? Because that would be...um...especially the size cast you are describing! Weird.

Sounds like you'll have time to see what's going on--and I should think you could argue at the meeting to keep current services in place pending a reassessment in the fall? Make sure the OT has DATA to back up her "can release"--stuff like skill/speed tests for the handwriting, that kind of thing, not just her unsupported words/"observations". If, of course, you are unsure!

Megan
Megan
iVillage Member
Registered: 04-30-2010
Tue, 06-01-2010 - 10:47pm

The doctor that the OT was referring to was my DD's regular doctor (the one that prescribes her meds and OT).

iVillage Member
Registered: 05-02-2004
Sat, 06-05-2010 - 3:13pm

I know what you mean about therapists who don't trust the parents who actually know their kids best. We moved last fall, and despite me forwarding the IEP when we signed up in the summer, nothing happened for a while. The speech therapist was very good -but the OT just didn't "get" that I am the teacher and the parent, and I do have training (both formal and self taught) and I do understand what my son needs. (We homeschool.) For our "admission" IEP she made out like I was making up his OT issues - until I was able to forward an email from the teacher at the once a week class that my son was taking - saying that the teacher was going to get an adult to act as scribe for my son because he couldn't write out his own thoughts. According to the OT, that was "great, because now we have proof that he needs OT!" And proved to me just how little credit she gave me because I am not the "professional"! (Despite the fact that she never asked me my background - I am a certified teacher and have lots of experience working with kids.) I kind of hope they switch people around and we get a new therapist next year.

Anyhow, I am a big believer in the "Mom instinct" if you feel your daughter needs more time, then go with it. And given that she does have issues with regression, I would always do changes to the IEP in the fall, not in the spring. But it sounds like you are going with that plan anyhow. And then, just ignore the strange and unprofessional comments, unless they fall beyond the line and then call her on them! Personally, it sounds like you have a great doctor really is concerned about the families that he sees - and understands what I said above - the parents know the kid better than the person who sees them for 1/2 hour a week.