The child presents as a shy fourteen year old with a learning disability. The child lives at home with their family and four siblings. The child attends mainstream school with some additional support. The child has been attending the Tiny Tim’s Children’s Centre for a couple of years. Initially, the child received massage therapy and then was referred for Occupational Therapy in recognition of the need for them to develop further their independence.
Parental and Child’s Concerns
- Over-reliance on parents for self care activities and organising self for school
- Difficulties with handwriting
Goals of Therapy
The occupational therapist established a rapport with the child to help make them feel at ease and engage in a conversation together with mum and the occupational therapist about what they would like to be able to do better. The occupational therapist prompted the child to talk through a typical day in order to help identify specific tasks to work on. The main aim was for the child to develop their independence with self-help activities. Together with the parents four specific goals to work on were agreed;
- For the child to be able to dry their own back after a bath;
- For them to learn how to tie their own shoelaces;
- For the child to be able to brush their teeth thoroughly for 2 minutes twice a day; and
- For the child to be able to write four sentences with neat handwriting and punctuation using the handwriting book.
Ideas for activities to achieve the goals were suggested and tried out in the therapy sessions and at home. A number of sessions were planned in the diary and parents and the child reported back to the occupational therapist at the session each week so that ideas could be modified accordingly and new goals set.
Over a number of four weeks all four goals were achieved. Occupational therapy continues on a once monthly basis to review progress and change. New therapy goals are set regularly and the child initiates ideas for activities they would like to work on.