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Occupational Therapists??

24 replies

blossomhill · 18/08/2004 13:33

I thought I'd start a new thread about this. My dd bumps into people a lot and also does have some fine motor skill difficulties. Do you think I would have a case to see an OT. As you probably all know dd is 5 and has a language disorder.
Thanks in advance

OP posts:
Fio2 · 18/08/2004 14:22

I dont know where you are in the country blossomhill but they dont even exist in some places (most!) We were reffered at 20 months to an OT with our daughter but she wasnt ever seen when we moved (she was 4) this was in staffs. We have seen one here in kent but only once, and apparently this is unusual.

I know someone who lives in dorset who gets very good OT input, but I think this is very very unusual.

lou33 · 18/08/2004 14:28

OT can help with fine motor skills, but gross motor, with the bumping, would probably be better looked at by a physio. Do you have a salt, hv or gp who would refer you? There is usually a long wait for ot though, afaik. I am fortunate in that it isn't the case where I live, only a few months, but there are mums on here who have been waiting aaages.

Backworking · 18/08/2004 15:15

Either an osteopath or a physio will be able to help unless it's due to eyesight trouble for example. I can only speak as an osteopath but as well as the nervous system, I'd be interested in the ears and tensions in the head resulting from birth (can have a profound effect on the nervous system and essentially all the systems in the body). It depends what the bumping in to things is caused by. Have you seen a GP? Nerves can be 'retrained' to a certain extent and they do learn - like when you learn the piano or typing, it gets easier and faster as the neural pathways 'remember'. Hope this helps.

blossomhill · 18/08/2004 16:03

Thanks for all of your advice. Do you think I should wait until dd goes back to school and mention it to the unit staff???

OP posts:
blossomhill · 18/08/2004 16:03

Thanks for all of your advice. Do you think I should wait until dd goes back to school and mention it to the unit staff???

OP posts:
lou33 · 18/08/2004 16:16

If you want to set the ball rolling I would start now , because it can take quite a while.

blossomhill · 18/08/2004 17:07

Thanks Lou. Do you think I should speak to the HV. Mind you she is pretty useless!!!!

OP posts:
lou33 · 18/08/2004 17:10

If you think she won't be any help then I would talk to the gp.

Davros · 18/08/2004 21:12

Agree with Lou, go to GP. NEVER wait if you can help it, its never worth it! Funnily enough we have a follow up appt with OT tomorrow. My DS doesn't really need OT but who am I to turn down an appt offered without any aggro, nice letter came through the post to say review due and phone to make appt (within 2 weeks) but entirely up to us. This is our holiday activity for tomorrow!

blossomhill · 19/08/2004 10:12

Can anyone please explain the exact role of the OT. I just know that they help with fine motor skills.
Thanks

OP posts:
Backworking · 19/08/2004 10:21

Hi Blossomhill - found this - hope this helps....
Occupational therapists (OTs) help people improve their ability to perform tasks in their daily living and working environments. They work with individuals who have conditions that are mentally, physically, developmentally, or emotionally disabling. They also help them to develop, recover, or maintain daily living and work skills. Occupational therapists help clients not only to improve their basic motor functions and reasoning abilities, but also to compensate for permanent loss of function. Their goal is to help clients have independent, productive, and satisfying lives.

Occupational therapists assist clients in performing activities of all types, ranging from using a computer to caring for daily needs such as dressing, cooking, and eating. Physical exercises may be used to increase strength and dexterity, while other activities may be chosen to improve visual acuity and the ability to discern patterns. For example, a client with short-term memory loss might be encouraged to make lists to aid recall, and a person with coordination problems might be assigned exercises to improve hand-eye coordination. Occupational therapists also use computer programs to help clients improve decisionmaking, abstract-reasoning, problem-solving, and perceptual skills, as well as memory, sequencing, and coordination?all of which are important for independent living.

Therapists instruct those with permanent disabilities, such as spinal cord injuries, cerebral palsy, or muscular dystrophy, in the use of adaptive equipment, including wheelchairs, splints, and aids for eating and dressing. They also design or make special equipment needed at home or at work. Therapists develop computer-aided adaptive equipment and teach clients with severe limitations how to use that equipment in order to communicate better and control various aspects of their environment.

Some occupational therapists treat individuals whose ability to function in a work environment has been impaired. These practitioners arrange employment, evaluate the work environment, plan work activities, and assess the client?s progress. Therapists also may collaborate with the client and the employer to modify the work environment so that the work can be successfully completed.

Occupational therapists may work exclusively with individuals in a particular age group or with particular disabilities. In schools, for example, they evaluate children?s abilities, recommend and provide therapy, modify classroom equipment, and help children participate as fully as possible in school programs and activities. Occupational therapy also is beneficial to the elderly population. Therapists help the elderly lead more productive, active, and independent lives through a variety of methods, including the use of adaptive equipment.

Occupational therapists in mental-health settings treat individuals who are mentally ill, mentally retarded, or emotionally disturbed. To treat these problems, therapists choose activities that help people learn to engage in and cope with daily life. Activities include time management skills, budgeting, shopping, homemaking, and the use of public transportation. Occupational therapists also may work with individuals who are dealing with alcoholism, drug abuse, depression, eating disorders, or stress-related disorders.

Assessing and recording a client?s activities and progress is an important part of an occupational therapist?s job. Accurate records are essential for evaluating clients, for billing, and for reporting to physicians and other healthcare providers.

beccaboo · 19/08/2004 10:42

Hi Blossomhill, don't have much to add to what's already been said, only that when I asked our paed about OT, he said that they generally deal with 'profound disabilities' and probably "wouldn't know what to do" with our DS. He's 32 months without a definite dx as yet - you might remember from a previous posting that I suspect he has an SPD-type disorder, similar to your DD I think.

I guess this probably says more about the resources in our area than whether OT would actually be useful.

lou33 · 19/08/2004 12:33

Ds2's ot deals with fine motor control, seating, positioning , support etc. I go to physio for his gross motor and standing skills, and to ot for thing like feeding, bathing, toiletting issues (highchairs, bathseats etc) , and fine motor skills (working on feeding himself, holding pencils, drawing etc). Is that any help?

Saker · 19/08/2004 14:00

I think it must depend so much on where you are. My ds2 was referred straight to OT and physio after his initial consultation with the paed. They actually discharged him but when I said to the paed that his self help skills were assessed at 16 months (he is actually 3) he contacted the OT again and she has arranged to visit us at our house in a couple of weeks. Whilst my ds2 has motor problems and needs help, I am sure you would not describe him as severely disabled. I am planning to ask the OT about play skills etc as well as fine motor. I certainly think you have a case to see an OT BlossomHill if you have any concerns about your dd's fine motor skills.

There are a lot of useful suggestions in the dyspraxia books for this type of problem - I know your dd doesn't have dyspraxia but they might help while you are waiting for a review. Would suggest "Dyspraxia, the hidden handicap" by Amanda Kirby and "Dyspraxia....." by Madeline Portwood (can't remember all the title). Or look on the Dyscovery Centre website - you can purchase leaflets there.

Davros · 19/08/2004 18:49

Agree with Saker that you have a good case for OT Blossomhill. I hate it when other professionals decide if a different professional is appropriate. They should let you/encourage you to see the other professional and let them decide, grrrrr! Having seen the OT today I now remember that they also deal with sensory issues (which my DS has) and self-help as Saker says. OT via Soc Svs also sorts out adaptataions and special equipment.

coppertop · 19/08/2004 19:16

The waiting list for OT is huge here. I was told to expect a wait of about 3 yrs. The only contact we've had since ds1's original referral in February was a letter to say that he'd been moved from the pre-school OT list to the school OT list. I'm not holding my breath.

Fio2 · 19/08/2004 19:21

oh and in staffs the ot laft for maternity leave and never returned and was never replaced !!!fffs hey?

JiminyCricket · 19/08/2004 19:24

Hi, I am one actually, but not in this field. People (including ourselves?) have trouble knowing what we do because we work in all different fields (I work in Mental Health). It really varies around the country how well resourced departments are, but do ask for a referral. They would probably observe your dd playing or doing some other activity and look at fine and gross motor skills along with a whole range of other aspects (this is called doing an activity analysis). This would contribute towards diagnosing what, if any, problem there is, and what abilities or deficits your dd has. Then they could design a treatment plan, if appropriate, which is where I get a bit lost not knowing the field...but for instance they might suggest some games or different exercises which would help your dd refine these skills, or if thats not possible then they might advise you on how to help her compensate for these problems in other ways. HTH

lou33 · 19/08/2004 19:25

Davros, the ssOT round here is not so hot, to the point that the ot who sees ds2, has taken to organising the equipment herself!

Saker · 19/08/2004 22:07

Coppertop, I've just noticed from the other post that you are in Cambs. I live in East Cambs. Admittedly ds2 is not having any regular therapy of any kind, and so I don't know about the waiting list for that, but I have not had to wait longer than 2-3 months for several reviews with paed, SALT and OT, so I am amazed that you have been told there is such a long waiting list.

I suppose it might be different at different hospitals, but if so that shows even more how completely random the whole process is!

coppertop · 19/08/2004 22:26

Saker - I filled in an OT questionnaire during his assessment over 6 months ago. It's one of those ones designed to be read by computer. Despite endless phone calls by our portage worker, OT are so short-staffed that they still haven't had time to work out the results. I'm in P'boro.

Saker · 20/08/2004 20:29

Hopeless isn't it! I am at the other end of the county near Newmarket so I suppose it just depends on staffing. It must be so frustating for you though. I feel that waiting only couple of months is bad enough because that's still quite a big amount of time in terms of development.

Also am I right in thinking that you have quite a long wait to get your ds2 assessed also? And it's horrible just waiting when you're worried.

Dingle · 20/08/2004 21:12

Haven't yet been referred, have asked but no-one seems to be listening. I don't really know if dd even needs one because I don't really know who is supposed to do what!!! I'm going to push it for dd when I start going back to hospital in Sept.
Out of interest I did come accross Kent(Medway) OT Bureau on the web a while ago. I thought I remembered it saying that you could refer yourself if need be, and in the case of Paed. OT they have certain standards that need to be met,eg. doing an initial assessment within so many days! Perhaps it's worth looking into. I'll see if I can find out more.

coppertop · 20/08/2004 21:35

Saker - Yes, we're hoping to get ds2 assessed too. With ds1 we had to wait 6 months for a SALT assessment and another 6 months for actual SALT - which is when ds1 was finally referred to the CDC. His full assessment was about 6 months after that. We're hoping it'll be easier with ds2 as he's been referred straight to the Paed's waiting-list rather than having to go via SALT (which he's also on the list for). Fingers crossed!

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