Does anyone have a OT report

[claw3]

Just received ds's OT report and i would like to know if anyone else has an OT report and what things it covered?

Report just states 'ds was referred to OT in November 2007. OT assessment demonstrated that ds had difficulties with sensory modulation and with the processing of sensory information.

Ds was seen in school on 3rd March and everything was rosy, apart from handwriting basically.

Then mum reports x, y, z.

Recommendations fiddle toy, 'brain breaks', keyboard practise.

Report seems crap.

Hi claw, I have my ds2's OT assessment report and it covers performance at school, motor skills, behaviour and language skills - Observations made by school. It has the results of tests they carried out, visual motor integration and movement assessment battery for children.

It also mentioned problems ds2 was having with social skills. DS2 then had 10 sessions with the OT at the children's centre and she has been into school twice. I know we have been lucky and our OT has been really supportive and picked up on DS2's possible ASD way before it had even entered my head and she was very good in knowing how much information I could take at the time (I was a bit of a wreck DS1 had just been diagnosed with DCD and social communication problems and I was crying ALL the time).

If you want any more information on what test scores ds2 had etc just ask.

Am really that report is so vague for your ds. x

We have an OT report. It starts with background about DS1's dx of AS and the concerns that led to the referral, then lists clinical observations, 1st heading is summary of observations, which are then detailed under various headings (motor skills, perceptual skills, motor free test of visual perception, daily living). They used standardised tests which are scored against standardised scores for the population. There is then a summary of findings , recommendations/advice and a plan (mind you the plan is pants). This seems like a fairly standard assessment report format so I agree your one seems really useless in comparsion -- it gives you no concrete information to go on.

hth

We had one for DS2 that went into great detail about how he needed all these things we were already doing or had already done. The upside was that it was just the sort of detail needed to go into our DLA application, even if it did make me cry for making me feel not listened to. In the following year before they discharged him because there was nothing they could do with him, the best thing that happened OT wise was the referral for physio that we'd wanted and not got when he didn't walk until 20 months.

Had even less joy for DS1. Don't think I even have a written OT report from him and he's currently on a long waiting list to get back into the service so his school can bend their ears about how he can be helped with his sensory difficulties in the school environment. All they took any sort of interest in first time around were his virtually non-existent fine motor difficulties.

Im at this report, i have recently moved boroughs and they want me off of their books. New borough told me they dont have the service, so they would fund for old borough to continue ds's care. New borough know ds will be referred back to them, so seem to be 'playing down' ds's difficulties, so they then dont have to help.

The report is 3 pages long, the 1st page covers ds has sensory modulation and sensory processing difficulties (and that is all it says) and mum reports x, y, z.

Then the next 2 pages cover school reports, school feels.

Its a report based on the schools opinions, since when did school staff become experts in sensory issues.

What do i do?

1st report they tried to fob me off with, i complained and had it withdrawn.

Star, thanks im more interested in what tests should have been carried out.

1st OT obviously didnt make any notes of observations and they are now trying to fob me off with a report based on one assessment in school. Any OT assessments from 2008 would be out of date anyway.

Despite me telling OT that ds didnt seem to have any problems in the class room, all of his anxieties are around play time, lunch time, getting changed for PE (music lessons and carpet time reported to me by the school) She observes him in the classroom.

I should request that he be re-assessed and tests carried out.

Thanks Nimin, i have made a note of that.

Ouryve, thanks i need to complain about the report, but i need some idea of what i should expect from an OT assessment.

The assessment tools used in ds2's assessment were -

Movement ABC
Beery VMI
Parental questionaire
Teacher questionaire
Goodenough Draw-A-Man
Functional questionaire
Clinical observations

Hope this helps - hope that you can get your ds properly assessed soon. It is really hard having to fight for your child all the time. x

We had:

informal clinical observation - including informal paper cutting and handwriting and gross motor observations
Movement ABC-2
Assessment discussion with parents
They recommended a DASH assessment of handwriting speed as well.

Also at BIBIC, we had
Aston Index 3 (Goodenough Draw-A-Man)
Laterality, Balance and Coordination
Sensory questionnaire completed by parents

claw, our OT report is one provided during the assessment phase of statementing (i.e. after the LEA decided they should assess). It is 6 pages long.

It starts with a general background, and a summary of areas of difficulty.

It uses the Winnie Dunn sensory profile as it's format. The report gives a paragraph on DD1's difficulties in each of the following areas - Gross motor; fine motor; sensory skills; Auditory processing; Tactile processing; Vestibular; Proprioception; Olfactory; Oral processing; Visual Processing; Low Endurance/tone; Behaviour; Self Care and Independence; Perceptual Skills; Social skills; Specialised Equipment.

There is then a Summary of need, and a table of results from the Winnie Dunn Sensory Profile.

DD1 scored a definite difference in all 6 sections. She scored a definite difference in 5/9 factors, probable difference in 1/9 and only typical performance in 2 factors

Thanks very much everyone your info has been really helpful and i have used a lot of it in an email to OT and asked that ds be re-assessed.

I dont know where i would be without your support

I definitely had examples of what not to want. I must admit, I'll be looking at this thread again sometime late summer when, hopefully, DS1 should be picked up by the service again. I did fill out a sensory profile. Twice. I think both got "filed" for all the feedback we had.

Ouryve, its ridiculous isnt it, you have to fight for every last little bit of help or support.

I have had to make an official complaint to OT, just to get this far and then i get a report that is as good as useless.

Others have given very helpful info on this thread, definitely worth making a note of it for future reference. Good luck.

I'm just glad the boys have a school and LEA who seem to be working hard to make things work educationally for them, since I'm getting so frustrated with the medical side of things. Both boys have had paediatrician appointments knocked back 18 weeks because their paediatrician is on long term sick and there's no slack in the service. Thankfully I managed to get an appointment much sooner for DS1, since he's in a pretty dire way, lately and we have the joy of long summer nights to look forward to. We've also been waiting forever for CAMHS to observe him at school, but that keeps being cancelled because of sickness. Of course the admin staff there don't know whether they're coming or going, anyhow, since they're mostly temps.

OT, here, like everything else, is woefully under funded. They weren't even taking kids on the spectrum at all, on point of principle, because they were so over stretched when DS1 was first referred, 3 years ago. It's all rather broken.