Hi Lorie,
I am an OT employed by the education department in Queensland, Australia, and am part 
of a therapy team including speech therapists, physiotherapists, guidance officers, 
and specialist teaching staff (all employed by the department). 
We have moved recently to providing services in classrooms as well, and moved away 
from 'pull-out' therapy. This has involved a major shift in service provision, from 
one of direct therapy provision to more of a consultation and monitoring role. We are 
called in for specific issues arising from a child's disability (focusing on the 
educational needs) and then consult with the teacher and teacher aides to put a 
program into place to meet those needs. 
The teacher or aide then takes on the responsibility of implementing the program on a 
daily/weekly basis as required, and the therapist offers a monitoring service to 
ensure the program is carried out correctly, and offers suggestions on how to extend 
or simplify the task if needed. 
There is much literature that supports the notion that regular practice of skills 
(with or without the therapist present) is more effective than weekly/fortnightly 
intensive "therapy sessions". By incorporating it into an existing curriculum, or just 
as part of a regular school day, we have witnessed many successes in skill attainment, 
and have also been responsible for exposing greater numbers of individuals throughout 
schools to the benefits of occupational therapy!
Regards,
Sian.




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