Luke was seen in his room for a 45-minute occupational therapy treatment session. Focus of treatment was on improving his bilateral integration/hand usage, fine motor development, graphomotor skills, postural control and sensory processing/organization for improved general performance in various environments. Upon arrival Luke was non-complaint with most presented tasks. We continue to discuss expected versus non-expected behaviors and labeled non-compliance with an unexpected school behavior. By the end of the session Luke did participate in some graphomotor and hand strengthening activities. Continue as of plan of care to work towards established goals.