Libby was seen in an office for a 45-minute treatment session with focus of session on improving her fine motor skills especially in the area of grasp patterns, ocular motor skills (saccades), self care skills, handwriting, as well as improving her flexibility for wearing different clothing and wearing her hair different ways. Sat in small office to work today with excellent compliance and attention to tasks. Libby was able to identify the letters A,B,C,D and E today with 100% accuracy. We began to go over the letter formation and labeling of the letters "F,G,H,I and J" today. She was able to identify all the letters except for "F and H". Libby made sparkle index card letters for these five capitals. These sparkle letters can be used once they dry as tactile/kinesthetic input for Libby as she traces them with her finger. Her recall for the learned letters has shown steady progress. Great session.

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.

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 to Luke's room he tried to go outside with permission. As the school year nears the end task compliance is fair. Worked on the first step of shoe tying during today's session. Worked on writing with concentration on refinement but Luke's effort was minimal and attention was fair to poor today.

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. Began testing Luke today using the Beery-Buktenica Test of Visual-Motor Integration. During today's session we also worked on graphomotor development with various Mother's Day activities. Luke wrote messages to his mother and coupons for her for the holiday. The coupons were for things he could do for her like taking out the garbage, giving her hugs, etc. OT will score test and results will follow.

Richard was seen in his room for a 45-minute treatment session. His session focuses on improving his postural control, integration of retained reflexes, visual motor skills and integration, fine motor skills, dexterity, manipulation, ocular motor development and graphomotor development/keyboarding as an alternative means to written communication. Began session with cursive writing instruction. Continued learning and was instructed on the lower case letter "z". When he was provided with a visual example he began writing words with like "zebra". Richard is very slow when writing in cursive at this time but with practice this skill can become faster and more efficient. We continued to review each letter for quicker recall. Good session.

Richard was seen in his room for a 45-minute treatment session. His session focuses on improving his postural control, integration of retained reflexes, visual motor skills and integration, fine motor skills, dexterity, manipulation, ocular motor development and graphomotor development/keyboarding as an alternative means to written communication. Began session with sensory activity on "Spooner" which provides vestibular input with rotary movement. He went "fishing" while on "Spooner" for sight words. Once he found a sight word he was asked to read it and put it in a sentence. He required assistance to read the words "little" and "funny" but was able to independently read many level 1 words (ex. I, it, in). Worked on cursive letter lowercase "x". He wrote sometimes "x" too wide. With cues and demo able to write well. Reviewed letters. He did well today.

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. We began with regulation and understanding storm starters which are triggers that make us angry. These concepts are just being introduced to Luke and may take time for him to understand but will be good for him to know. Continued with playing "Cage the Monster" to work on refining handwriting by improving line placement, formation, and letter sizing. He was able to "Cage the Monster" and wrote most letters correctly but made "k" a capital "K", "p" backwards, "e" too big, and "y" too high on the writing line. Good session.

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. Continued treatment with beginning vestibular input provided via the "Spooner". Luke was able to stand on the board and make it spin in both directions demonstrating good balance and trunk rotation strength. This type of input seems to give him energy and may be too excitatory. He would benefit from this maybe when tired or in blue zone. He fished for sight words to continue practice with reading them, putting them in a sentence and writing practice. He enjoys this style of multi-sensory learning. Good session.

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. Began treatment with sensory activity which provided vestibular input via "the spooner" which is a board you can stand or sit on and get rotary input. While receiving rotary input, Luke played a fishing game with a magnetic rod. He picked up "sight word" fish with rod and was asked to read the word and put it in a sentence. The sight words went from easy to hard (there were five color coded levels). He was also asked to write some of the words to practice writing, formation, sizing and line placement. We discussed how Luke was in the green zone throughout the session today. Great session.

Richard began the session completing two keyboarding lessons followed by visual closure and visual perceptual skill worksheets. He is demonstrating increased accuracy in these skills. OT noted an improvement in his ability to work through these activities even when it become challenging and errors were made. HE ended the session working on fine motor dexterity and strength. Minimal verbal cues required to correctly grasp the pencil when the pencil grip was not used. Presented Richard with a smaller pencil grip to try, however he continues to prefer The transition pencil grip.