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May 4th, 2011:

Adults

Adults struggle with the same issues as children but what I have found amazing working with adults is that you can articulate your problems so well and I am able to help you understand your behaviours and difficulties by putting a sensory slant on understanding.

Often parents of children with difficulties may have similar issues to their children but due to the way things were dealt with in the past your own issues were never assessed or treated.

Please do not give up hope I am able to assess and treat you as an adult in your own right.

Assessment and treatment can be similar using a sensory motor/integration approach.

If you have suffered with trauma as a child through abuse then there will be much that can be done through treatment to help you resolve feelings (both physical and psychological.) I hope to be able to help. Please call for a free consultation on the phone. 07814 633926.

see post on sensory attachment intervention.

 

Services available, assessments, reports, home / school visits

Any person may refer to Therapy Space. Following a referral to Therapy Space I am able to provide a full, detailed assessment followed up with a report.  As an OT I am able to identify and provide potential diagnoses of Dyspraxia, DCD  and Sensory Processing Disorder.  It is recommended that this is backed up by another member of a medical team. I am also able to pick up on many of the other conditions listed(home page) and can steer you in the right direction for getting support. Understanding your child’s problems helps parents move forward in gaining support for their child who is often struggling in mainstream school.

Full Assessment.(3hours). Parents and school staff are asked to complete a number of questionnaires prior to visit. Assessment will look at and consists of clinical observations, handwriting, fine and gross motor skills, sensory processing assessment. The child usually enjoys the session as there is fun equipment available to use alongside a structured task orientated session. Observation is key to understanding behaviour. During assessment I often pick up on behavioural problems and ask parents to complete questionnaires prior to visits to enable less questioning during session. Liaison with school is helpful and schools are asked to complete questionnaires prior to assessment. I also find it useful to read copies of other professionals reports prior to visit especially Educational Psychologists, OT etc.

Mini observational assessment. (1.5 hours) Parents will be asked to complete questionnaires and an informal assessment will consist of clinical observations and play in sensory integration environment. Verbal feedback is given so parents are asked to bring a pad and paper to make notes. This is often a quick and useful way to get a quick basic breakdown of strengths and difficulties but I do recommend full assessments as can cover everything in much more detail.

Reports. A report is completed ideally within a 2-4 week period and sent directly to referrer which is often the parent. Parents are then free to distribute to who they would like. Sharing information is essential if attending other health professional clinics. E.g. If any child is being seen by NHS OT services the staff should be aware of each other’s involvement and this is primarily the reponsibilty of parent to share. N.B. I am able to offer legal reports required for tribunals and have qualifications to do this.

Sessions available.

1:1 :I will see children following a basic or full assessment for individual direct OT sessions and this can be done weekly or monthly dependent on the child’s needs. It is a valuable way to update programs and parents to feel involved in helping the child. Working on “ How does your engine run- The Alert Program” is excellent in this format and I would recommend at least 6-8 weeks to cover it successfully.I am also able to work on handwriting programs such as “Handwriting without Tears.”

Groups: Children are seen in groups of 4 in approximate age bands (and ability levels). Sessions are held on Saturdays and times vary dependent on needs of families. Groups start working together on similar skills e.g hand eye coordination, eye tracking,  and then break off into action stations where the child works with the parents on different skills such as balance, gross motor control, spatial awareness, bilateral integration and postural stability. This enables parents to learn with the child and I endeavour to intervene to get the best quality actions from each child with ideas to take home to work on over the week. Practise makes perfect and ideally daily practise for at least 15 minutes makes a big difference. Parents often worry about handwriting and although we do not specifically work on writing sessions will improve handwriting as the child’s whole body awareness and spatial abilities is better.

Home/School visits. It is often vital to see a child in both home and school environment. This is important from an observational perspective to look at concentration levels, sensory behaviours and ability to socialise. Children with severe autism dislike transitions and change so need to stay in their safe place while observation and interview of parents is the best form of assessment.