Pediatric Occupational Therapy

Pediatric occupational therapy at TidalHealth helps infants, children, and teens develop the skills needed to participate in daily activities at home, school, and in the community. Our team addresses a wide range of needs, including fine motor skills like handwriting, cutting, and buttoning, as well as self-care and independence skills such as dressing, feeding, and toileting. We also support children with sensory processing differences, play skills, school readiness, classroom participation, social skills, and the use of adaptive equipment or technology.

Family-Centered, Goal-Oriented Care
Our approach is family-centered and goal-directed. Care may include:

• A thorough evaluation
• Individualized treatment plans
• Direct therapy based on play and activities
• Consultation with caregivers and teachers
• Environmental and task modifications
• Splinting to support hand function
• Feeding support for children with oral-motor or sensory-based feeding concerns

Recommendations for adaptive devices are often part of our care, and we collaborate with speech-language pathologists to provide complete support.

Who We Help
Families seek our help for children with concerns such as:

• Autism spectrum disorder
• Developmental delays
• Cerebral palsy
• Genetic or metabolic conditions
• Prematurity
• Attention-deficit/hyperactivity disorder (ADHD)
• Developmental coordination disorder
• Sensory processing disorder
• Acquired brain injury
• Chronic illness or pain
• Challenges with fine motor or self-care skills

Our Team Approach
At TidalHealth, collaboration is key. We work closely with families, pediatricians, physical therapists, speech-language pathologists, school teams, educators, psychologists, and other specialists. Family and caregiver involvement is central to therapy. Our therapists coach caregivers on strategies to use throughout the child’s day so progress is meaningful and sustainable. We offer services in outpatient clinics, schools, homes, and via telehealth.

What to Expect
The first step is an evaluation, where we:

• Learn about your child’s development
• Observe daily tasks
• Complete standardized and informal assessments
• Gather input from caregivers and teachers

Goals are individualized and focused on practical progress. Therapy sessions are engaging and play-based, with activities adapted to each child's interests and abilities. We regularly monitor progress and adjust the plan based on outcomes and your family’s priorities.

What does a pediatric occupational therapist do?
A pediatric occupational therapist at TidalHealth helps children develop the skills needed for everyday activities such as dressing, feeding, playing, and participating in school. Therapy often uses play-based, functional activities and caregiver coaching to support development.

How do I know if my child needs pediatric occupational therapy?
Signs that a child may benefit from occupational therapy include:

• Difficulty with fine motor tasks like holding a pencil or scissors
• Challenges with toileting or dressing
• Extreme sensitivity or under-responsiveness to sensory input
• Poor coordination
• Trouble participating in classroom tasks
• Delays in meeting developmental milestones

Our team, along with your pediatrician or teacher, can help determine if an occupational therapy evaluation is right for your child.

How long are therapy sessions, and how many will my child need?
Typical sessions last between 30 and 60 minutes. The frequency and duration of therapy depend on your child’s needs and goals. Some children benefit from weekly sessions over several months, while others may need short-term consultation or support at school. After the initial evaluation, our specialists will recommend a plan tailored to your family.

Will my insurance cover pediatric occupational therapy?
Coverage depends on your insurance plan and the reason for therapy. Many plans cover medically necessary occupational therapy, and school-based services are typically provided through education systems. Always check with your insurer and the TidalHealth team to understand your benefits and any potential costs.

How can we prepare for an occupational therapy evaluation?
It helps to bring a list of your concerns, any relevant medical records or school reports, and examples of tasks your child finds challenging. Be ready to discuss your family's daily routines, priorities, and goals. If possible, have your child wear comfortable clothes and bring a favorite toy or snack to help them feel at ease.

What is the family’s role in therapy?
Families are active partners in therapy. Our therapists provide education, home practice strategies, and suggestions for changes at home or school to help your child progress. Consistent practice and follow-through in daily routines are key to success.

Can occupational therapy help with sensory issues?
Yes, our occupational therapists assess sensory processing and develop individualized strategies and sensory diets to help a child manage arousal, attention, and behavior during daily activities.

Do you work with schools and other providers?
Yes, our team frequently collaborates with teachers, school staff, speech-language pathologists, physical therapists, and physicians to ensure your child’s goals and strategies are consistent across all settings.