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Some children may work better in the mornings before they get tired after a day of activities. It would benefit them if they work on school related tasks early. -Rachel House

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Make sure the child's is in a room free of distractions i.e. limited toys, no loud noises, no other children in the room.
--Kate McKinley

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If a child is easily distracted by background noise, then noise cancelling headphones could be useful for them to help improve their focus while they are doing quiet seated work at school.
Brittany Thomas

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Allowing a child to work in a separate area, away from noise or distractions. - Rachel Hou

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If the activity is too difficult for the child to comprehend, then the therapist could first try to break down the activity into simple steps and use those steps to help the child guide themself through the activity.
Brittany Thomas

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In the classroom setting, provide students who need calming techniques a quiet corner to take a break during the course of the school day. Joseph

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providing short, simple steps to a task will help a child understand what to do. -Rachel House

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OT may recommend installation of handlebar beside toilet at schools bathroom, so that children in wheelchairs can safely perform transfers. Emma S

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Complete activity sitting at table rather than on the floor

Hannah T

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Changing the physical properties of objects - ex: smaller blocks or bigger blocks - to challenge grasp and increase or decrease challenge of activity (Emilee)

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Modify the activity in accordance with the child's physical capabilities. You man adapt the size of the objects being used.

--Kate McKinley

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Provide a lecture on being different and how to accept people that have different cultures, abilities, and interests than the average person in that community/school has.
Brittany Thomas

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You can use a timer for each activity you are working on or give 5 minute warnings before transitioning to a different activity.

--Kate McKinley

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Using scaffolding techniques to help the child problem-solve through the activity
-Michaela Pittman

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Use backward chaining to teach new tasks that also allows for positive reinforcement. The OT can use cues to facilitate learning. - Joseph

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Set an alarm on a watch for the activity and cue them to what the different beeps mean. i.e. One beep means five more minutes, two beeps means end of task, etc...
-Maggie Serbati

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Making an activity more or less physically challenging for child
-Colleen DeWyer

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Grading Examples: Throwing a ball to a target 

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Grading Examples: Throwing a ball to a target 

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Grading down: moving the target closer to the child
Grading up: moving the target farther away from the child

-Michaela Pittman

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Use a cue or cues to indicate the time to transition to another area. The cues used should be adapted to the needs of the individual children  Playing a bell, musical instrument, or singing a clean-up song might be helpful for children who need an auditory cue. Turning the lights on and off or developing a picture cue for transition time might be a cue for child who needs a visual cue. (Emilee)

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The therapist can demonstrate how to complete the activity before the child performs it.
-Colleen DeWyer

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Make sure the area that child is working on does not have items that the child would not need to complete the activity for less distraction. Lauryn

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Begin with simpler/easier tasks then slowly progress to more difficult tasks
(Mandy)

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Educate the teacher on awareness of bullying behaviors and how to identify a bullying situation. This could also include educating the teacher on how to redirect the situation.

-Michaela Pittman

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Make sure the child has a sufficient amount of space to preform different activities. AZ

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Facilitate an activity with peers that everyone must participate in to accomplish a bigger task. Reflect with the troubled student what went well, and what they had trouble with in order to teach them coping strategies.
-Maggie Serbati

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Have students within the school/area that are welcoming, outgoing, and friendly to others to be a friend to others who may be lonely
(Mandy)

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Use verbal cues to assist child when working through the activity

Hannah T

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Make sure the environment is at a comfortable temperature; not uncomfortably cold and not too warm that the students get sleepy or hot
(Mandy)

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Having a simplified visual schedule using pictures and Velcro to help a child who has problems with transitioning. (Emilee)

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Provide education to staff, students, and parents increasing the awareness of bullying and instilling the importance of discussing and recognizing bullying as well reporting bullying. - Joseph

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Assist child with creating a school routine checklist or even an assignment checklist to complete each day

Hannah T

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Have students role play on what they can do if a situation arises Lauryn

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Therapist can make sure the child is not facing distracting window/views/toys when working
-Colleen DeWyer

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Repetition of smaller steps to have mastery, then move to the whole activity. Lauryn

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If classroom often has high noise level which may be overwhelming and disorganized for children with hypersensitive to auditory stimulation. OT may implement calming techniques or quiet times intermittently during the day to provide a calm time period for children. Emma S

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OT can improve arousal and attention in children by implementing seating on movable surfaces ( like liquid-filled cushions) to improve a child's posture and attention in various environments. Emma S.

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Use other children to help teach and facilitate skills, usually in a classroom setting. AZ

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Use things like velcro to keep toys and other objects in place for children who have trouble with stabilization. AZ

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Using an activity that the child finds interesting or meaningful to help sustain attention and decrease potential for stress. TDN

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Rewarding Positive Encouragement and address bullying with the bully

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Rewarding Positive Encouragement and address bullying with the bully

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Explain positive encouragement to the children. When children are kind and encouraging to each other reward them for that behavior. When a child is bullied you can talk to the bully about how they would feel if someone spoke to them like that. This will inspire the child to think empathetically and identify how their actions make others feel around them.

Kristin A.

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use pictures/ videos to help the child see what they should be doing. You could use pictures of each step or a video of the entire activity to help them process

-Shay

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Provide a chair for a child with low tone so they may be able to sit on the floor with classmates during activities.
-Maggie Serbati

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Implement calming techniques for children who have behavioral issues so they know how to control behavior rather than act out in unfriendly, intolerant ways.
These techniques would be helpful to teach  all children, not just those with behavioral problems.

-shay

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A bright room may be overstimulating for a child. It may help the child to calm down by turning off one set of lights or just allowing natural light into the room.

Kristin A.

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Use yoga and other balancing techniques to increase balance and  strengthen gross motor control

shay

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This can be a form of modeling. If the child can see the activity being done they might be able to visualize how it is done.

Kristin A.

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The OT and client can pinpoint specific triggers that cause distraction to either avoid, or work on desensitization. TDN

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Negative peer influence can cause the child to feel self-conscious that results in less occupational participation and performance. OT can use good therapeutic use of self to improve child self-concept.
- Austin M.

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By having a treatment session without anyone else in the room (besides for the therapist and child), it can help reduce distractions and keep their attention span. For this you would avoid group therapy sessions and parents/ legal guardians in the room while treating.

Marie Ritchie

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Along with the suggestions of education, the school can implement a bullying-prevention program such as D.A.R.E.   -TDN

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Some children may become distracted by sensations (tactile, visual, ect.) that they find disturbing. If a child finds the touch of sand to be displeasing, he/she will likely avoid it. This is likely to impede areas of occupational performance. OT can make sure the sensory stimulation during therapy is appropriate for the child's experiences/conditions.
- Austin M.

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By having the child give a detailed description of what they plan to do and how they will accomplish the task, can help improve the completion of an activity by giving them confidence and a scenario of how it should be done

Marie Ritchie

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Access to physical activity during the school day

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Access to physical activity during the school day

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With the rise of many schools emphasizing pencil/paper instruction,  students gross motor play occupational performance is reduced during the day. OT can incorporate gross motor play to break up intervention and improve concentration.
- Austin M.

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If a child has troubles following a set schedule made for them, possibly allowing them to have some control over their treatment by deciding how long we will spend on what activity and what each activity will consist of can allow them to feel like they have some control and therefore having a more successful treatment

Marie Ritchie

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Having smaller toilets to allow children to be able to put their feet on the ground. This would allow them to stabilize themselves and be able to sit down and stand up easier (Nick)

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For children in a school setting or group setting, having them sit at the front of the class room or group  to diminish the number of distractions. (Nick

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Sometimes children aren't used to being limited on their time allotted for eating. Helping them understand the amount of time they have for lunch and teaching them to utilize their time properly by eating, but still maintaining safe eating habits. Having the parents implement limitations on time allotted for eating when the child is eating at home. (Nick)

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Allow the child to perform an activity a certain number of times or for a certain time period, then allow them to take a rest break to avoid getting upset or frustrated. Once they come back, they will most likely be calmer and more able to focus on the task at hand.

Alli St John

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Use simple, contrasting colors for all activities to help with figure-ground perception. Avoiding patterns is also helpful.

Alli St John

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Hanging a solid-colored curtain over a cluttered bookshelf could limit distractions and reduce the amount of visual clutter.

Alli St John

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Use thicker writing utensils to make grasping the pencil, maker, etc. easier on the child.

RP

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Take a larger, more complicated task and develop smaller, more easier tasks that the child can accomplish. Then they can eventually complete the larger goal.

RP

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If a child is easily distracted by toys keep toys hidden during session and only bring them out when the work is completed. That way the child is staring at them the entire time.

RP

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A visual schedule would help a child who becomes stressed and worried when they do not know what is going to happen next. Instead of having the schedule displayed personally for the child, have it placed somewhere in the classroom that every student could benefit from as well as having a digital clock placed beside it in order to help everyone keep track of time throughout the day.

- Conner G

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Creating a place where a child can express themselves, feel heard and be able to cope with an issues they may experience. This safe place can help the child learn and begin to speak up when they witness any bullying and stand up against it.

- Conner G

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Separate the tasks into groups (easy and difficult). Encourage the child to take turns working between each group, starting with an easier task first. Working between the groups can help the child stay on task and avoid becoming frustrated and giving up.

- Conner G

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Utilize the Zones of Emotional Regulation Board

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Utilize the Zones of Emotional Regulation Board

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If a child is feeling mentally challenged and overwhelmed from an activity, an occupational therapist can use the zones of emotional regulation board so the child can understand the emotions he or she is feeling and come up with ways to cope with his or her emotions (with the therapists assistance). For example, if a child is becoming frustrated with a mentally challenging task, the board could be used to identify that the child is in the yellow zone and that some ways to cope with his or her emotions could be by taking a break, going for a walk, taking deep breaths, etc.
-Amber Blanton

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Utilize a Word Processor with Word Prediction 

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Utilize a Word Processor with Word Prediction 

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If a child with cerebral palsy has difficulty participating in writing tasks in the classroom because of limited motor control in his arms, an occupational therapist could introduce a word processor with word prediction to increase his writing efficiency and legibility.
-Amber Blanton

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If a child becomes distracted easily, an occupational therapist can use auditory integration training therapy to help calm the child down and to refocus the child on the task at hand. This type of therapy can be utilized by getting the child to wear headphones that play filtered, electronically modulated music while completing tasks.
-Amber Blanton

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I think often times transitions from one activity to another can be really hard on a child. Especially if the task the child is currently doing is something they enjoy, such as recess or lunch, then they aren't going to want it to end or move on to something else. Providing ways to ease children into transition times and preparing them for what is about to happen can make a big difference.
-Hannah M

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Having a teacher who is open to having some students stand up to stretch or change positions would be good for those who can't sit still in a chair for too long.
-Hannah M

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Allowing children time to exert overstimulation throughout the day or having objects they can hold at their desk while completing school activities to maintain attention throughout the task.
-Hannah M

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Organize items that you can in a tidy and unified way, to prevent extra visual distractions.
Develop a routine consisting of selecting a task, setting a timer for the task, develop a signal for particular timed points (half way point), reward completed task with a fun activity.  -Linds-AY

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Have child who is experiencing bullying to designate a teacher/adult they trust and can go to for help or to talk withwhen they are being subjected to unkind actions of others.  -Linds-AY

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If a child is being requested to participate in an activity, but the child is feeling sluggish at the time, then it may be time to get a little movement in to try to perk them up. Sometimes a little movement, such as a silly dance, can increase energy levels and help to regain focus. -Linds-AY

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Place the desks in a classroom in a pattern that allows every student to have an equal amount of distance to the teacher. This will not only give more of a subtle, nonverbal encouragement for students to get up and ask questions, but it will also allow the students that are physically challenged (CP, LE paralysis) to have easier access to the teacher for questions.

--Andrew Hall

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Many times, kids who are bullied are seen as weak or incompetent, so the teacher or head of the group should find out what that child's strengths are and then involve them in activities that demonstrate those strengths, and even possibly put them in charge of a group that puts those strengths on display

--Andrew Hall

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Simplified and Organized Tools and School Supplies

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Simplified and Organized Tools and School Supplies

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Organizing and simplifying the tools and items that the child has will help them be able to focus more intently on other aspects of the environment around them and allow them to not get as flustered with the task at hand.

--Andrew Hall

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An OT could utilize a cubby type set up if the child is easily distracted in class. Dividers could be placed on three sides of the desk so that he or she is only able to see what is on the desk. Jordan

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The space where the child is working should be a comfortable temperature, but the OT could also keep a weighted blanket close by. That would help with warmth and also sensory issues and sitting still.

Sydney

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If a child has physical disabilities the OT could use adjustable seats to help the child do work at the table.

Sydney

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Some middle schools and high schools have a club called "Project Unify" and it's to help regular ed students and special needs students become friends and keep them from being bullied. It was very successful at the school I went to.

Sydney

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OT's can provide educational seminars on how to speak to their children about bullying, the dangers of participating and by-standing. Having multiple people present in the children's lives letting them know what is okay and not acceptable behavior and how to handle it if they are the victim.
Haylea

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OT's can plan their treatment sessions at times that are best for the child's learning.  After a child has eaten or napped may be the best time to complete occupations but for other children it may be better before lunch etc. It is important to allow the child some choice in scheduling their day.
Haylea

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By breaking down tasks and scaffolding you can set up the child to succeed at the task that they are doing.  Using these techniques you can gradually increase the difficulty of the task and child will continue to succeed while increasing skills.
Haylea

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Speak with the child about the resources available to them to provide assistance if they are being bullied or see bullying occurring. Making them feel as though they are supported may make them feel more at ease in their environment.

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Modify the language or context of the activity so that it relates to something the child is interested in. Using unfamiliar terms may make the activity more difficult for the child, so adapting to their vocabulary may be helpful.

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One of my teachers in high school mentioned to us that individuals learn better off of yellow paper. He would put his power points on yellow background and it seemed to help a lot! - Erin

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Physical Activity Within the School Setting!

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Physical Activity Within the School Setting!

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Recess is important during the school day to let out the child's energy, OT sessions can be planned around recess to ensure proper learning for the treatment plan of that day! This will allow the child to either have enough energy or to let energy out depending on the time of the day and recess!
- Alison Hinton

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working with a child once they have burned off some energy running around- or after they have eaten so they have brain power- Erin

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If something becomes mentally challenging then it would be beneficial to change up the session with the outlook. Instead of having them do it this way, you try another way. -Erin

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Decrease the amount of clutter during treatment to limit the distractions. This allows for more space for treatment and increased learning opportunities!
- Alison Hinton

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Provide educational opportunities that teach children how to identify bullying and how to stand up to it. Provide role play and interactive activities that allow understanding of unaccepting, bullying and unfriendly behavior and what they should do in each situation.
- Alison Hinton

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Help the child become aware of the things that distract him/her. With time and practice, they will get to know what being distracted feels like, and will begin to recognize when their attention is drifting.
-Anna Reece

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Have a visual schedule that is always in view of the child. Let the child physically check off an event when it is completed before they move on to the next event. This can help with transitioning as well as behaviors related to the stress of not knowing what is going on.
-Anna Reece

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It is never too early to begin talking about bullying. Work with parents and early childhood educators about having children talk regularly about their feelings, how to behave, how everyone is different, and how to get along with others.
-Anna Reece

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Have the child start with a end-task where he/she will be successful and slowly add more tasks using positive reinforcement.

--Kate McKinley

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The OT can recommend that a child easily overwhelmed by distractions in a school setting could wear a weighted vest that would help calm and stabilize him/her. ~Jenny Fisher

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The OT could sit down with the bully (or bullied) to develop a goal and plans to better behave in situations in which he/she is bullying others. ~Jenny Fisher

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Could work with child to increase finger strength via exercises, like working with Theraputty, to target finger strength needed for writing and other fine motor tasks. ~Jenny Fisher