Just my perspective from being on the other end of school district evaluations. What we are all looking for is whether or not something affects access to his education, and in the preschool years it is of course access to the preschool education. Because your son is smart and learning easily and you are accommodating these issues, there is nothing for the school district to address because he isn't harmed. I can see from your comments that looking into the future with him being in a class of 25-30 kids with a teacher who doesn't know him, though, that those issues might come to the surface at that time. So even though they didn't identify a problem during the evaluation doesn't mean there isn't an underlying SPD that a private OT might identify and treat now. Does that make sense? Frequently our preschoolers don't qualify for OT even though we can see the issues at hand - because they are preschoolers and they are doing just fine at home.
Also, there is another issue of qualifying a child for OT because of sensory needs in the school setting - in my state, that can be tricky and OTs will more easily provide consult services for sensory stuff where a kid with a significant fine motor delay would much more easily be picked up for direct OT services. OT in the schools is different than OT in a clinical setting and I have found that the different OTs I work with would do something totally different with two kids with very similar sensory concerns. OT is also only provided as a related service for children who have other areas of need. It can never be a stand-alone service in a school setting. So for example, if a child has speech they can get OT as a related service. But if they make progress and need to be dismissed from speech, they also lose their OT services even though they might not have made enough progress in that area. Since there is no primary service you can't provide the related service. It's really, really complicated. I agree with Tanya that I would seek an opinion from an OT in private practice, or from a neurologist, depending on whichever is easier for your insurance, just because they don't need to deal with the "educationally necessary" aspect of identifying a problem.
Last edited by Gwenn; 02-23-2013 at 10:37 PM.
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