Why Should we get an Occupational Therapy OT Assessment done?

Occupational Therapy (OT) assessments play a vital role in supporting Education, Health and Care Plans (EHCPs) by identifying functional challenges and recommending tailored interventions. Here's a breakdown of how OT assessments could support each SEND category:


Autistic Spectrum Condition

Speech, Language, and Communication Needs

Social and Emotional Mental Health (SEMH)

Moderate Learning Difficulty

Severe Learning Difficulty

Specific Learning Difficulty

Physical Disability

Profound and Multiple Learning Difficulty

Other Difficulty / Disability

Hearing Impairment

Visual Impairment

Multi-sensory Impairment


Autistic Spectrum Condition (ASC)

  • Sensory processing: OTs assess sensitivities to sound, touch, light, and movement, recommending sensory diets or environmental adaptations 
  • Routine and transitions: Support with visual schedules and structured routines.
  • Motor planning: Help with dyspraxia-related challenges in handwriting, dressing, and PE.
  • Social participation: Strategies to improve engagement in group activities and reduce anxiety.

Speech, Language and Communication Needs

  • Fine motor skills: Support for handwriting and using communication aids.
  • Sensory regulation: Helps with attention and readiness to engage in speech therapy.
  • Environmental adaptations: Recommendations for quiet zones or sensory-friendly spaces to support communication.

Social, Emotional and Mental Health (SEMH)

  • Self-regulation: OT interventions for emotional regulation using sensory strategies 
  • Safe spaces: Design of calming environments to reduce distress.
  • Daily routines: Support with structuring activities to reduce anxiety and promote independence.

Moderate Learning Difficulty (MLD)

  • Task breakdown: OTs help simplify tasks and provide visual supports.
  • Motor skills: Support for handwriting, cutting, and classroom participation.
  • Organisational skills: Strategies for managing school materials and transitions.

Severe Learning Difficulty (SLD)

  • Functional independence: Focus on dressing, feeding, and hygiene.
  • Postural support: Recommendations for seating and mobility aids.
  • Sensory integration: Tailored sensory activities to support engagement and reduce distress.

Specific Learning Difficulty (SpLD)

  • Handwriting and coordination: Support for dysgraphia and dyspraxia.
  • Visual perception: Help with reading and copying from the board.
  • Adaptive tools: Use of pencil grips, sloped desks, or assistive tech.

Physical Disability

  • Mobility and access: Assessment for wheelchairs, hoists, and ramps
  • Postural seating: Custom seating for classroom participation.
  • Daily living skills: Dressing, toileting, and feeding adaptations.

Profound and Multiple Learning Difficulty (PMLD)

  • Complex care needs: OT input on positioning, feeding, and sensory stimulation.
  • Specialist equipment: Hoists, splints, and communication aids.
  • Multidisciplinary planning: Coordination with physiotherapists and SALTs.

Other Difficulty / Disability

  • Tailored assessments: OT evaluates unique needs not covered by other categories.
  • Holistic support: Focus on participation, independence, and well-being.

Hearing Impairment

  • Visual cues: Support with visual timetables and sign language integration.
  • Environmental modifications: Acoustic adjustments and seating arrangements.
  • Fine motor skills: Support for signing and writing.

Visual Impairment

  • Tactile learning: Use of textured materials and Braille tools.
  • Mobility training: Safe navigation of school environments.
  • Adapted resources: High-contrast materials and magnifiers.

Multi-sensory Impairment

  • Integrated sensory support: OT helps balance visual and auditory input.
  • Communication aids: Recommendations for tactile or tech-based tools.
  • Environmental design: Safe, accessible, and stimulating spaces.
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