Occupational Therapy Evaluations

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When should I seek an occupational therapy evaluation for my child?

Occupational therapists (OTs) work with children and their families to promote active participation in the meaningful, everyday activities—occupations—that support their overall growth and development. Children who have challenges participating in home, school, or community activities may need an occupational therapy (OT) evaluation in order to determine whether or not they can benefit from occupational therapy services. Signs that an occupational therapy evaluation is needed include:

Children who have difficulty participating in the following areas:

Activities of Daily Living (ADLs)

  • feeding/eating, bathing, dressing (including manipulating fasteners on clothing), grooming, toileting

Instrumental Activities of Daily Living (IADLs)

  • safety procedures/emergency responses, meal preparation, handling money, management of personal possessions and environment

Education and Work

  • completing schoolwork; participating in the classroom, on the playground, or at snack/lunchSensory Integration and Praxis Tests

Play and Leisure

  • appropriate play activities, participation, exploration, imagination, and development of interests

Social Participation

  • developing and maintaining relationships with family members, friends, and other acquaintances; successfully interacting in the community
Children who have delays with any of the following skills:

MotorOseretsky test of motor proficiency

Sensory Perception

  • registration of sensory input, appropriate response/reaction to sensory input or sensory-based activities, adequate integration of sensory information to inform motor actions and activities


  • sustaining attention, coping with everyday life, emotional regulation, maintaining daily biological rhythms


  • forming friendships, having successful social interactions with peers, initiating and maintaining interaction, turn-taking, cooperating, negotiating conflict, understanding non-verbal communication (eye contact, gestures, facial expressions)

Cognitive Function

  • problem-solving, organization, time management, concentration, self-confidence, self-control, and academic learning

At Irvine Therapy Services, Inc., we believe that good services begin with in-depth assessments.  We utilize a variety of assessment tools as part of our occupational therapy evaluation process.  The occupational therapist evaluating the child will select the most appropriate tools based on the needs of the child as well as the concerns shared by the parent(s) and/or teacher(s).  Typically, we start with a developmental and sensory history.  We choose appropriate standardized test instruments.   Additional information about the child's functioning in home and school environments, when appropriate, is collected through standardized questionnaires.  Our most commonly used assessment tools are described under the categories listed below:

Sensory Processing Evaluations

Gross & Fine Motor Evaluations

Visual Perception & Visual Motor Evaluations

Writing Evaluations