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Occupational Therapy 
    Practitioners in Action: 
Carl Sandburg Learning Center
      Follow occupational therapists 
   Heather, Beverley, and Pam as they 
 show how occupational therapy plays a 
  role in autism intervention in schools.
Occupational therapy can make a difference in 
 the lives of children with autism. Autism is the 
 fastest­growing developmental disability, with 
 an annual growth rate of approximately 10 to 
 17 percent. No matter where children may fall 
 on the autism spectrum, occupational therapy 
practitioners support them and their families to 
    participate in daily routines, and promote 
   function when facing barriers or difficulties 
    typically associated with this disorder. In 
   schools, occupational therapy practitioners 
    help students with autism achieve greater 
  success in academic performance and social 
                   participation.
Heather Welter, MS, OTR/L, and 
Nick, a fifth grader, review a “social 
story” about school. To prepare 
Nick to tolerate transitions 
throughout his day, the story—
through pictures and words—
rehearses the day’s events and how 
he will interact with other people.
Welter displays a “visual schedule,” which helps students map out their day.
Beverley Johnson, OT/L, and Muctarr, a first grader, use the balancing swing to 
develop motor skills such as balance, coordination, strength, and endurance. 
Johnson 
engages 
Muctarr
through the 
net swing. The 
intervention, 
while playful, 
also helps him 
process 
sensory 
information 
such as 
movement and 
touch.
Johnson and Muctarr work on Muctarr’s grasp using the “Superman” technique. At 
the beginning of the year, he could only do two repetitions; now he can do 10. 
By verbally choosing “Choo Choo Charlie,” Muctarr expresses his needs and wants 
to Johnson. This train puzzle addresses his motor and problem‐solving skills. 
Welter facilitates leadership for Casey, a sixth grader, in a class stretching exercise 
to prepare for their outdoor education trip the following day. 
Welter monitors the seating posture, coordination, and planning skills of Isolina, a 
fifth grader, as she prepares her packing list for the outdoor education trip. 
Welter addresses the assistive technology needs of Leo, a fifth grader, by using a 
word processor and slant board to complete a classroom assignment. 
During this play activity, Pam Melamed, MA, OTR/L, engages Prasangika, a 
kindergartener, in dialogue to enhance functional communication.
As a “pre‐writing” activity, Melamed 
coaches Prasangika to make an ‘X’ on 
the Doodle Pro, encouraging 
coordination of both sides of the body 
and across the body. This activity also 
helps develop a preference in hand 
dominance.
Melamed and Christopher, a kindergartener, communicate via “picture exchange.”
Christopher chooses an activity that is meaningful to him.
Christopher threads beads on a string with help from Melamed, which 
incorporates visual perception, hand‐eye coordination, and concentration. 
With occupational therapy, children with 
 autism and related disorders are more 
 prepared to meet the important future 
challenges of interacting with others and 
          succeeding in school.

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