Help! Cutting OT?

[Guest guest]

gets OT twice a week for 45 minutes each time. He is working with 2

ts because neither of them has enough time to take him twice. Their

caseloads are huge and there are lots of kids on the waiting list.

One of the OTs, Christy, called this morning. She does not feel is

making enough progress to continue being seen twice a week. They have been

working on certain goals for a long time and he is not meeting them. He IS

making progress, but very slowly. She wants him to go to once a week, with

the other therp, Jen, and when he starts making good progress again we can

add the second session back in. He works better with Jen; he's more

" compliant " (or she's better at convincing him!) and shows more progress

with her. Christy has talked a lot with us lately about how tenacious

(read: stubborn!) is and how difficult it is to get him to work on

what she wants to work on, and how ABA would really help him get over that

" No, I don't want to! " attitude. (And I absolutely agree with her about

his...tenacity...and his attitude.)

I don't understand how cutting therapy time in half will help him progress

any faster. And I feel the sensory integration is very important for him,

and while I know we can do a lot of that at home, it just isn't the same as

a session.

On the other hand, he is making GREAT progress in other areas right now.

When he takes great leaps in one area, other areas suffer for it, and I have

no reason to think that working harder on OT is going to make any difference

there. I don't think dropping that session is going to harm him. We also

have the baby coming and it would be one less thing to drag everybody to,

and one less expense.

Oh I don't know. I guess if she doesn't want to work with him and they're

not making progress together, what's the point in pushing her to continue?

But he already gets so little therapy, I don't want to cut DOWN on it!

Especially with school ending...he'd be down to 30 minutes of speech and 45

minutes of OT a week. That's it. That's all the intervention he'd be

getting, and there's not a thing we can do about it beyond doing things

ourselves or paying for them privately.

Somebody tell me what to do!

-Sara.