OT/PT Guidelines - Montana Office of Public Instruction

TABLE OF CONTENTS
Introduction..................................................................................................................................... 3
Definitions....................................................................................................................................... 4
Physical and Occupational Therapy in the Public School ............................................................ 10
- Physical Therapy and Occupational Therapy as a Related Service ............................ 10
- The Distinction Between School-Based Therapy and Non-School-Based
Therapy Services ................................................................................................... 10
- Private Practices of Individuals Not Employed or under Contract with the District...11
Role Delineation for School Occupational and Physical Therapists ............................................ 12
- Functional Performance Problem Area........................................................................ 12
- School Related Self-Care and Life Skills..................................................................... 12
- Processing Skills .......................................................................................................... 12
- Manipulation Skills ...................................................................................................... 13
- Positioning.................................................................................................................... 13
- Mobility........................................................................................................................ 13
Service Delivery............................................................................................................................ 14
- Referral......................................................................................................................... 14
- Educational Evaluation ................................................................................................ 14
- Collaboration in IEP Meetings..................................................................................... 15
- Need for Occupational and/or Physical Therapy ......................................................... 15
- Transfer Students ......................................................................................................... 16
- Progress Monitoring..................................................................................................... 16
- Reevaluation................................................................................................................. 16
- Exit Criteria.................................................................................................................. 16
- Service Delivery Flow Chart........................................................................................ 18
Documentation.............................................................................................................................. 19
School Staff and Administrative Considerations.......................................................................... 20
- Use of Support Personnel............................................................................................. 20
- Physical Therapy Supervision...................................................................................... 20
- Occupational Therapy Supervision .............................................................................. 20
- Reimbursement ............................................................................................................ 21
- Qualifications for School-Based Therapist Including Mentoring................................ 21
- Staffing Consideration ................................................................................................. 22
Commonly Asked Questions and Answers................................................................................... 23
Appendix A – Occupational and/or Physical Therapy Eligibility and Exit Form ........................ 37
Appendix B – Resources............................................................................................................... 39
Acknowledgements....................................................................................................................... 41
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