Pediatric OT

Occupational Therapy services help support children in developing skills for daily living, such as play skills, eating, organizing school and work tasks and self-care skills.
Through an individualized treatment plan, we can address a wide range of challenges that a child may be experiencing, such as:

Self-care skills

• feeding

• toileting

• dressing

• visual plans

• tying shoes

sensory regulation

Improve regulation of tactile, visual, oral, auditory, movement senses.

Self-regulation

• managing emotions

• managing transitions

• managing frustration

• making sense of sensory meltdowns and overloads

School skills

• school readiness

• printing

• organization

play skills

• turn-taking

• imaginative play

• idea generation

• creativity

• flexible thinking

gross motor skills

• rolling

• crawling

• walking

• jumping

• balance

• coordination

Mental wellness

• managing anxiety

• mindfulness

• coping strategies

Executive Functioning skills

• planning

• prioritizing

• organizing

• completing tasks

Pediatric Services

• Executive functioning skills

• Sensory integration

• Visual- Motor Integration

• Functional performance related to school participation

• Gross and fine motor coordination and efficacy

• Dyslexia screening

• Handwriting speed and efficacy

One-on-one sessions on a weekly or biweekly basis, depending on the families’ goals and availability. Sessions can be completed in either a clinic setting or at home, daycare, or private school. Please note that OTs not employed by Queen Alexandra (QA) are unable to complete school visits within the public school system, however can often meet in after-school care centers. Prior to starting individual OT sessions, a parent consultation will take place to determine the family’s goals and to collaboratively create a treatment plan. Consultations between therapists (SLP, school based OT, etc) is often a critical part of the treatment plan as it helps to unify goals of the treatment team.

Virtual and phone sessions that help to determine/ summarize goals, determine the best option for treatment (in-home versus clinic session), and provide resources and strategies to implement at home as part of your treatment plan. This is an excellent option for those families that need support or guidance in a specific area or skill. If you cannot attend regular OT appointments due to location (proximity to available therapist), underserviced areas, are currently on a waitlist but would like to get started with some strategies while you wait for services.

Families of children currently engaging in treatment will have regular consultations with their therapist to ensure: that progress is being communicated, goals are updated, and any medical or behavioral changes are discussed. Families will be provided with strategies they can implement outside their set treatment time.

Consultations are completed with the parent(s), caregiver, or guardian separate and your therapist. Children are not required to be part of the consultation session.

Parent coaching can be done virtually or over the phone. Similar to consultative services, this is an excellent option for parents that are looking for more resources and strategies that they can implement at home to help their children meet their functional goal(s). Parents will often opt for a parent coaching/training session to supplement their in-person session, as the focus of the in-person treatment should be one-on-one time with your child.

Social groups consist of 3-5 children who have similar interests and goals working together in a therapist supported environment. Please inquire regarding availability for social groups as we take into consideration: group size, age, interests, development level, and specific goals of each child to determine an appropriate fit for the group.

Individual one-on-one sessions for goals related to feeding, including “picky eating,” sensory eating, ARFID diagnosis. Feeding therapy follows a responsive feeding approach to provide parents with additional skills and strategies for how to improve their child’s comfort with food, extend their preferences, and decrease mealtime stress.

Adult OT

Occupational therapy is a type of health care that helps to solve the problems that interfere with a person’s ability to do the things that are important to them,
everyday things like:

Self-care skills

• getting dressed

• eating

• mobility

– showering

– medication adherence/ organization

productivity

• going to work or school

• participating in the community

• housekeeping

• running errands

• meal preparation

Leisure activities

• sports

• gardening

• social activities

Adult Services

Currently contracted with WSBC, Veterans Affairs, and ICBC.

return to work

An occupational therapist (OT) will complete an in-office assessment to review the ergonomic layout of the work space. The OT will observe the interface between the client and the equipment to analyze suitability and make personalized recommendations that consider previous injuries, individual limitations and job demands for the client. If required, the OT can provide specific recommendations for where to purchase equipment.

An occupational therapist (OT) completes this assessment on site at the client’s work place. Physical, cognitive and psychological demands of an occupation are reviewed to determine the specific demands of the position. Either the client or alternate worker (if the client is unable) is observed completing the tasks of the position and various measurements are taken as required. This invaluable evaluation will provide job-specific and individualized recommendations, facilitate the return to work planning process and guide the rehabilitation of an individual.

The occupational therapist (OT will accompany the client at the work site and collaborate with the employer to provide support for successful and sustainable return to work. The OT will assist with both the biomechanical and physical requirements of the position as well as the cognitive and psychological components of the job. Adaptations to the workplace will be recommended as required.

 

case management

The community occupational therapist (OT) collaborates with the hospital occupational therapist in the selection of assistive technology to improve home safety such as walkers, grab bars and bath benches to enhance home safety. The OT will also assist with providing recommendations for home support requirements, for example home care, transportation and rehabilitation needs. Home visits prior to discharge can also be completed to determine the equipment required.

An occupational therapist (OT) will complete a home visit to determine equipment needs, personal care needs and homemaking needs of an individual after an injury and provide recommendations for improved safety and optimal (or independent) functioning within their homes.

The occupational therapist (OT) will work with the homeowner and contractor to develop a functional and aesthetically acceptable design for the home renovation.

The occupational therapist (OT) will  work with the client to develop self management strategies that allow the client to become as functional as possible within the limits of their pain. A progressive functional exercise program will be developed to enable the client to progress their functional abilities.

mental health

Posttraumatic stress disorder (PTSD) is a mental disorder that can develop after a person is exposed to a traumatic event, such as sexual assault, warfare, traffic collisions, or other threats on a person’s life.

 

PGAP (Progressive Goal Attainment Program (PGAP) by PGAP certified therapists). A 10-week evidence-based treatment program for reducing disability associated with pain, depression, cancer and other chronic health conditions.

Exposure therapy is a technique used in Cognitive Behavior Therapy that involves patient exposure to a feared object or perceived dangerous situation in order to overcome a specific anxiety. The OT will develop a hierarchy of small exposures in various contexts to help lessen both mental, and physical symptoms that are impacting the individual’s ability to return to their previous level of function.

 

What to Expect

All clients will start with an initial assessment, or parent consultation. We will discuss the functional goals and areas that you are looking to improve to contribute to overall health and wellness. Following a consult, an individual treatment plan will be collaboratively created. This will include more information on the duration of treatment expected, frequency of treatment, and where the best place to receive treatment will be (home, school, clinic, other community areas).

Pediatric OT Fees

Direct billing through the Registry of Autism Services Providers (RASP),  and private pay are available.

In-clinic appointment

$150

60 minute session

*please note that sessions will run 50 minutes in length, and 10 minutes will be clinical reporting time

community based sessions

$175

home visit/school/daycare

*inclusive of $25.00 for travel, 50 minutes of treatment time, and 10 minutes for clinical report writing

Adult OT Fees

Please call or email to inquire as most third-party insurers have set fees.