Occupational Therapy Indications
Your child may need to be referred to an OT if :


 By age 4 months:
o Child is unable to prop on forearms to lift head and look at toys or people.
 By age 10 months:
o Child lacks motor coordination to finger feed.
 By age 20 months:
o Child lacks motor coordination to spoon feed.
 By age 3 yrs:
o Child lacks motor coordination to take off/put on clothing items (socks, shirt, coat, etc.)
 Child does not have head control and/or trunk control to reach with arms to interact with toys appropriate for age.
 Child shows difficulty with fine motor/poor use of hands that is significantly different than same age peers.
 Child is unable to use both hands together to hold bottle or cup and/or to play with toys, string beads, put Lego’s together, etc.
 Child has difficulty establishing a sleep/wake cycle or self-regulation skills; is seen as an “irritable” infant.
 Child has difficulty using his vision and motor skills together (ie scoop food onto a spoon and locate mouth, catch/throw a ball)
 Child is under or over sensitive to touch, movement, and/or sounds; child is overwhelmed by sounds in his/her environment or easily becomes upset by changes in routine.
 Child can not keep up in play situations with other children, or sits in the corner by himself instead of playing; may seem confused or overwhelmed in play; appears to have difficulty knowing how to play with toys or motor planning new toys; may break toys.
 Child seems unaware of others and/or his environment; makes no attempt to engage in social interaction and/or has decreased eye contact.