Can you give an example of a pediatric treatment provided via telehealth, the session length, and how much parents need to be involved?

Aditi Mehra, DHS, OTR/L

May 1, 2020



Can you give an example of a pediatric treatment provided via telehealth? What is the typical length of the session? How much do the parents need to be involved?


1)What does a typical session look like?
This is a treatment example for an 8-year-old boy with goals for handwriting (fine motor and visual perceptual). I would email the caregiver the night before with the time for the 30-minute session and any supplies needed. I also use a PPT as a visual schedule.
Step 1:  Collaborate with parents on a reward for the student.
Step 2:  Ask the parents to have certain the items ready:
Step 3: Use a visual schedule with the student on PowerPoint so they can cross off as an item is completed.

2) What is the typical length of a session?

It depends on the age of the child and if there is a facilitator present.  Typically, I do 30-minute sessions.
3)How much do the parents need to help during these sessions?
It depends on the child's age and attention. However, after a few sessions, a routine is often established and this tends to decrease the need for a facilitator.  It is important and helpful to have a routine or schedule with the session and use a 2:1 ratio. You work on 2 easier or preferred tasks for every non- preferred activity.
For more information on the topic of "Telehealth in Pediatrics", please check out the OT Virtual Cafe chat.

aditi mehra

Aditi Mehra, DHS, OTR/L

Dr. Aditi Mehra graduated with a Bachelor's in Occupational Therapy, from Western Michigan University in 1998 and has a Doctorate in Health Sciences from Midwestern University in Illinois. She has practiced as a pediatric OT for the past 22 yrs in various settings: Early intervention, hand therapy, inpatient and outpatient rehabilitation, and school- settings. During her doctoral studies, Dr. Mehra also pursued a certification in Applied Behavior Analysis to improve and enhance collaboration within multidisciplinary teams. Once she delved deeper into this field of ABA, Dr. Mehra uncovered Fit Learning, an academic program based on the principles of ABA designed to build fluency and address all differences in learning (executive functioning, ADHD, etc.). Dr. Mehra is currently the Director of Fit Learning Labs in the Chicagoland area and continues to practice OT in the school setting. Her passion is rooted in IPE and aims to foster multidisciplinary collaboration with the field of OT and other allied health professions. She provides continuing education presentations to various allied health groups in the community and is an avid blogger for Psychology Today.

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