OccupationalTherapy.com Phone: 866-782-9924


With Regards To Creating A Successful Transition From Teenager In School To Young Adult, What Do You Do Without An IEP?

Cara Koscinski, OTD, MOT, OTR/L, CAS

February 29, 2016

Question

My son had an IEP for years. He now wants to be a Marine, but he is struggling in math. The schools also do not teach life skills. What do you suggest?

Answer

Yes, this is a problem. That is absolutely one of the biggest problems that we are seeing. I think another question is, "Who will do the life skill teaching?" He no longer has an IEP, but remember he still has civil rights. He still would qualify for modifications. You can also use an advocate to help you with this process. 


cara koscinski

Cara Koscinski, OTD, MOT, OTR/L, CAS

Dr. Cara Koscinski is an occupational therapist with over 28 years of clinical experience, specializing in pediatrics, interoception, executive function, regulation, and professional mentoring. She earned her bachelor’s in health sciences and master’s in occupational therapy from Duquesne University and completed her post-professional doctorate at Rocky Mountain University of Health Professions.


Cara’s work is deeply shaped by both professional expertise and lived experience as a parent of two adult autistic sons. She founded a family-centered pediatric OT clinic, authored multiple award-winning books, one of which has been translated into five languages, and founded The Pocket Occupational Therapist, one of the field’s early evidence-informed online resources. Cara is the owner of the largest pediatric OTP group on Facebook, supporting over 52,000 clinicians worldwide. 


She is the founder of the OTP Hivemind Mentoring Circle, which supports therapists at all career stages, and of The Executive Function Institute, home of her signature Executive Function Express program, an engaging, research-based approach to executive function development. The institute provides neurodiversity-affirming resources and programs. A lifelong learner and mentor, Cara is known for blending clinical depth with warmth, clarity, and practical wisdom.


“Love what you do, and you’ll never work a day in your life.”


Related Courses

Behavioral And Daily Challenges In Children With Autism
Presented by Cara Koscinski, OTD, MOT, OTR/L, CAS
Video

Presenter

Cara Koscinski, OTD, MOT, OTR/L, CAS
Course: #4891Level: Introductory1 Hour
  'Amazing and knowledgeable teacher'   Read Reviews
This course will describe the behavioral challenges of occupational performance for children with autism. The ways in which children show difficulty with behavior will be explored. Emphasis will be placed on the fact that behavior is a form of communication. The use of strategies and supports that OTs can employ to ease the transition, improve task initiation and completion, and better improve overall engagement in occupation will be presented. Numerous strategies will be discussed to facilitate participation in ADLs of children with autism.

Assessment And Treatment Strategies To Boost Brain Skills In Partnership With The Pocket Occupational Therapist
Presented by Cara Koscinski, OTD, MOT, OTR/L, CAS
Video

Presenter

Cara Koscinski, OTD, MOT, OTR/L, CAS
Course: #5453Level: Intermediate1.5 Hours
  'Very practical information that I can use in my practice right away'   Read Reviews
Children often struggle with fidgeting, attention deficits, and immature motor patterns which manifest themselves through frustration, sensory, and behavior issues. The optimal function of our bodies occurs when our sensory and motor systems are strong and able to adapt to the demands of the environment. Lack of movement opportunities and the use of electronic devices at a young age both affect the development of patterns used in the occupation of children. Occupational therapists can easily build-in assessment of body and segmental movement and posture. This session provides strategies for assessment and introduces treatment ideas for using movement to improve performance in occupation.

Learning Disorders And ADHD, Building Your OT Toolbox In Partnership With The Pocket Occupational Therapist
Presented by Cara Koscinski, OTD, MOT, OTR/L, CAS
Video

Presenter

Cara Koscinski, OTD, MOT, OTR/L, CAS
Course: #5471Level: Introductory1.5 Hours
  'Teacher was great and topic very helpful'   Read Reviews
Children with learning disabilities often struggle in multiple areas of occupational performance. This course helps with understanding the characteristics and treatment of learning disabilities and ADD/ADHD in the pediatric population. Throughout this course, we will focus on practical treatment ideas to improve outcomes. Goal writing while considering the utilization of a strengths-based approach is discussed.

The Executive Brain: Support Strategies For Autism Spectrum Disorder And ADHD
Presented by Cara Koscinski, OTD, MOT, OTR/L, CAS
Video

Presenter

Cara Koscinski, OTD, MOT, OTR/L, CAS
Course: #7056Level: Intermediate2 Hours
  'Easy to follow models, good examples'   Read Reviews
This two-hour virtual course examines executive function through an interoception-informed, state-based lens, emphasizing that access to executive skills depends on nervous system readiness rather than motivation or compliance. Participants will explore how neurological up- and down-regulation influence executive access and how movement serves as a primary pathway for organizing state, supporting attention, and preparing the brain for cognitive demand. Using The Executive Function Express framework and its Move the Train to Build the Brain strategies, the course demonstrates how purposeful, developmentally appropriate movement can stabilize the “tracks” needed for planning, initiation, flexibility, and follow-through. A strengths-based, neurodiversity-affirming approach is emphasized throughout, guiding participants to shift from behavior-focused interpretations to interventions that build capacity, access, and self-trust.

The Missing Rotation: How Movement Development Influences Participation Across Childhood
Presented by Cara Koscinski, OTD, MOT, OTR/L, CAS
Live WebinarTue, Aug 11, 2026 at 12:00 pm EDT
Tue, Aug 11, 2026 at 12:00 pm EDT

Presenter

Cara Koscinski, OTD, MOT, OTR/L, CAS
Course: #7057Level: Intermediate1 Hour
Movement development is not simply the acquisition of motor milestones. Children develop postural control, bilateral coordination, weight shifting, trunk mobility, and movement efficiency through opportunities to move, explore, and interact with their environments. While movement occurs across multiple planes, transverse-plane and rotational experiences are often overlooked despite their role in developing coordinated movement patterns. Reduced opportunities for varied movement experiences may contribute to challenges with crossing midline, bilateral coordination, motor planning, postural control, and participation in everyday activities. This intermediate-level course examines movement development from birth through childhood through the lens of movement variability, postural development, and functional participation. Participants will explore how movement experiences contribute to the development of foundational movement skills and how limitations in movement across planes may influence participation in learning, play, self-care, and other daily activities. Strategies for interdisciplinary observation, communication, and support planning will also be discussed. This course was designed for an interprofessional audience.